Non Clinical Approach to Mental Health in the Workplace.

Non Clinical Approach to Non Clinical Approach to Mental Health in the WorkplaceMental Health in the Workplace

Context

Context and factors that should motivate ACTION and INNOVATION

• Only 41% of employees feel they can acknowledge an illness and still get ahead in their careers

• 45% of benefits managers and middle managers reported knowing little or nothing about depression as an illness

Source: University of Michigan's Depression Center

“….. the longer someone is ill, the more treatment resistant their illness

becomes…..”

Source: Dr. Diane McIntosh (Psychiatrist)

Context and factors that should motivate ACTION and INNOVATION...

Only 35% seek treatment while the remaining 65% do not.

Source: Dr Richard Earle of the Canadian Institute of Stress

Context and factors that should motivate ACTION and INNOVATION...

• Disability represents anywhere from 4% to 12% of payroll costs in Canada

• Mental health claims (especially depression) have overtaken cardiovascular disease as the fastest growing category of disability costs in Canada

Source: Global Business and Economic Roundtable on Addiction and Mental Health

Context and factors that should motivate ACTION and INNOVATION...

Struck Down

SocialSocial Social

Social

ClinicalClinicalClinicalClinical

Adaptive coping Mild and reversible distress or functional

impairment

Clinical illnesses and disorders requiring

concentrated medical care

More severe, persistent injury or

impairment

Healthy Reacting Injured Ill

Set new paradigms

Stress Injuries

Mental Health

Mental Illness

Set new paradigms

Set new paradigms

TRAUMATRAUMA GRIEFGRIEFFATIGUEFATIGUE

Stress InjuryStress Injury

MORAL CONFLICT

MORAL CONFLICT

Before

After

PsychiatricHistory

Childhood Abuse

TraumaSeverity

Additional Stressors

Lack of Social Support

Other Prior

Trauma

During

Journal of Consulting & Clinical Psychology - Brewin et al, 2000

Embrace the obvious

Clinical Care Friendship Peer Support

Formal InformalPeer PeerSupport Support

Future certified peer support

workers

Conceptual Peer Support Continuum

WorkplacesMH System

Peer Support “Blue Print”

Code of Code of ConductConduct CompetenciesCompetencies

KnowledgeKnowledge ExperienceExperience

Alone

[1] Creamer et al., Guidelines for Peer Support in High-Risk Organizations: An International Consensus Study Using the Delphi Method. Journal of Traumatic Stress April 2012 Vol 25 pages 134–141

[2] 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.

[3] 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 Février 2012

[4] Chinman, Young, Hassell & Davidson, 2006; Toward the Implementation of Mental Health Consumer Provider Services; The Journal of Behavioral Health Services and Research Volume 33, Number 2 (2006), 176-195, DOI: 10.1007/s11414-006-9009-3

[5] 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, Vol 13, 490-497.

[6] Corrigan, P.W. (2006). The impact of consumer-operated services on the empowerment and recovery of people with psychiatric disabilities. Psychiatric Services, 57 , 1493-1496.

[7] Dumont JM, Jones K: Findings from a consumer/survivor defined alternative to psychiatric hospitalization in Outlook, Spring 2002, pp 4—6[8] Sandra G. Resnick; Robert A. Rosenheck, 2008 Integrating Peer-Provided Services: A Quasi-experimental Study of Recovery Orientation,

Confidence, and Empowerment Psychiatric Services 2008;doi: 10.1176/appi.ps.59.11.1307[9] 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, 273-283.[10] Pfeiffer, Heisler, et al. (2011). "Efficacy of peer support interventions for depression: A meta-analysis." General Hospital Psychiatry 33(1):

29-36.[11] 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), 174–182.[12] Mclean J, Biggs H, Whitehead I, Pratt R, Maxwell M: Evaluation of the Delivering for Mental Health Peer Support

Worker Pilot Scheme. Edinburgh: Scottish Government Social Research, Research Findings No.87/2009;

References