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Category: Commentary & Opinion

Posted on April 15, 2019June 29, 2023

Firing an Employee Because of His Heart Problems? Rethink That One

Jon Hyman The Practical Employer

Jonathan Baum worked as a scheduler for Metro Restoration Services.

In late 2014, he began to suffer cardiac problems. Over the course of the next several months, he went to the ER fearing a heart attack, had a heart catheter implanted, had an echocardiogram and wore a heart monitor. He occasionally also missed work for medical tests and treatments and sometimes worked remotely. His boss, and the owner of Metro, Patrick Cahill, was aware of Baum’s medical issues.

Following a work day on which Baum had worked remotely from his home, Cahill fired him. The expressly stated reason: “health issues and doctors’ appointments.”

Oops.

Baum then sued for disability discrimination.

Even with all of Baum’s cardiac issues, the 6th Circuit held that he could not establish that he suffered a physical impairment that substantially limited one or more major life activities. Therefore, Baum did have a legally protected actual disability. Baum had failed to identify a medical expert to testify and establish whether his cardiac problems substantially limit his cardiovascular and circulatory functions.

So do Baum’s impairments limit his cardiovascular and circulatory functions? They might. But to conclude that they did, a jury would need to understand them—how they function, and what that means for Baum. And to understand them, jurors would need an opinion from someone with “scientific, technical, or other specialized knowledge”: expert testimony.

Because Baum failed to disclose his doctor—or anyone else with specialized medical knowledge—as an expert witness, he lacks the evidence he needs. And without that evidence, he hasn’t created a factual issue over whether he is actually disabled.

Case closed, right? Not so fast.

The ADA does not only protect actual disabilities, but also perceived disabilities. On this latter claim, Metro had a huge problem.

Unlike actual disability claims, an employee proceeding on a claim of perceived disability need not prove a limitation of a major life activity, but only that the employer took an adverse action “because of an actual or perceived physical … impairment.” Thus, the lack of a medical expert was not fatal to this claim.

Baum argues that a jury could find that Metro fired him because Cahill thought Baum was disabled. For support, he relies on Cahill’s knowledge of Baum’s catheter, CAT scan, trip to the ER, and period where he wore a heart monitor. Baum also points to Cahill’s stated reason for firing him: his “health issues and doctor’s appointments.” …

Cahill’s knowledge of Baum’s medical issues—alone—is insufficient to carry the day.… But Baum has more—he has Cahill’s stated reason for firing him: his “health issues and doctor’s appointments.” That statement is what creates a factual dispute and makes it material. Giving Baum the benefit of the doubt, a jury could find that Cahill meant what he said. And if a jury so found, it could also find that Cahill perceived Baum to have a physical impairment and fired Baum because of that perception.

In other words, employers, it’s not the best idea to tell your employee that you are firing them because of their medical issue. It will not end well for you.

Posted on April 10, 2019June 29, 2023

Expanding Employee Access to Mental Health Care

Last week the U.S. Department of Labor announced that it’s launched a new toolkit for employers to help them understand mental health issues and create a supportive work culture.

The EARN Mental Health toolkit — created by the DOL’s Office of Disability Employment Policy and its Employee Assistance and Resource Network on Disability Inclusion, or EARN — includes an educational framework and a list of case studies of successful programs at organizations of various sizes.

The EARN Mental Health Toolkit hinges on “4 A’s”:

  • Awareness: Build awareness and a supportive culture.
  • Accommodation: Provide accommodations to employees.
  • Assistance: Offer employee assistance.
  • Access: Ensure Access to treatment.

I want to focus on access for now, because no matter how much you try to create a disability-friendly culture, if employees can’t access or afford medication, therapy or whatever medical assistance they need to treat their mental illness on a regular basis, then a huge piece of the treatment puzzle is missing.

APA Publishing, a division of the American Psychiatric Association, recently published an informative article on this issue of access. The article covers a February 2019 panel discussion hosted by the New York Academy of Medicine, the New York County Psychiatric Society, and the New York State Psychiatric Association.

