Taylor v. Phoenixville Sch. Dist. ( 1999 )


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  •                                                                                                                            Opinions of the United
    1999 Decisions                                                                                                             States Court of Appeals
    for the Third Circuit
    8-18-1999
    Taylor v. Phoenixville Sch. Dist.
    Precedential or Non-Precedential:
    Docket 98-1273
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    Recommended Citation
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    http://digitalcommons.law.villanova.edu/thirdcircuit_1999/228
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    Filed August 18, 1999
    UNITED STATES COURT OF APPEALS
    FOR THE THIRD CIRCUIT
    No. 98-1273
    KATHERINE L. TAYLOR,
    Appellant
    v.
    PHOENIXVILLE SCHOOL DISTRICT
    On Appeal from the United States District Court
    for the Eastern District of Pennsylvania
    (D.C. Civil No. 96-cv-08470)
    District Judge: Honorable J. Curtis Joyner
    Argued December 17, 1998
    Opinion filed April 5, 1999
    Panel Rehearing granted on August 18, 1999, vacating
    Opinion filed April 5, 1999
    Before: SLOVITER and COWEN, Circuit Judges and
    RODRIGUEZ,* District Judge
    (Filed August 18, 1999)
    _________________________________________________________________
    * Honorable Joseph H. Rodriguez, U.S. District Judge for the District of
    New Jersey, sitting by designation.
    Joseph A. Ryan, Esq. (Argued)
    13 Paoli Court
    Paoli, PA 19301
    Counsel for Appellant
    Michael I. Levin, Esq. (Argued)
    Michael I. Levin & Associates
    1800 Byberry Road
    1402 Masons Mill Business Park
    Huntington Valley, PA 19006
    Counsel for Appellee
    OPINION OF THE COURT
    COWEN, Circuit Judge.
    Katherine Taylor brought suit under the Americans with
    Disabilities Act of 1990 (ADA), 42 U.S.C. S 12101 et seq.,
    and the Pennsylvania Human Relations Act (PHRA), 43
    Pa.Cons.Stat.Ann. S 951 et seq., alleging that her former
    employer, the Phoenixville School District, failed to provide
    her reasonable accommodations for her mental illness. The
    District Court granted summary judgment for the school
    district, reasoning that Taylor's mental illness, bipolar
    disorder, or manic depression as it is sometimes called, did
    not qualify as a disability under the ADA. Alternatively, the
    District Court held that even if Taylor did have a disability,
    the only accommodation she specifically requested, transfer
    to another position, was not possible, and consequently,
    she was not an otherwise qualified individual with a
    disability.
    In an opinion filed on April 5, 1999, we reversed the
    District Court's order after we concluded that Taylor's
    unmedicated condition demonstrated that she has a
    disability; we also found that she raised genuine factual
    disputes on whether the school district participated in good
    faith in the interactive process required by the ADA. When
    the school district sought rehearing, we held its petition
    until the Supreme Court announced its decisions in two
    2
    then-pending cases addressing whether disabilities under
    the ADA are judged with or without regard to mitigating
    measures. The Supreme Court has now decided in Sutton v.
    United Airlines, Inc., ___ U.S. ___, 
    119 S. Ct. 2139
    (1999)
    and Murphy v. United Parcel Service, ___ U.S. ___, 
    119 S. Ct. 2133
    (1999) that whether a plaintiff has a disability under
    42 U.S.C. S 12102(2)(A) must be evaluated taking into
    account any mitigating measures the plaintiff uses.
    Based on these decisions, we have granted panel
    rehearing and vacated our prior opinion, which was
    reported at 
    174 F.3d 142
    . Applying the new law, we
    conclude that there are genuine factual disputes requiring
    a trial on whether Taylor's bipolar disorder substantially
    limits a major life activity while she is taking lithium.
    Because Sutton and Murphy concerned only the issue of
    when a plaintiff has a disability under the ADA, our
    previous discussion of the interactive process is unaffected;
    therefore, we have incorporated it unchanged in this
    opinion.
    I
    Before she was terminated on October 28, 1994,
    Katherine Taylor had worked for twenty years as the
    principal's secretary at the East Pikeland Elementary
    School in the Phoenixville School District. Prior to the fall
    of 1993, Taylor had not received a single disciplinary notice
    from any of the various principals she worked with over the
    years, and when formal evaluations were instituted in the
    1991-92 school year, she received high praise.
    Trouble began after Taylor suffered the onset of bipolar
    disorder in late August of 1993, regrettably during the first
    full week that a new principal, Christine Menzel, assumed
    her duties at East Pikeland. While Taylor was at work
    during that week, she began acting strangely, alarming
    Menzel and Linda Ferrara, the school district's
    administrative assistant for personnel. Menzel and Ferrara
    were so disturbed by Taylor's behavior that they doubted
    her capacity to leave on a train by herself and had someone
    at the school district contact her son, Mark Taylor. He soon
    drove his mother to Coastal Plain Hospital, a psychiatric
    3
    institution in Rocky Mount, North Carolina, where she was
    admitted as an in-patient on August 31, 1993.
    Hospital records indicate that Taylor had become manic
    and was increasingly agitated and psychotic. According to
    the records, she hid herself at the train station, believing
    that someone was after her, and tried to disguise herself by
    covering her head with a scarf. On the car ride from
    Pennsylvania to the hospital, she was delusional and
    announced that the car was being escorted by state
    troopers and helicopters. She also claimed that her son's
    boss was after him and that there were many people on the
    highway who were "firefighters" trying to protect her. The
    hospital report noted that she did not have any insight into
    the severity of her condition and believed she was being
    admitted due to "acute stress." The school district's own
    expert, Dr. Rieger, agreed that during Taylor's
    hospitalization, she "clearly had paranoid delusions" and
    was hyperactive and psychotic.
    Taylor was treated by two psychiatrists at the hospital
    who diagnosed her illness as bipolar disorder and treated
    her with lithium carbonate and an antipsychotic drug,
    Navane, when lithium alone was insufficient. Once her
    symptoms were brought under control by the combination
    of drugs, she was discharged on September 20, 1993, and
    her care was taken over by Dr. Louise Sonnenberg, a
    psychiatrist in Phoenixville, Pennsylvania. Since her
    discharge from the hospital, Taylor has continued to take
    lithium, see Dr. Sonnenberg, and receive the necessary,
    periodic blood tests.1
    _________________________________________________________________
    1. One widely-used text explains that: "Because lithium has an extremely
    narrow therapeutic range, blood levels of the drug must be closely
    monitored. The occurrence and intensity of side effects are, in most
    cases, directly related to plasma concentrations of lithium. . . . The
    main
    toxic effects involve the gastrointestinal tract, the kidneys, the
    thyroid,
    the cardiovascular system, the skin, and the nervous system." Robert M.
    Julien, A Primer of Drug Action, 8th ed., W.H. Freeman & Co., at 229-30
    (1998). The Physicians' Desk Reference, 53rd ed., Medical Economics
    Co., at 2750 (1999) is in agreement: "Lithium toxicity is closely related
    to serum lithium levels and can occur at doses close to therapeutic
    levels." Both authorities state that when the amount of lithium in the
    4
    Taylor's son stated in an affidavit that during his
    mother's leave of absence, he had numerous phone
    conversations with Ferrara in which he explained that his
    mother would be absent from work because she had been
    diagnosed with bipolar disorder and required
    hospitalization. Mark Taylor also asserted in his affidavit
    that during a phone call on October 8, one week before his
    mother resumed working, he told Ferrara that due to his
    mother's bipolar disorder, she "would require
    accommodations when she returned to work." The affidavit
    adds that he provided Ferrara with the information he
    received from Taylor's doctors "including diagnosis and
    treatment information and medications." Coastal Plain
    Hospital itself sent a letter to the school district on
    September 13, 1993, identifying one of Taylor's physicians
    and providing a phone number to address any additional
    questions the school district might have.
    According to Taylor, Ferrara did eventually contact one of
    her treating physicians. Ferrara's own handwritten notes
