Disability Law Update: Mental, Psychiatric, and Intellectual Disabilities. Char Eberhardt Chelsea Petersen



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Disability Law Update: Mental, Psychiatric, and Intellectual Disabilities Char Eberhardt Chelsea Petersen

Presentation Overview ADA and WLAD coverage and definitions Disclosure of mental disabilities and appropriate inquiries Reasonable accommodation requirements

ADA and WLAD Coverage ADA: Employers with 15 or more employees, including state and local governments. WLAD: Employers with 8 or more employees. However, regardless of size, a discharged employee can allege a claim for wrongful discharge in violation of public policy where the underlying policy is the WLAD.

Definition of "Disability" Under the ADA "Disability," under the ADA, is defined as a mental or physical impairment that substantially limits a major life activity.

"Mental Impairment" Under the ADA "[A]ny mental or psychological disorder, such as mental retardation, organic brain syndrome, emotional or mental illness, and specific learning disabilities." 29 C.F.R. 1630.2(h)(2) Examples: Major depression Bipolar disorder Anxiety disorders Schizophrenia Personality disorders

What is NOT a "Mental Impairment" Under the ADA The ADA specifically excludes: Compulsive gambling Kleptomania Specific sexual behavior disorders Pyromania Psychoactive substance use disorders resulting from current use of illegal drugs

Case Example: Current Addiction to Illegal Drugs Brown v. Lucky Stores, Inc., 246 F.3d 1182 (9th Cir. 2001).

"Substantially Limited" Under the ADA Cannot perform a major life activity; or Is significantly restricted as to the manner, duration, or condition under which the individual performs the activity compared to the average person in the general population.

"Substantially Limited" Under the ADA Mitigating measures must be taken into account. Short-term conditions are generally not substantially limiting. Chronic, episodic conditions may be substantially limiting if substantially limiting when active or have a high likelihood of recurrence in substantially limiting forms.

Case Examples: Substantial Limitation Humphrey v. Memorial Hosps. Ass'n, 239 F.3d 1128 (9th Cir. 2001). Doyal v. Oklahoma Heart, 213 F.3d 492 (10th Cir. 2000). Krocka v. City of Chicago, 203 F.3d 507 (7th Cir. 2000).

"Major Life Activity" Under the ADA Definition is flexible. May include: Interacting with others Working Caring for oneself Speaking Sleeping Learning Thinking Concentrating

Work As a Major Life Activity Employee must be limited in a broad class of jobs and not just one particular job.

Case Examples: Major Life Activity McAlindin v. County of San Diego, 192 F.3d 1226 (9th Cir. 1999) Sinkler v. Midwest Property Management, LTD, 209 F.3d 678 (7th Cir. 2000).

WLAD Protections and Definition of "Disability" The WLAD prohibits discrimination based on disability, including sensory, mental, and physical disabilities. Definition of "disability" contains the following elements: A sensory, mental, or physical "abnormality" That is medically cognizable or diagnosable or exists as a record or history, and That substantially limits the individual's ability to perform his or her job.

Case Example: Ability to Perform Job Roeber v. Dowty Aerospace Yakima, 116 Wn. App. 127 (2003).

Further Protections Under the ADA and WLAD "Regarded as" "Record of" Association with (ADA)

Disclosure and Appropriate Inquiries Different rules apply based on the stage of employment: Application and interview Job offer During employment

Disclosure and Inquiries: Application and Interview May not require job applicant to take a medical examination or ask about a person's disability. May ask questions regarding applicant's ability to perform job-related functions. If applicant voluntarily discloses disability or if disability is obvious, employer may only ask questions regarding need for reasonable accommodation.

Disclosure and Inquiries: Job Offer May inquire as to whether the applicant will need reasonable accommodations, but only if: All entering employees in same job category are asked same question; or Applicant has voluntarily disclosed existence of disability and employer could reasonably believe applicant would need accommodation.

Disclosure and Inquiries: During Employment May make disability-related inquiry or request a medical examination of an employee if it is job-related and consistent with business necessity. Employer must show it had a reasonable belief that: Essential job functions would be impaired by medical condition, or Employee would pose a direct threat due to a medical condition.

Disclosure and Inquiries: Confidentiality All information concerning the medical condition or medical history of its employees. Includes voluntarily disclosed information. Limited exceptions: Supervisors re work restrictions First aid/safety personnel Government investigations

Reasonable Accommodation Under the ADA and WLAD Duty to Accommodate: Qualified individuals who can perform the essential functions of a job with an accommodation No duty: individuals who cannot perform the essential functions of a job even with accommodation No duty: individuals who pose a direct threat to the health and safety of themselves or others in the workplace

Reasonable Accommodation for Applicants Employers must provide reasonable accommodation to applicants Even if employer believes it will be unable to provide accommodation on the job May request limited documentation

Reasonable Accommodation for Employees Required to provide reasonable accommodation to qualified individuals for all privileges and benefits of employment. This includes: Training Services (cafeterias, EAPs) Parties or other social functions

"Qualified Individuals" Under the ADA and WLAD A "qualified individual" is one who: Meets the definition of "disability" and Can perform the essential functions of the employment position With or without reasonable accommodation

Case Example: "Qualified Individual" Weyer v. Twentieth Century Fox Film Corp., 198 F.3d 1104 (9th Cir. 2000).

