BEM – Company integration in the context of mental disorders

BEM – Company integration management for people with mental disorders.

Occupational reintegration in the context of mental disorders.

Because you don't know what to do...

Anyone who is active in the field of occupational health management should have already familiarized themselves with the correct procedure for "company integration management". There are already many good and tried-and-tested processes for cases such as an accident, a slipped disc or a new knee.


In the context of mental disorders such as burnout, depression or anxiety disorders, however, there is still a lot of uncertainty on both sides: How do I address the issue with my employee? As an employee, can I tell the truth or will I immediately be on the hit list? Will I be considered crazy if I am diagnosed?



Mental disorders cannot be seen from the outside and society is still largely ignorant about how disorders develop, their symptoms and, above all, their treatment. If people are not treated successfully, the worst-case scenario is that they will relapse.

Thorsten Blaufelder

Thorsten Blaufelder

Born in 1975, self-employed since 2010


Thorsten Blaufelder is a specialist lawyer for labor law and advises employers, works councils and representatives of severely handicapped persons on collective labor law. In addition, he acts as a business mediator and business coach in internal company conflicts in everyday working life.

He also works as a certified work ability coach® and as an expert in the field of company integration management (BEM) in the context of mental disorders.

Its mission is to contribute to a healthy work culture in an increasingly complex world.

Contents & objectives of the BEM

Employers must offer company integration management (BEM for short) to employees who are unable to work due to illness for a longer period of time. BEM is not a one-off conversation, but rather an open-ended process. Its aim is to overcome incapacity to work, prevent further incapacity to work and to maintain the job or employment relationship of the affected employee.


Why is this topic so important?

The topic of BEM is important for several reasons:

  • Employee health:
    The well-being and health of employees are the focus of the BEM. It aims to overcome employees' incapacity to work and to take preventive measures against future illnesses. This not only improves the individual quality of life of employees, but also maintains their ability to work in the long term.
  • Legal obligation:

  • As stipulated in Section 167 Paragraph 2 of the Social Code Book IX, employers are legally obliged to carry out a BEM as soon as employees are unable to work for more than six weeks continuously or repeatedly within a year. Failure to comply with this regulation can have legal consequences for the employer.
  • Prevention and cost savings:

  • By initiating BEM at an early stage, long-term illnesses can be avoided or shortened. This not only contributes to the health of employees, but can also reduce considerable costs for companies and departments. Long-term absences often mean high expenses for replacements, overtime for colleagues or even the risk of job loss for the person affected.
  • Job security and inclusion:

  • The BEM also serves to secure jobs for people with health restrictions. It promotes inclusion in the workplace by offering individual solutions that enable those affected to continue to make a valuable contribution to the company or department despite health challenges.
  • Positive work culture:

  • An effectively implemented BEM promotes a positive and supportive work environment. It signals to employees that their well-being and health are important to the employer, which in turn can increase employee loyalty and job satisfaction.

Why BEM especially in the context of mental disorders?

The importance of BEM in the context of mental disorders can be explained by several factors:


  • Increasing relevance of mental illnesses:
    In recent years, an increasing number of days of incapacity for work due to mental illness have been recorded. Stress, burnout, depression and other mental disorders have become a significant problem in the workplace. It is therefore particularly important to address these illnesses with targeted measures such as the BEM.
  • Specific challenges:

  • Mental disorders bring with them specific challenges, both for those affected and for employers. They are often less visible than physical illnesses and can vary in their severity and duration. A customized BEM can help to respond individually to the needs of those affected and create a working environment that supports their health and performance.
  • Prevention and early detection:

  • The BEM offers a platform for the prevention and early detection of mental illnesses. Through regular discussions and analyses, the first signs of overload or stress can be identified and addressed early. This is particularly important in the case of mental illnesses, as early treatment is often crucial for the healing process.
  • Destigmatization:

  • The inclusion of mental illnesses in the BEM helps to destigmatize these illnesses. By dealing openly with these issues, the employer sends a signal that mental health is just as important as physical health. This can help employees to seek help more quickly and to talk openly about their problems.
  • Long-term integration:

  • Mental disorders can affect the ability to work to varying degrees and over different periods of time. BEM enables flexible design of working conditions and support services aimed at the long-term integration of those affected. This can facilitate a permanent return to work and secure the job.

What should entrepreneurs, departments and those responsible for BEM take into account?

