We have two kinds of leave. There’s “Annual Leave” which is the “Has to be booked in advance” kind of leave, 4 weeks per calendar year, builds up if unused, approximately 2.5 days per fortnight.
We also have “Personal Leave” which is an allocation of 18 days per year. This can be used as prebooked leave for appointments or scheduled surgery or time off work to look after kids if you’ve got them. It’s also your “sick leave” allocation, it covers illness, family illness, car broke down and I couldn’t get to work, an emergency of some sort (medical or not) has come up and I can’t get in today type situations. If you take more than 3 days personal leave in a row, generally it’s because you’re ill and you may be asked to supply a medical certificate. If your paid personal leave expires, you can take unpaid leave if it’s required. This is a one-off block allocation on your anniversary date, it doesn’t accrue throughout the year, though I don’t believe it expires from year to year (so you can carry unused leave over to the next year).
Our level director, as well as all upper management, are proponents of what they call “Doona Days”. IOW if you can’t be fucked to come into work, what’s to be achieved from forcing you to come in? If you need a mental health day they’d rather you take it, and come in the next day feeling better. If you take too many mental health days, then management gets involved and employee counselling takes place - why are you burning through your leave? What’s wrong? How can we help you sort this out?
(Incidentally, on top of this we also get compassionate leave which can be offered if something catastrophic like sudden hospitalisation of a loved one occurs [however documentation supporting this from the hospital or a medical professional is required], bereavement leave, which is what it says on the box, and parental [maternity or paternity] leave. Oh, and the public holidays, we get about 10 of them a year too. And flex time, when the workload is high enough)
The amount of leave I get here is on the high side comparatively speaking, but the idea that your “personal leave” is yours to do with what you wish, be it be physically ill, need to book appointments, look after the kids in an emergency or just because you need a day to regroup yourself, is not uncommon in workplaces over here, at least not larger companies and government departments. The very combative nature of employee/employer relations in the US has me scratching my head some times, I must admit (don’t even get me started on the “HR is not your friend, don’t even give them the time of day” meme that comes up around here when discussing workplace issues. Bizarre)