module 1 connecting the dots...

ENCOMPASS WORKPLACE MENTAL HEALTHCONNECTING THE DOTS WORKBOOK

Copyright eMETA Learning Solutions 2012 1

© encompass 2009

ENCOMPASS WORKPLACE

MENTAL HEALTH

Module 1

Connecting the Dots

INTRODUCTIONINTRODUCTIONINTRODUCTIONINTRODUCTION

© 2012 eMeta Learning Solutions



ENCOMPASS MISSION

To provide employers with expert training and consulting for early identification and

remediation of mental health issues in the workplace.

CONNECTING THE

DOTS…

Creating Awareness of the Potential Impact of Mental Health Issues in

Your Business

MODULE I



UPON COMPLETION

YOU WILL:

� Recognize that mental health conditions affect almost every family in the US

� Understand how mental health conditions may impact your organization’s bottom line

� Know the impact of stigma

� Appreciate that mental health conditions are identifiable and treatable

� Be aware of what solutions are available to promote healthy people and healthy organizations

IS YOUR ORGANIZATION IS YOUR ORGANIZATION IS YOUR ORGANIZATION IS YOUR ORGANIZATION

EXPERIENCINGEXPERIENCINGEXPERIENCINGEXPERIENCING� An increase in the cost of prescription drugs

for anxiety, stress, and depression?

EMPLOYEES WHO:

� Are challenged with their jobs due to chronic health problems?

� Show negative changes in behavior?

� Never seem to get better – repeated FMLA?

� Are present at work, but not working?

MENTAL HEALTH MYTHSMENTAL HEALTH MYTHSMENTAL HEALTH MYTHSMENTAL HEALTH MYTHS

� Recovery from a mental health condition is impossible.

� People who have a mental health condition tend to be second-rate workers.

� People with mental health conditions cannot tolerate stress on the job.

� People who have mental health conditions are unpredictable, potentially violent and dangerous.



END OF INTRODUCTIONEND OF INTRODUCTIONEND OF INTRODUCTIONEND OF INTRODUCTION

SECTION 1SECTION 1SECTION 1SECTION 1

UNDERSTANDING

MENTAL HEALTH IN

THE WORKPLACE



MENTAL HEALTH CONDITIONS

IN THE WORKPLACE ARE:

Recognize That Mental Health

Conditions Touch Almost

Everyone

MENTAL HEALTH CONDITIONS TOUCH EVERYONE IN EVERY

AREA OF LIFE….National Institute of Mental Health Statistics



QUIZ:

In a typical office of 20, how many people do you believe will face a mental health condition this year?

a. 1

b. 2

c. 3

d. 4

e. 5

MENTAL HEALTH CONDITIONS MENTAL HEALTH CONDITIONS MENTAL HEALTH CONDITIONS MENTAL HEALTH CONDITIONS

ARE VERY COMMONARE VERY COMMONARE VERY COMMONARE VERY COMMON

In a typical office of 20 people, chances are that 4

will suffer from a mental health condition this year

Wall Street Journal, June 13, 2001.

FROM ALL WALKS OF LIFE



OUR LIVES HAVE TRULY

BEEN ENRICHED

Abraham Lincoln, Ludwig van Beethoven, Jane Pauley, Drew Carey, Winston Churchill, Terry

Bradshaw, Audrey Hepburn, Dick Clark, Catherine Zeta-Jones , Ernest Hemingway, Patty Duke…

VIDEO: SO MUCH TO OFFER

ABRAHAM LINCOLN

“Depression was a constant throughout Lincoln’s adult life.”

Lincoln and His Depressions

COMMON MENTAL HEALTH

CONDITIONS FACED BY

WORKERS TODAY

� MOOD DISORDERS

• Depression

• Bipolar Disorder

� ANXIETY DISORDERS



ONE IN FIVE…

Individuals will Suffer at Least One Episode of Major Depression

During Their LifetimesHow Common Is Depression?