    show that she attempted to obtain copies of Taylor's
    records from Coastal Plain Hospital and planned to speak
    to at least one of Taylor's doctors. The school district had
    other contact with her doctors because before Taylor was
    permitted to return to work, the school district required her
    to submit a note from Dr. Sonnenberg saying that Taylor
    was no longer disabled. Even prior to Mark Taylor's October
    8th phone call, Ferrara sent a letter to the school district's
    superintendent, stating that:
    Mrs. Taylor has been released from the Coastal Plain
    Hospital in North Carolina and her son will be picking
    _________________________________________________________________
    blood is near and above the therapeutic range, side effects can include
    nausea, vomiting, abdominal pain, slight tremor, lethargy, impaired
    concentration, dizziness, slurred speech, ataxia, muscle weakness, and
    nystagmus. Julien adds that memory problems and weight gain are also
    frequent complaints with continued treatment. As plasma levels rise
    higher, toxic effects include muscle rigidity, coma, renal failure,
    cardiac
    arrhythmias, and death. Blood levels can fluctuate for a variety of
    reasons. For example, Julien notes that "when a patient lowers his or
    her salt intake or loses excessive amounts of salt (such as through
    sweating), lithium blood levels rise and intoxication may inadvertently
    follow." 
    Id. at 228.
    5
    her up this coming weekend to bring her back to
    Pennsylvania. She will be receiving out-patient care in
    Phoenixville through the Phoenixville Psychiatric
    Associates. They will monitor her Blood Lithium[sic]
    levels. It was stressed that she must maintain and
    continue her medication. He felt, as well as the doctor,
    that the first week should be easing her transition back
    into the work place.
    App. vol. I at 80.
    A notation on the letter indicates that a copy was
    forwarded to Menzel. She submitted an affidavit, however,
    denying that she saw the memo and asserting that"I did
    not learn the specifics of the Plaintiff's alleged condition
    (i.e., bipolar disorder) until after reading a newspaper
    article describing her filing of the current lawsuit." App. vol.
    II at 2. Ferrara has also submitted an affidavit asserting
    that "at no time was I or anyone else at the School District
    aware of Plaintiff's alleged diagnosis of bipolar disorder or
    the details or frequency of any treatments she may have
    been receiving after returning from Coastal Plain until after
    the current lawsuit was filed." App. vol. II at 50.
    After Taylor provided the note from Dr. Sonnenberg, she
    resumed work on October 15, 1993 although, as Ferrara's
    letter indicated, Taylor was only authorized to work half
    days for the first week. Prior to her hospitalization, Taylor
    had received high praise for her performance. In June of
    1993, about two months before her hospitalization, the
    outgoing principal, Dr. Herron, wrote that Taylor"excels in
    all aspects" of her job, was a "credit to our school," and "a
    tribute to excellence." App. vol. I at 86. In a subsequent
    letter of recommendation, Dr. Herron again praised her
    performance without reservation:
    As a secretary, Mrs. Taylor served me and the entire
    school family exceeding[ly] well. . . . I felt comfortable in
    leaving the building, sometimes for an extended
    amount of time, because of Mrs. Taylor's skills. Indeed,
    at such times, Mrs. Taylor carried on the full functions
    of the school as if she herself was capable of running
    the functions of the building without supervision, and,
    indeed, in such cases, she was entirely capable of
    doing so.
    6
    App. vol. I at 87.
    Almost immediately upon Taylor's return to work,
    Menzel, following Ferrara's advice, began documenting
    errors Taylor committed. The errors were then compiled
    into a bullet-format list; the list was presented to Taylor;
    and soon thereafter Menzel and Ferrara would call her into
    a disciplinary meeting and offer her a chance to rebut the
    charges. A representative from Taylor's union also attended
    although it is unclear to what extent the representative
    participated.
    Taylor's first disciplinary notice, dated November 9, 1993,
    listed errors as early as October 19, 1993, only four days
    after she returned to work and while she was still working
    part time. Eight more disciplinary notices followed, dated
    11/23/93, 12/9/93, 1/6/94, 2/1/94, 3/11/94, 4/22/94,
    9/2/94, and 10/27/94, the last arriving shortly before she
    was terminated. Over the course of the disciplinary
    meetings, Taylor disputed some charges and tried to
    explain others, but as 1994 wore on, Menzel documented
    many errors that she did not contest, and the interpersonal
    friction between Menzel and Taylor continued unabated.
    Disciplinary notices during this period list problems such
    as missed deadlines, mishandling of records, typing errors,
    interpersonal conflicts, and undelivered messages.
    Part of Taylor's complaint about her treatment is that
    Menzel often did not speak to her informally and in-person
    about problems as they arose. Instead, Taylor alleges that
    Menzel documented every misstep, saved letters containing
    typos, photographed her desk and trash can, as well as the
    inside of the office refrigerator, and waited to confront her
    with the evidence in the disciplinary meetings.
    Taylor also objects that the school district made her job
    more difficult upon her return from the hospital. First,
    during her absence, Menzel instituted a number of changes
    in the office: she introduced new office policies, created new
    forms, relocated documents, rearranged furniture, threw
    out Taylor's old filing system, and discardedfiles, including
    some in Taylor's desk. Taylor claims that these changes
    were disorienting and made it much more difficult to
    accomplish tasks she could easily perform before the
    7
    hospitalization. Of course, Taylor's absence coincided with
    the first weeks Menzel served as principal, and thus
    changes were inevitable and part of Menzel's prerogative as
    a new principal. The gravamen of Taylor's complaint,
    however, focuses on the abrupt, seemingly hostile manner
    in which the changes were made.
    Compounding Taylor's difficulties, a new computer
    system was introduced to keep track of student records and
    other data. The school district points out that plans to
    introduce the computers had been underway prior to her
    hospitalization, and according to an affidavit submitted by
    a school-district employee, Taylor had more difficulty than
    the other secretaries at a training session conducted in
    July of 1993. Taylor does not appear to dispute that the
    school district was entitled to switch to computers; rather,
    the thrust of her objection seems to be that the school
    district raised another hurdle by the manner in which the
    new system was introduced when she returned from her
    hospitalization.
    Taylor claims that her job was made more difficult in
    another, more straightforward way: following her return,
    her job description was changed, increasing the number of
    her job responsibilities from 23 to 42. It is not clear from
    the record when these changes were made, how substantial
    they were, or to what extent the new list simply enumerated
    in greater detail duties she already performed, but reading
    the evidence in the light most favorable to Taylor, there is
    reason to believe that the new list added significant
    responsibilities and made her return more difficult.
    On September 2, 1994 Taylor received a notice placing
    her on probation for 30 days and informing her that if her
    performance did not improve, she would be terminated. She
    was in fact discharged on October 28, 1994 although her
    union representative subsequently negotiated with the
    school district to allow her to "retire" and receive some
    retirement benefits. Since her termination, Taylor has
    applied at different times for unemployment benefits and
    disability benefits.
    II
    The District Court had subject matter jurisdiction over
    Taylor's ADA claim pursuant to 28 U.S.C. S 1331 and
    8
    supplemental jurisdiction over her state-law claim pursuant
    to 28 U.S.C. S 1367. We have appellate jurisdiction
    pursuant to 28 U.S.C. S 1291. Our review of a district
    court's grant of summary judgment is plenary. Olson v.
    General Electric Astrospace, 
    101 F.3d 947
    , 951 (3d Cir.
    1996). In evaluating the school district's motion for
    summary judgment, we must determine whether there are
    any genuine disputes of material fact, and if not, then
    viewing the evidence in the light most favorable to the
    plaintiff, we must decide whether the school district was
    entitled to judgment as a matter of law. See Fed.R.Civ.P.
    56; Celotex Corporation v. Catrett, 
    477 U.S. 317
    , 322-23,
    
