Returning to Work

It is quite natural to want to go back to work as soon as possible. Some people may find they are able to return to their occupation with little or no adjustment. However, people affected by encephalitis often make the mistake of thinking that because they are feeling physically able to return to work, they will be able to cope with the wider demands of the job. Many people expect to be able to work a full day straight away and finding out that this is not in fact possible for various reasons can be devastating to confidence and self-belief. A return to work too early in the recovery phase is likely to end in failure. It is not unusual for people following encephalitis not return to work for 6 months.

A gradual return to work is therefore important, as are easier working conditions and easier work tasks. This will allow the individual to build up their stamina and capabilities: a situation that may need to continue for quite an extended time. Ideally, it should start with just a few hours per day, gradually building up as stamina and confidence improves. The reality is that a return to work can be difficult. Re-training may be necessary for the actual job; emotional support may also be necessary to boost confidence levels during the stress of adjustment. Some people may need to think seriously about whether they are fit for work.

The Disability Employment Adviser (DEA) at the local Job Centre is a good place to start when considering a return to work. DEA’s can discuss the current employment situation and work to plan the best way back into work. If there is concern about the job the individual is already in because of the effects of encephalitis, the DEA can provide advice to both them and their employer and explore practical ways to help retain the job. Together an Action Plan can be drawn up to help move into or keep an existing job.

DEAs can also offer:

• an employment assessment to identify what work or training suits best
  
• referral, if needed, to an Occupational Therapist for an assessment to identify the most appropriate work or training and when someone should return.
  
• suggestions of other organisations that will be able to help
  
• support in the form of Access to Work or WORKSTEP, or through another organisation.
  
  

If it is not possible to go back to a previous job, there are alternative options such as re-training. Organisations, such as Rehab UK, can help to find alternative employment and have supportive schemes to help an employer address any changed needs.

Brain Injury Rehabilitation Centres are beginning to offer return-to-work and outreach programmes, which include preparatory group training and the presence of a support worker in the work place. Rehab UK specialises in vocational rehabilitation and they can be contacted for advice: www.rehabuk.org Additional contact details are in the Resource Section.