DEPRESSION IS AN OFTEN-

MISUNDERSTOOD ILLNESS

It is not:

� merely sadness or a passing mood

� a character flaw or a weaknessBL1961's photostream

Depression is:

� a major illness

� a highly treatable-illness

dnwallace's photostream



TAKE AWAY

� Depression is the #1 cause of disability in developed countries

� By the year 2020 depression will rank as the 2nd

leading causeof worldwidedisability

Global Burden of Disease study

BIPOLAR DISORDER IN THE

WORKPLACE

Like diabetes or heart disease, bipolar disorder is a

long-term illness that must be carefully managed throughout a

person’s life

National Institute of Mental Health

CHARACTERISTICS OF

BIPOLAR DISORDER� Bipolar disorder affects about 1 in 25

Americans

� Mood swings from overly happy and excited to overly irritable and angry or sad and depressed

• The highs may last from days to a month or more

• The lows often last longer and can be profoundly deep

BIPOLAR DISORDER IN THE WORKPLACE



CARRIE FISHER

“One of manic-depression's best-known champions, the writer and actress shows us how she wrangles her many moods”

jimivr's photostream

Carrie Fisher and Manic Depression

UNDERSTANDING ANXIETY

DISORDERS

There are five major anxiety disorders:� Generalized Anxiety Disorder

� Post-Traumatic Stress Disorder (PTSD)

� Obsessive-Compulsive Disorder (OCD)

� Panic Disorder

� Phobias

ONE IN FIVE…

Individuals Seek a Doctor's Care for Symptoms Related to Anxiety

Disorders



ANXIETY IS A NORMAL

REACTION TO STRESS

It helps one deal with a tense

situation in the office, to study

harder for an exam, or to keep focused on a performance

Brent and MariLynn's photostream

WHEN THE TIGHTROPE

BREAKS...IT’S TOO LATE

But… when anxiety becomes an

excessive, irrational dread of everyday

situations, it becomes a disabling

disorder

wolfsavard

Let’s Review:

� One in four of us will experience a severe mental health condition during our lifetime, in the workplace it is one in five

� One in five of us will experience depression

� Depression is the #1 cause of disability in developed countries



END OF SECTION 1END OF SECTION 1END OF SECTION 1END OF SECTION 1


•Now let’s understand how mental health conditions

may impact your organization’s bottom line



� SOCIETY

� COMMUNITIES

� BUSINESSES

� FAMILIES

� INDIVIDUALS

MH CONDITIONS

ARE A HUGE COST

TO SOCIETY

� Account for over 15%

of the burden of disease in the US

� The leading cause of disability in the U.S. & Canada for ages 15-44

National Institute of Mental Heath, 2007

Archives of General Psychiatry, 2005 Jun;62(6):617-27

World Economic Forum's photostream

LOST ANNUAL EARNINGS

Mental Illness Costs U.S. Billions ; 5/8/2008



47%

29%

MENTAL HEALTH

CONDITIONS COST MORE

THAN PHYSICAL

MENTAL HEALTH

Mental Illness Costs U.S. Billions ; 5/8/2008

DEPRESSION HURTS…THE BOTTOM LINE

� 37% to 43% of workers with depression experience short-term disability

� 54% of employer loss of productivity is due to untreated depression Depression Costs Businesses Billions

� The average untreated depressed worker takes 40 days off costing employers about $52 billion annually

� It is estimated that untreated depression reduces a worker's output by 22%

Depression Costs Businesses Billions

DEPRESSION HURTS…THE BOTTOM LINE



If an individual is being treated through employee assistance programs it might

cost the employer about $3000…

Left untreated depression will cost the employer twice that

Depression Costs Businesses BillionsNovember 19, 2005 Delores Williams

Absenteeism 43.6%

Pharmacy 12.5%

Inpatient 10.7%

Outpatient 8.2% Presenteeism

18.4%

Suicide Related Costs 6.6%

TREATMENT VS WORKPLACE COSTS

COSTS FOR DEPRESSION

Greensberg P, et al. Clinical Psychiatry. 2003 Dec; 64:1465-75

Absent while at work

sfllaw



Suicide Related Costs 6.6%

Presenteeism 18.4%

Outpatient 8.2%

Inpatient 10.7%

Pharmacy 12.5%

Absenteeism 43.6%

COSTS FOR DEPRESSION

Treatm

ent

Cost

s -

-31.4

%

Workplace Costs 62%

Greensberg P, et al. Clinical Psychiatry. 2003 Dec; 64:1465-75

TREATMENT VS WORKPLACE COSTS

People with untreated mental health conditions use more general health

services than those who seek mental healthcare when they need it

� Untreated mental health conditions cost a business more than the treatment

� Effective treatment of mental health conditions is critical for improved outcomes for chronic physical disorders

Mental Health Cost to Businesses

RECAP



QUIZ:

What are the two most costly elements associated with depression in the

workplace?

