reasonable accommodations for individuals with psychiatric disabilities

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Jonathan Delman Transitions RTC University of Massachusetts Medical School 1

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REASONABLE ACCOMMODATIONS FOR INDIVIDUALS WITH PSYCHIATRIC DISABILITIES. Jonathan Delman Transitions RTC University of Massachusetts Medical School. Key Laws. Section 504 of the [Federal] Rehabilitation Act of 1973 The Americans with Disabilities Act of 1990 [Federal] - PowerPoint PPT Presentation

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Page 1: REASONABLE ACCOMMODATIONS FOR INDIVIDUALS WITH PSYCHIATRIC DISABILITIES

Jonathan Delman Transitions RTC

University of Massachusetts Medical School

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Page 2: REASONABLE ACCOMMODATIONS FOR INDIVIDUALS WITH PSYCHIATRIC DISABILITIES

Section 504 of the [Federal] Rehabilitation Act of 1973

The Americans with Disabilities Act of 1990 [Federal]

Massachusetts Employment Discrimination Law (9G.L. c. 151B, 4, ¶ 160)

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Page 3: REASONABLE ACCOMMODATIONS FOR INDIVIDUALS WITH PSYCHIATRIC DISABILITIES

An impairment that substantially limits one or more major life activities. Such activities include:

Thinking Concentrating Interacting with others Sleeping Caring for self Working

A record of a substantially limiting impairment Being regarded as having a substantially

limiting impairment

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Page 4: REASONABLE ACCOMMODATIONS FOR INDIVIDUALS WITH PSYCHIATRIC DISABILITIES

Anxiety disorder, Panic disorder Bipolar disorder Depression Post-traumatic stress disorder Schizophrenia Adjustment disorder Alcoholism, but not recreational use of

alcohol Drug addiction, but not if currently using

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Page 5: REASONABLE ACCOMMODATIONS FOR INDIVIDUALS WITH PSYCHIATRIC DISABILITIES

ImpairmentsPyromaniaKleptomaniaCompulsive gamblingCurrent illegal use of drugs

Personality Traits (if not caused by a disability)Poor judgmentChronic latenessIrritabilityInability to get along with supervisor or co-workers

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Page 6: REASONABLE ACCOMMODATIONS FOR INDIVIDUALS WITH PSYCHIATRIC DISABILITIES

Unable to perform a major life activity; or Significantly restricted as compared to

the average person in the general population Factors include: Duration – more than several months Severity Permanent or long-term impact of or resulting

from the impairment May be considered "handicapped," even

if the symptoms can be mitigated or eliminated by medication or other treatment.

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Page 7: REASONABLE ACCOMMODATIONS FOR INDIVIDUALS WITH PSYCHIATRIC DISABILITIES

Substantially limiting in the past Includes individuals mischaracterized as

having a disability Not “disabled”, but individual is treated

as such Impairment is substantially limited as the

result of the attitudes of others

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Page 8: REASONABLE ACCOMMODATIONS FOR INDIVIDUALS WITH PSYCHIATRIC DISABILITIES

Meets the basic skill, education, training, and other job-related requirements; and

Can perform the essential (or fundamental) functions of a position with or without reasonable accommodation

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Page 9: REASONABLE ACCOMMODATIONS FOR INDIVIDUALS WITH PSYCHIATRIC DISABILITIES

Terms of a written position description Employer’s judgment Amount of time spent performing the

function Consequences of not performing the

function Job exists to perform the function Limited number of employees among whom function

can be distributed Job is highly specialized

Experience of current or past employees9

Page 10: REASONABLE ACCOMMODATIONS FOR INDIVIDUALS WITH PSYCHIATRIC DISABILITIES

A change in job application process that enables a qualified handicapped applicant to be considered for the desired position.

A modification or adjustment to the work environment or in the way things are customarily done that enables a qualified handicapped person: to perform the essential functions of that

position. to enjoy the same privileges and benefits of

employment as are enjoyed by non-handicapped employees.