    106 S. Ct. 2548
    , 2552-53 (1986); Anderson v. Liberty Lobby,
    Inc., 
    477 U.S. 242
    , 249-50, 
    106 S. Ct. 2505
    , 2510-11
    (1986).
    III
    A. Basic statutory framework
    Under the ADA, employers are prohibited from
    discriminating "against a qualified individual with a
    disability because of the disability of such individual in
    regard to job application procedures, the hiring,
    advancement, or discharge of employees, employee
    compensation, job training, and other terms, conditions,
    and privileges of employment." 42 U.S.C. S 12112(a). A
    "qualified individual with a disability" is defined by the ADA
    as a person "with a disability who, with or without
    reasonable accommodation, can perform the essential
    functions of the employment position that such individual
    holds or desires." 42 U.S.C. S 12111(8). A"disability" is
    defined as: "(A) a physical or mental impairment that
    substantially limits one or more of the major life activities
    of [an] individual; (B) a record of such impairment; or (C)
    being regarded as having such an impairment." 42 U.S.C.
    S 12102(2).
    In view of the foregoing definitions, we have held that in
    order for a plaintiff to establish a prima facie case of
    discrimination under the ADA, the plaintiff must show: "(1)
    he is a disabled person within the meaning of the ADA; (2)
    he is otherwise qualified to perform the essential functions
    9
    of the job, with or without reasonable accommodations by
    the employer; and (3) he has suffered an otherwise adverse
    employment decision as a result of discrimination." Gaul v.
    Lucent Technologies, 
    134 F.3d 576
    , 580 (3d Cir. 1998)
    (citing Shiring v. Runyon, 
    90 F.3d 827
    , 831 (3d Cir. 1996)).
    Discrimination under the ADA encompasses not only
    adverse actions motivated by prejudice and fear of
    disabilities, but also includes failing to make reasonable
    accommodations for a plaintiff's disabilities. The ADA
    specifies that an employer discriminates against a qualified
    individual with a disability when the employer does "not
    mak[e] reasonable accommodations to the known physical
    or mental limitations of the individual unless the[employer]
    can demonstrate that the accommodation would impose an
    undue hardship on the operation of the business of the
    [employer]." 42 U.S.C. S 12112(b)(5)(A).
    Before turning to the first issue, whether Taylor has a
    disability under the ADA, we mention that we will only
    discuss Taylor's ADA claim because our analysis of an ADA
    claim applies equally to a PHRA claim. Kelly v. Drexel
    University, 
    94 F.3d 102
    , 105 (3d Cir. 1996).
    B. Does Taylor have a disability under the ADA?
    According to the statutory language quoted above, Taylor
    can establish that she has a disability if she has a mental
    impairment that substantially limits a major life activity,
    has a record of such an impairment, or is regarded as
    having such an impairment. 42 U.S.C. S 12102(2). Taylor
    argues that she can satisfy each of these standards, but
    because we conclude that she raises genuine factual
    disputes about whether her bipolar disorder substantially
    limits a major life activity, we need not reach her
    arguments on the second and third definitions of a disability.2
    _________________________________________________________________
    2. The parties' briefing on appeal has focused heavily on the first
    standard -- does Taylor have an impairment that substantially limits a
    major life activity? What discussion there was of the second and third
    standards for having a disability did not address whether a plaintiff who
    relies exclusively on either the "regarded as" standard or the "record of
    a substantially limiting impairment" standard is legally entitled to
    reasonable accommodations.
    10
    No one disputes that bipolar disorder counts as a mental
    impairment under the ADA; the contested issue is whether
    Taylor's bipolar disorder substantially limits a major life
    activity. In determining whether a plaintiff's impairment
    substantially limits a major life activity, the Supreme Court
    has stressed that courts should "determine the existence of
    disabilities on a case-by-case basis." Albertsons, Inc. v.
    Kirkingburg, ___ U.S. ___, 
    119 S. Ct. 2162
    , 2169 (1999). To
    make that individualized assessment, we must begin by
    identifying the specific life activity or life activities that
    Taylor says her disorder affected and then evaluate whether
    her condition "substantially limits" those life activities.
    When Taylor relied upon our prior holding that
    disabilities are judged in their untreated state, she
    contended that while she was hospitalized, her bipolar
    disorder affected a number of her major life activities, such
    as the ability to think and care for herself. Following the
    decisions in Sutton and Murphy, which require courts to
    evaluate disabilities in their treated condition, Taylor
    submitted supplemental briefing that shifted the emphasis
    to her ability to think.
    We accept that thinking is a major life activity. We have
    previously observed that "[t]he ADA does not define `major
    life activities,' " 
    Kelly, 94 F.3d at 105
    (citation omitted), but
    despite the comparative lack of guidance in the statute, we
    conclude that it is reasonable to include thinking as a
    _________________________________________________________________
    We have previously identified, without deciding, the issue of whether
    a "regarded as" plaintiff is entitled to accommodations. See Taylor v.
    Pathmark Stores, Inc., 
    177 F.3d 180
    , 195-96 (3d Cir. 1999); Deane v.
    Pocono Medical Center, 
    142 F.3d 138
    , 140-41 (3d Cir. 1998)(en banc).
    Although those cases addressed the "regarded as" standard, the "record
    of an impairment" standard may raise similar considerations.
    We need not resolve these difficult issues in our present decision.
    Given that we have other grounds for reversal, intervening law has
    affected the "regarded as" standard, and important issues were left
    unaddressed by the parties, we will allow the parties to pursue on
    remand whether Taylor is regarded as disabled or has a record of a
    substantially limiting impairment and, if so, whether she would be
    entitled to reasonable accommodations under either of those standards.
    11
    major life activity. We hardly need to point out that
    thinking is inescapably central to anyone's life. Perhaps the
    activity is rather broad, but given the difficulty of specifying
    the different constituents of thinking or otherwise
    narrowing this central activity (especially when discussing
    the effects of psychosis or its subclinical manifestations),
    we will not try to constrict Taylor's arguments about how
    her condition affects her ability to think. We think that
    most objections about the broadness of thinking as a life
    activity can be captured in the analysis of when the activity
    is substantially limited.
    The Supreme Court has said, "The ADA does not define
    `substantially limits,' but `substantially' suggests
    `considerable' or `specified to a large degree.' " 
    Sutton, 119 S. Ct. at 2150
    . But while substantial limitations should be
    considerable, they also should not be equated with"utter
    inabilities." 
    Kirkingburg, 119 S. Ct. at 2168
    (quoting Bragdon
    v. Abbott, 
    524 U.S. 624
    , 641, 
    118 S. Ct. 2196
    (1998)).
    The EEOC's regulations define "substantially limits" as
    follows: "(i) Unable to perform a major life activity that the
    average person in the general population can perform; or (ii)
    Significantly restricted as to the condition, manner or
    duration under which an individual can perform a
    particular major life activity as compared to the condition,
    manner, or duration under which the average person in the
    general population can perform that same major life
    activity." 29 C.F.R. S 1630.2(j)(1). The regulations include
    the following factors for evaluating when someone is
    substantially limited in a major life activity:"(1) The nature
    and severity of the impairment; (ii) The duration or
    expected duration of the impairment; and (iii) The
    permanent or long term impact, or the expected permanent
    or long term impact of or resulting from the impairment."
    29 C.F.R. S 1630.2(j)(2).
    The Supreme Court left unresolved in Sutton what
    deference, if any, these regulations are due. The Court
    stated that even though the EEOC is charged with issuing
    regulations for the employment provisions under Title I of
    the ADA, "[n]o agency, however, has been given authority to
    issue regulations implementing the generally applicable
    provisions of the ADA, see SS 12101-12102, which fall
    12
    outside Titles I-V." 
    Sutton, 119 S. Ct. at 2145
    . The Court
    concluded that it did not have to resolve the issue of
    deference because the parties in Sutton did not contest the
    validity of the regulations, including 29 C.F.R.S 1630.2(j),
    that interpret the generally applicable provisions. 
    Id. Because we
    have previously applied 29 C.F.R. S 1630.2(j),
    see, e.g., 
    Kelly, 94 F.3d at 105
    , we will follow it here as
    well.
    When Taylor had to be confined to a hospital because she
    was psychotic, increasingly agitated, and gripped by
    delusions, the limitations on her ability to think were
    severe: She suffered paranoid delusions that people were
    trying to kill her, inducing her to disguise herself at the
    train station. During the car ride to the hospital, she
    thought her son's life was in danger, believed that the
    highway patrol was escorting her, and thought the highway
    was filled with "firefighters" there to protect her. Unable to
    recognize that these beliefs were baseless, she explained at
    the time of her admission that she was there for"acute
    stress."
    Both the school district's expert and Taylor's treating
    physician agreed that Taylor has bipolar disorder and that
    the condition is chronic. Dr. Rieger, the school district's
    expert, added, "There is no doubt in my mind that Ms.
    Taylor experienced a biologic psychiatric illness in which
    genetic factors play a role. These illnesses can appear even
    fairly late in life regardless of life events and stressors. . ."
    App. vol. I at 157. Dr. Sonnenberg, Taylor's treating
    physician, confirmed that Taylor has an ongoing condition
    that requires her to stay on lithium,3 and according to Dr.
    _________________________________________________________________
    3. The District Court evidently refused to consider Dr. Sonnenberg's
    opinion because the Court said, citing Gaul v. AT&T, Inc., 
    955 F. Supp. 346
    (D.N.J. 1997), Taylor could not rely on the opinion of her own
    treating physician. But Gaul stated that"[i]t is well settled that
    treating
    physicians may testify as to any subject relevant to the evaluation and
    treatment of their patients." 
    Id. at 349.
    At issue in Gaul was whether
    testimony by the plaintiff's treating physician satisfied the New Jersey
    Supreme Court's holding that "expert medical testimony is required to
    establish the fact of the employee's [handicap]." 
    Id. (quoting Clowes
    v.
    Terminex International, Inc., 
    109 N.J. 575
    , 597 (1988)). Just as the
    District Court in Gaul deemed admissible the opinion of a plaintiff's
    treating physician, we hold that a plaintiff in an ADA case can rely on
    the testimony of his or her treating physician to demonstrate that the
    plaintiff has a disability.
    13
    Rieger's report, Taylor has continued to take 300 mgs. of
    lithium twice a day. In short, Taylor's impairment is not
    temporary,4 and it is clear that at the time of her
    hospitalization, her impairment was substantially limiting.
    But the central question, in light of Sutton and Murphy, is
    whether Taylor's continuing impairment remained a
    "disability" under the ADA by imposing substantial
    limitations even while treated. Specifically, Taylor must
    show that she was substantially limited during the year
    following her hospitalization, the time span when she says
    that she was denied reasonable accommodations.
    Taylor maintains that even though lithium has improved
    her condition and has reduced the risk of full-blown
    psychotic episodes, the drug has not perfectly controlled
    her symptoms, leaving her still substantially limited in her
    ability to think. She argues that Dr. Sonnenberg's notes
    indicated that she continued to suffer symptoms of her
    disorder, including paranoia. On November 9, 1994, a
    couple of months after Taylor started taking lithium, Dr.
    Sonnenberg wrote a short note to the school district,
    explaining that Taylor was temporarily unable to work.
    Taylor's claims of uncontrolled, ongoing symptoms are
    corroborated by a number of other sources as well. Lithium
    has a very narrow therapeutic range, and blood levels of the
    drug can fluctuate for a variety of reasons. 
    See supra
    , at
    n.1. Throughout the 1993-94 school year following her
    hospitalization, she experienced enough difficulty that she
    saw Dr. Sonnenberg twenty-five times even though Taylor,
    who earned a secretary's salary, cares for a disabled child,
    and is divorced, had to pay the $120 fee out of pocket and
    was reimbursed only half the cost by her insurance. One
    can infer that she would not have undertaken such expense
    without experiencing serious difficulty. Taylor also points
    out that prior to her hospitalization, she had received high
    praise for her work performance, but after the onset of her
    illness, she encountered a number of problems, as the
    school district's records document. Therapeutic levels of
    _________________________________________________________________
    4. See, e.g., Diagnostic and Statistical Manual of Mental Disorders, 4th
    Ed., American Psychiatric Association, at 353 (1994); Frederick Goodwin
    and Kay Redfield Jamison, Manic-Depressive Illness, Oxford University
    Press, ch. 23 (1990); 
    Julien, supra
    , n.1 at 232.
    14
    lithium can cause a number of side effects. 
    See supra
    , at
    n.1. Some of these effects, like the nausea Taylor
    complained of, may bear indirectly on the ability to think,
    while other side effects, such as impaired concentration
    and memory problems, bear directly on thinking. Taylor's
    problems at work may have been related to these drug side
    effects, and the Supreme Court has noted that drug side
    effects can be important in evaluating whether someone is
    disabled. 
    Sutton, 119 S. Ct. at 2147
    .
    Given our prior holding in Matczak v. Frankford Candy &
    Chocolate Co., 
    136 F.3d 933
    (3d Cir. 1997), Taylor not
    surprisingly focused on her untreated condition when she
    accumulated evidence to demonstrate that she had a
    disability, and as a consequence, the record is not as fully
    developed as it might be. Nevertheless, we believe that she
    has presented sufficient evidence to require a trial on
    whether she continued to be substantially limited even
    while receiving treatment.
    Although Taylor clearly was disabled at the time she was
    hospitalized, she need not prove that she continued to
    experience symptoms of that magnitude: paranoia and
    distorted mood can have a "substantial" or"considerable"
    impact on Taylor's thinking well before they force
    hospitalization. Substantial limitations need not rise to the
    level of the "utter inabilities" Taylor experienced at the time
    of her hospitalization. When we consider the nature and
    severity of the impairment, its duration, and its expected
    long-term impact, see 29 C.F.R. S 1630.2(j)(2), we find
    evidence that Taylor has had to contend with a serious,
    very much ongoing condition. Following the initial severe
    episode, she again had to leave work just a few months
    later; she sought treatment twenty-five times throughout
    the year; and every day throughout this period she took
    medication requiring careful monitoring. That she may not
    have experienced problems every day does not defeat her
    claim. Chronic, episodic conditions can easily limit how well
    a person performs an activity as compared to the rest of the
    population: repeated flare-ups of poor health can have a
    cumulative weight that wears down a person's resolve and
    continually breaks apart longer-term projects.
    15
    The school district argues vehemently that Taylor is not
    disabled and points to the report of its expert. After
    conducting an office visit with Taylor on June 24, 1997, Dr.
    Rieger concluded: "When I examined Ms. Taylor[,] she had
    a normal mental state. Her chronic biological psychiatric
    illness was obviously well controlled by medication. If she
    continues to take her medications as instructed[,] she will
    be able to work. She is now not at all disabled from a
    psychiatric point of view." App. vol. I at 159.
    We do not think Dr. Rieger's report is sufficient to grant
    summary judgment in the school district's favor. Taylor has
    presented evidence that she is disabled, and on summary
    judgment we read the evidence in the light most favorable
    to the nonmoving party and resolve genuine factual
    disputes in favor of the nonmoving party. See Fed.R.Civ.P.
    56; Anderson v. Liberty Lobby, Inc., 
    477 U.S. 242
    , 249-50,
    