If you answered…

Absenteeism and presenteeism,

then you are correct…

These two workplaces costs, when combined, are twice as much as the cost

of treatment.

“BEHAVIORAL HEALTH

ISSSS

OCCUPATIONAL HEALTH

IN THE 21ST CENTURY”That sinking feeling: Depression saps workers

Dan Conti – JP Morgan



JP MORGAN CHASE REPORTS

INCREASING DISABILITY RATES

Medical/Surgical Disability Cases

Mental Health Disability Cases

YEAR-OVER-YEAR GROWTH RATES

Partnership for Workplace Mental Health

1%

6%

QUIZ:

How many adults are taking prescription drugs for mental health

conditions?

a. 1 in 5

b. 1 in 10

c. 1 in 20

d. 1 in 30

PERCENT OF POPULATION ON

MENTAL HEALTH MEDICATIONS BY

REGION

Medco Health Services Inc.



RECAP

THE HIGH AND RISING COSTS ASSOCIATED WITH MENTAL

HEALTH CONDITIONS…

IMPACT YOUR BOTTOM LINE

PHYSICAL AND

SURGICAL

MENTAL HEALTH

BENEFITS

Medical Clinics of North America

TAKE AWAY

“We can pay for mental health conditions up

front

we can pay down the line in increased medical/

disability costs, absenteeism, and

Presenteeism

Either way, we will have to pay.”

or…



Food for Thought

It appears that mental health conditions are increasing in the workplace. Why do

you think this is happening?

The answer is complicated

� There is increased awareness of mental health conditions

� Diagnosis is improving

� Workplace stress is increasing

� Life management stress is increasing

� Environmental stressors are increasing

� Some reduction of stigma

END OF SECTION END OF SECTION END OF SECTION END OF SECTION 2222




Know the impact of stigmaKnow the impact of stigmaKnow the impact of stigmaKnow the impact of stigma

KEEPING QUIET KEEPING QUIET KEEPING QUIET KEEPING QUIET --------

SUFFERERS FEAR SUFFERERS FEAR SUFFERERS FEAR SUFFERERS FEAR

DISCLOSUREDISCLOSUREDISCLOSUREDISCLOSURE



STIGMA RESULTS IN A

SERIOUS BARRIERFe

ar o

f Dis

clo

su

reF

ea

r of D

isc

los

ure

Fe

ar o

f Dis

clo

su

reF

ea

r of D

isc

los

ure

� Diagnosis

� Treatment

� Acceptance in the Workplace

MENTAL HEALTH CONDITIONS

ARE DISTORTED BY THE MEDIA

Homicidal Maniacs, Evil Seductresses and/or Assorted Buffoons

� Beauty and the Beast

� The Joker

� Fatal Attraction

viZZZual.com's photostream

MENTAL HEALTH PROBLEMS

ARE STILL TABOO IN THE

WORKPLACE

annikaleigh's photostream

VIDEO: Mental Health Stigma



PEOPLE WITH MENTAL

HEALTH CONDITIONS DO NOT:

19%

22%

42%

74%

Mental Health Foundation, 2006

Mention it on job application forms

Tell some family

Tell their partners

Tell their GP

SOME PROGRAMS RAISE

AWARENESSLawyers, Doctors, Mobsters and

Detectives

� The Sopranos

� In Treatment

� Monk

� House

� Law and Order – Criminal Intent

STIGMA

MENTAL HEALTH

CONDITIONS

REDUCED PRODUCTIVITY

INCREASED COSTS

LOWER MORALE

A NEGATIVE DYNAMIC IS

SET IN MOTION



Food for Thought

If someone in your company was out on medical leave for depression, how would you and your co-workers respond to this

situation?

