Strateg-Eyes
Managing Mental Illness in the Workplace
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Managing a mentally healthy workplace is becoming an increasingly important, and an increasingly topical, aspect of workplace relations. As the prevalence of mental health conditions in the workplace continues to increase, together with the costs to employers and productivity, the management of mental health conditions often falls into the too hard basket. This article will discuss mental health conditions and how they affect the workplace and will also look at the legal considerations relevant to the management of mental health conditions in the context of two recent unfair dismissal cases.
What is mental illness and how does it affect the workplace
The Australian Government Department of Health defines mental health conditions as a general term that refers to a group of illnesses that “affect how a person feels, thinks, behaves and interacts with other people.” Mental health conditions include mood disorders, such as depression and bipolar disorder, anxiety disorders, such as social anxiety disorders, obsessive-compulsive disorders or phobias, and psychotic disorders, such as schizophrenia. Latest statistics indicate that one in five Australians will suffer from a mental illness at some point in their lives and according to the World Health Organization, depression will be one of the biggest health problems worldwide by the year 2020.
In terms of how mental health conditions impact on business, a recent report prepared by PwC reveals significant costs to Australian businesses as a result of untreated mental health conditions and, in particular:
- over six million working days lost each year due to depression;
- over 12 million days each year of reduced productivity;
- 3-4 days off work per month for each person experiencing depression; and
- $10.9 billion dollars lost each year due to absenteeism, lost productivity and compensation claims.
The report also revealed that it is generally employees experiencing mild depression who represent the greater volume of financial burden to employers, with 61% of the costs attributable to those suffering from mild depression as opposed to clinical depression. In conjunction with the launch of the first national campaign to target mental health in the workplace, beyondblue, a leading mental health organisation has advised businesses “if you’re not investing in mental health you’re losing money.”
At a practical level mental health conditions affect employees’ ability to concentrate, relate and interact with others, impair judgment, cloud decision-making, can result in reduced motivation, difficulties with logical thought, lowered productivity, deterioration of work performance, social withdrawal and erratic behavior. Understanding and responding to early warning signs can have a very beneficial impact on the management of mental health conditions and it is widely accepted that the earlier the response and, if necessary, the sooner treatment starts, the better the outcome, including by reducing absenteeism and productivity costs to businesses.
Failing to manage mental illness and the risks
Prolonged disharmony in the workplace arising from workplace bullying, interpersonal conflict, excessive or unreasonable work demands or workplace change, for example, the uncertainty created by restructure, are all factors commonly cited as the cause of an employee’s onset or exacerbation of mental health conditions. In addition to the business risks that arise from mental health conditions in the workplace as discussed above, mental health conditions in the workplace can also expose employers to risk with respect to workplace bullying, adverse action, discrimination, workers compensation and unfair dismissal claims. Two recent cases that have already received a good deal of media attention highlight the consequence for employers when mental health conditions are not managed in the workplace.
The first FWC case
In this first decision the Fair Work Commission (the “Commission”) handed down a scathing decision criticising the employer’s treatment of an employee (“Mr M“) who had been suffering from a mental health condition. Commissioner Riordan described the employer’s actions as “unconscionable” at a time when “Australian society is focusing on the issues of mental health in the workplace” and remarking that he hoped the employer would not treat an employee diagnosed with depression and anxiety in the future “in the same shabby manner”. The decision highlights the fallout that results from the mismanagement of mental health conditions in the workplace and the potential legal and reputational exposure.
Mr M had been employed for a period of 10 years. In the period between August 2012 and April 2013, Mr M had been absent from the workplace for approximately two months due to “psychological issues” resulting from his perception of bullying and harassment by his managers. As a result of Mr M’s absences, Mr M was referred by the employer to an independent psychologist, Dr S, who diagnosed Mr M with “an adjustment disorder with anxiety and depressed mood”. Dr S certified Mr M as being fit to work but noted that if Mr M was required to work with the people he identified as having caused his problems, any return to work would be unlikely to be “successful or enduring”.
