title: Employee Health in the Mental Health Workplace: Clinical, Administrative, and Organizational Perspectives.
abstract: Issues of mental health and employee health have risen to increasing prominence in recent years. However, there have been few explorations of the clinical and administrative challenges that these issues raise, particularly in settings that are themselves mental health workplaces. In order to identify and understand such challenges, a brief case of acute employee illness in a mental health workplace is described followed by a discussion of salient clinical, administrative, and organizational considerations. The case raises questions about medicolegal responsibilities and relationships between clinicians and patients in mental health settings, illuminates tensions between clinical staff and human resources processes, and draws attention to the need for illness prevention and mental health promotion initiatives in the workplace. Increased awareness of these issues, complications, and potential solutions would benefit clinicians, administrators, and mental health institutions.
authors.affiliation: Connecticut Mental Health Center and Department of Psychiatry, Yale School of Medicine, 34 Park Street, New Haven, CT, 06511, USA. jai.shah@mcgill.ca.
authors.forename: Jai L
authors.initials: JL
authors.lastname: Shah
authors.affiliation: Connecticut Mental Health Center and Department of Psychiatry, Yale School of Medicine, 34 Park Street, New Haven, CT, 06511, USA.
authors.forename: Reena
authors.initials: R
authors.lastname: Kapoor
authors.affiliation: Connecticut Mental Health Center and Department of Psychiatry, Yale School of Medicine, 34 Park Street, New Haven, CT, 06511, USA.
authors.forename: Robert
authors.initials: R
authors.lastname: Cole
authors.affiliation: Connecticut Mental Health Center and Department of Psychiatry, Yale School of Medicine, 34 Park Street, New Haven, CT, 06511, USA.
authors.forename: Jeanne L
authors.initials: JL
authors.lastname: Steiner
mesh_terms: D006293:Health Promotion; D006801:Humans; D001523:Mental Disorders / Q000523:psychology*; D008603:Mental Health; D016272:Occupational Health; D017132:Workplace / Q000523:psychology*
references.citation: J Ment Health. 2011 Apr;20(2):185-97
references.pmid: 21406020
references.citation: J Gen Intern Med. 2009 Dec;24(12):1333-5
references.pmid: 19784705
references.citation: Psychiatr Serv. 2014 Apr 1;65(4):429-41
references.pmid: 24549400
references.citation: Fam Med. 2003 Jul-Aug;35(7):476-81
references.pmid: 12861458
references.citation: Psychiatr Serv. 2013 Dec 1;64(12):1190-2
references.pmid: 24129880
references.citation: Rand Health Q. 2013 Jun 1;3(2):7
references.pmid: 28083294
references.citation: Adm Policy Ment Health. 2007 May;34(3):293-306
references.pmid: 17340184
references.citation: J Ment Health. 2011 Apr;20(2):165-73
references.pmid: 21542717
references.citation: J Ment Health. 2011 Apr;20(2):111-4
references.pmid: 21542715
references.citation: Psychiatr Serv. 2011 May;62(5):541-4
references.pmid: 21532082
references.citation: Psychiatr Serv. 2008 Nov;59(11):1307-14
references.pmid: 18971407
references.citation: J Ment Health. 2011 Apr;20(2):198-209
references.pmid: 21406021
references.citation: J Occup Environ Med. 2001 Dec;43(12):1073-80
references.pmid: 11765678
references.citation: J Ment Health. 2011 Apr;20(2):157-64
references.pmid: 21542716
references.citation: World Psychiatry. 2012 Jun;11(2):123-8
references.pmid: 22654945