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Tinkerbel7  
#1 Posted : 01 May 2019 10:15:01(UTC)
Rank: Forum user
Tinkerbel7

We have an employee who suffers with PTSD where if he hears a loud noise he either runs or freezes.  His PEEP is being developed, however I didn't know if anyone else had experience of this and could assist in how we manage it?

Thanks in advance.

stevedm  
#2 Posted : 01 May 2019 10:55:45(UTC)
Rank: Super forum user
stevedm

I am sure the individual is properly diagnosed with PTSD and as such will have thier own treatement plan.

I have attached some links for additional guidance ..

  https://www.ptsduk.org/friends-and-family/information-for-employers/

https://www.eapa.org.uk/wp-content/uploads/2018/01/UK-EAPA-Factsheet-Managing-traumatic-events-in-the-workplace-January-2018.pdf

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Tinkerbel7 on 13/05/2019(UTC)
Tinkerbel7  
#3 Posted : 01 May 2019 12:35:13(UTC)
Rank: Forum user
Tinkerbel7

His plan does not cover this element of detail besides stating the effect of loud noises. 

Do we just remove him from the situation when carrying out out a practice and verbally refresh him... but then I am concerned about those who try to help him during an actual evacution event (Fire Wardens, any Buddies, other staff etc) having to make a judgement whether to leave him there and go themselves if he is in danger, their time delay, and of course how much can the company exercise their duty of care to him during an emergency evacuation if we know he can freeze?

stevedm  
#4 Posted : 04 May 2019 06:25:55(UTC)
Rank: Super forum user
stevedm

It is a really specialist Psych area and think it is a bit much for an IOSH safety forum :) ...I have worked with NLP - Neuro Linguistic Programming Practitioners to teach staff the wording and actions to ensure safe evacuation as part of the risk assessment controls for Major Incidents...but only in high hazard environments...have you asked the person what they think?

You may want to take advice from a NLP specialist, but it is HR/OH that should be leading...

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Tinkerbel7 on 13/05/2019(UTC)
IanDakin  
#5 Posted : 05 May 2019 06:24:58(UTC)
Rank: Super forum user
IanDakin

Are you speaking to the person to develop their PEEP? If so then I recomend you ensure you know how to approach someone with PTSD. If the are diagnosed and receiving treatement, then it may be that their therapist can help them to deveop their plan. In terms of EAP support, not all EAPs will have relevant support. If they offer couselling rather than CBT they are likley not to be able to help.

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Tinkerbel7 on 07/05/2019(UTC)
firesafety101  
#6 Posted : 05 May 2019 15:14:45(UTC)
Rank: Super forum user
firesafety101

Are we looking too deeply into this question?

I suggest as far as the PEEP is concerned you appoint a 'minder' for the person, who will be instructed to attended the person and ensure he takes appropriate action when evacuation is necessary.  A back up minder will be necessary in times of absence.

Whatever he does about the condition is a private and confidential matter. 

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Tinkerbel7 on 07/05/2019(UTC)
stevedm  
#7 Posted : 06 May 2019 07:15:03(UTC)
Rank: Super forum user
stevedm

The question is how does the minder move the person when they freeze...and it is more complicated than you think...the only other suggestion I have is to have more frequent drills in that area and ensure the person affected is involved so that it comes familiar and routine...I will look out some of the training material we had for our mental health first aiders, as we had a number of employees from the Bosnia conflict in Serbia that had ben affected by similar noises...and send you a pm.

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Tinkerbel7 on 07/05/2019(UTC)
firesafety101  
#8 Posted : 06 May 2019 11:50:54(UTC)
Rank: Super forum user
firesafety101

The question is how do we manage it?

As I said appoint a minder and deputy and discuss the management with the individual to make them aware of what to expect when time comes to evacuate.

stevedm  
#9 Posted : 06 May 2019 12:47:17(UTC)
Rank: Super forum user
stevedm

like I said...more complicated that just shoving the person out of the door...there is the real threat that the person could turn violent and injure themselves and others... 

firesafety101  
#10 Posted : 06 May 2019 21:49:13(UTC)
Rank: Super forum user
firesafety101

I do not suggest just shoving them throught the door but if the flames are licking their backside what do you suggest.  In spite of the medical condition evacuation is the priority.

I have experience of actual fire situations and I can stress there are occasions when the  people to be evacuated, or rescued need to be manhandled out, if there is a danger of violence ensure the Minders, at least 2, are trained in how to cope with that.

Tinkerbel7  
#11 Posted : 07 May 2019 15:58:14(UTC)
Rank: Forum user
Tinkerbel7

Originally Posted by: stevedm Go to Quoted Post

The question is how does the minder move the person when they freeze...and it is more complicated than you think...the only other suggestion I have is to have more frequent drills in that area and ensure the person affected is involved so that it comes familiar and routine...I will look out some of the training material we had for our mental health first aiders, as we had a number of employees from the Bosnia conflict in Serbia that had ben affected by similar noises...and send you a pm.

Thank you for this, I look forward to receiving it.  We are at exactly this position.  I can't expect the two designated 'buddies' to shove him out when he could be a risk to himself or others (although the distance isn't far), also I don't want to accept just leaving him and reporting to the assembly point his location.  There is no safe place of refuge that is robust enough (and would he even go to it?), although I have left him to think about this possibility and also the option of wearing hearing protection (earplugs) on his person all the time (in pocket/pouch) and wear it to help him feel more in control to be able to evacuate.

I am thinking this comes under reasonable adjustments etc so I really want to get this right.  I like the idea of making practices more frequent, thanks for that.

stevedm  
#12 Posted : 09 May 2019 14:02:27(UTC)
Rank: Super forum user
stevedm

I will dig it out and I will PM you in the meantime...get the employee to keep a workplace journal...and get him to note down what triggers his anxiety and what helps it...very personal so so only be for him...

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Tinkerbel7 on 13/05/2019(UTC)
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