There are a lot of points I find valuable in this panel discussion of several people in the medical community. First, one of the panelists noted how Aetna recently settled a lawsuit in Massachusetts after an investigation found that the insurer violated state law with its “inaccurate and deceptive provider directories and inadequate provider networks.” Basically, this means that patients couldn’t access timely behavioral health care because listed providers weren’t accepting new patients or had retired.

This isn’t necessarily an anomaly, the article noted. For example, it cited a very comprehensive report that’s worth a read for anyone interested in this.

The 2017 research report by Milliman Inc. found that compared to medical/surgical care, people seeking behavioral health care more often have to access an out-of-network provider. While in-network care generally has lower co-pays for patients, when they must seek out-of-network care that means more out-of-pocket costs and more expensive behavioral health care.

Also, the report stated, “Some patients may want to avoid the higher costs and delay seeking needed services from behavioral health care providers, which can lead to less effective care.”

The article also stated the employer’s role in this. An excerpt:

Schwartz said that the business community is a strong ally in improving access to behavioral health care given the high cost of not addressing these issues in productivity loss, lower employee retention, high rates of disability, and higher overall employee costs. “While employers are paying for benefits, they are not getting what they paid for when employees cannot access behavioral health care,” he said. “Businesses are well positioned to ask health plans for data on provider networks and to examine disparities to improve accountability.”

Also noteworthy was a list of actionable items that presenters believe could help improve access to care. For example, a suggestion from the National Alliance and the Center for Workplace Mental Health is that “employers obtain quantitative assessments from third-party administrators on how well their employees are accessing mental health and substance use benefits.”

Again, I don’t want to suggest that environmental factors in the workplace don’t impact people’s general well-being. But offering free yoga classes in your building or teaching employees how to use mindfulness to reduce stress are NOT the medical equivalent of seeing a therapist or accessing an outpatient center.

Self-care is not medical care. If your organization has a deluge of trendy perks to help employees de-stress but doesn’t have a sufficient behavioral health provider network, how much of a difference could that really make?

Posted on April 8, 2019June 29, 2023

The 10th Nominee for the Worst Employer of 2019 Is … the Exorcising Employer

Jon Hyman The Practical Employer

Is it too early to declare a winner for 2019’s contest?

According to the complaint Jason Fields filed against the Hazard, Kentucky, Hampton Inn at which he worked, and its manager, Sharon Lindon, he had to endure some pretty odd stuff during his employment.

As he tells his story, Lindon decided to help Fields after she learned of his impending divorce. How? By offering to exorcise him.

I can’t do this story any better justice than how Field’s describes it in his lawsuit:

Lindon told the Plaintiff that the reason for his marital problems was that he had demons.

Lindon told the Plaintiff that if he were going to work for her he had to be cleansed.

Lindon told the Plaintiff she had been cleansed three or four times and it was similar to an exorcism.

The Plaintiff was also given a packet of papers by Lindon to be completed and turned in. The packet contained 1 page of instructions, 2 pages containing a release and indemnity agreement, and 9 pages of questions.…

The Plaintiff was told once he had completed the questionnaire, he would need to meet Lindon at the church and have a cleansing performed.…

The Plaintiff refused to participate in any exorcism.

After the Plaintiff refused to complete the form, and then after he completed it, but refused to give it to Lindon, and then refused to participate in a cleansing, (1) his shift was changed, (2) his job duties changed, (3) he was not allowed to take his days off, (4) he was threatened daily concerning the loss of his job, and (5) he did not receive a raise.     

Fields ultimately quit.

What information did Lindon pressure Fields to provide? 

For starters, workplace-inappropriate information about his religious beliefs and practices:

  • What is your church background?
  • Briefly explain your conversion experience.
  • In one word, who is Jesus Christ to you?
  • What does the blood of Calvary mean to you?
  • What is your prayer life like?
  • Were you conceived out of wedlock?

And then stuff just got weird:

  • Have you, your parents or grandparents been in any cults?
  • Have you ever made a pact with the devil?
  • Have you ever visited heathen temples?
  • Do you have any witches, such as “good luck kitchen witches,” in your home?

