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The Critical Intersection of Mental Health and Employment Law in South Africa
Episode 2728th October 2025 • Perspectives – Legal Voices on Business • Fasken
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Daphne William: Hello everyone. My name is Daphne William.

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I am a partner in our employment department in our Johannesburg office.

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Today I'm joined by Owethu Mbambo, my fellow partner.

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Owethu Mbambo: Hi everyone! Daphne and I provide legal advice to national and multinational businesses on their employment,

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labour, occupational safety and employment equity matters.

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Daphne William: October is Mental Health Awareness Month and today we are diving into a topic that is becoming important for employers

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and that is how to manage mental health in workplaces.

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Owethu Mbambo: This is absolutely an important topic at the moment, Daph.

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Mental health in the workplace isn't just about wellness, it's also about legal compliance and creating a safe,

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productive environment for employees.

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So in this episode, we'll unpack what the law says.

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Give practical steps for employers to consider and explore what happens when mental health results in an employee's

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incapacity to work, and an employer's obligations to address that incapacity.

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Daphne William: Employers need to understand that mental health affects not only employees,

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but also their bottom line. Globally, 15% of working adults live with a mental disorder.

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Depression and anxiety are common in the workplace and cost the economy nearly a trillion dollars every year.

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Owethu Mbambo: While Daphne, those are some really significant figures.

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In the South African context, the Occupational Health and Safety Act requires employers to

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ensure that workplaces are free from physical and mental health risks.

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We also have the Employment Equity Act, which prohibits discrimination based on disability.

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This includes mental health conditions.

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So ignoring mental health isn't just bad for workplace morale,

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it's also a legal risk for employers.

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Internationally, on the other hand, the World Health Organization guidelines and the

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International Labour Strategy emphasize prevention and support as key mechanisms to deal with mental health.

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Locally, we also have the Sans ISO 4501 standard, which makes it clear that mental health is

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part of occupational safety. Employers are required to identify psychosocial hazards in terms of the standard,

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such as excessive workload or harassment, and ensure that they mitigate these hazards.

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Daphne William: Thank you for taking us through the legal framework that that govern employers obligations when it comes to mental

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health and safety in the organisation.

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But can you just explain to us practically how does this look like?

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What do employers have to do to implement these obligations?

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Owethu Mbambo: Practically, this means employers must conduct risk assessments and identify the psychosocial hazards in their

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workplace and ensure that they involve employees in these risk assessments.

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It's not enough for employers to just offer an employee assistance program and hope for the best.

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Employers must also implement systemic fixes such as reasonable workloads,

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predictable schedules, and anti-bullying policies.

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Daphne William: Thanks. Owethu, just explain to us very high level, what three factors should employers have in mind when

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effectively managing mental health in the workplace?

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Owethu Mbambo: Of course. So their first prevention, as the old adage goes,

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prevention is the best cure. In this case, employers must consider prevention measures such as

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redesigning work where possible, implementing clear anti-harassment policies,

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and training managers to spot stressors in the workplace.

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And then secondly, employers must look at how they can promote and protect mental health in the workplace.

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So this would include measures such as training staff to reduce stigma,

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encouraging help seeking by employees, and protecting privacy of employees because employees want

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to feel safe and disclose in an environment where they do not fear that there may be reprisals for struggling with

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mental health. And lastly, employers need to consider how they can support employees that are already struggling with

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mental health in the workplace.

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This would include reasonable accommodations such as the adjustment of duties,

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considering flexible working hours and phased returns to work,

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or structured returns to work.

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For employees who have been off work for some time due to mental health,

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and also having quality assistance programs for employees.

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It is important to remember again that employee assistance programs are not a substitute for organisational change.

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Daphne William: We know that mental health also affects an employee's ability to perform their work and may result in the employee

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being incapacitated. The code of good practice on dismissals sets out guidelines to employers and employees on how to

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deal with the legal obligations placed on employers under the Labour Relations Act regarding dismissals for

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incapacity. The new code was published on the 4th of September 2025 and has replaced the old code.

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It's very important to highlight that this code provides that incapacity can occur as a result of mental ill health,

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so mental ill health is recognized as a ground for incapacity,

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and this can be either temporary or permanent incapacity.

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Employers are required to determine the degree and cause of the incapacity when considering dismissing employees,

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as it is those two factors that will be relevant when determining the fairness of a dismissal.

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So how do employers do this? Employers are required to investigate the extent of the incapacity.

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The employer is also required to investigate all possible alternatives short of dismissal.

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If the employee is likely to be absent for an unreasonably long period due to their mental health.

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If the employee's incapacity is found to be permanent, an employer is required to ascertain the possibility of

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securing alternative employment for the employee, or alternatively,

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adapting the employee's duties or work to accommodate their mental ill health.

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Owethu Mbambo: It appears that the code does provide a lot of guidance on the issue.

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So, what is an employer expected to do if an employee raises mental health as a defense to a poor performance

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process?

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Daphne William: That's a very good question. O2, we know that employers are required to follow two different

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processes when dealing with poor work performance, and a different process when dealing with an employee's

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incapacity as a result of ill health.

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If mental illness comes up as a defence in a poor work performance process,

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the question becomes whether an employer is obliged to incorporate or change the process that they are currently

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following. We know that an employer would follow an incapacity process for ill health when an employee is

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incapacitated. However, the employer would follow a separate process when the employee's poor work performance is an

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issue. In those instances, an employer would have to ascertain whether the employee has successfully shown that

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poor work performance was as a result of their mental wellness.

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If that is the case, the employer would have to combine or change the process depending on the facts that is faced by

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the employer.

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Owethu Mbambo: So def how have our courts dealt with this issue of mental health?

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Daphne William: The courts have provided guidance to employers on this issue of mental health in light of poor work performance as well

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as mental health in light of misconduct charges.

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And the Labour Court has confirmed that employers must deal with depression or any mental illness issues raised by

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employees sympathetically. The employer must explore reasonable accommodation as part of the investigation

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process and, importantly, the courts have highlighted that dismissal should be of last resort.

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The courts have made it a point to employers where it found in a separate case that dismissal was unfair,

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where the employer failed to investigate the incapacity before disciplining an employee for misconduct.

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The message here is that if ill health, mental ill health specifically is raised,

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employers cannot ignore it.

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Owethu Mbambo: Essentially, Daph we can sum up this discussion as saying that employers need to ensure that they have prevention

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mechanisms in place, that they also promote positive mental health practices in the workplace and ensure that they have

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adequate support for employees and where mental health does affect an employee's capacity to work.

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An employer must investigate and accommodate an employee where possible,

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and only consider dismissal as a last resort.

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Daphne William: Exactly Owethu, mental health is part of workplace safety and good businesses.

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Employers need to ensure that they are not indifferent when dealing with mental ill health.

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It's also very important to highlight that every case is unique.

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So if you are dealing with a mental health issue in your workplace,

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get tailored legal advice before taking any action.

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Thank you very much for joining us today.

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Owethu Mbambo: Thank you everyone.

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