Chemical Dependency, Psych Issues: Court Lets Nurse’s Disability Case Go Forward.

Legal Eagle Eye Newsletter for the Nursing Profession

December 2017

  The law sees an employee’s chemical dependency and/or psychiatric issues as disabilities for which the employer may be required to provide reasonable accommodation.  An employer must accommodate an employee’s disability, if a reasonable accommodation is feasible, and cannot discriminate against an employee because the employee has chemical dependency or psychiatric issues.

  Nevertheless, unprofessional or criminal behavior by an employee that can be traced to chemical dependency or psychiatric problems is not something an employer is required to tolerate or accommodate.

  It is not clear in this nurse’s case from individuals’ personal recollections or from the nurse’s personnel file that the decision to fire her was based on her behavior rather than her admissions of drug and emotional problems and her attempts to get help.  The decision to fire her in fact may have predated her last binge of inappropriate acting out, which would support her legal case. UNITED STATES DISTRICT COURT ILLINOIS November 8, 2017  

  A nurse had been working in the hospital’s emergency department about two years before she had to take a month off work for treatment for dependency on pain medication.  Her supervisor was under the impression she took this time off for emotional problems.  The real reason was not documented in her personnel file at the time.  She returned to work for another year without incident, but then after a series of personal and family crises the nurse started acting out with a gambling problem that ruined her finances.

  She asked for and got time off for treatment for a gambling addiction but never actually entered treatment.  When she returned to work this time she was still gambling, actually placing bets while on duty, and started making suicidal statements to coworkers.  Then she went on a cocaine binge, was stopped for driving under the influence and was arrested for illegal drug and drug paraphernalia possession.

  Her supervisors made her get a psych evaluation. She was diagnosed with a major depressive disorder and pathological gambling.  Her supervisors told her she was going to be fired for unprofessional conduct.  She responded that she was in outpatient treatment and would agree to inpatient treatment as a "last chance" before being fired.  She was eventually fired, ostensibly for off-duty conduct unbecoming a registered nurse, that is, possession of crack cocaine and driving under the influence.

  The US District Court for the Northern District of Illinois refused the hospital’s request for summary judgment of dismissal of the nurse’s disability discrimination suit.  The real reason for the nurse’s firing is still not clear. Her right to treatment for chemical dependency or psychiatric issues without employer reprisals is protected by the disability discrimination laws, while her inappropriate behavior is not protected by law even if it was caused by chemical dependency or psychiatric problems. Needham v. McDonald, 2017 WL 5171197 (N.D. Ill., November 8, 2017).

More references from nursinglaw.com

http://www.nursinglaw.com/chemical-dependency-treatment.pdf

 

http://www.nursinglaw.com/chemical-dependency-hospital-accommodate.pdf

 

http://www.nursinglaw.com/addiction-nurse-disability.htm

 

http://www.nursinglaw.com/addict1.htm