And then downright off-the-rails offensive:

  • Do you have lustful thoughts?
  • To your knowledge, was their evidence of lust in your family line?
  • Do you frequently masturbate?
  • Have you ever been a victim of incest by a family member?
  • Have you ever committed incest, rape or molested anyone?
  • Have you ever committed fornication, adultery, been with prostitutes, had homosexual or lesbian desires or experience?
  • Have you ever sexually fantasized about an animal?
  • Have you been in involved in oral or anal sex?
  • Have you fathered a child that has been aborted?
  • Has pornography ever attracted you?
  • Do you have desires of having sex with a child?

I’m a defense lawyer, trained to look at an employee’s allegations with a healthy dose of skepticism. But, does anyone think, after reading Fields’ allegations, that this didn’t happen? Who could make this up? Fields alleges that he “has the form and will produce it.”

Thus, even if just part of this happened, this employer has well earned its nomination as the Worst Employer of 2019.
   
Thanks to Eric Meyer, who brought this doozy to my attention.

Previous nominees:

The 1st Nominee for the Worst Employer of 2019 Is … the Philandering Pharmacist

The 2nd Nominee for the Worst Employer of 2019 Is … the Little Rascal Racist

The 3rd Nominee for the Worst Employer of 2019 is … the Barbarous Boss

The 4th Nominee for the Worst Employer of 2019 is… the Flagrant Farmer

The 5th Nominee for the Worst Employer of 2019 is… the Fishy Fishery 

The 6th Nominee for Worst Employer of 2019 Is … the Diverse Discriminator

The 7th Nominee for Worst Employer of 2019 Is … the Disability Debaser

The 8th Nominee for the Worst Employer of 2019 Is … the Lascivious Leader

The 9th Nominee for the Worst Employer of 2019 Is … the Exorcising Employer

Posted on April 4, 2019June 29, 2023

Flatulence as Harassment? It’s a Thing in Australia

Jon Hyman The Practical Employer
An Australian court has rejected an employee’s claim that his supervisor unlawfully harassed him by farting on him.
David Hingst sought 1.8 million Australian dollars ($1.3 million) in damages based on a claim his supervisor would enter his small, windowless office several times a day and “break wind on him or at him … thinking this to be funny.”

According to NBC Chicago, Hingst said that his supervisor at Construction Engineering, Greg Short, would “fart behind me and walk away. He would do this five or six times a day.” For his part, Hingst would respond by spraying Short with deodorant and calling him “Mr. Stinky.”

The court was not persuaded that the stink bombs were illegal.

In oral submissions, the applicant put the issue of Mr Short’s flatulence to the forefront. He submitted that ‘flatulence is substance’, not merely peripheral, and that the judge should have so found. The applicant submitted that the flatulence constituted assaults, and challenged the notion that he had accepted that the issue was peripheral.

Yet, the court found that the “farting” was not “bullying in the ‘legal sense.’”

This case got me to thinking, has an American tribunal ever dealt with a similar issue?

The closest I could find is Stanford v. Department of the Army, an EEOC decision. The case involved a white male alleging race and sex discrimination. The allegations stemmed from what he perceived as the Department’s different treatment of his farting in the presence of female co-workers as compared to that of an African American co-worker.

Complainant argues that he was “written up” because a Black female accused him of “farting” …. He argues that Black males can “fart” in the presence of the Deputy and other co-workers and not be disciplined….

We find … that complainant’s harassment claim is severe or pervasive enough to state a claim of harassment.

I’m not sure I would have reached that same result.

But here’s the thing. Can we all just act like adults? Yes, farts can be funny. My 10-year-old laughs at them all the time. But he’s 10. He’s not a grown-up, working at a job. So can we all try to act like grown-ups, treat each other with respect, and not make a federal case out of every trivial thing that happens at work? We will all be the better for it.

Posted on April 3, 2019June 29, 2023

The 9th Nominee for the Worst Employer of 2019 Is … the Fertile Firing

Jon Hyman The Practical Employer

MoMA PS1, a Queens, New York, art museum, has agreed to settle a pregnancy discrimination claim brought by Nikki Columbus, hired by the museum to direct its performance program.

