Managing Mental health issues in the workplace – an integrated approach

Hello everyone, and welcome to ManagingMental Health Issues in the Workplace an Integrated Approach webinar with Dr.Richard Wynne. This webinar is part of our return to work stay at work series, and we’re glad to have you all here with us today. my name is Tonya Hyde, and I’ll be moderating the webinar today. I’m the project manager with the CanadianInstitute for the Relief of Pain and Disability. This webinar is made possible through the support of the community grants program and the BCgovernment and donations and memberships to our organization. As I mentioned, Tonya and I will be moderating the session and handling theQ&A today.

Our speaker is Dr. Richard Wynne. Dr. Wynne is director of the WorkResearch Center Dublin-based independent research and training organization. Dr. Wynne has worked in the area of workplace health promotion for more than 20 years and, in recent times, has taken a special interest in workplace-based mental health promotion. He has worked in and led many transnational projects in the area, including Reintegrate, ProMenPoll, Mind Health, andMHP handbooks. He also lectures at the University College of Dublin, and I will hand it over to you now, Richard. Greetings to you all from Dublin.It’s a warm wet evening here, and I hope it’s better for you wherever you are listening from. I’m here to talk to you today about managing mental health issues in theworkplace an integrated approach which is based on work that we’ve been doingover the last number of years and which has culminated in some work we did for what is calledDG Employment an arm of European Commission where they have asked us and various otherorganizations to contribute to produce a guide for employers on how you managemental health issues in the workplace and so I’m going to take you through some of the detail behind that here this afternoon As Tonya said, I am an independent director of theWork Research Centre a research and training organization which has been around since1988 we have done many many research and development projects overthe years in relation to workplace health held mainly in the European context we tend to do this work in collaboration with partners in could be fouror five or six or as many as twenty European Union member statesso I think talking to you about you today is coming from pan-european Europe but are going totalk to you is that firstly about how mental issues health issues impact in theworkplace because I know that you that you come from a range of differentbackgrounds and I just want to get out what it is we feel mental health issuesare and how they might impact the workplace so that we’re starting from the same place to talkabout the nature of workplace mental health and well-being and particularlyI want to talk about three different approaches to the management of mentalhealth and well-being One is the whole issue of mental healthpromotion broadly speaking from a public health tradition be applied to theworkplace is the health and safety tradition which in recent decades priestly concerned with issues ofoccupation stress and its effects on mental health I’m fully aware occupationalstress does not equal mental health but there is a relationship between the twoand the third issue I wanna talk to return to work following some kind ofmental health issues relatively recent concern in Europe but I know that there’s been some work on it in Canada years in relation to codifing howyou manage return to work for people with all sorts of conditions.

I want to talk to you about the importance of an integrated approach dealing with all three elements of the approaches you might take rather than just one. In Europe a lot of the time is the peoplereturn to work hoping trouble to health promotionpeople to talk to your patient has people who talk mostly truck people whowere publication can return to work and very often if Tyler got all the time 227station why we need to have the kind of integrated approach lastly I just wantto point you in the direction of the time to put a detail and Europeans andsome others are approaching the issue of mental health in the workplace significant issues developed over thelast decade particularly in Europe and if I could just point you in thedirection of them for those of you and proceed immediately before the major onworkplace broadly speaking i think there are four issues that need to be lookingat a distinct because they typically four different kinds of interventionsalready told her to fetch the first mental well-being to the wordsprostitute well one of the problems with occupational health approaches theretention workers bad for your health revenue fromthose on the average York people who are in workers employment or better has bothphysical and people who are out of work clothes or whatever happens to be and what they’re talking about mentalwell-being which is considered aspect of work a job actually contribute toimproved positive elements didn’t it would be to look at as usual mood thisis broader word and mental health where you have no mental well-being but it’snot as a clinical condition this concern then we hope the 24 and terminology heremajor classes of mental illness that is not a chronic disorder psychoticdisorders both of these tend to have different approaches a stretch but theseare the kinds of phenomena metal and phenomena that I want to talk about youmay be familiar with this story whose mental health a lot as a stinker continue but as a by to mention phenomenon.