    106 S. Ct. 2505
    , 2510-11 (1986). Dr. Rieger's report also
    has a number of problems that could lead a reasonable jury
    to reject it. The passage quoted above, for example, says
    that Taylor is not presently, on June 24, 1997, exhibiting
    the symptoms of her disorder. That statement does not
    resolve what Taylor's condition was like between the fall of
    1993 and the fall of 1994. Taylor may have gained better
    control over her condition by the time roughly four years
    had passed from the onset of her disorder.
    Another shortcoming of Dr. Rieger's report is that it is
    based on one office visit. A jury could question whether he
    relied on too slender a base of experience observing Taylor's
    condition. It is true that the doctor was able to review a
    number of documents, including Taylor's disciplinary
    reports from the school district and the reports from
    Coastal Plain Hospital, but these reports may not have
    given a very full or accurate picture of the range of
    symptoms Taylor experienced while on medication.
    We think it is significant that Taylor had difficulty
    recognizing and expressing the symptoms of her condition.
    Not only did she believe at the time of her hospitalization
    that she was merely suffering from "acute stress," but this
    difficulty seemed to continue. Dr. Rieger's own report
    reveals this problem. When he asked Taylor to describe the
    16
    events leading up to her hospitalization, she related that
    Ferrara told her "she needed some rest." App. vol. I at 150.
    Upon my question Ms. Taylor revealed what prompted
    this recommendation: "I was telling [Ferrara] about a
    person who was employed by the district. I remarked
    that the person was dead -- strike that -- was injured.
    I had passed an ambulance. That person was on my
    mind. It was a strange remark that wasn't true." Upon
    my question Ms. Taylor agreed that in retrospect what
    she just told me sounded like a delusion. She
    immediately continued her story: "I had planned to
    take time off. I had Amtrak tickets to see my mother in
    Rocky Mount, North Carolina. I didn't get there. The
    train was canceled because of a hurricane. My son
    took me there by car. My brother made arrangements
    for me to go to the Coastal Plains Hospital." Upon my
    question she confirmed that the entire trip was
    planned so that she could go to a psychiatric hospital
    near her relatives. She could not recall what specific
    delusions she voiced upon entering the hospital. She
    recalled that she gave the doctors lots of information,
    that she was "very talkative" although very tired.
    [Elsewhere the report quotes Taylor as saying"some
    nights I got only 3 to 4 hours of sleep."] Upon my
    question she admitted that she may have been
    euphoric.
    