She alleged that the museum rescinded her job offer after it learned she had recently given birth.

According to The New York Times, Columbus, five months pregnant when she applied for the job, chose not to disclose her pregnancy until after she was hired.

“I just went forward thinking that this is not their business, it’s not relevant to the job and to my abilities,” she told the Times. She added that Peter Eleey, the museum’s chief curator, told her during her interview that her predecessor had been “much less present” after she had a baby.

After being offered the job, Columbus asked Eleey for a soft transition-in period because she was recovering from just having a baby.

Eleey’s response, she alleged, “Why didn’t you tell me this two months ago?” A few days later, the museum rescinded its job offer, telling her that her conversations with Eleey “indicated that [she] would not be able to perform the job as it was structured.”

According to a museum spokesperson, “MoMA PS1 at all times has been compliant with the law and remains committed to supporting women and caregivers. We are satisfied with the agreement and are happy to put this matter behind us.”

Nevertheless, if you fire a new mom because she just had a baby, you might be the worst employer of 2019.

Previous nominees:

The 1st Nominee for the Worst Employer of 2019 Is … the Philandering Pharmacist

The 2nd Nominee for the Worst Employer of 2019 Is … the Little Rascal Racist

The 3rd Nominee for the Worst Employer of 2019 is … the Barbarous Boss

The 4th Nominee for the Worst Employer of 2019 is… the Flagrant Farmer

The 5th Nominee for the Worst Employer of 2019 is… the Fishy Fishery 

The 6th Nominee for Worst Employer of 2019 Is … the Diverse Discriminator

The 7th Nominee for Worst Employer of 2019 Is … the Disability Debaser

The 8th Nominee for the Worst Employer of 2019 Is … the Lascivious Leader

Posted on April 2, 2019June 29, 2023

Labor Department Proposes Updates to ‘Regular Rate’ and ‘Joint Employer’

Jon Hyman The Practical Employer

Over the past week, the Department of Labor’s announced proposals for significant (and much needed) regulatory updates to the definitions of “regular rate” and “joint employer.”

The DOL proposed an update to the definition of “regular rate” under the Fair Labor Standards Act.
The proposal would permit employers to exclude the following from an employee’s regular rate of pay:

  • The cost of providing wellness programs, onsite specialist treatment, gym access and fitness classes, and employee discounts on retail goods and services.
  • Payments for unused paid leave, including paid sick leave.
  • Reimbursed expenses, even if not incurred “solely” for the employer’s benefit.
  • Reimbursed travel expenses that do not exceed the maximum travel reimbursement permitted under the Federal Travel Regulation System regulations and that satisfy other regulatory requirements.
  • Discretionary bonuses.
  • Benefit plans, including accident, unemployment, and legal services.
  • Tuition programs, such as reimbursement programs or repayment of educational debt.

This change, if finalized, would be significant, as it would exclude these items of compensations from non-exempt employees’ overtime pay. According to the DOL, this change is needed to encourage employers to offer more financial perks to their employees, as, under the current rules, employers don’t offer these perks out of a fear that it will lead to increased overtime pay. You can read the full proposed rule change here.

Second, the DOL proposed a new four-factor test to determine whether two entities are joint employers over the same employees. Under this proposed new test, to qualify as a joint employer, the entity would have to “actually exercise the power” to:

  • Hire or fire employees.
  • Supervise and control employees’ work schedules or conditions of employment.
  • Determine employees’ rate and method of payment.
  • Maintain employees’ employment records.

This change, if finalized, would also be significant, as it would limit a potential joint employer’s exposure for wage and hour liabilities of the primary employer. You can read the full proposed rule here.

Both of these rules are open for public comment for 60 days. Stay tuned, as if these become final, they represent key changes to employers’ wage and hour responsibilities.

Posted on March 19, 2019June 29, 2023

Employers: Be Bold With Your Benefits

It is an exciting time for employee benefit professionals.

