Mental Health Leaves of Absence: A Systemic Problem in the US

A recent news story has shed light on a pressing issue in the United States: the inequitable treatment of mental health leaves of absence. New Jersey congressman Thomas Kean, Jr.’s four-month leave of absence to seek treatment for depression has highlighted the complex and often frustrating process of securing mental health benefits.

For those outside of positions of power, securing mental health leave is a convoluted and time-consuming process. In New Jersey, for instance, documentation is typically requested through postal mail and is often delayed in processing. This can lead to anxiety and stress for individuals who are already struggling with their mental health.

According to Dr. Monica Vilhauer, a clinical social worker with over a decade of experience, the process of securing mental health-related benefits is fraught with difficulties. ‘In my experience, the process of applying for mental health FMLA leave is drawn out and often requires multiple additional submissions or resubmissions,’ she notes.

The Family and Medical Leave Act (FMLA) guarantees job protection and unpaid leave, but it does not compensate individuals for lost wages while away from work. In New Jersey, individuals seeking to be paid during leave must file for Temporary Disability Insurance, which, if approved, will compensate at 85% of the individual’s regular salary. However, this process is also complicated and time-consuming.

The contrast between how those in power are treated during mental health crises and how those not in elite positions are treated is stark. Congressman Kean, for instance, continued to receive his full salary and benefits during his leave of absence, while individuals outside of positions of power face significant financial burdens when taking time off for mental health reasons.

The issue of mental health leaves of absence is a nonpartisan one, affecting individuals across all political parties and social backgrounds. In 2023, Democrats John Fetterman and Lina Hidalgo both took leaves to address clinical depression, highlighting the need for greater support and accommodations for those struggling with mental health issues.

As Dr. Vilhauer notes, ‘Mental health issues do not discriminate, and neither should we when we consider how to support those suffering from severe challenges like depression.’ It is essential that we address the systemic problems surrounding mental health leaves of absence and work towards creating a more equitable and supportive system for all individuals.