Notice ADA: Employers must accommodate known limitations. Employee must advise of disability and need for accommodation WLAD: Knowledge that disability is or may be interfering with ability to perform job. Employee need not request accommodation

The Interactive Process Discuss essential job functions Discuss limitations with employee Discuss workplace barriers Discuss possible accommodations Obtain medical opinion Employee has duty to cooperate

Interactive Process: "Essential Functions" Critical to identify "essential" and "marginal" functions. EEOC job may be essential if: Position exists to perform function Limited number of employees available to perform function Function is highly specialized

Interactive Process: "Essential Functions" Relevant to the decision of what is an "essential function" are: Employer's judgment Written job description Amount of time spent performing function Consequences of not requiring someone to perform the function Work experience of people who are performing the job.

Case Example: Essential Functions Earl v. Mervyns, Inc., 207 F.3d 1361 (11th Cir. 2000).

Interactive Process: Obtaining Medical Information Request only if need for accommodation is not obvious Limited to how medical condition affects job performance Provide employee's provider with written job description Follow up if necessary Obtain only necessary documentation

What is "Reasonable"? Effective Allows employee to meet "average productivity or performance standards" Not necessarily the employee's preferred accommodation Medically necessary WLAD

Case Example: Medically Necessary Riehl v. Foodmaker, Inc., 152 Wn.2d 138 (2004).

"Undue Hardship" Not required to grant an accommodation that would be an undue hardship. Factors include: Nature of the accommodation Net cost Financial resources Operational impact Violation of seniority rights under CBA

Case Example: Undue Hardship Baumgart v. State of Washington, 189 F.3d 472 (9th Cir. 1999) (unpublished).

"Direct Threat" No duty to employ individuals who present a direct threat. Not "direct threat" simply by having psychiatric disability. Factors: Duration of the risk Nature and severity of potential harm Likelihood that the potential harm will occur Imminence of potential harm Availability of reasonable accommodations to minimize or eliminate the risk.

Case Example: Direct Threat Emerson v. Northern States Power Co., 256 F.3d 506 (7th Cir. 2001).

Overview of Possible Reasonable Accommodations Job restructuring Reassignment to open positions Leave Light duty Modified or flexible work schedule Equipment or devices Work station placement Shift changes Supervisory methods Modified policies

Job Restructuring Not required to reassign or eliminate essential functions of a position. May consider redistributing, trading, or eliminating nonessential, marginal functions of a position.

Reassignment Last resort Equivalent pay and status or Lower paying position if no equivalent jobs available. Employee must be qualified. Employer must affirmatively assist in search for new position.

Case Example: Reassignment Skerski v. Time Warner Cable Co., 257 F.3d 273 (3rd Cir. 2001).

Leave Options FMLA if "serious health condition" Paid or unpaid Short- or long-term disability programs Lengthy or indefinite leave Intermittent or sporadic leave Must be returned to same position unless: undue hardship or medically unable to return to former position even with reasonable accommodation

Possible Reasons for Denying Leave Undue hardship Another reasonable accommodation offered; Granting leave would not render employee qualified for the position

Light Duty Employers are not required to create a light duty job where no such position currently exists. If a vacant light duty job exists for which the employee is qualified, the individual should be offered the position.

Work Schedule and Shift Changes Generally not required to provide openended work schedule. Generally not required to provide shift change where the particular shift is an integral party of the job. Employers may consider: Altering arrival/departure times Providing additional unpaid breaks during the day Changing time of day that particular functions are performed

Workplace Policies and Misconduct Issues Employers are generally not required to modify a workplace policy as a reasonable accommodation. Employers are generally not required to excuse misconduct, even by an employee with a disability.

Reasonable Accommodation Does Not Require: Eliminating essential job functions Creating a new job Bumping other employees Promoting an employee Violating collective bargaining agreement Providing or transferring to a new supervisor

Case Example: Accommodations Not Required Wilson v. Wenatchee School District, 110 Wn. App. 265 (2002).

Continuing Duty to Accommodate If accommodation is unsuccessful, consider whether a more effective alternative is available. Interactive process must begin again when employer aware that first accommodation not working. BUT, employer's duty ends when employee rejects reasonable accommodation offer.