Just a few years ago, we were consumed with legislative challenges and daunting health and retirement issues. Those issues haven’t gone away, of course, but there’s a newfound optimism around the strategic and creative opportunities benefits bring. Several factors are pushing benefits to the forefront of talent strategies and the employee experience.

First, we have an incredibly diverse workforce that needs benefits to solve real problems. It’s marked by a vast range in age — employees from Gen Z (those in their early 20s) to baby boomers (some working well into their 70s) and everyone in between. It also encompasses every definition of family and lifestyle. And it challenges the very definition of “work,” which is evolving as more and more people build careers around part-time and contract roles or take long breaks from full-time employment.

Second, we’re seeing an exciting shift in how we’re designing and talking about benefits. The focus is moving away from traditional benefits like health insurance and retirement plans and toward a more holistic approach to taking care of employees and their families. This change is driven by the understanding that benefits and HR programs can drive greater business results when they’re considered more broadly, with attention to their impact on the mind, body, finances and even sense of purpose.

Third, there’s tremendous innovation in our space as employers and employees demand new programs and new technology (and as venture capitalists have figured out that employee benefits are ripe for disruption). HR technology is starting to keep pace with consumer technology, which means we can now deliver sophisticated benefits to meet those broad needs and create solutions for those very challenging issues we’re still tackling.

On top of all that, people care about their benefits. A lot. For 87 percent of employees surveyed for MetLife’s 15th annual “Employee Benefit Trends” study, having insurance/benefits provides peace of mind for the unexpected. In fact, 83 percent of employees would be willing to take a small pay cut (on average, 3.6 percent) to have a better choice of benefits from their employers.

Finally, consider this: Low unemployment is driving massive competition for talent. Benefits are positioned to be a huge strategic differentiator and a competitive weapon for employers across industries.

The takeaway here is that benefits should be a huge focal point for companies of all sizes. We should be shouting from the rooftops about how amazing benefits are and the tremendous role they play in people’s lives.

And we shouldn’t be shy about the considerable investment employers make in these programs. A significant portion of total compensation goes to benefits, and that percentage is only set to grow.

So, how can you educate employees and position this investment in benefits in a positive light? How do you elevate the significance of benefits in your organization?

One example from this past fall’s annual enrollment stands out. Our client Hitachi Vantara, a tech company recently formed by three industry leaders (Hitachi Data Systems, Hitachi Insight Group and Pentaho) and a leader in cloud-based data solutions.

Hitachi Vantara has made a huge commitment to employee benefits, especially around getting employees engaged in programs and managing costs. Its message during annual enrollment this past fall? “Health care costs are rising. Yours aren’t. For the seventh year in a row, you won’t see an increase in what you pay for your medical plan. Which means your paycheck contributions continue to be significantly less than those at most other companies.”

The company teamed that messaging with a campaign that focused on getting employees to use the programs that are often overlooked, like tuition assistance, virtual doctor visits and fitness reimbursements. And it did so with a bold and definitive point of view on why benefits matter and what they mean to employees.

Susan Ramirez, Hitachi Vantara’s senior director of total rewards, Americas, explains: “Since it really was a ‘good news’ message for our benefits in 2019, we wanted to be sure to share that message with employees. Taking a bold approach not only captured our employees’ attention, it also emphasized that Hitachi Vantara truly cares about them.”

As 2019 unfolds I challenge you to be bold with your benefits. What will you do to make your benefits stand out? And how will you let employees know that you value them by taking care of them?

Read more Benefits Beat!: How HR Benefits By Getting Political

Make Benefits and Internal Communications Inseparable 

Posted on March 14, 2019June 29, 2023

Be Wary of What’s Rocking in the Cradle Act

Jon Hyman The Practical Employer

Earlier this week, Republican Sens. Joni Ernst and Mike Lee introduced the Child Rearing and Development Leave Empowerment Act (the CRADLE Act). It is a first step toward providing some measure of paid parental leave to American workers.

Yet, it has some serious flaws.