Common observation

In most situations the individual out on leave will experience what we refer to as

the “no casserole” disorder. In most companies, there is a sense of discomfort to reach out to an individual out on leave for depression. Co-workers either ignore the situation or it is not discussed openly.





Appreciate that mental Appreciate that mental Appreciate that mental Appreciate that mental

health conditions are health conditions are health conditions are health conditions are

identifiable and treatableidentifiable and treatableidentifiable and treatableidentifiable and treatable

The behavioral problems associated with mental health conditions result in

real, significant, and measurable

financial losses.



SUCH AS…

� High Turnover

� Customer Complaints

� Lost Revenue

� Decreased productivity

� Increased Costs

FORTUNATELY, THE

UNDERLYING BEHAVIORS

CAN BE IDENTIFIED

� Personality Changes

� Job Performance Issues

� Relationship Troubles

� Physical Problems

QUIZ:

In a typical organization, what percent of personnel have been

trained to identify employee behaviors that may indicate mental

health conditions?

a. 5%

b. 15%

c. 25%

d. 40%



FEW SUPERVISORS ARE

TRAINED

Only 15% of supervisors are trained to recognize these behaviors inthe workplace Foreign and Commonwealth Office's photostream

Innerworkings: A Look at Mental Health in Today's Workplace

WHAT ARE THE CAUSES OF

MENTAL HEALTH CONDITIONS?

Environmental

Life CycleEvents

Genetic/Biological

CurrentEvents

BIOLOGICAL CAUSES

� Chemical imbalances

� Individual genetic make-up

� Misuse of substances or illness of mothers during pregnancy

� Viruses

� Vitamin and mineral deficiencies

� Chronic strain of poor physical health



ENVIRONMENTAL

STRESSORS

� Where we live -- problems with neighbors, high crime rates

� Our place of work

� How and where we can relax

� Traumatic and abusive past or current experiences

CURRENT EVENTS

� Terrorism -- 911

� Wars – Post

Traumatic Stress

� Economic

crisis

� Lay-offs

(AP Photo/Paul Sakuma)

Alex E. Proimos' photostream

LIFE CYCLE EVENTS

� Marriages, parenting, relationship problems, divorce

� The death of a child or spouse or friend

� Sandwich

generation

� Career changes

� Aging

Ginny and John's photostream



INCREASE IN VIOLENCE

� Workplace Bullying

� Workplace Violence – Office Rage

� Road Rage

� Campus Shootings

� Plane Rage

Fist

MENTAL HEALTH IN THE

EXECUTIVE SUITE

sherrymain's photostream

Let’s review

The common causes of mental health conditions include:

� Environmental Stressors

� Current Events

� Biological Conditions

� Life Cycle Events

� Increase in Violence



THE GOOD NEWS IS THE GOOD NEWS IS THE GOOD NEWS IS THE GOOD NEWS IS

THAT TREATMENT THAT TREATMENT THAT TREATMENT THAT TREATMENT

WORKS!!!WORKS!!!WORKS!!!WORKS!!!

TREATMENT SUCCESS

RATES ARE HIGH

AN

XIE

TY

MA

JOR

D

EP

RE

SS

ION

BIP

OLA

R

HE

AR

T

DIS

EA

SE

TREATMENT WORKS

� Treatment is effective in most cases

� It can include drugs or therapy or a combination of both

� Treatment is constantly evolving through research



KEYS TO TREATMENT

� Early diagnosis and treatment improve success rates

� Sticking with the treatment long enough for the brain and body to adjust is essential

Treatment of Anxiety Disorders

UNDERSTANDING THE MILLENNIUM GENERATION

Young adults aged 18 to 25 are more likely to suffer from Mental Health

conditions than their older counterparts.

Yet they are less likely to receive mental health services.

Serious Psychological Distress

Think it through…

When is treatment of mental health conditions most effective?



Treatment is most effective:

� When the condition is diagnosed early

� When a combination of medication and therapy is used.