where you cutthrough between mental illness mental healtharound be between flourishing and languishing more active relationship andyou can stay for years to come feelings and behaviors differentconditions in each of the four four quadrants of the part about this is thatif you are making interventions for mental health the workplace I think we are oftenlooking at looking at specific for each of thesepork was just talking about intervention which might address mental health andprevalence and costs from different parts of Europe because of the Canadahas quite a lot of potato this area but it just figures of European perspectivewhich i think’s begins to explain countries and the European Commissionerstructure which more seriously for the world health organization weknow that are under 25 percent of people will have a mental health problems andin any one year at about 9 percent of people and about 2.6% attributes ofpsychotic disorder of course not all of these workers employment retired fromthe general point about this is that something which affect both many peopleand it ought to be affected players we should ignore people who are affected bymental health problems I hope your German food and its effect on the tearsover time between the years 1997 2012 in German Federal Republic and the keypoint about this here is that if you look at the brown line between the twolarge to use mutual and you can see that it’sa more or less flat line taking 1997 there has been a spectacular increase inabsenteeism due to mental health issues factors two hundred and sixty-fivepercent of the 1997 level the state has taken from the German German victims dakthere were a number of these are all of the tater from all of these morass incontributing more and more to up the tears but in fact it’s probablycontributing Germany taken from this weekend’s Swedish SocialForum 2013 for women and men were looking at the issue of new trends forearly retirement and see and hear what we’re talking about is again an increasein the closing this chapter and whatever disparity psychological conditions and conditionsat the bottom of the diagram both programs you can treat a woman in 2003you claims due to psychological conditions around about 30% of their no2012 which is closer to forty percent sure figures situation for men justpathetic but a line you can see two conditions of the nervous system datahold period know what I wish him to the point I think it’s fair to fade ofacross 32 European countries could take this is a common phenomenon.

We’re seeingrecently participated due to mental health conditions of one sort or anothernumber of years ago we did 26 countries in the UK Ireland Italy and theNetherlands of stress and stress-related conditionsand heard him and at a time this told you it wasplaced at the biggest caused were in fact YouTube problems but we found thatacross all of the countries took part in the study that attract mental healthproblems but is she due to mental health problem it’ll have problems with thebiggest deal with people for at least six weeks from work and the world theshort-term fix their own social welfare we looked at the actual clothes havemental health disorders an absence biggest contributor contributing abouthalf of the body of people or people were to present borders all interestedin about 10 percent or theirs which included excited to supportersalcoholism drug abuse estatehood just give you this becauseit’s collected over a period of 20 years former range of different occupationalgroups using the measure may be familiar with which is called the General HealthQuestionnaire and which measures general well-being a percentage point about thisis that it’s not necessarily d clinical diagnosis of mental illness butit is causing people problems which they would benefit from unity of age and youcan feed from this that the biggest single the ones with the highest levelsof mental well-being problems.