The Cradle Act would provide up to three months of consecutive paid parental leave benefits to new moms and dads following the birth or legal adoption of a child. It not only applies to biological parents and those that legally adopt children, but also those who intend to maintain the same abode as the child for more than six months of the year following the birth or adoption. Further, its coverage is much broader than the FMLA, applying to any employee that meets certain minimum Social Security contribution requirements.

How are the benefits paid? The Cradle Act would allow workers access some of their Social Security retirement income during the parental leave. For each month that workers access these benefits on the front end, they delay their Social Security eligibility by twice as many months on the back end. In other words, an employee who takes their full entitlement of three months of Cradle Act benefits would delay their later eligibility for Social Security benefits by six months.

In discussing this bill, Sen. Lee said the following:

Working families are the heart and soul of our nation. If young people can’t afford to marry and start a family, then the American dream literally has no future. Unfortunately, the cost of family formation and child-rearing today is higher than ever. …

But in today’s economy of working moms and dual-earner couples, we also need updated social insurance programs that support workers at different times of their lives, rather than just starting at retirement. The Cradle Act is a step in that direction.

He’s 100 percent correct. Yet, the Cradle Act has some serious flaws:

    1. It will stress our already overstressed Social Security system.
    2. It will require employees to delay retirement and work longer.
    3. It offers no job protections for those who take leave. The Cradle Act’s coverage is significantly broader than the FMLA, yet provides no restoration or re-employment guarantees for employees not otherwise protected by the FMLA. Thus, an employee could take Cradle Act leave, yet lose their job.
    4. It provides no protection against retaliation for employees exercising their rights under the Act.
There is no doubt that we need a paid parental leave solution. We are the only industrialized country that does not guarantee paid parental leave to our employees. We should be embarrassed. And while most agree that we need to provide paid parental leave, the rub seems to be how to pay for it. The Cradle Act is not the correct solution. Yet, anything the moves this discussion forward is a debate worth having.
Posted on March 13, 2019June 29, 2023

The 8th Nominee for the Worst Employer of 2019 Is … the Lascivious Leader

Jon Hyman The Practical Employer

I can’t do any better of job than the EEOC did in describing the parade of horribles that one supervisor wrought at Sys-Con, a Montgomery, Alabama, general contractor:

According to the EEOC’s lawsuit, from December 2015 to May 2017, a supervisor at Sys-Con’s worksite at the Hyundai manufacturing plant in Montgomery, demanded sexual favors from two non-English speaking Hispanic female employees and watched pornographic videos in front of them. The EEOC further charged that the supervisor sexually assaulted one of the employees and sub­sequently taunted her, asking whether she “liked it.”

Thereafter, the EEOC said, the super­visor threatened to fire both his victims and their husbands, who were also Sys-Con employees, if they reported his harassment. When one of the employees refused his sexual advances, the supervisor terminated her.

For all of this, the EEOC settled the claims against Sys-Con for (what I consider to be) a paltry $70,000.

Folks, if you employ a supervisor who not only sexually assaults one of your employees but then taunts her about it after the fact, you might be the worst employer of 2019.

Big thanks to my friend Eric Meyer who brought today’s nominee to my attention at his Employer Handbook Blog.

Previous nominees:

The 1st Nominee for the Worst Employer of 2019 Is … the Philandering Pharmacist

The 2nd Nominee for the Worst Employer of 2019 Is … the Little Rascal Racist

The 3rd Nominee for the Worst Employer of 2019 is … the Barbarous Boss

The 4th Nominee for the Worst Employer of 2019 is… the Flagrant Farmer

The 5th Nominee for the Worst Employer of 2019 is… the Fishy Fishery 

The 6th Nominee for Worst Employer of 2019 Is … the Diverse Discriminator

The 7th Nominee for Worst Employer of 2019 Is … the Disability Debaser

Posted on March 11, 2019June 29, 2023

‘Crazy Ex-Girlfriend’ Offers an Honest Look at Borderline Personality Disorder

Andie Burjek, Working Well blog

My favorite television show is airing its final episode in a few weeks.

