[National Guidelines and Useful Guidance for Psychiatrists When Cooperating with Companies].

Koki Inoue
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Abstract

Good coordination between the principal doctor and companies will benefit workers with mental health disorders, and for that reason a common understanding is required. Companies seeks to preserve a workers' health from the viewpoint of obligation of security, while "caseness", being the trouble in the companies, is undesirable from the viewpoint of risk management. The principal doctor needs to understand that the companies reaction sets the caseness above the illness. There are various national guidelines and forms of guidance for workers' mental health."Guidelines for the Promotion of Workers' Mental Health at Work"was indicated in 2000 for the development of an organizational framework, and the "Manual on Workplace Reentry Support for Workers Returning from Leave Due to Mental Health Issues" was indicated in 2004. "Certification Criteria for Mental Disorders Caused by Psychological Stress" was also indicated in 2011 and, in which, harassment was recognized as an injury of workers. In many cases, companies consider employees with mental health disorders with these guidelines and guidance in mind to avoid lawsuits, and principal doctors are similarly expected to share a common understanding, promoting favorable coordination.

[精神科医生与公司合作时的国家指南和有用指南]。
主治医生和公司之间的良好协调将有利于患有精神健康障碍的工人,因此需要达成共识。从安全义务的角度来看,公司寻求保护工人的健康,而从风险管理的角度来看,"个案"是公司的麻烦,是不可取的。主治医生需要明白,公司的反应是把病例置于疾病之上。有各种国家指导方针和形式的工人心理健康指导。2000年提出了"促进工人工作时精神健康准则",用于制定组织框架,2004年提出了"支持因精神健康问题休假回来的工人重返工作场所手册"。2011年还提出了“由心理压力引起的精神障碍的认证标准”,其中将骚扰视为对工人的伤害。在许多情况下,公司在考虑有精神健康障碍的员工时,会考虑这些指导方针和指导,以避免诉讼,同样,主要医生也被期望有共同的理解,促进有利的协调。
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