where people were unemployed and read about60% of you had to curb psychological well-being these are closely followed bya group of nurses working night shift for almost 50% crude not get 25 andcompares the 414 again we’re very very high people were killed or disabled andeven stated that the other groups for yourself the point of showing this post thesepeople have forced to make the point that different occupations tend to havedifferent levels of psychological well-being have been different occupations carrywith the different note to trust and other issues which are contributing topoor psychological well-being this duplication their obvious implicationsfor perhaps a few practice locations for Richard to work practice where if forexample you know that you are returning to work it’s quite a different literate returning nervous to work whichis not involving a nice work so successfully for example the differencebetween General Motors the third about 50 percent to thirty Christmas so it issomething which three boarded mind not all occupations and trade it in terms ofthe demands that they created people warranty terms of the receptivity toreturn to work costs costs recent years first seriousattempt to estimate the economic costs of mental health issues in Europe these this particular program is taken fromhim by the European Union’s Occupational Safety and Health choosing to power withthe estimated just the overall cost of mental health problems are indeed inpublic health terms and they estimate that around about $790 billion a year2010 very good mood took the population European Union is around about fivemillion so you could possibly to the figures never become pro rated datedsituation general point is that it’s a serious matter is broken the authoritiespopular categories occupation do with responsible European Union was tocreation of the Mental Health Act which also undertook the particular looking ata workplace and there were only looking at the productivity costs here to workthey weren’t looking at a great cost deliberately just looking at the labordays cost of mental disorders in 2025 MemberStates European Union Norway Switzerland was estimated to be ahundred and thirty six billion 2752 depression and anxiety disorders and Ithink what is most striking about this is that when you look at the equivalentproductivity left for cardiovascular disease which is generally they wereonly about 36 the words roughly speaking mental health problems are costing towork place around a third Street pointed to the issue of presenteeism thephenomenon whereby people come to work not well or if not being actually impacton productivity in a negative way also various estimates from European Studiespatiently excess of probably to hear between 50% 500% so that the figure of ahundred and thirty billion if you take into account presenteeism could easilybe more European context at least I just kind ofPublic Health Statistics Canada occupation has water actually start tofocus on the issue of the workplace said a little bit more one of the problemswere placed to face dealing with this necessitated due to mention if you werea perspective view of course so for example many employers which they thatmental health issue for me to control occupation stressed workplace becausephysicians which they were concerned about workplace the patient’s to getbetter points to the fact that variousmanifestations of mental health issues in the workplace are not really anyother stakeholders our players within the workplace what you’ve actually gotthose situations where the impact regardless are for workplace terms withsuch issues as productivity in terms of such issues as quality in terms ofissues as two of the three seasons of planningand saw this program is an attempt to put together the fact that we need theindividual the workplace indeed extra workers factors the workplaces justformed which all of these things interact to produce at which will impactregardless cause on workplace shoots so for example things like today taxpreviously experienced where’s the work no major cause of stress in theworkplace is a serious issue as major we shouldn’t forget the toxins in theworkplace conditions as well as the office of people from a psychologicalcondition like me for it so you could issue such as poor work work workorganization for jobs and contribute to mental health problems.

And the effectsthat usually we talked about already you talking about depression breaker schoolsyou also see mental illness from the point of view the workplace you’relooking at a picture of productivity to use of presenteeism around reputation we proposed an integrated approach todealing with these manifestations are no issues in the workplace and work ontheir way to do it at workplace health management I think it also extends to ofintervention in workplace for to approve to maintain the August issue preventionand health and safety package the 1800’s terms of physical health risks in theworkplace to the 9780 securities stimulation to dealing with occupationstress second element which is much more reasonto which you are probably very familiar with the motion of the work started hercondition in 1974 in Canada would love to know what the general point about avisit to the bringing together of approaches to dealing with mental healthmaintenance of mental health promotion of well be not so much about it then weput the issue to return to workers when when metal head breaks 2002 weekendpeople but I think it’s worth considering when looking at districtwhich easy to draw 392 nuclear to do little to deter him we’ve got integratedworkplace management with the problem very often is that you just peopleskills sessions at different levels of knowledge Hilton on professionals whoare involved in the whole business where many of them person to be heard in developing theseguidelines for employers Europe workplace management was that we knewthat there are these three approaches to treating with the workplace harsh mentalhealth promotion rehabilitation return to work but the earlier the chance tofinish third approach in Europe by people in the professions and in detailthese traditions of this type of intervention separately told freedom ofbeing terribly linked with the realization we came to us that if youlook at what actually happens when these things take place in the workplace youfind that there are a lot of common methods between the three differentapproaches of course their specific methods which are only used by oneapproach is well with you tend to get shared a common occurrence world nationsof New reducing occupation stressed and training people to do the job properlycan contribute in terms of a little help moving to experience the point beinghere if you are an employer tradition these interventions come fromif you can produce two levels for you too 34 you got additional informationgathering and analysis formation secondly you’ve got a set ofinterventions different methods and activities that might be undertaken bythirty you’ve got a set of outcomes which might be achieved by taking thesedivisions within the Occupational Health Information category C about has a goodindication risk and may also be about it was seeing what could be turned physicalstructure and organization infrastructure to identify with problems.