    Id. One would
    expect a plaintiff to inflate the severity of her
    condition when talking to opposing counsel's expert. Taylor
    instead made her hospitalization sound like a simple trip to
    visit her mother and had obvious difficulty conveying the
    extent of her illness. We should not insist that all plaintiffs
    with bipolar disorder must have the self-awareness and
    expressive powers of a Robert Lowell (who had the illness)
    before we allow that their condition is substantially
    limiting.
    After reviewing the school district's records, Dr. Rieger
    did express the opinion that Taylor's "misconduct was
    solely due to her basic personality," and "[w]hatever
    subjective difficulties she experienced during her last year
    of employment were not due to her mental illness but due
    to her peculiar personality traits. . . ." 
    Id. at 158
    and 156. In
    17
    a similar vein, he asserted that people with bipolar disorder
    can "fulfill all their work duties to the full satisfaction of
    their superiors without engaging in misconduct and
    without requiring any accommodations." 
    Id. at 159.
    A reasonable jury could question the doctor's conclusion
    that all of Taylor's problems at work were due solely to her
    "peculiar personality traits" and not to her mental illness.
    Taylor had performed very well at work prior to the onset of
    her illness; only after she became psychotic and was
    hospitalized did problems appear. Thus, a reasonable jury
    could find it surprising that the peculiar personality traits
    only manifested themselves after she became ill. It also is
    not clear that the doctor was in a position to judge when
    Taylor had engaged in "misconduct" at work; a reasonable
    jury could question any uncritical reliance on the school
    district's own reports about Taylor.
    Another reason that the school district denies that Taylor
    is disabled is that before the school district allowed Taylor
    to return to her job, she was required to submit a note from
    her doctor saying that she was able to work. Dr.
    Sonnenberg responded to this requirement by sending a
    one sentence message saying that Taylor "is able to return
    to work and is not disabled." Supp. App. at 1. The school
    district argues that since the doctor said that Taylor was
    "not disabled," Taylor must have been symptom free.
    But the doctor's remark appears to be simply another
    way of saying that Taylor was capable of working. It is
    hardly conclusive proof that Taylor was not substantially
    limited. That Dr. Sonnenberg used "disabled" as the
    equivalent of "able to work" is supported by her earlier note
    in November that said Taylor "is temporarily disabled and
    not able to work at this time." App. vol. I at 77. While the
    doctor's use of the term "disabled" is not unusual,
    especially in the context of disability insurance, it is not an
    accurate definition for the purposes of the ADA. To say that
    no one is disabled under the ADA unless the person is
    unable to work would render all the provisions in the ADA
    governing reasonable accommodations at work entirely
    empty of meaning. If there has ever been a legal term of art,
    "disabled" certainly qualifies. And the Supreme Court
    recently rejected glib estoppel arguments that turn on the
    18
    different meanings carried by the term "disability."
    Cleveland v. Policy Management Systems Corp., ___ U.S.
    ___, 
    119 S. Ct. 1597
    (1999).
    C. Reasonable accommodations
    Having concluded that there are genuine factual disputes
    about whether Taylor has a disability under 42 U.S.C.
    S 12102(2)(A), we must consider whether the school district
    failed to provide reasonable accommodations. On this issue,
    we find that the District Court applied the wrong legal
    standards and that under the correct standard, disputes of
    material fact remain, requiring remand.
    As stated above, an employer commits unlawful
    discrimination under the ADA if the employer does"not
    mak[e] reasonable accommodations to the known physical
    or mental limitations of an otherwise qualified individual
    with a disability who is an applicant or employee, unless
    [the employer] can demonstrate that the accommodation
    would impose an undue hardship on the operation of the
    business of [the employer]." 42 U.S.C. S 12112(b)(5)(A).
    In evaluating whether a plaintiff is a "qualified individual
    with a disability," we have held that a plaintiff must
    "satisf[y] the prerequisites for the position, such as
    possessing the appropriate educational background,
    employment experience, skills, licenses, etc." and, the
    plaintiff must be able to "perform the essential functions of
    the position held or desired, with or without reasonable
    accommodations." 
    Gaul, 134 F.3d at 580
    (quoting 29 C.F.R.
    Pt. 1630, App. S 1630.2(m) at 351). Because Taylor held her
    position as secretary to the principal for many years,
    receiving high praise, there is no serious dispute that she
    satisfies the prerequisites for the position. The critical issue
    is whether Taylor could, with reasonable accommodations,
    perform the essential functions of her job following her
    return from her hospitalization.
    The Interactive Process
    The ADA's regulations state that: "To determine the
    appropriate reasonable accommodation it may be necessary
    for the [employer] to initiate an informal, interactive process
    19
    with the [employee] in need of accommodation. This process
    should identify the precise limitations resulting from the
    disability and the potential reasonable accommodations
    that could overcome those limitations." 29 C.F.R.
    S 1630.2(o)(3). Similarly, the EEOC's interpretive guidelines
    provide that: "Once a qualified individual with a disability
    has requested provision of a reasonable accommodation,
    the employer must make a reasonable effort to determine
    the appropriate accommodation. The appropriate
    reasonable accommodation is best determined through a
    flexible, interactive process that involves both the employer
    and the [employee] with a disability." 29 C.F.R. Pt. 1630,
    App. S 1630.9 at 359.
    We have previously recognized both this regulation and
    the EEOC's interpretive guideline and applied them to a
    claim brought under the Rehabilitation Act, 29 U.S.C.
    S 701, et seq. Mengine v. Runyon, 
    114 F.3d 415
    , 419-20 (3d
    Cir. 1997); see also Deane v. Pocono Medical Center, 
    142 F.3d 138
    , 149 (3d Cir. 1998)(en banc).5 Based on the
    regulation and interpretive guidelines, we held in Mengine
    that "both parties have a duty to assist in the search for
    appropriate reasonable accommodation and to act in good
    faith." 
    Id. We noted
    that other circuits have taken this view.
    See, e.g., Beck v. University of Wisconsin Bd. of Regents, 
    75 F.3d 1130
    , 1135 (7th Cir. 1996)("A party that obstructs or
    delays the interactive process is not acting in good faith. A
    party that fails to communicate, by way of initiation or
    response, may also be acting in bad faith."); Taylor v.
    Principal Financial Group, Inc., 
    93 F.3d 155
    , 165 (5th Cir.
    1996)(The "employee's initial request for an
    accommodation... triggers the employer's obligation to
    participate in the interactive process...").
    In Bultemeyer v. Fort Wayne Community Schools , 
    100 F.3d 1281
    (7th Cir. 1996) an employee diagnosed with
    paranoid schizophrenia and bipolar disorder sought to
    _________________________________________________________________
    5. While Mengine involved a   claim under the Rehabilitation Act, the
    regulation and interpretive   guidelines applied in the case were from the
    ADA. Furthermore, according   to 42 U.S.C. S 12201(a), the ADA should
    not be construed to apply a   lesser standard than the Rehabilitation Act.
    See also Bragdon v. Abbott,   
    118 S. Ct. 2196
    , 2202 (1998).
    20
    return from an extended disability leave to his job as a
    custodian. His employer informed him that he would be
    reassigned to the largest school operated by Fort Wayne
    Community Schools, and added that he would not receive
    any special accommodation. The employer then instructed
    the plaintiff to take a physical and report to work or else he
    would be terminated. After touring the new school with the
    custodial foreman, the plaintiff told his employer that he
    did not think he was equal to the task but said he was not
    resigning. The plaintiff subsequently failed to take the
    physical or report to work although he did have his
    psychiatrist send a letter to the employer which stated that
    due to the plaintiff's illness, it would be in the plaintiff's
    best interest to work at a less stressful school. The
    employer never responded and terminated the plaintiff. The
    Seventh Circuit, reversing summary judgment for the
    employer, concluded that there was a genuine dispute as to
    whether the employer engaged in the interactive process of
    seeking accommodations.
    We agree with the Seventh Circuit which held that:
    An employee's request for reasonable accommodation
    requires a great deal of communication between the
    employee and employer... [B]oth parties bear
    responsibility for determining what accommodation is
    necessary... `[N]either party should be able to cause a
    breakdown in the process for the purpose of either
    avoiding or inflicting liability. Rather, courts should
    look for signs of failure to participate in good faith or
    failure by one of the parties to help the other party
    determine what specific accommodations are
    necessary. A party that obstructs or delays the
    interactive process is not acting in good faith. A party
    that fails to communicate, by way of initiation or
    response, may also be acting in bad faith. In essence,
    courts should attempt to isolate the cause of the
    breakdown and then assign responsibility.'
    
