A Sample Absence Management Report A train driver had experienced two fatalities (suicides jumping in front of his speeding train) in the past and a recent near miss (someone appearing to be about to jump) had triggered post trauma regarding previous incidents. He was suffering severe Irritable Bowel Syndrome which his GP had diagnosed as stress related. After four sessions all symptoms had disappeared. The night before his last session the driver experienced another near miss. He reported absolutely no emotional difficulties. A manager
had suffered full mental breakdown due to pressures of work and marriage
break up. She was very emotional and depressed, she was also experiencing
insomnia, panic attacks and an inability to cope. Her doctor had prescribed
strong anti-depressants and sleeping tablets. After 5 sessions the client
had ceased to experience the above symptoms and the medication was being
reduced under GP supervision. She returned to work and has maintained
a high level of coping in a managerial position in a very stressful department.
1 client unfit for work due to severe mental health problems. Client accessed appropriate service and was later admitted into psychiatric care. Click here to view a graph showing a breakdown of Click here to view a graph showing the percentage Points of Interest The post traumatic shock cases were all train drivers who had been involved in fatalities. Some had experienced multiple incidents over several years without treatment. The sooner the referral after identification of problem the less intervention needed. Prompt intervention is the greatest factor in recovery speed, irrespective of severity of condition. Clients referred before sick leave are always better within 3 - 4 sessions, where as sick leave often requires an extra session to support clients back to work concerns. In order to avoid Post Traumatic Stress Disorder and delayed shock reactions, clients involved in traumatic incidents must receive treatment immediately. This vastly reduces the amount of sessions needed and ensures safe mental health. Clients experiencing new trauma's after treatment must be referred as soon as possible as re-traumatisation can occur. Several clients reported a lack of knowledge and understanding of stress on the part of their managers. This was easily addressed by training in the identification and basic treatment of stress.
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