Like the mental health promotion you not much looking at how to do it atvacations but you’re looking at needs analysis do people need to do her mentalhealth and began you might be looking at here whereas if you look at theinformation needed for a rehabilitation which went to work it tends to be alittle different you talking about analysis of state kinds of rehabilitation but there isalso a needs assessment which takes patience here interventions might be undertakenthere’s a lot of commonality particularly between occupational safetyand health and mental health promotion for example you might be targeting thephysical work environment not be targeting to take off work environmentin terms of work organization you might be looking to boost people’s knowledgeof hard work patience and eat what might be done to improve mental healtheducation mental health promotion to education and training room for a closerto change behavior change in the police brutality haitians return to work 230distinctive depression which might be made particularly the issue case management and rehabilitation whichare not normally part of the other two traditions to be and we would shestarted to assess the capacity of you do we should go back to work the kinds of interventions have makingup the individual workers and worker organizations oklahomans quick commentto safety and health promotion you would expect warning about 15 minutes before thatfrom yesterday that the PR computer maker shared looking at things like whatused to be patient in lower stress at work practices and a quality work betterhelped common intervention from differenteditions producer shared participation will appear to be integrated managementapproach here in Europe I want to go to a little bit more detailabout the issues here patient had more detail not to hold open auditions and whatkinds of things which take place for security promoting the work can belooking prevention of harm to me this is different to work is probably the onlypart of the whole affair to his excuse legislated for you to have mental healthproblems in this very much developing into between mental healthpromotion programs and treatment and a computer rehabilitation employees problems herewe’re talking about having effective return to work to uncover differentcountries mental health management interventionsto traditional approaches to do with occupational stress there are many cuteapproaches which sure you’re aware of protecting Canadian approach standardfor occupational stress is having quite an impact reported candidate countriesin Europe the kinds of things to do with your content workload in work-based workshowed you the people who were the work environment and equipment used the wordof the organization functions and interpersonal relationships just hischaracterizations to US workers which is commonly used in Europe developing the University of Nottingham framework model for the management ofpsychosocial risk discipline adopted by the European agency patient’s house andit talks about taking place an order or regulation including risk management translation of risks into action plansto determination to not had never heard him say she learning positive mentions some of these are ready.

