It is possible that she went out of town for psychiatric care because SHE KNEW the local hospital would have called the employer (which does not seem in keeping with privacy laws). Just rememember that if her disability status is finalized, any improper treatment could qualify for violation of ADA, which would bring tremedous heat upon the employer. Tread lightly, give her non-essential tasks, or give her backup that monitors performance and shores her up as necessary. an inelegant solution, to be sure, but it is the lesser of two evils.