    Bultemeyer, 100 F.3d at 1285
    (quoting 
    Beck, 75 F.3d at 1135
    ).
    Our analysis of the interactive process in the present
    case is divided into two steps: first, we will clarify what
    21
    notice must be given to the employer to trigger the
    employer's obligations under the interactive process, and
    second, we will elaborate on the employee's and the
    employer's duties once the interactive process comes into
    play.
    1. Notice of the disability and request for accommodation
    The first question we must address is who must make
    the request for accommodation and what form that request
    must take. The EEOC compliance manual provides that"a
    family member, friend, health professional, or other
    representative may request a reasonable accommodation on
    behalf of an individual with a disability."2 EEOC
    Compliance Manual, Enforcement Guidance for Psychiatric
    Disabilities, at 20-21. Likewise, in Bultemeyer the Seventh
    Circuit allowed that an employee's psychiatrist could make
    a request for accommodations on behalf of an employee.
    
    Bultemeyer, 100 F.3d at 1286
    . In our case, therefore,
    Taylor's son could make the initial request for
    accommodations.
    The EEOC's manual further provides that "[r]equests for
    reasonable accommodations do not need to be in writing,"
    2 EEOC Compliance Manual, Enforcement Guidance for
    Psychiatric Disabilities, at 21, and "[t]o request
    accommodation, an individual may use `plain English' and
    need not mention the ADA or use the phrase `reasonable
    accommodation.' " 
    Id. at 19.
    The Seventh Circuit said that
    "properly participating in the interactive process means
    that an employer cannot expect an employee to read its
    mind and know that he or she must specifically say`I want
    reasonable accommodation,' particularly when the
    employee has a mental illness." 
    Bultemeyer, 100 F.3d at 1286
    .
    The EEOC's manual makes clear, however, that while the
    notice does not have to be in writing, be made by the
    employee, or formally invoke the magic words "reasonable
    accommodation," the notice nonetheless must make clear
    that the employee wants assistance for his or her disability.
    In other words, the employer must know of both the
    disability and the employee's desire for accommodations for
    that disability.
    22
    These rules are consistent with the statute which says
    that the employer must make reasonable accommodations
    to an employee's "known" disability. 42 U.S.C.
    S 12112(b)(5)(A). What matters under the ADA are not
    formalisms about the manner of the request, but whether
    the employee or a representative for the employee provides
    the employer with enough information that, under the
    circumstances, the employer can be fairly said to know of
    both the disability and desire for an accommodation.
    What information the employee's initial notice must
    include depends on what the employer knows. In Taylor v.
    Principal Financial Group, Inc., 
    93 F.3d 155
    (5th Cir. 1996),
    an employee whose job performance had fallen off
    mentioned to his employer that he was diagnosed with
    bipolar disorder. Nothing the employee had done suggested
    the nature of his illness. When the employer, who said he
    did not know about the illness, asked the employee if he
    was okay, the employee responded that he was. The
    employee never offered further information about his
    disorder and, even more significantly, could not confirm
    that he ever explicitly asked for an accommodation or help
    of any sort. Under these circumstances, the employee has
    not given sufficient notice to trigger the employer's duty to
    engage in the interactive process. Cf. Crandall v. Paralyzed
    Veterans of America, 
    146 F.3d 894
    (D.C. Cir.
    1998)(Employee with bipolar disorder could not state a
    claim under the Rehabilitation Act when he never told his
    employer of his mental illness and never requested
    accommodations.). Employers cannot assume employees
    are disabled and need accommodations.
    Our case differs markedly. It is undisputed that Taylor
    became psychotic at work, that the school district knew she
    was hospitalized immediately thereafter, and that Coastal
    Plain Hospital contacted the school district by letter about
    Taylor's hospitalization and provided a phone number to
    answer questions. It is also undisputed that Ferrara wrote
    a note saying she planned to contact Taylor's doctors and
    that she wrote a letter to the superintendent, stating that
    "Phoenixville Psychiatric Associates... will monitor [Taylor's]
    Blood Lithium [sic] levels. It was stressed that she must
    maintain and continue her medication." The school district
    23
    also does not deny that it required Taylor to submit a note
    from Dr. Sonnenberg, further demonstrating that the school
    district knew how to get information from Taylor when it
    deemed it necessary.
    Based on this evidence, the school district had more than
    enough information to put it on notice that Taylor might
    have a disability, and therefore, in order to trigger the
    school district's obligation to participate in the interactive
    process, Taylor or her representative only needed to request
    accommodation. In light of the undisputed background
    information putting the school district on notice that Taylor
    had recently developed a serious disability, we think it
    would be especially inappropriate to insist that Taylor's son
    must have specifically invoked the ADA or used the words
    "reasonable accommodation" when he requested
    accommodations. Under the circumstances, it hardly
    should have come as a surprise that Taylor would want
    some accommodations, particularly as the successive
    disciplinary meetings began to mount for an employee who
    had previously performed very well. We would add that the
    school district had ample time to seek legal advice on its
    obligation to provide reasonable accommodations.
    Regardless, Taylor's son has submitted an affidavit saying
    that not only did he provide diagnostic and treatment
    information to the school district, he also asked for
    "accommodations" for his mother.
    Menzel's affidavit asserts that she did not "learn the
    specifics" of Taylor's disorder until after this litigation was
    started. Ferrara's affidavit states, "To my knowledge, at no
    time was I or anyone else at the School District aware of
    Plaintiff's alleged diagnosis of bipolar disorder or the details
    or frequency of any treatments she may have been receiving
    after returning from Coastal Plain until after the current
    lawsuit was filed."
    We want to make clear that the school district's duty to
    participate in the interactive process is triggered if Taylor
    notified either Menzel who was Taylor's supervisor and East
    Pikeland's principal, or Ferrara, the school district's
    administrative assistant for personnel. Thus, if Taylor's son
    requested accommodations from Ferrara, then the school
    district would have a duty to participate in the interactive
    24
    process regardless of how much Menzel knew about
    Taylor's disorder.
    We would add that to trigger the school district's duty to
    participate in the interactive process, it is not essential that
    Ferrara or Taylor knew the specific name of Taylor's
    condition although Taylor's son has created a factual
    dispute on this issue by saying that he provided Ferrara
    with diagnostic and treatment information. Suffice it to say
    that there is no genuine dispute that the school district was
    aware that Taylor exhibited serious psychiatric problems
    and those problems were severe enough to require her to be
    hospitalized for roughly three weeks. Following Taylor's
    discharge from the hospital, the school district knew that
    Phoenixville Psychiatric Associates monitored the lithium
    Taylor was taking and that Taylor continued to see a
    psychiatrist. Taylor also provided the school district with a
    number of avenues for obtaining further information from
    her doctors, avenues that the school district used. If there
    was any further information that the school district felt it
    needed to justify an accommodation, it was incumbent on
    the school district to ask for it. As the Seventh Circuit has
    said, "The employer has to meet the employee half-way."
    
    Bultemeyer, 100 F.3d at 1285
    . To raise the bar for
    triggering the interactive process any further would
    essentially nullify the process.
    Once the employer knows of the disability and the
    employee's desire for accommodations, it makes sense to
    place the burden on the employer to request additional
    information that the employer believes it needs. Disabled
    employees, especially those with psychiatric disabilities,
    may have good reasons for not wanting to reveal
    unnecessarily every detail of their medical records because
    much of the information may be irrelevant to identifying
    and justifying accommodations, could be embarrassing,
    and might actually exacerbate workplace prejudice. An
    employer does not need to know the intimate details of a
    bipolar employee's marital life, for example, in order to
    identify or justify an accommodation such as a temporary
    transfer to a less demanding position.
    Another reason for placing some burden on the employer
    is that, as the Seventh Circuit recognized in Bultemeyer, an
    25
    employee with a mental illness may have difficulty
    effectively relaying medical information about his or her
    condition, particularly when the symptoms are flaring and
    reasonable accommodations are needed. 
    Id. See also
    Criado
    v. IBM Corp., 
    145 F.3d 437
    , 444 (1st Cir. 1998)(When an
    employer terminated an employee with a mental illness due
    to an alleged miscommunication over a leave of absence, a
    jury could find that the employer failed to live up to its
    responsibility to help find accommodations.). It is worth
    noting that Taylor's hospital records specifically stated that
    at the time of her hospitalization, she "lacked insight" into
    her condition and believed her only problem was"acute
    stress."
    2. Application of the interactive process following adequate
    notice
    Viewing the evidence in the light most favorable to Taylor,
    we believe that a reasonable jury could conclude, based on
    the evidence presented thus far, that the school district did
    not meet its burden under the interactive process. Taylor's
    version of the case can be stated succinctly as follows: After
    Menzel and Ferrara watched Taylor become manic and
    require hospitalization, the two decided that Menzel should
    begin documenting Taylor's every error within days of her
    return, despite the fact that Taylor's son requested
    accommodations, informed them about Taylor's condition,
    and provided them with the means to obtain more
    information if needed. Notwithstanding Taylor's previous
    twenty years of strong performance and the school district's
    clear notice of Taylor's disability and desire for
    accommodations, the school district offered no
    accommodations or assistance in finding them, made
    Taylor's job more difficult, and simply sat back and
    continued to document her failures. A reasonable jury
    could conclude that the school district did not engage in an
    interactive process of seeking accommodations and is
    responsible for the breakdown in the process.
    The school district emphasizes that the only
    accommodation Taylor specifically requested was transfer
    to another position, which Taylor later conceded was not
    feasible. We do not think that it is fatal to Taylor's claim
    that her son did not request a specific accommodation or
    26
    that Taylor's request in March of 1994 was for an
    accommodation that she admitted was not possible. The
    interactive process, as its name implies, requires the
    employer to take some initiative. In Bultemeyer, the court
    explained, "If the note [from the psychiatrist requesting
    accommodation] was too ambiguous and [the employer] did
    not know what Bultemeyer wanted, [the employer] easily
    could have called [the psychiatrist] for a clarification."
    