“Crazy Ex-Girlfriend” follows the life of Rebecca Bunch, a wealthy New York lawyer who has a mental breakdown and, when she runs into her high school boyfriend on the street, decides to follow him to West Covina, California. The show does a lot of things well including dismissing the sexist “crazy ex-girlfriend” stereotype and showing the nuances of how people deal with mental health problems like depression and alcoholism — all while being a musical!

Some of the best songs include a parody of the “La La Land” tune “Another Day of Sun” called “Anti-Depressants Are So Not a Big Deal,” a romantic Fred Astaire-Ginger Rogers-inspired number called “Settle for Me,” and “This Session Is Going to Be Different,” in which a therapist sings about her frustrating patient in a song that sounds very much like Liza Minnelli’s “Maybe This Time” from the movie “Cabaret.”

One of the best parts of this show is how is deals with Rebecca’s eventual diagnosis, borderline personality disorder. I never knew much about BPD, and “Crazy Ex-Girlfriend” has taught me a lot about it. I learned about the many misconceptions about people with personality disorders. Also, I got to see how a person with BPD manages their symptoms and goes through the ups and downs of recovery and treatment.

According to the National Alliance on Mental Illness, it’s estimated that 1.6 percent of adults in the U.S. has BPD, but that number could be as high as 5.9 percent. Experts believe it’s underdiagnosed in men.

As employers increasingly address mental health in the workplace, it’s worth learning about BPD and how it could potentially impact an employee.

BPD is “a mental health disorder that impacts the way you think and feel about yourself and others, causing problems functioning in everyday life. It includes a pattern of unstable intense relationships, distorted self-image, extreme emotions and impulsiveness,” according to the Mayo Clinic.

Online resource Verywell Mind goes through some of the symptoms of BPD at work. One major one is unstable interpersonal relationships. A person with BPD tends to see the world in a very absolute, black-and-white way. A job or a coworker is either completely good or completely bad, with not much room for nuance. They may enter a new job loving and idealizing everything and everyone. The idealization phase eventually disappears, leaving basically the opposite scenario, with the employee seeing nothing positive about anyone, “instead experiencing them as hostile backstabbers.”

BPD also causes people to have intense reactions to rejection or perceived rejection, potentially leaving a person prone to abandonment issues.

The Women’s Centre for Health Matters suggests ways in which managers or coworkers can help an employee struggling with BPD. Stable environments are important for people with BPD, so providing the employee as much consistency is their job as possible is helpful. This excerpt explains more strategies:

It can be a challenge interacting with individuals with BPD so it is essential to set limits clearly and stress proper workplace conduct, remind about completing assigned tasks and take consideration of coworker’s feelings. An explanation of the appropriate time and place for different interactions such as meetings, problems and complaints may be necessary. Also be prepared for protests and the possibility that the employee will be mad with you for unknown reasons. Demonstrate validation of emotions and stay civil. You don’t necessarily want to validate an employee’s perspective, instead validate the feelings attached to this perspective – “I hear you” or “I understand the way you feel.” Do not cross boundaries and try to document everything.

The Women’s Centre also lists 20 potential accommodations for employees with BPD, including:

  • Encourage attending counseling or psychotherapeutic appointments and allow flexible work scheduling to fit the appointments.
  • Provide confidential weekly/monthly meetings with the employee to discuss workplace issues and performance.
  • Allow telephone calls or phone breaks during work hours to therapists and others for needed support.
  • Offer appropriate praise and reinforcement for positive work interactions.
  • Consider a program that allows employees to work from home on some days.

I want to stress that I’m not a medical expert, but I did get this information through trustworthy research. Also, there are realistically resources out there for safety-concerned employers who don’t want disruptive employees to cross any lines — for example, this 2010 guide from the Australian Human Rights Commission.

What I can say from my own point of view, based on years of reporting on health and benefits issues, is that you may very well come across an employee with a physical or mental health issue. Just because it takes some accommodations to ensure they can get along in your workplace, that doesn’t mean you should dismiss them as viable candidates.

As one article stated, “While BPD symptoms can make things more complicated, many people with BPD go on to have very successful careers.”

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