Original Research

Occupational therapists’ perceived ability to facilitate reasonable accommodations in the workplace for employees with major depressive disorders

Mpho S. Ramano, Tania Buys, Carla Kotzé
African Journal of Disability | Vol 15 | a1924 | DOI: https://doi.org/10.4102/ajod.v15i0.1924 | © 2026 Mpho S. Ramano, Tania Buys, Carla Kotzé | This work is licensed under CC Attribution 4.0
Submitted: 25 November 2025 | Published: 13 June 2026

About the author(s)

Mpho S. Ramano, Department of Occupational Therapy, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa
Tania Buys, Department of Occupational Therapy, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa
Carla Kotzé, Department of Occupational Therapy, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa; and, Department of Geriatric Psychiatry, Faculty of Psychiatry, Weskoppies, Pretoria, South Africa

Abstract

Background: Employees with major depressive disorder who return to work after sick leave may exhibit residual symptoms and functional limitations, which might require reasonable accommodation. In accordance with disability legislation, these employees have the right to request reasonable accommodations, and the employer must consider these requests, allowing the employee to continue fulfilling work requirements. There is a lack of research concerning the occupational therapist’s role and successes in supporting reasonable accommodation for employees with major depressive disorders.
Objectives: This article aims to explore and describe occupational therapists’ perceived ability to facilitate reasonable workplace accommodations for employees with major depressive disorders.
Method: An exploratory descriptive design was utilised, in which seven participants were interviewed individually. The authors adopted a social constructivism paradigm to understand the world in which occupational therapists live and work. An inductive analysis was carried out to formulate the themes.
Results: Two themes were identified from the participants’ views: (1) the dynamic process of reasonable accommodation and (2) the competencies of occupational therapists.
Conclusion: Occupational therapists should lead the dynamic process of reasonable accommodation. To do this effectively, they must stay up to date, have the relevant skills and manage cases efficiently.
Contribution: The dynamic process of reasonable accommodation outlined in this study provides a guideline for occupational therapists to follow when implementing such adjustments. Suggested reasonable accommodations for employees with major depressive disorder may serve as valuable resources for these professionals.


Keywords

employment equity; disability rights; equal opportunity; mental health stigma; workplace productivity; competencies; return-to-work

Sustainable Development Goal

Goal 8: Decent work and economic growth

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