COGNITIVE IMPAIRMENT IN THE WORKPLACE



COGNITIVE IMPAIRMENT IN THE WORKPLACE

The Impact of Alzheimer’s on Employment


The Challenges for Employers and Employees

As the aging population in the United States continues to grow, the prevalence of cognitive impairment and dementia in the workplace is on the rise, creating significant challenges for employees, caregivers, and employers. With over 11 million Americans providing unpaid care for individuals living with Alzheimer’s or other dementias, the ripple effects of these conditions extend far beyond families, deeply impacting the workforce. 

Cognitive impairment and caregiving responsibilities can significantly impact workplace efficiency, leading to decreased productivity, delays, and errors. Employees managing caregiving duties or experiencing cognitive symptoms often require more sick days or personal time off, resulting in increased absenteeism. Additionally, caregiving employees may leave the workforce altogether, forcing employers to bear the costs of turnover and recruitment while investing in hiring and training replacements. The departure of experienced employees due to cognitive decline or caregiving responsibilities also results in the loss of valuable institutional knowledge, skills, and expertise. Furthermore, employees affected by Alzheimer’s or caregiving-related stress may require additional healthcare support, driving up insurance and benefits costs for employers. By proactively addressing these challenges, such as implementing supportive policies and resources, employers can better support their workforce, reduce turnover expenses, and foster a healthier, more inclusive workplace.

The Importance of a Dementia-Friendly Workplace

Creating a dementia-friendly workplace benefits both employees and employers. A supportive workplace culture encourages employees to disclose cognitive concerns, fostering open communication and enabling timely interventions. Accommodations tailored to the needs of affected employees can preserve their ability to contribute meaningfully while ensuring team cohesion and productivity.

By addressing cognitive impairment proactively, companies can:

    Retain valuable employees with historical knowledge.

    Support a positive workplace culture where health challenges are acknowledged without stigma.

    Reduce legal and financial risks associated with the mismanagement of employees with disabilities.

Recommendations for Employers

To create a more inclusive and supportive environment for employees living with cognitive impairment, employers can implement the following strategies:

1.    Training and Awareness:

o    Provide training to human resources personnel and supervisors on the warning signs of Alzheimer’s and dementia.

o    Educate staff on disability law, including the Americans with Disabilities Act (ADA), to ensure compliance and understanding.

2.    Health and Wellness Initiatives:

o    Encourage employees to seek medical advice for early diagnosis and treatment.

o    Promote healthy habits and wellness programs to support overall cognitive health.

3.    Accommodations and Flexibility:

o    Offer tailored accommodations, such as simplifying job responsibilities, providing flexible hours, or incorporating technology-based reminders.

o    Create “buddy” systems or additional supervision to support employees in their roles.

o    Involve trusted family members, physicians, or care team members in discussions about work adjustments when appropriate.

4.    Policy Development:

o    Ensure disability benefits and retirement options are clearly communicated to employees.

o    Evaluate accommodations regularly to determine their effectiveness and make necessary adjustments.

5.    Compassionate Transitions:

o    Support employees transitioning out of the workplace due to cognitive impairment with dignity and respect.

Addressing Caregiving Challenges

In addition to supporting employees with cognitive impairment, companies must also recognize the needs of caregivers in their workforce. According to recent statistics:

    6 in 10 caregivers were employed in the past year, working an average of 35 hours per week while caregiving.

    57% of employed caregivers had to adjust their work schedules, such as arriving late or leaving early.

    18% of caregivers reduced their working hours, and 9% left the workforce entirely.

Given these realities, flexible work options and caregiver support programs are essential to help employees balance their professional and caregiving responsibilities.

Future Directions for Corporate America

Employers can play a pivotal role in promoting dementia-friendly workplaces and communities. Hosting workplace events that build camaraderie and combat social isolation, offering work-from-home options, and fostering trusted relationships with employees are all strategies to support a diverse and inclusive workforce.

On a broader scale, legislative changes are needed to protect employees who are terminated for performance reasons but later found to have dementia. Simplifying processes for executing and utilizing power of attorney documents can also reduce the burden on families.

Dementia and mild cognitive impairment are no longer issues confined to the home; they are increasingly visible in the workplace. By fostering awareness, compassion, and practical solutions, employers can create an environment where employees feel safe acknowledging health challenges. In doing so, companies not only support their workforce but also ensure long-term organizational success, resilience, and inclusivity.

Contact: Lionell Martin, Public Relations Manager, Alzheimer’s Association, lrmartin@alz.org, 773.593.4211.

About the Alzheimer’s Association Illinois Chapter

The Alzheimer’s Association offers a 24/7 Helpline (800-272-3900) that is available 365 days a year. Specialists and master’s-level clinicians provide confidential support and information to individuals living with dementia, caregivers, families, and the public.


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