� When there is adherence to treatment

The cost of treatment is at it’s lowest when these factors are in place

WORKPLACE SOLUTIONS WORKPLACE SOLUTIONS WORKPLACE SOLUTIONS WORKPLACE SOLUTIONS

FOR HEALTHY PEOPLE AND FOR HEALTHY PEOPLE AND FOR HEALTHY PEOPLE AND FOR HEALTHY PEOPLE AND

HEALTHY ORGANIZATIONSHEALTHY ORGANIZATIONSHEALTHY ORGANIZATIONSHEALTHY ORGANIZATIONS

KEEPING YOUR

GREATEST

ASSETS IN MIND

There are compelling

arguments for a

positive and proactive

approach to mental

health conditions in the

workplace



NET SAVINGS FOR EMPLOYEES NET SAVINGS FOR EMPLOYEES NET SAVINGS FOR EMPLOYEES NET SAVINGS FOR EMPLOYEES

EFFECTIVELY TREATED FOR EFFECTIVELY TREATED FOR EFFECTIVELY TREATED FOR EFFECTIVELY TREATED FOR

DEPRESSIONDEPRESSIONDEPRESSIONDEPRESSION

COMPANY SIZE EMPLOYEES

AFFECTED

# EFFECTIVELY

TREATED

TOTAL

SAVINGS/YEAR

100 EMPLOYEES 13 10 $14,000

500 EMPLOYEES 63 50 $70,000

1000 EMPLOYEES 125 100 $140,000

10,000 EMPLOYEES 1250 1000 $1,400,000

Data extrapolated from “Cost of Lost Productive Work Time Among U.S. Workers with Depression” by W.F. Stewart, et.al, June 18, 2003, The Journal of the American Medical Association* Based on data that

� Mental illness affects almost every family in the US

� Untreated depression costs a business more than treatment

� Stigma is a serious barrier to effective treatment

� With proper training, mental health conditions are identifiable

� Mental health is employee health in the 21st

century

� Treatment remains the single best solution

CONNECTING THE DOTS

Create a Mental Health

Receptive Workplace

TO

?



CONNECTING THE DOTS

For Healthy People and

Healthy Organizations

CHARACTERISTICS OF A MH

RECEPTIVE WORKPLACE� Supervisors and staff are trained on identifying

possible mental health related behaviors

� Supervisors know how to speak to employees about mental health concerns

� Employees are not afraid to disclose personal mental health concerns and seek help

� Supervisors and employees know where and how to access help

� Confidentiality is safeguarded

� Management emphasizes problem solving and accommodations

QUIZ:

Do you believe your organization

has connectedthe dots?

a. YES

b. NOjeffrey95112's photostream



PolicyRevisions

Training

CulturalShifting

ResourcesExpertise

BROAD ARRAY OF EFFECTIVE

AND PRACTICAL SOLUTIONS

EEEEXPERTISE

� Disability Management

� Change Management

� Effective Communication

� Mental Health Conditions

PolicyRevisions

Training

CulturalShifting

ResourcesExpertise

PPPPOLICY REVISIONS

� Stigma Busting

� Safeguarding Confidentiality

� Employee Assistance Programs

� Employee Health-wellness/Work-life

Balance

PolicyRevisions

Training

CulturalShifting

ResourcesExpertise



RESOURCES

� Connecting with:

• EAP services

• National and local Support groups

� Selecting mental health screening tools

� Securing sources of mental health information for employees

PolicyRevisions

Training

CulturalShifting

ResourcesExpertise

CCCCULTURAL

SHIFTING

� Creating a Culture of:

• Awareness

• Knowledge

• Understanding

• Open Communication

PolicyRevisions

Training

CulturalShifting

ResourcesExpertise

TTTTRAINING

� Awareness of theimpact of mental heath conditions in the workplace

� Understanding Mental Health conditions

� How to Create a Mental Health Receptive Workplace

PolicyRevisions

Training

CulturalShifting

ResourcesExpertise



TTTTRAINING

Who should be trained?

� Management

� Frontline Supervisors

� Workforce

PolicyRevisions

Training

CulturalShifting

ResourcesExpertise

WHAT COMBINATION OF

SOLUTIONS WILL MEET YOUR NEEDS?

Let’s Review

The elements to create a mental health receptive workplace include:

� Expertise

� Policy Revisions

� Resources

� Cultural Shifting

� Training




Deborah Dutton Lambert, MBA, PC, [email protected]

Daina R. Dennis, MBA, [email protected]

Contact Information

© 2012 eMeta Learning Solutions

www.encompasselearning.com

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