    Bultemeyer, 100 F.3d at 1285
    . The interactive process
    would have little meaning if it was interpreted to allow
    employers, in the face of a request for accommodation,
    simply to sit back passively, offer nothing, and then, in
    post-termination litigation, try to knock down every specific
    accommodation as too burdensome. That's not the
    proactive process intended: it does not help avoid litigation
    by bringing the parties to a negotiated settlement, 6 and it
    unfairly exploits the employee's comparative lack of
    information about what accommodations the employer
    might allow. In addition, in some cases courts may be
    better positioned to judge whether the employer met with
    the employee in good faith than to judge how burdensome
    a particular accommodation really is.
    The ADA's regulations make clear that the purpose of the
    interactive process is to determine the appropriate
    accommodations: "This process should identify the precise
    limitations resulting from the disability and the potential
    reasonable accommodations that could overcome those
    limitations." 29 C.F.R. S 1630.2(o)(3). Therefore, it would
    make little sense to insist that the employee must have
    _________________________________________________________________
    6. In Deane we emphasized the value of the interactive process for
    avoiding litigation: "we take this opportunity to observe that this
    protracted (and very much ongoing) litigation would likely have been
    unnecessary had the parties taken seriously the precepts announced in
    our opinion in Mengine." 
    Deane 142 F.3d at 149
    (citation omitted). We
    would add that the interactive process can be thought of as a less
    formal, less costly form of mediation. See 
    67 U.S.L.W. 2255
    (noting the
    value of mediated settlement in ADA cases). Mediated settlements, the
    article explains, are cheaper than litigation, can help preserve
    confidentiality, allow the employee to stay on the job, and avoid
    monetary damages for an employer's initially hostile responses to
    requests for accommodations. The interactive process achieves these
    same goals even more effectively.
    27
    arrived at the end product of the interactive process before
    the employer has a duty to participate in that process. The
    EEOC's interpretive guidelines squarely place some of the
    burden on the employer by stating that "the employer must
    make a reasonable effort to determine the appropriate
    accommodation." 29 C.F.R. Pt. 1630, App. S 1630.9 at 359.
    As we explained in Mengine, the process must be
    interactive because each party holds information the other
    does not have or cannot easily obtain. We noted that
    "employers will not always know what kind of work the
    worker with the disability can do, and conversely, the
    worker may not be aware of the range of available
    employment opportunities, especially in a large company.
    Thus, the interactive process may often lead to the
    identification of a suitable position." 
    Mengine, 114 F.3d at 420
    . More specifically, we explained that while an employee
    who wants a transfer to another position ultimately has the
    burden of showing that he or she can perform the essential
    functions of an open position, the employee does not have
    the burden of identifying open positions without the
    employer's assistance. "In many cases, an employee will not
    have the ability or resources to identify a vacant position
    absent participation by the employer." Mengine, 
    114 F.3d 420
    .7 Taylor's concession that she knew of no other open
    positions, therefore, should not necessarily be the end of
    the matter if the school district made no effort to help
    investigate.
    When transfer is not sought, as was presumably the case
    when Taylor's son first requested accommodations, the
    employer likewise will often hold more information than the
    employee about what adjustments are feasible in the
    employee's current position. The Seventh Circuit pointed
    out in Bultemeyer that: "When Bultemeyer worked at North
    Side High School, a simple adjustment in his duties was
    _________________________________________________________________
    7. Our opinion in Gaul v. Lucent Technologies, Inc., 
    134 F.3d 576
    (3d Cir.
    1998) should be distinguished because there the employee's proposed
    accommodation, a transfer whenever he decided he was stressed, was
    unreasonable as a matter of law. If an employee insists on a single
    accommodation that is unreasonable as a matter of law, then the
    employee will be at fault for the breakdown in the interactive process.
    28
    enough of an accommodation to enable him to work there.
    But this time, we do not know what might have happened,
    because [the employer] was unwilling to engage in the
    interactive process and accommodation him." 
    Bultemeyer, 100 F.3d at 1285
    .
    In short, an employer who has received proper notice
    cannot escape its duty to engage in the interactive process
    simply because the employee did not come forward with a
    reasonable accommodation that would prevail in litigation.
    Participation is the obligation of both parties, however, so
    an employer cannot be faulted if after conferring with the
    employee to find possible accommodations, the employee
    then fails to supply information that the employer needs or
    does not answer the employer's request for more detailed
    proposals. And while a specific request may not always be
    necessary to initiate the process, it certainly helps bolster
    the employee's claim that the employer knew that the
    employee wanted accommodations.
    The interactive process does not dictate that any
    particular concession must be made by the employer; nor
    does the process remove the employee's burden of showing
    that a particular accommodation rejected by the employer
    would have made the employee qualified to perform the
    job's essential functions. See Walton v. Mental Health
    Association of Southeastern Pennsylvania, 
    168 F.3d 661
    ,
    670 (3d Cir. 1999). All the interactive process requires is
    that employers make a good-faith effort to seek
    accommodations.
    Employers can show their good faith in a number of
    ways, such as taking steps like the following: meet with the
    employee who requests an accommodation, request
    information about the condition and what limitations the
    employee has, ask the employee what he or she specifically
    wants, show some sign of having considered employee's
    request, and offer and discuss available alternatives when
    the request is too burdensome. These steps are consistent
    with the recommendations in the EEOC's interpretive
    guideline. See 29 C.F.R. Pt. 1630, App. S 1630.9 at 359-61.
    We do not think this process is especially burdensome. As
    we found in Mengine, the Postal Service engaged in good
    faith in the interactive process when it exchanged a number
    29
    of letters with an employee in an effort to identify a vacant
    position for reassignment and sent the employee multiple
    job descriptions of vacant positions. 
    Mengine, 114 F.3d at 421
    .8
    The school district can be understood as arguing
    implicitly that it did not have to participate in the
    interactive process because there was no feasible
    accommodation that would have made Taylor capable of
    performing the essential functions of her job. In Mengine we
    stated that "if reasonable accommodation is impossible,
    nothing more than communication of this fact is required.
    Nonetheless, if an employer fails to engage in the interactive
    process, it may not discover a way in which the employee's
    disability could have been reasonably accommodated,
    thereby risking violation of the Rehabilitation Act." 
    Mengine, 114 F.3d at 420
    -21. We explained that whether an
    employer's duty to participate in the interactive process has
    been discharged will often be a matter of "timing": i.e., the
    employer will almost always have to participate in the
    interactive process to some extent before it will be clear that
    it is impossible to find an accommodation that would allow
    the employee to perform the essential functions of a job.
    Put differently, because employers have a duty to help
    the disabled employee devise accommodations, an employer
    who acts in bad faith in the interactive process will be liable
    if the jury can reasonably conclude that the employee
    would have been able to perform the job with
    accommodations. In making that determination, the jury is
    entitled to bear in mind that had the employer participated
    in good faith, there may have been other, unmentioned
    possible accommodations. On the other hand, as we
    _________________________________________________________________
    8. Employers may find it useful to take advantage of the Job
    Accommodation Network although we do not in any way suggest that
    employers are obliged to make use of this service. The EEOC compliance
    manual explains that: "The Job Accommodation Network (JAN) provides
    advice free-of-charge to employers and employees contemplating
    reasonable accommodation. JAN is a service of the President's
    Committee on Employment of People with Disabilities which, in turn, is
    funded by the U.S. Department of Labor. JAN can be reached at 1-800-
    ADA-WORK." EEOC Compliance Manual, Enforcement Guidance for
    Psychiatric Disabilities, at 23 n.56.
    30
    explained in Mengine, "The ADA, as far as we are aware, is
    not intended to punish employers for behaving callously if,
    in fact, no accommodation for the employee's disability
    could reasonably have been made." 
    Mengine, 114 F.3d at 420
    (quoting Willis v. Conopco, Inc., 
    108 F.3d 282
    , 285
    (11th Cir. 1997)).
    When an employee has evidence that the employer did
    not act in good faith in the interactive process, however, we
    will not readily decide on summary judgment that
    accommodation was not possible and the employer's bad
    faith could have no effect. To assume that accommodation
    would fail regardless of the employer's bad faith would
    effectively eliminate the requirement that employers must
    participate in the interactive process. An employer who
    acted in bad faith would be in essentially the same, if not
    better, position than one who participated; that is, both
    employers would be arguing that the employee failed to find
    an accommodation making him or her able to perform the
    essential function of the job. The less the employer
    participated, the easier this would become, and as a result,
    the requirement that employers participate in the
    interactive process would be toothless. Thus, where there is
    a genuine dispute about whether the employer acted in
    good faith, summary judgment will typically be precluded.
    Cf. Hendrick-Robinson v. Excel Corp., 
    154 F.3d 685
    (7th Cir.
    1998)(Refusing to grant an employer summary judgment
    because it may not have participated in good faith in
    finding accommodations); Baert v. Euclid Beverage, Ltd.,
    