Mr M subsequently returned to work in June 2013. On Mr M’s return to work he was not transferred to another role or team, nor was his return to work plan followed by the employer. Shortly after his return to work, and despite there being no complaints or issues about Mr M’s performance or ability, the employer directed Mr M to attend a series of further consultations with Dr S. These consultations resulted in a recommendation that Mr M cease work and obtain further treatment. Mr M was directed by the employer to “cease work immediately and go home”. Mr M complied with this direction and the employer then went on to deactivate his security pass and provide Mr M’s photo to its security desk as someone to be denied access to the building.
Mr M challenged this direction by providing two medical certificates from his GP which certified him as fit to work. Despite Mr M producing medical evidence certifying him fit to work, the employer refused to allow Mr M to return. Mr M then lodged an unfair dismissal claim with the Commission claiming that he had been constructively dismissed.
Although Mr M’s unfair dismissal claim was ultimately unsuccessful, Commissioner Riordan was very critical in his judgment of how the ATO “deliberately and mischievously delayed Mr [M’s] return” to work. Commissioner Riordan also criticised the employer for trying “to manipulate an outcome to suit its purposes” and found their “behaviour in seeking multiple clarifications from Dr [S] as appalling.” It was also noteworthy that Commissioner Riordan found that it was “a breach of Mr [M’s] contract of employment and the [Fair Work] Act to refuse him entry to his workplace to undertake the functions that he was contractually obligated and entitled to perform” particularly in circumstances where the employer knew of his fitness to work and his dire financial situation.
Another FWC case
In another particularly scathing decision, the Commission has condemned an employer for its treatment of an employee (“Mr S“) when it sacked the employee for “serious misconduct” without having proper regard to the fact that the employee was suffering from a mental health condition and in full knowledge of the employee’s mental health condition and his need for ongoing treatment.
Mr S was employed as a Licensed Aircraft Mechanical Engineer (“LAME”) in the maintenance of commercial jet aircraft at Tullamarine Airport. Mr S was notified that he was to change work groups from Crew A to Crew B as Crew B was in need of skilled engineers. However, Mr S refused to change work groups stating that he had not been appropriately trained to complete work on a Rolls Royce Trent 700 engine which predominately formed part of the work in the Crew B work group.
On 18 July 2013, Mr S sent an email to the Managing Director alleging that the employer was incompetent, was trying to “kill” him and his family, that he was being denied his legal rights as a LAME and suggesting that there may be a repeat of an air crash that occurred in San Francisco. Mr S also threatened to take complaints to Today Tonight, 60 Minutes or the Prime Minister.
On 5 August 2013, Mr S received a letter from the employer alleging that he had engaged in serious misconduct as a result of his refusal to change work groups as directed and as a result of his email to the Managing Director and was subsequently dismissed from his employment.
Commissioner Ryan found that the dismissal was “invalid and unfair” as it appeared that the managers had not given sufficient, if any, weight to the obvious mental health problems that Mr S was experiencing at the time the company directed him to change work crews and in the period that followed. Commissioner Ryan found the employer’s actions to be “towards the major end” of the “scale of unfairness” particularly as Mr S had been suffering from mental health conditions since January 2013 and had provided medical certificates showing he was being treated by a psychiatrist and psychologist. As a result, Commissioner Ryan found that it was “neither sound nor defensible” to rely upon the conduct of an employee with an obvious mental health problem in drawing a conclusion that the conduct of the employee amounted to serious misconduct. Commissioner Ryan further found that it was totally unreasonable for the company to come to the conclusion that Mr S engaged in serious misconduct and that the evidence of Mr S’ mental health condition provided a “strong reason for excusing the conduct” when Mr S sent the email.
Commissioner Ryan was unable to order Mr S’ reinstatement because the relevant operations had since closed, but ordered compensation based on lost wages and redundancy payments made to other engineers when the operations closed.
These decisions illustrate the importance that the Commission places on the appropriate treatment of mental health conditions in the workplace both throughout the employment relationship and at the time of dismissal. These decisions also highlight the increasing importance of managing mental health conditions at a time when mental health is at the forefront of drives to improve Australian workplaces and productivity.