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TRANSCRIPT
Transforming workplace mental health throughthe power of human connections.
1994 – Rwanda was the beginning of the rest of my life
1994 – Zaire (now DRC) / Rwanda Border area
A telling
encounter in
Halifax, Nova
Scotia
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QUESTION #1POLL
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Good morning!
How are you?
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• 5
5
10
0
6
• 6
5
10
We rarely engage in the 7 to 10 zone
0
77
Adaptative
coping
Mild and reversible
distress or
functional
impairment
Clinical illnesses and
disorders requiring
concentrated medical
care
More severe,
persistent injury
or impairment
REACTING INJURED ILLHEALTHY
ClinicalClinical
Clinical
Clinical
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RECOVERY
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RECOVERY
Joined the military in 1983
Rwanda 1994
Cambodia 1996
Haiti 1997
Persian Gulf 1997
Lebanon 1997
Kuwait 1998
Diagnosed PTSD & Depression 2000
Kandahar Afghanistan 2007
Seconded to the Mental Health Commission 2010
Retired and launched MHI 2012
“Recovery is not a cure”... Still working at it...
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Mental Health
Mental IllnessStress Injuries
TRAUMA GRIEFFATIGUE
Stress Injury
MORAL
CONFLICT
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PERCEIVED BARRIERS TO CARE
Hoge et al, NEJM, 2004
38%41%
50%
59%
51%
65%
17% 18%
24%
31%
20%
31%
0%
10%
20%
30%
40%
50%
60%
70%
Don’t trust Too Embarrassing Harm to my career Perception of colleagues Perception of leaders I will be seen as weak
Medical Diagnosis (n=731) No Medical Diagnosis (n=5422)
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RISK FACTORS
Before
After
Psychiatric
History
Childhood
Abuse
Trauma
Severity
Additional
Stressors
Lack of
Social
Support
Other
Prior
Trauma
During
Gap between clinical appointments…
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RECOVERY
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OUTCOMES ARE NOT CHANGING
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SOLUTION
WORKPLACE PEER SUPPORT
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SOLUTION
WORKPLACE PEER SUPPORT
Clinical Care FriendshipPeer Support
Formal Informal
Peer Peer
Support Support
PEER SUPPORT CONTINUUM
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Creamer et al. (2012).Guidelines for Peer Support in High-Risk Organizations: An International Consensus Study Using the Delphi Method. Journal of Traumatic Stress, 25, P.134–141.
O'Hagan, M. Cyr, C. McKee, H. Priest, R. (2010). Making the case for peer support: Report to the Mental Health Commission of Canada. Mental Health Peer Support Project Committee. Calgary: Mental Health Commission of Canada.
Provencher, Gagné & Legris. (2012). l’intégration de pairs aidants dans des équipes de suivi et de soutien dans la communauté: points de vue de divers acteurs. Rapport final de recherche (version sommaire). Université Laval.
Chinman, Young, Hassell & Davidson. (2006). Toward the Implementation of Mental Health Consumer Provider Services.
The Journal of Behavioral Health Services and Research, 33(2), P.176-195. DOI: 10.1007/s11414-006-9009-3.
Coatsworth-Puspoky, R. Forchuk, C. Ward Griffin, C. (2006). Peer support relationships: an unexplored interpersonal process in mental health. Journal of Psychiatric and Mental Health Nursing, 13, P.490-497.
Corrigan, P.W. (2006). The impact of consumer-operated services on the empowerment and recovery of people with psychiatric disabilities. Psychiatric Services, 57, P.1493-1496.
Dumont, JM. Jones, K. (2002). Findings from a consumer/survivor defined alternative to psychiatric hospitalization. Outlook. P.4-6
Sandra, G. Resnick. Robert, A. Rosenheck. (2008). Integrating Peer-Provided Services: A Quasi-experimental Study of Recovery Orientation, Confidence, and Empowerment. Psychiatric Services. DOI: 10.1176/appi.ps.59.11.1307
Ochocka, J. Nelson, G. Janzen, R. Trainor, J. (2006). A longitudinal study of mental health consumer/survivor initiatives: Part III - A qualitative study of impacts on new members. Journal of Community Psychology, 34, p.273-283.
Pfeiffer, Heisler, et al. (2011). Efficacy of peer support interventions for depression: A meta-analysis. General Hospital Psychiatry, 33(1), P.29-36.
Ratzlaff, S. McDiarmid, D. Marty, D. Rapp, C. (2006). The Kansas consumer as provider program: Measuring the effects of a supported education initiative. Psychiatric Rehabilitation Journal, 29(3), P.174–182.
Trachtenberg, M. Parsonage, G. Shepherd, J. Boardman (2013). Peer support in mental health care: is it goog value for money?
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5
Demographics
Number of employees : 1,300
(Municipal Organization – Ontario, Canada)
Date of PSP : March 2013
Number of Peer Supporters : Initially 17
Program expanded to 28 Peer Supporters in 2015
Outcomes
Reduction of STD by 30%
No change in EAP utilization
Other wellness programs increased use
Shorter length absences when sick time is taken (20% shorter)
Other wellness programs are referring cases to the program
CASE STUDIES
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CASE STUDIES
Demographics
Number of employees : 4,800 with 8 bargaining agents
(Transport Sector – Canada-wide)
Date of PSP : October 2012
Number of Peer Supporters : Initially 40
Program expanded to over 90 Peer Supporters in 2019
Outcomes
Reduction of STD and LTD claims by 20%
Increase in EAP utilization from 9 to 24%
Increase in psychological services costs by 40%
Decrease in sick leave due to mental health problems.
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Tandem NOTES™Back end (management)
A responsible means to measure and manage a social support program.
Tandem™Front end (users)
A safe, secure space where Peers and Peer Supporters
connect for support.
Custom Technology to Support your Program
© Mental Health Innovations, 2019
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MENTAL HEALTH TRAINING
RETHINK TRAINING
•Start by assuming your people have the skills.
“They simply need to be reminded”
•Engage your workforce in identifying areas of greatest
concerns and work this into your approach
•Build interpersonal relationships between managers
and employees well ahead of problems
•Shape a leadership / human centric culture not a clinical
one. Do not focus your training on symptoms or the clinical narrative.
•Provide training opportunities for all NOT just managers
•Teach that listening (authentic and caring) and
relationship building is more important than solutions
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E Learning Campaign
WeCARE
wecareForyourpeople
.com
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QUESTION #2POLL
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32
Over 3,300 individuals die from suicide every year
Some studies state numbers as high as 4,500
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crashes
per year
www.afterthewarbook.com
www.afterthewarbook.com
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THANK YOU!