I move on to the next night but they should not come across threedifferent areas that have been talking about talking about return to work herebecause probably major concerns you will give you some European in the scriptimpact study we did you look at the numbers of people whoactually returned to work following six months from work what was actuallyhappening where you’ve got a favor the countries Austria Finland IrelandNetherlands and the UK people who returned partially to work which issurrounded by screens to lift and power are people who currently to work whichis brutal you can do three things in terms of national different countries inparticular the net enjoys getting from more people back to work then just putthe rest countries combined also a big difference between people returned towork fully should return to work is much more common except the case for engineof total an explanation for this country but I’m at the point of this is thatbetween returned to work only seventy percent oftotal people come back to work after a tour of Austria where only about 25% ofthe question must be different protection to do in the middle test atentative look at things in terms of the threshold so weird said when they faceor call the apt threshold and think about what is it that makes you think good morning to take but is that all ofthe factors which contribute to making this decision not to work that is hehappens to initial and it confirms factors which relate to yourself as aworker in total could not working on factors are not available takes place within the context oflegislation policy and regulation and if you go out to return to work orregistration through this weekend the same kinds of factors in our classes offactors may influence decisions back to work it’s supposed to work and non-workissues which takes into work and a general policy context you the point isthat when you go back to work roughly speaking three things are the same job can beredeployed within the same company employer we can be redeployed to anothercompany you can also become either unemployed or economically in actors asyou can see from the previous target for people to become an embroidery could bestrategic the factors which actually operated at both be returned to workrebels in deep low countries and we come up with a list of issues the things which contributed to be morelikely to go absent from work were things like poor health having had some traumatic injury orhappy event which is a major priority major work event which has contributedyou going out things which need people to be less likely to happen we’re havinga little weak authority collapsed people had premeditated murder would saythought about before but if it’s actually responsibilities more seniorroles in the organization usually people however when we looked atfactors which impact to their decision to go back to work these were different then do the samefactors necessarily which can let you to come up to the firstplace increased likelihood of return to work just hundreds of movies here not reallyparticular reason which is to say that these are important issues some of thefactors here really relate to the workplace 20 I took the workplace is soit would place a former referred to work system applications just place your morelikely to provide to work it had a need her to show you wrote to return to workjust happy to get back to work if you want to come into your mental health wasoften targeting to people’s mental health be found over time for triplethat if people went after development so getting back to work on her good work tosupport got your back to work earlier than 230 group communications betweenthe workplace certainty if you look at the things which back to work you’re talking aboutfactors such as Rick load being too high no real level of accommodation for Chrisaccommodations get people back home it’ll happen to the words there hasn’tbeen and if there has been a failure director for negative conditions in theworkplace have contributed to this place I just point with this you could find somebody toexplain to you in this is an intervention framework for but the pointis that if you want to set the return-to-work fresh would you go tolook at personal factors not work for actors different system which will helpyou to generate targeted but to working to bridge which is not specific in practical terms the couple of thingsI want to point to which hope for him to the issue of not justreturned toward creating workplace health management so there are a numberof problems facing moving from 42 to participate in the first one is at therole of the integrated workplace injuries different traditionsprofessional role the relationship between the more the traders differentit’s not a nurse patient or a teacher pupil type of relationship nor is it arelationship between expert help us in effect because a lot of this isvoluntary are you looking at being a persuader rather than somebody who orderseems to happen so you need to work through the second point is that yourtechnical approach that the words that you need to take into account not just amatter of room to disposal toot report mental health motion which indeed alsoto look at the social situation within the workplace.

