Organizations and employers consult with Dr. Suskind regarding the impact of psychiatric
and psychological conditions upon workplace functioning and occupational safety. When concerns arise about an employee’s
emotional or psychiatric symptoms affecting performance, judgment, reliability, or interpersonal functioning, a Fitness-for-Duty
Evaluation may be requested.
Consequently, a comprehensive psychiatric evaluation
requires understanding the employee’s occupational role, workplace expectations, observed behaviors, and the broader
organizational context. Particularly valuable are descriptions of behavioral changes or performance trends over time,
including disruptions in attendance, deterioration in functioning, interpersonal conflicts, safety concerns, or episodes suggesting
impaired judgment. Prior evaluations, documentation, and relevant employment history are also important components of
the assessment process.
Employers frequently seek guidance regarding:
- Whether the employee presents specific safety, behavioral, or occupational risks;
- Measures that may reduce the likelihood of workplace difficulties or recurrence;
- Whether continuous or intermittent leave from work may be clinically indicated;
- Appropriate treatment recommendations, accommodations, or follow-up planning.
A Fitness-for-Duty Evaluation assesses whether an individual’s psychiatric
condition interferes with the capacity to safely and effectively perform the essential functions of a particular occupational
role. The evaluation also considers adaptability, prognosis, and the extent and chronicity of psychiatric impairment.
Consistent with applicable privacy and confidentiality laws, Psychiatric Fitness-for-Duty
Reports are intentionally focused and limited in clinical detail. Reports are designed to provide employers with relevant
functional and occupational information while maintaining appropriate protection of the employee’s personal medical
and psychiatric privacy.
