When Every Day is Monday: Depression in the Workplace and What You - - PowerPoint PPT Presentation

When Every Day is Monday:

Depression in the Workplace and What You Can Do About It

• Partnership for Workplace Mental Health
• Why depression matters to employers
• What you can do about it: Right Direction

Today’s Agenda

Partnership for Workplace Mental Health

Collaborate with employers to advance mental health. 1. Promote business case for early recognition, access & effective treatment. 2. Highlight employer case examples. 3. Provide tools to increase awareness and help- seeking.

Why it matters Strategies and case examples Tools to take action

Network of 10,000 companies Make the business case Calculators, literature reviews Share best practices Employer features in Mental Health Works Searchable database of 70 employers representing nearly 3M employees Practical employer guides Working Well Toolkit

Mental Health Parity and Addiction Equity Act

Employer Resources

CDC

1 in 10 people have

depression.

MANY DON’T GET HELP

• 60% of adults with mental illness didn’t

receive mental health services in previous year.

• People often suffer for years before getting

treated; typically a decade or more of delays – during which time additional problems develop.

• Employees with untreated depression who

go to work do so with an illness that impairs them physically, mentally, and emotionally.

Untreated Depression Can Result in Suicide

Every 15 MINUTES* 41,000 deaths a YEAR** 3,000 times a DAY*

In 2010, companies spent $8.6B in suicide-related costs in one year^ and WHO predicts depression will outpace cancer, stroke, war and accidents as the world's leading cause

• f disability and death by 2030+

Reasons for NOT GETTING treatment

• Inability to afford cost of care (55%)
• Not knowing where to go for services

(26%)

• Believe problem can be handled

without treatment (25%)

• Not having time to go for care (15%)
• Concerned about confidentiality

(11%)

• Might have negative effect on job (9%)

Employer roles

Cost of care Benefit design Don’t know where to go EAP, benefits promotion Handle on own Awareness & education Not having time Policy, culture Confidentiality concerns Policy, education Negative effect on job Policy, culture

$210.5B in 2010 Absence $23.3B Presenteeism $78.6B Direct medical costs $100 B Suicide- related costs $8.6B

Economic Impact of Depression

Greenberg, P. E., Fournier, A. A., Sisitsky, T., Pike, C. T., & Kessler, R. C. (2015). The economic burden of adults with major depressive disorder in the United States (2005 and 2010). Journal of Clinical Psychiatry, 76, 155–162. doi: 10.4088/JCP.14m09298

World Health Organization

3/30/2017 Announcement:

• Depression now leading cause of ill health and disability worldwide with more than

300 million people suffering from the disorder.

• Rates of depression have risen by more than 18% since 2005, but a lack of support for

the mental health combined with a common fear of stigma means many do not get the treatment they need to live healthy, productive lives.

• WHO estimates depression and anxiety fuel a global loss of roughly $1 trillion

associated with lost productivity, people being unable to work and health care expenses.

• Even in countries with higher incomes and “advanced health care systems,” almost

“half of people suffering from depression aren’t properly identified or treated.” Depression is now the leading cause

• f ill health and disability worldwide. ”

“

A CLOSER LOOK AT PRODUCTIVITY LOSS

Depression is estimated to cause 400 MILLION lost workdays each year. In a 3-month period, employees with depression miss an average of 4.8 WORKDAYS and have 11.5 days of REDUCED PRODUCTIVITY.

Merikangas KR, Ames M, Cui L, et al. The Impact of Comorbidity of Mental and Physical Conditions on Role Disability in the U.S. Adult Household Population. Archives of General

• Psychiatry. 2007;64(10):1180–1188. PubMed doi:10.1001/archpsyc.64.10.1180 .

health care resources consumed by employees with depression compared to those without

Employees Employees with depression

COMORBIDITY WITH OTHER DISEASES

• Increased prevalence of depression with chronic

medical illnesses (45% of people with asthma; 27% with diabetes).

• Chronic medical conditions adversely affected by

mental health conditions. Comorbidity increases impairment in functioning and decreases adherence to prescribed regimens.

• Individuals with depression are..
• twice as likely to develop coronary artery disease
• twice as likely to have a stroke, and
• more than four times as likely to die within six months

from a myocardial infarction.

Medical Mental health/substance abuse Pharmacy Disability Presenteeism and lost productivity Absenteeism Overtime to cover sick-day absences Unrealized output Overstaffing Temporary workers Stress on team members Recruitment Hiring costs Retraining

Look Beneath the Surface

Is Stigma Still an Issue?