There are several important points that entrepreneurs, departments and those responsible for BEM should consider when implementing company integration management (BEM):


  • Early communication and transparency:
    It is crucial that the process and goals of the BEM are communicated transparently and understandably to everyone involved. Employees should be informed about their rights and options within the framework of the BEM in order to reduce fears and uncertainties.
  • Voluntariness and data protection:

  • Participation in the BEM is voluntary for employees. Their decision for or against participation should be respected. In addition, data protection is of utmost importance; employees' personal information and health data must be treated confidentially.
  • Individual solutions:

  • Every case is unique, especially when it comes to mental illness. Solutions and measures should therefore be individually tailored and flexible to meet the needs of the affected people.
  • Involvement of specialists:

  • It can be helpful to involve external specialists such as company doctors, psychologists or specialised consultants in the BEM process. They can provide valuable expertise and support in developing effective reintegration measures.
  • Training of those responsible for BEM:

  • Those responsible for the BEM should be specially trained to be able to carry out their tasks effectively. This includes knowledge of legal principles, communication techniques and raising awareness of mental illnesses.
  • Long-term perspective:

  • BEM is not a short-term project, but an ongoing process. A long-term perspective should be pursued that is geared towards the permanent integration of employees into the work process.
  • Promoting a positive corporate culture:

  • An open and inclusive corporate culture that values the health and well-being of all employees is a fundamental prerequisite for successful BEM. This also includes creating a working environment that promotes and supports mental health.
  • Regular evaluation and adjustment:

  • The BEM process and the measures introduced should be regularly evaluated and adjusted if necessary. This makes it possible to improve the effectiveness of the BEM and to react to changes in individual cases or in the framework conditions.

What should employees consider

For employees who are offered a BEM, there are also important points to consider in order to make the process as effective as possible for themselves:


  • Information and education:
    Find out about your rights and options within the framework of the BEM. Understand the BEM as an offer of support and not as a monitoring or evaluation tool.
  • Voluntariness and initiative:

  • Please remember that your participation in the BEM is voluntary. However, a positive attitude and the willingness to participate actively can significantly support the success of the process.
  • Open communication:

  • Be open in your communication with those responsible for BEM and other parties involved. An honest description of your situation and needs is important in order to find suitable solutions. However, you should always consider what information you want to share and that your privacy is protected.
  • Data protection:

  • Your data is protected and information about your health may only be used with your explicit consent. You have the right to be informed exactly who has access to your data.
  • Inclusion of support offers:

  • Do not hesitate to accept additional offers of support, whether through internal offers from your employer or from external counseling services. This may include professional medical advice, psychological support or even legal advice.
  • Realistic objectives:

  • Set realistic goals for your reintegration. Both over- and under-challenge can hinder the process. A gradual reintegration can often make more sense than a full-time start too quickly.
  • Give feedback:

  • Feedback on the BEM process is valuable for everyone involved. Share your experiences, what works well and what could possibly be improved. This can also be helpful after the BEM process has been completed.
  • Self-care and patience:

  • The process of reintegration can be challenging and take time. Take care of your health and don't put yourself under pressure. Patience and self-care are important companions on this path.

What can we do for you?

The Academy for Mental Health can support companies and departments in a variety of ways with BEM:


  • Training and workshops:
    We provide you with specialized training courses and workshops. These are aimed in particular at those responsible for BEM, managers and employees in your company or department. The topics include the basics of company integration management (BEM), dealing with mental illnesses in the workplace, communication techniques, data protection in the BEM process and effective measures to promote mental health.
  • Advice on BEM processes:

  • We offer individual consulting services to support the setup, implementation and optimization of your BEM processes. We help you analyze existing structures, develop action guidelines with you and support you in implementing effective BEM strategies in your company or department.
  • Support in prevention:

  • Promoting mental health and preventing mental illness in the workplace are essential components of a successful BEM. We work with you to develop programs and measures that are specifically tailored to the needs of your company or department. These include offers for stress management and creating a healthy work culture that sustainably promotes the health and well-being of your employees.
  • Further offers such as
  • Keynote speeches
  • for all employees,
  • Seminars and workshops
  • on specific topics,
  • Management training
  • ,
  • Emergency aid
  • as well as
  • Training
  • in the area "
  • Psychological first aider
  • " or our "
  • Mental Health Supporters
  • " complete our offer.

  • With these offers, we would like to support you in establishing effective company integration management and strengthening mental health in your work environment.


Thorsten Blaufelder on the topic
"Company integration management"

In this video, Thorsten Blaufelder and Bettina Tittel talk about why the classic BEM often does not work in the context of mental disorders and what should be considered instead.

More exciting links and further information material

Further exciting information on the topic for employees and employers can be found on this official website of the Federal Ministry of Labour and Social Affairs and the BEMpsy project funded by the Compensation Fund:


https://www.bempsy.de/

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