The Equal Employment Opportunity Commission ("EEOC") recently issued a guidance memorandum ("Guidance Memorandum") on psychiatric disabilities and the Americans With Disabilities Act ("ADA"). Because claims involving psychiatric disabilities and the ADA are increasing, the EEOC took the opportunity to address common questions posed by both individuals with psychiatric disabilities and employers.
The ADA defines mental impairment as "[a]ny mental or psychological disorder, such as...emotional or mental illness." Included within this broad definition are: major depression, bipolar disorder, anxiety disorders (which include panic disorder, obsessive compulsive disorder, and post-traumatic stress disorder), schizophrenia, and personality disorders. Specifically excluded are individuals who currently are engaging in the illegal use of drugs or who are diagnosed as suffering from kleptomania, pyromania or compulsive gambling. To date, traits like irritability, chronic lateness and poor judgment are not, in themselves, mental impairments covered by the ADA. The EEOC is quick to note, however, that these traits may be "linked" to covered mental impairments or may be symptoms of them.
A psychological impairment only rises to the level of a disability under the ADA if it limits a major life activity. Whether a condition substantially limits a major life activity will depend upon the severity of the limitation and the length of time it restricts a major life activity. An impairment does not significantly restrict major life activities if it results in only mild limitations. Chronic episodic conditions may constitute a disability if they are substantially limiting when active or have a high likelihood of recurring in substantially limiting forms. When determining if a psychological impairment limits performance of a major life activity, an employer cannot consider mitigating measures, including the use of medications. Thus, an individual who is taking medication for a mental impairment has an ADA disability if there is evidence that the mental impairment if left untreated substantially limits a major life activity.
The Guidance Memorandum reaffirms the EEOC's position as to when an employer can request information on an employee's or applicant's mental disability. Employers are strictly prohibited from asking any disability-related questions before making an employment offer. An exception, however, is if an applicant asks for a reasonable accommodation for or during the hiring process. If the applicant's need for the accommodation is not obvious, the employer may then require the applicant to provide reasonable documentation about his/her disability. After extending an employment offer, the employer may require a medical examination (including a psychiatric examination or ask questions related to disability) if the employer subjects all entering employees in the same job category to the same inquiries or examinations regardless of disability.
Employers are cautioned by the EEOC on their duty to keep information about an employee's medical condition, including information about psychiatric disabilities and information obtained from the employee, confidential. Employers must collect and maintain such information on separate forms and in separate medical files, which are maintained apart from the usual personnel files. Also, employers may not tell coworkers of a protected individual that it is providing the employee a reasonable accommodation. When responding to coworker questions about a particular individual, the employer should only state that it is acting for legitimate business reasons or in compliance with federal law. Employers should not state that they are providing a reasonable accommodation because the EEOC believes those words would disclose that the individual in question has a disability because only individuals with disabilities are entitled to reasonable accommodations under the ADA.
To request a reasonable accommodation, an individual may use "plain English" and need not mention the ADA. Also, an individual may request an accommodation by using the key phrase "reasonable accommodation." Requests for an accommodation can be made at any time during employment. According to the EEOC, an employee who states that he is "depressed and stressed" and needs time off has requested a reasonable accommodation. Employers may be asking, how is this possible? It is possible because, using "plain language," the employee has just communicated a request for a change at work (time off), for a reason related to a medical condition (being "depressed and stressed"). The employer is now "put on notice" that the employee is requesting a reasonable accommodation. If the employee's need for leave is not obvious, the employer may request reasonable documentation concerning the employee's disability and functional limitations.
When considering potential reasonable accommodations, the EEOC identifies the following possibilities:
- modifying a workplace policy;
- adjusting supervisory methods;
- providing a job coach; or
- reassigning the employee to a different available position.
Medication monitoring, i.e., making sure the employee takes his/her medications, is not a reasonable accommodation. Likewise, creating a new position for an employee is not required.
Employers still may discipline and discharge an individual with a disability for violating a workplace conduct standard even if the misconduct resulted from the disability. Nothing in the ADA prevents an employer from maintaining a workplace free of violence or threats of violence, or from disciplining an employee who steals or destroys property.
Employers also may lawfully exclude an individual from employment for safety reasons but only if they can show that employment of that particular individual would pose a direct threat to themselves or others. To meet this standard, the employer must show that its decision is based on an individualized assessment of the individual's present ability to safely perform the functions of the job, in light of the most current medical knowledge and/or the best available objective evidence. Before making such a determination, employers should consult counsel.
By issuing the Guidance Memorandum on mental disabilities, the EEOC has signalled a willingness to focus on mental disability issues in future litigation of employment discrimination claims. Accordingly, employers must recognize that psychiatric and mental conditions are covered disabilities and be prepared to make an individualized assessment of an employee's condition and work performance.