Neurobiological

1996 2006 Alcohol dependence 38% 47% Major depression 54% 67% Schizophrenia 76% 86%

General med doctor

1996 2006 Alcohol dependence 74% 89% Major depression 78% 91% Schizophrenia 72% 87%

Bernice A. Pescosolido, Ph.D. et al. "A Disease Like Any Other"? A Decade of Change in Public Reactions to Schizophrenia, Depression, and Alcohol Dependence. American Journal of Psychiatry, 2010.

Increasing number of people believe the cause of mental illness to be neurobiological. Increasing number of people supportive of professional treatment

• general medical doctor,
• psychiatrist,
• mental hospital, and/or
• prescription medications.

Acceptance of cause of illness and support for professional treatment did nothing to change prejudice and discrimination, and in some cases, made it worse.

Stigma Measure (Social Distance) Major Depression Alcohol Dependence Schizophrenia

Unwilling to

1996 (%) 2006 (%) 1996 (%) 2006 (%) 1996 (%) 2006 (%) Work closely with

46 47 72 74 56 62

Have as a neighbor

23 20 44 39 34 45

Socialize with

35 30 56 54 46 52

Make friends with

23 21 35 36 30 35

Have marry into family

57 53 70 79 65 69

Bernice A. Pescosolido, Ph.D. et al. "A Disease Like Any Other"? A Decade of Change in Public Reactions to Schizophrenia, Depression, and Alcohol Dependence. American Journal of Psychiatry, 2010.

Depression can be treated. Well-established that MH/SUD are treatable conditions. For most disorders, there are a range of treatment methods with proven efficacy. – Pharmacological – psychotropic medications. – Psychosocial – psychotherapy, intensive outpatient for SUDs,

• etc. 10

Up to 80% of those treated for depression show an improvement in their symptoms, usually within four to six weeks of beginning medication, psychotherapy, support groups or a combination of these approaches.

86% of employees treated for depression report improved work performance. 80% of those treated for mental illness report “high levels

• f work efficacy and satisfaction.”

Treatment of depression results about a 40-60% reduction in absenteeism/presenteeism. Early intervention results in decreased disability and avoids more costly levels of care.

As employers, you are in a powerful position to help. What can do about it? Right Direction

Depression awareness initiative for the workplace. Collaboration of The American Psychiatric Association Foundation and Employers Health Goal: increase awareness about depression, reduce stigma and encourage people who need help to seek it. How: provide employers turnkey materials for worksite education to increase employee help-seeking behaviors.

Depression can make you feel alone and lost in the woods. There are many paths toward help. The key is to take a step in the right direction – toward information and help.

Message is Simple

RightDirectionForMe.com

& It’s

FREE

Materials for Employers

“Field Guide” with business case and FAQs Guidance on how to plan, implement and measure the initiative Documents to guide discussions with EAPs and other vendors PPT decks to secure alignment with C-suite & managers Newsletter, intranet content for ease

• f use

Website: RightDirectionforMe.com PHQ-9 depression screening tool Signs and symptoms, getting help How depression feels & how it looks to coworkers Materials Library 12 different Posters, 3 Intranet articles, 4 Logos, 2 Pocket cards Promotional items “Tips to manage stress” pocket cards Bear-shaped stress balls

Employee-facing Materials

Stress bears

Spotting Depression in the Workplace

What depression feels like How it looks to co-workers

Deep feelings of sadness Withdrawal from team, isolates oneself Loss of interest in work or social activities Indifference Difficulty concentrating, slowed thoughts Putting things off, missed deadlines, accidents on the job Forgetfulness and trouble remembering Seems "scattered" or absentminded Trouble making decisions Procrastination, indecisiveness, slowed productivity Trouble sleeping or sleeping too much Late to work, afternoon fatigue, accidents on the job Feelings of worthlessness or inappropriate guilt Unsure of abilities, lack of confidence Energy loss or increased fatigue Low motivation, detached Irritability, anger or tearfulness Inappropriate reactions, strained relationships with co- workers Weight or appetite changes Change in appearance

Depression is now the leading cause

• f ill health and disability worldwide. ”

“

Employee Awareness Posters

Employer Case Examples

CUSTOMIZED POSTERS

CUSTOMIZED WEBSITE

KSU EAP WEBSITE

CAMPSITE IN THE LOBBY

HAPPINESS CELEBRATION

CUSTOMIZED TO CULTURE

PROMOTION TO EMPLOYEES

MULTIPLE ENGAGEMENT POINTS

Three Goals: Talk, Educate & Provide Resources