Fitness For Duty Psychological Evaluations
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Typical Scenarios for Threat Assessments and Fitness for Duty Evaluations
Central Concept: Conduct Evaluations When Administrative Decisions Are to Be Made Partly on the Basis of the Employee's Mental State
Why EAPs and Employers Should Not Select Evaluating Doctors or Use Doctors Who Will Treat the Employee
- Employer Is Unsure If a Threat Is Idle or If There Is a Danger
- Employee Is in a Safety-Sensitive Position and Is Making Mistakes
- Employer Is Unsure About How to Address Decline in Job Performance
- Employer Is Unsure About How to Manage Mood Changes or Other Problem Behaviors
- Information Is Needed About Reasonable Accommodations
Components of a Good FFDE and Risk Evaluation That Will Stand Up in Court
- If the Doctor Is Associated With the Referring EAP and Employer, the Employee Could Argue That the EAP and Employer Influenced the Doctor's Findings
- If the Doctor Has (Or Will) Treat the Employee, the Doctor's Primary Allegiance Might Be With His or Her Patient – This Practice Is Now Often Considered Unethical
- Treating Doctors Frequently Do Not Have the Training to Conduct These Evaluations in a Manner Designed to Withstand the Scrutiny of Court
- Lack of Experience Evaluating the Credentials of Potential Doctors With Medical or Legal Expertise
- Thorough Social and Clinical History
- Objective Psychological Testing
- Telephone Consultations With Treatment Providers
David Fisher, Ph.D., L.P., ABPP
- Co-founder and former president of PsyBar LLC
- Currently serving as chairman of the board of PsyBar LLC
- Actively oversees psychological and psychiatric independent medical evaluations, file reviews, and fitness for duty/violence risk assessments performed across the country through a network of 1600 psychologists and psychiatrists
- Responsible for the educational programming at PsyBar, taken by hundreds of doctors and PsyBar clients yearly
- Recipient of the Innovative Practice Award, a presidential citation given by the president of the American Psychological Association
- Publishes and lectures across the United States on psychiatric and psychological assessment
- Conducts regular training webinars and seminars on fitness for duty evaluations/risk assessment
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