Return to work after a mental breakdown: findings from employees within the South African public service

Purpose The study aims to explore experiences of returning to work after seeking mental health support among public service employees in South Africa, focusing on challenges such as stigma, performance pressure and systemic gaps in post-return support. Design/methodology/approach A qualitative research approach using narrative inquiry was used, relying on a sample of 15 employees working within the South African public service. Employees had undergone some form of mental health support and were interviewed post-return to work. Findings Three main findings emerged from participant stories. First, the challenge related to reintegration into the workplace manifests through stigma within the workplace. Second, the existence of excessive individual pressure to prove themselves post-return for immediate acceptance. Third, the noted lack of support interventions, especially after returning to work, as compared to support for the initial diagnosis of mental health challenges. Research limitations/implications Informed by the findings of the study, return-to-work interventions are needed to support individuals going through mental health challenges. Practical implications Support structures need to be created to suit the different stages of individuals who require mental health support. Originality/value The study illustrates not just the experiences related to mental health support but especially for those returning to work after going through a mental health crisis.