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Page 11: REASONABLE ACCOMMODATIONS FOR INDIVIDUALS WITH PSYCHIATRIC DISABILITIES

Physical modifications Modified work schedules Job restructuring Changing supervisory methods Job coach telework Leave Reassignment to a vacant position

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Page 12: REASONABLE ACCOMMODATIONS FOR INDIVIDUALS WITH PSYCHIATRIC DISABILITIES

Lowering production or performance standards

Excusing violations of conduct rules that are job-related and consistent with business necessity

Removing an essential function Monitoring an employee’s use of

medication Actions that would result in undue

hardship 12

Page 13: REASONABLE ACCOMMODATIONS FOR INDIVIDUALS WITH PSYCHIATRIC DISABILITIES

An action that results in a significant difficulty or expense to the employer's business. This requires a particularized analysis and balancing of the handicap, the accommodation at issue, and the nature of the employer’s business:

the overall size of the employer's business with respect to the number of employees, number and type of facilities, and size of budget or available assets;

the type of the employer's operation, including the composition and structure of the employer's workforce; and

the nature and costs of the accommodation needed.

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Page 14: REASONABLE ACCOMMODATIONS FOR INDIVIDUALS WITH PSYCHIATRIC DISABILITIES

The reasonable accommodation process may be triggered when: A request has been made Without an accommodation request if the

employer has knowledge of an employee’s disability and a reasonable basis exists for the employer to believe that an accommodation is required.

Requests do not have to be in writing. Requests do not have to use “magic words.” Requests may come from a third party (e.g.,

an employee’s family member or doctor).

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Page 15: REASONABLE ACCOMMODATIONS FOR INDIVIDUALS WITH PSYCHIATRIC DISABILITIES

Requests for reasonable accommodation may be made at any time during the application process or during employment

An employee does not lose the right to request an accommodation because he did not do so during the application stage

Employees may make more than one request for reasonable accommodation (e.g., if the nature of a condition or the job changes)

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Page 16: REASONABLE ACCOMMODATIONS FOR INDIVIDUALS WITH PSYCHIATRIC DISABILITIES

An employer must engage in an interactive process with the individual asking for the accommodation to assess reasonableness and degree of hardship. Not engaging is a legal breach.

The employee is also required to engage in this interactive process. If the employee does not engage (including the provision of legally required information and trying out a proposed effective RA), the employer is not obligated to accommodate.

Primary consideration should be given to the employee’s choice.

The employer may ultimately choose from among the effective accommodations possibilities.

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Page 17: REASONABLE ACCOMMODATIONS FOR INDIVIDUALS WITH PSYCHIATRIC DISABILITIES

An employer may obtain reasonable documentation that an employee has a mental disability and needs an accommodation.

Employer may require that documentation of the existence of an impairment come from a health care professional.

Health care professionals other than psychiatrists may provide documentation of the existence of an impairment.

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Page 18: REASONABLE ACCOMMODATIONS FOR INDIVIDUALS WITH PSYCHIATRIC DISABILITIES

Documentation must be sufficient, but the amount of documentation required must be reasonable. Sufficient: Means that the documentation

establishes the existence of an impairment and the degree to which the impairment limits major life activities.

Reasonable: means that the employer is entitled to no more information than is necessary to determine that the employee has a disability and needs accommodation

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Page 19: REASONABLE ACCOMMODATIONS FOR INDIVIDUALS WITH PSYCHIATRIC DISABILITIES

Information about an employee’s reasonable accommodation must be kept confidential

Exception: Information may be disclosed to supervisors and managers for necessary work restrictions or reasonable accommodations

Exception: Information may be disclosed to individuals involved in making decisions about reasonable accommodations

Exceptions: Where necessary for emergency treatment;

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Page 20: REASONABLE ACCOMMODATIONS FOR INDIVIDUALS WITH PSYCHIATRIC DISABILITIES

Many agencies have someone other than employee’s immediate supervisor review documentation supporting accommodation request

Where this is done, supervisor will receive only information necessary to provide accommodation

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Page 21: REASONABLE ACCOMMODATIONS FOR INDIVIDUALS WITH PSYCHIATRIC DISABILITIES

Executive Order 13164 requires all Federal agencies to have written reasonable accommodation procedures

EEOC has issued guidance on EO 13164: http://www.eeoc.gov/policy/docs/accommodation_procedures.html

Massachusetts Commission Against Discrimination Guidance: http://www.mass.gov/mcad/disability1a.html

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