Fitness for duty

Frequently Asked Questions

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At the Psychological Evaluation Center of North America (PECNA), we understand that Fitness for Duty evaluations can raise many questions and uncertainties. Our goal is to provide you with the knowledge, guidance, and support needed to navigate this process with clarity and confidence.

Whether you’re an employer, an attorney, or an employee undergoing an assessment, we’ve compiled a list of frequently asked questions to address your concerns and provide clear information about the psychological evaluation process for Fitness for Duty determinations.

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General FAQs

  • Does PECNA offer remote or in-person evaluations?

    PECNA offers remote evaluations exclusively, conducted via secure online platforms, allowing clients from all 50 states to access our psychological evaluation services without the need to attend in person. Our remote evaluations are designed to provide the same high-quality, comprehensive assessments as in-person sessions, ensuring convenience and flexibility for all patients. Through this approach, we can accommodate clients from any location, providing the support they need without geographical limitations.

  • What qualifications do PECNA psychologists hold?

    PECNA psychologists are highly qualified, holding advanced degrees and specialized training across a range of psychological evaluation fields, including immigration, fitness-for-duty, and other legal and occupational assessments. All PECNA psychologists have earned doctorate-level degrees (Ph.D. or Psy.D.) in psychology, ensuring they possess the expertise needed to handle complex emotional, psychological, and behavioral aspects relevant to each type of evaluation. They are licensed in their respective states and certified by relevant regulatory bodies, adhering to the highest ethical and professional standards.

    In addition to their formal education, PECNA psychologists have extensive training and experience in specialized psychological assessment areas, including immigration evaluations, fitness-for-duty determinations, and trauma-informed assessments. They follow guidelines established by professional organizations such as the American Psychological Association (APA) and American Society for Reproductive Medicine (ASRM), ensuring every evaluation aligns with best practices in mental health care and psychological evaluation.

    By combining their advanced qualifications with a broad understanding of diverse evaluation needs, PECNA psychologists ensure that every assessment is conducted with the highest level of professionalism, empathy, and precision, supporting both clients and their legal or occupational requirements.

  • How soon can we expect results after an evaluation?

    PECNA strives to provide a 48-hour turnaround on evaluation reports to ensure that you receive timely feedback. In most cases, you can expect to receive your results and any recommendations within this timeframe. However, in certain situations where more detailed analysis or additional information is required, it may take up to a week to finalize the report. Our goal is to ensure that the results are thorough, accurate, and tailored to your specific needs, so while we aim for a quick turnaround, we prioritize the quality and completeness of each evaluation.

  • What happens if a client disagrees with the findings of the psychological evaluation?

    If a client disagrees with the outcome of their evaluation, PECNA is committed to open communication and ensuring that all clients fully understand the findings. We are open to discussing the results in detail, offering clarity on the conclusions drawn and the reasoning behind the recommendations. If, after this discussion, a client continues to have concerns or disagrees with the outcome, PECNA is willing to explore additional steps to address those concerns.

    These steps may include offering follow-up sessions to revisit specific aspects of the evaluation or providing additional counseling to explore unresolved issues. In some cases, we may recommend seeking a second opinion from another qualified reproductive psychologist or mental health professional. Our goal is to provide a thorough, transparent, and supportive process, ensuring that all clients feel heard and confident in the path forward, regardless of the evaluation outcome.

  • Can PECNA’s evaluations be used for legal purposes?

    Yes, PECNA’s evaluations can be used in legal contexts to demonstrate psychological readiness for various situations, including immigration cases, fitness-for-duty determinations, and other evaluations where mental health documentation is required. Our comprehensive reports are designed to meet the standards needed for legal proceedings and provide reliable, evidence-based insights.

  • Where does PECNA offer psychological evaluation services?

    PECNA offers secure, HIPAA-compliant telehealth services in California, Hawaii, and all PSYPACT participating states.

    Our PSYPACT service area includes:

    Alabama, Arizona, Arkansas, Colorado, Connecticut, Delaware, District of Columbia, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Maryland, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

  • What languages do PECNA's clinicians speak?

    Our multilingual clinicians can provide services in Mandarin, Cantonese, Spanish, Thai, Japanese, German, and Farsi, ensuring that each evaluation respects and reflects the client’s language and cultural background.

  • How can I schedule a Fitness for Duty (FFDE) evaluation?