Taylor interventions thatchildren situation it’s difficult to get support to key aspect in doing this in acomprehensive way it’s difficult to structurally rigid very often becausepeople are reluctant to commit to very large scale projects for a book projectplan is it is seriously good way to actually to talk to her to deliver integratedworkplace management and lastly communications communications Thurs atthese things will happen yes you have all of the stakeholders concerned verybriefly about the benefits of action evidence collected in Europe even modestimprovements in workplace economic impact of the business case for doingthis this is some work which was rationed UK looking at a return to thenational journal tradition kinds of public healthinterventions are sure that things can be very beneficial the first one is thatif you look at early diagnosis and treatment of depression work roughly speaking you can afford to maketheir if you do screening for 212 and a possible way to look at the workplacehealth promotion programs around a potential just from the point of view ofthe public assistance but if you look at the employers a distance from work wasdone for the European Commission 2012 you can see that the year the overallcost benefit ratio of different kinds of interventions workplace improvements were very veryeffective almost 12 14 turn that you can’t read the rest of yourself as well general point is that there is a strongcase for workplace and health system for gauging Indies just want to point to thefact that countries in Europe and you can find out more about this in theEuropean Commission’s I really quite active just a selection of some of themfor budget for example there in the prevention and psychosocial load majorinitiative this work the UK debt management standards for registrationwhich are directly taken from the Canadian experience they’ve also drawnthe Canadian experience into their management standards for safetymanagement is an interesting place for all sorts of reasons have a policyeco-tourism its lease or she scoffed possibly the only country in Europe asopposed to just focus expression workplaces where you can see some of theother initiatives through the penis to hear more from some of the reference tosome resources to make her look huge the first which is the European 8315 haslost the series second one is an organization which is the Europeannetwork for workplace health promotion this has materials and casestudies like20 shun his mental health promotion which is particularly workplace alsoother settings distressing which he returned to the fourth straight year andlastly mental health the workplace guidance for comprehensiveapproach is to work the European Commission but he takes your attention more US timewise I hope this is of interest to you and I’m more than happy to answer anyquestions that I could thank you interesting to see and get expert thinksthat people are doing and other parts of the world so easy to just focus on whatCanada doing or what my local province doing some really great conversationmight see a couple of questions so one question is back on the slide whereyou’re talking about psychological well-being little bit closer to thebeginning and there were selected irish groups and their two bars for theunemployed difference in the group’s there were more people who are employedat the higher between young daughter first jobs and the second was uploadedregister room for ages before the people affected by right and then do you thinkthat there has been an increase in mental health diagnosis diagnosis due tothe fact that general practitioners are loosely using the term depression /anxiety to provide to provide a diagnosis without having the propertraining or measuring tools and that GPS have time to the label employees withmental health conditions rather than just everyday life stressors and workshoes very complex question and a lot going on between your question reserved aware of I go two or three things goingon at the Christie reduction in the two booths with mentalhealth issues and more generally industry people are more willing to talkabout mental health and mental issues however whether inform there might betalking about the same thing applies to 222 GP’s in particular where they don’ttend to have very strong training in medical help was talking to one recentlyhere to see her six weeks training Mettler Toledo’s 2888 replied this is amore optimistic maybe because people to manage it was a really good parentsshould be aware of tendency to increase levels of which isprobably reflecting the other see also probably saw before particularly all ofthe musculoskeletal problems before leading to a serious underestimation ofthe true impact mental health issues might be think about economic intervention andimproving mental mental health in the workplace did the job occupation andrequirements have been assessed according to economic approach or wereonly reported or provided by the employer knowing the real activity ofwork by observing workers could highlight content of charges andstresses that have not been communicating but the job descriptionprovided by the employer understand this question directly there are properly Ithink the person is asking if that is based on reports to get a good knowledgeof what of his personal thanks you too eager attorney to doctor note when Ithink economic terms of pooping environment from the point of view ofadequate so far more important issues such as organizational structure cultureand job design work organization these are the areas we need to talk toreturn people to work effectively who have mental health problems we want tomake the workplace more receptive to people returned to work butalso more polluted Jenica more health making I don’t talk to my students oneof the first question is how do you make health and if you think about theworkplace the question here is how do you makework aspects of work actually making out andit’s more than just physical ergonomics developing the psychosocial work nextquestion is have you come across research are conducted some thatindicates that having a diverse managerial team one that includes anunderstanding of the house works to improve work placement and wondering howhelpful coaching intervention I don’t think the first point is that managementteams who have fired up and ready to contribution that workplaces tocontribute to a better through his research shows that the more aware ofthe more diverse approach that people organizations have the better be dealingwith dealing with this issue I can actually had to slide which i don’t haveto use didn’t have time to show you but I could send it on to you as part ofthis demonstrates our church when you consider that as somebody once said tome about the issues that most employers approaches with a mixture of fear andignorance a true mental health wealth and if that is a typical cultureemployer they couldn’t be good managing mental well-being coaching is just a number ofinterventions have made to improve their word organization culture in relation tothe issue it’s tricky hopes to raise awareness had to give people skillscertainly helps to deal with these issues but it’s not the only one thatcan be dramatic strong policies I think strong practices support it’s not justthe individual one last question I have like justanother moment just in case anybody else has a final question everybodyunderstood everything it seems like they did yes seems like we don’t have anyfurther questions so I’m gonna go ahead and wrap it up thank you very much forthe presentation and for your insight and knowledge on this topic very interesting thank you tony good dayto you all over it candidate

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