    149 F.3d 626
    (7th Cir. 1998)(Refusing to grant an employer
    summary judgment because disputes of fact remained
    about which party caused the breakdown in the interactive
    process).9 When the disability involved is one that is heavily
    _________________________________________________________________
    9. The Ninth Circuit has expressed disagreement with our decision in
    Mengine and concluded that employers are not obliged to participate in
    the interactive process. See Barnett v. U.S. Air, Inc., 
    157 F.3d 744
    , 753
    (9th Cir. 1998). The majority in Barnett worried that an employer could
    be held liable for failing to engage in the interactive process even
    though
    the employee was successfully accommodated. We believe that where an
    employer has successfully made reasonable accommodations, a court
    can conclude as a matter of law that the employer did not act in bad
    faith. The Barnett majority also objected that it was not clear when an
    31
    stigmatized in our society - as is true when the employee is
    voluntarily or involuntarily committed to a mental
    institution - courts should be especially wary on summary
    judgment of underestimating how well an employee might
    perform with accommodations or how much the employer's
    bad faith may have hindered the process of finding
    accommodations.
    In Taylor's case we believe that there are genuine
    disputes about the school district's good faith participation
    in the interactive process, and assuming the school district
    did act in bad faith, nothing the school district points to
    demonstrates that it would be impossible to accommodate
    Taylor. Prior to her hospitalization, Taylor performed her
    job effectively for nearly two decades. But after becoming
    disabled and seeking accommodations, she has presented
    evidence that the school district made no response to her
    request and instead increased the difficulty of her job.
    Given the evidence Taylor presents of bad faith on the
    school district's part, we will not decide on summary
    judgment that it would have been fruitless for the school
    district to make some modest and fairly obvious efforts to
    accommodate.
    _________________________________________________________________
    employer would incur process liability. Bad faith can, of course, take
    many different forms, just as negligence can, precluding easy statement
    of a general rule about when bad faith has occurred. However, we believe
    that jurors should be able to distinguish between stonewalling and
    assisting an employee in finding accommodations. The fact that there
    may be some hard cases is hardly unique in law. The Barnett majority's
    last objection was that 29 C.F.R. S 1630(o)(3) only states that it "may be
    necessary" for the employer to engage in an interactive process. But the
    EEOC's interpretive guidelines state that once an employee requests
    accommodations, the employer "must make a reasonable effort to
    determine the appropriate accommodation." 29 C.F.R. Pt. 1630, App.
    S 1630.9 at 359. The guidelines continue that in some instances the
    interactive process may not be necessary because it is clear to both
    parties involved what accommodation will work. For example, the
    guidelines explain that an employee in a wheelchair may want her desk
    elevated with blocks so that her wheelchair will slide under. No
    interactive process will be needed here. 
    Id. at 360.
    The regulation uses
    the phrase "may be necessary," in other words, because sometimes the
    necessary accommodation is obvious. We have also recognized that the
    process is not necessary in cases where accommodation is impossible.
    32
    In particular, the school district could have increased
    Taylor's job responsibilities more slowly, given more time to
    introduce the computer, or communicated less by formal,
    written reprimands. The EEOC compliance manual for
    psychiatric disorders provides that some adjustments in
    supervisory methods can qualify as legitimate
    accommodations.10 The ADA itself specifically provides that
    reasonable accommodations can include "job restructuring,
    part-time or modified work schedules, reassignment to a
    vacant position, acquisition or modification of equipment or
    devices, appropriate adjustment or modifications of
    examinations, training materials or policies, the provision of
    qualified readers or interpreters, and other similar
    accommodations for individuals with disabilities." 42 U.S.C.
    S 12111(9)(B).
    The fact that Taylor's potential accommodations are
    modest should not encourage us to dismiss Taylor's claim
    on summary judgment on the theory that they would be
    useless; that would have the bizarre implication that the
    more demanding a plaintiff's accommodations were, the
    more likely the plaintiff is to survive summary judgment.
    Plaintiffs who wish to participate in good faith in the
    interactive process are more likely to have scaled back their
    demands and asked for modest accommodations. More
    importantly, we think it is worth remembering that
    sometimes comparatively modest accommodations can reap
    large returns in how well a disabled employee performs.
    _________________________________________________________________
    10. The EEOC compliance manual states that: "Supervisors play a
    central role in achieving effective reasonable accommodations for their
    employees. In some circumstances, supervisors may be able to adjust
    their methods as a reasonable accommodation by, for example,
    communicating assignments, instructions, or training by the medium
    that is most effective for a particular individual (e.g., in writing, in
    conversation, or by electronic mail)." 2 EEOC Compliance Manual,
    Enforcement Guidance for Psychiatric Disabilities, at 26. However, the
    manual continues that "[r]easonable accommodation... does not require
    lowering standards or removing essential functions of the job." 
    Id. at 26
    n.62. We would hasten to add that a disabled employee is not entitled to
    a supervisor ideally suited to his or her needs. We held in Gaul, for
    instance, that an employee is not entitled to transfer whenever the
    employee deems that his co-workers are causing him inordinate 
    stress. 134 F.3d at 579
    .
    33
    We want to reiterate the limits of the interactive process.
    We are not holding that an employer who has made a good
    faith effort to accommodate must be saddled with a
    secretary who consistently makes typos and fails to deliver
    messages. Nor do we hold that an employer cannot
    introduce a new computer system or switch an employee to
    a less forgiving supervisor. What we do hold is that an
    employer, having received adequate notice of an employee's
    disability and desire for accommodations, cannot fail to
    engage the employee in the interactive process offinding
    accommodations, increase the disabled employee's job
    responsibilities, and then simply document the employee's
    failures.
    To show that an employer failed to participate in the
    interactive process, a disabled employee must demonstrate:
    1) the employer knew about the employee's disability; 2) the
    employee requested accommodations or assistance for his
    or her disability; 3) the employer did not make a good faith
    effort to assist the employee in seeking accommodations;
    and 4) the employee could have been reasonably
    accommodated but for the employer's lack of good faith.
    
    Mengine, 114 F.3d at 420
    ; 
    Bultemeyer, 100 F.3d at 1285
    ;
    
    Taylor, 93 F.3d at 165
    .
    We believe that a reasonable jury could conclude that
    Taylor requested accommodations, that the school district
    made no effort to help Taylor find accommodations and was
    responsible for the breakdown in the process, and that
    there were accommodations that the school district could
    have provided that would have made Taylor able to perform
    the essential functions of her job. If a jury concludes that
    the school district was not responsible for the breakdown in
    the interactive process, Taylor must demonstrate that a
    specific, reasonable accommodation would have allowed her
    to perform the essential functions of her job.
    We have viewed the evidence in the light most favorable
    to Taylor, as we must on summary judgment. The school
    district is, of course, free to argue at trial that it did not
    receive notice of Taylor's request for accommodation, that it
    tried to assist Taylor in seeking accommodations, or,
    assuming the school district was responsible for the
    breakdown in the process, that no accommodation would
    34
    have allowed Taylor to perform the essential functions of
    her job. And as we discussed in an earlier section above,
    the school district can also contest whether Taylor is
    disabled while on medication.11
    IV
    For the foregoing reasons, we will reverse the March 20,
    1998 grant of summary judgment by the District Court and
    remand the case for further proceedings. By a separate
    order we have granted panel rehearing and vacated our
    prior opinion, which was reported at 
    174 F.3d 142
    .
    A True Copy:
    Teste:
    Clerk of the United States Court of Appeals
    for the Third Circuit
    _________________________________________________________________
    11. The District Court treated Taylor's complaint as possibly raising a
    disparate-treatment claim. Because Taylor represents on appeal that she
    did not intend to raise such a claim, we need not reach the issue.
    35
    

Document Info

Docket Number: 98-1273

Filed Date: 8/18/1999

Precedential Status: Precedential

Modified Date: 10/13/2015

Authorities (27)

Criado v. IBM Corporation , 145 F.3d 437 ( 1998 )

Lynda L. Willis v. Conopco, Inc., A.K.A. Lever Brothers ... , 108 F.3d 282 ( 1997 )

Sandra J. Walton v. Mental Health Association of ... , 168 F.3d 661 ( 1999 )

Dennis E. Gaul v. Lucent Technologies Inc. John Does 1-100 ... , 134 F.3d 576 ( 1998 )

John Olson v. General Electric Astrospace AKA Martin-... , 101 F.3d 947 ( 1996 )

Stacy L. Deane v. Pocono Medical Center , 142 F.3d 138 ( 1998 )

Terry J. Shiring v. Marvin T. Runyon, Postmaster General, ... , 90 F.3d 827 ( 1996 )

mack-w-taylor-jr-plaintiff-counter-v-the-principal-financial-group , 93 F.3d 155 ( 1996 )

Francis J. Kelly v. Drexel University , 94 F.3d 102 ( 1996 )

Donna Hendricks-Robinson, Penny Moore, Teresa Westlake v. ... , 154 F.3d 685 ( 1998 )

Katherine L. Taylor v. Phoenixville School District , 174 F.3d 142 ( 1999 )

Michael A. Mengine v. Marvin Runyon, Post Master General, U.... , 114 F.3d 415 ( 1997 )

Joseph R. Matczak v. Frankford Candy and Chocolate Company, ... , 136 F.3d 933 ( 1997 )

Joseph B. Taylor v. Pathmark Stores, Inc , 177 F.3d 180 ( 1999 )

Robert Barnett v. U.S. Air, Inc. , 157 F.3d 744 ( 1998 )

Robert E. Bultemeyer v. Fort Wayne Community Schools , 100 F.3d 1281 ( 1996 )

Lorraine Beck v. University of Wisconsin Board of Regents, ... , 75 F.3d 1130 ( 1996 )

Gary Baert v. Euclid Beverage, Limited , 149 F.3d 626 ( 1998 )

Clowes v. Terminix International, Inc. , 109 N.J. 575 ( 1988 )

Gaul v. AT & T, INC. , 955 F. Supp. 346 ( 1997 )

View All Authorities »