    You can initiate the process by contacting our office directly through phone or email, or by using our online request form on our website. Our team will work with you to understand the specific requirements of the evaluation (pre-employment, return-to-work, or post-incident) and help find an appointment time that fits your schedule. We offer flexible scheduling options, including next-day appointments and telehealth services, to ensure timely and convenient access to evaluations. Once scheduled, you’ll receive detailed instructions to prepare for the evaluation.

Fitness for Duty

  • Are FFDE evaluations admissible in legal contexts?

    Yes, FFDE reports are often used in legal or administrative proceedings related to employment, safety concerns, or disputes. The evaluation provides objective, evidence-based insights that may be relevant in court cases or human resources matters.

  • Can an employee return to work after being deemed unfit in a previous FFDE?

    Yes, if an employee is initially deemed unfit, they may be eligible to return to work following treatment or support that addresses the concerns raised in the evaluation. A follow-up FFDE can determine whether they are now fit to resume their duties.

  • Can an FFDE include recommendations for accommodations?

    Yes, if appropriate, the FFDE report may include recommendations for reasonable accommodations to support the employee’s mental health and job performance, such as modified work hours, stress management resources, or additional support measures.

  • Can employees refuse to undergo an FFDE?

    Employees have the right to refuse an FFDE, but this may have employment consequences. Employers may require the evaluation to ensure workplace safety, and refusal could lead to disciplinary action or affect job status, depending on company policy.

  • How does a post-incident FFDE differ from other types?

    A post-incident FFDE specifically addresses concerns that arise following a workplace incident, such as erratic behavior, an accident, or conflict. This type of evaluation focuses on identifying potential mental health or behavioral factors that may have contributed to the incident and assesses whether the employee can safely continue in their role.

  • How long does a Fitness for Duty evaluation take?

    An FFDE can typically be completed within 1-2 weeks, including the interview, testing, and report preparation. In urgent cases, expedited services may be available to meet specific deadlines.

  • Is the Fitness for Duty evaluation confidential?

    Yes, FFDEs are conducted with strict confidentiality. The results and findings are shared only with authorized parties, such as HR or legal counsel, and are handled in accordance with privacy laws and workplace regulations.

  • What does the FFDE process involve?

    The process includes a comprehensive clinical interview, psychological testing, and sometimes a review of medical and work-related records. The evaluation assesses factors like emotional stability, decision-making abilities, stress tolerance, and impulse control, providing insights into the employee’s mental fitness for their specific job role.

  • What happens if an employee disputes the FFDE findings?

    If an employee disputes the findings, they may request a second opinion or consult with legal counsel to review the process. Many employers are open to a secondary evaluation to ensure fairness and objectivity.

  • What happens if the FFDE finds an employee unfit for duty?

    If an employee is deemed unfit, the report will include recommendations that may involve temporary leave, modifications to job duties, or a structured return-to-work plan. In some cases, treatment or additional support may be recommended to help the employee achieve fitness for their role.

  • What is a Fitness for Duty (FFDE) psychological evaluation?

    A Fitness for Duty psychological evaluation is an assessment that determines an employee’s mental and emotional readiness to safely and effectively perform their job duties. This type of evaluation is especially important for high-stress or safety-sensitive roles where mental health may impact workplace safety and productivity.

  • What kind of psychological testing is included in an FFDE?

    Psychological testing varies based on the specific job and concerns, but may include assessments of personality, impulse control, decision-making skills, and stress tolerance. The goal is to evaluate how the employee’s mental state may impact job performance and safety.

  • What role does the clinician play in the FFDE process?

    The clinician conducts the evaluation, interprets the results, and provides an objective report with findings and recommendations. Their role is to offer an unbiased assessment based on psychological expertise, focusing solely on the employee’s fitness for duty.

  • When is a Fitness for Duty evaluation required?

    FFDEs may be required in various situations, including before hiring (pre-employment), after a medical or psychological leave (return to work), or following a workplace incident that raises concerns about an employee’s behavior or performance (post-incident). Employers may request an FFDE if there are signs that mental health may be impacting job performance or workplace safety.

  • Who pays for the Fitness for Duty evaluation?

    Generally, the employer covers the cost of a Fitness for Duty evaluation, as it is a work-related requirement. However, payment arrangements should be clarified with the organization prior to scheduling.

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