O-242 Opportunities for Returning to Work in Cases of Severe Mental Disorders: A Case of Chronic Delusional Disorder

Introduction Mental health disorders significantly contribute to occupational disability. This public health issue has detrimental effects on patients’ functioning in their workplace. The objective of this study is to assess the modalities of returning to work in psychotic conditions. Methods This is a case study conducted on the medical records of a patient with chronic delusional disorder. She worked as a pharmacist at Ibn Rochd University Hospital in Casablanca since 2001. Results The patient, suffering from a severe mental disorder complicated by hallucinations and delusional ideas, has been on sick leave since August 2018. She has been hospitalized three times in a psychiatric facility, received treatment without success, and consequently, was unable to return to work. An interview conducted in July upon her return to work revealed a patient with slowed speech, a melancholic mood, no motivation to work, and no interest in carrying out everyday activities. Discussion Globally, mental illness can affect various aspects of life, including work, resulting in reduced work performance. Several studies have demonstrated the close relationship between mental illness and decreased productivity, even leading to occupational disability. Despite the incomplete remission, the decision to return has been granted to our patient in order to allow her for a gradual reintegration into the work environment. Conclusion The occupational physician is faced with a dilemma when determining work suitability in such situations, given the patient’s chronic mental disorder, treatment failure, and the risk of deterioration, resulting in a low likelihood of returning to work.