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ENCOMPASS WORKPLACE MENTAL HEALTHDEPRESSION HURTS WORKBOOK
Copyright eMETA Learning Solutions 2012 1
INTRODUCTIONINTRODUCTIONINTRODUCTIONINTRODUCTION
© 2012 eMeta Learning Solutions
ENCOMPASS WORKPLACE MENTAL HEALTHDEPRESSION HURTS WORKBOOK
Copyright eMETA Learning Solutions 2012 2
ENCOMPASS MISSION
To provide employers with expert training and consulting for early identification and
remediation of mental health issues in the workplace.
DEPRESSION
HURTS…
THE BOTTOM LINE
MODULE II
ENCOMPASS WORKPLACE MENTAL HEALTHDEPRESSION HURTS WORKBOOK
Copyright eMETA Learning Solutions 2012 3
UPON COMPLETION
YOU WILL:
� Understand the prevalence and impact of depression/bipolar disorder in the workplace
� Be aware of the differences between depression and sadness
� Be familiar with the different causes of depression/bipolar disorder
� Be able to identify the problem behaviors that may be signs of depression/bipolar disorder
� Be able to recognize some of the workplace strategies that promote mental health receptive organizations
END OF INTRODUCTIONEND OF INTRODUCTIONEND OF INTRODUCTIONEND OF INTRODUCTION
SECTION 1SECTION 1SECTION 1SECTION 1
ENCOMPASS WORKPLACE MENTAL HEALTHDEPRESSION HURTS WORKBOOK
Copyright eMETA Learning Solutions 2012 4
Understanding the Prevalence of Depression and
Bipolar Disorder in the workplace
DEPRESSION MYTHS & FACTS
� Depression is hurtful but not a major medical condition
� If your parent and grandparent had depression, you’re sure to get it eventually
� Only emotionally troubled people become depressed
� Most people with depression never go to a mental health professional
Quiz on Depression Myths
� Depression is most common in elderly people
� Depression causes physical pain
� Talking about depression only makes it worse
� Being optimistic can cure depressionQuiz on Depression Myths
DEPRESSION MYTHS & FACTS
ENCOMPASS WORKPLACE MENTAL HEALTHDEPRESSION HURTS WORKBOOK
Copyright eMETA Learning Solutions 2012 5
DEPRESSION HURTS…
� Depression can hurt both the employee and employer
� Physical symptoms often accompany depression
� Depression is very common among workers today
QUIZ:
How many individuals will Suffer at Least One Episode of Major Depression During
Their Lifetime?
a. 1 in 30
b. 1 in 20
c. 1 in 10
d. 1 in 5
ONE IN FIVE…
Individuals will Experience at Least One Episode of Major
Depression During Their LifetimesLifetime Prevalence of Depression
ENCOMPASS WORKPLACE MENTAL HEALTHDEPRESSION HURTS WORKBOOK
Copyright eMETA Learning Solutions 2012 6
DEPRESSION HURTS…THE BOTTOM LINE
� Depression is the #1 cause of disability in developed countries
� 37% to 43% of workers with untreated 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
Duke University Medical Center researched 37 US Presidents and found that:
� 49% had mental health conditions sometime during their life
The Journal of Nervous and Mental Disease
� 27% had episodes of illness while in office
� 24% suffered from depression
ENCOMPASS WORKPLACE MENTAL HEALTHDEPRESSION HURTS WORKBOOK
Copyright eMETA Learning Solutions 2012 7
TERRY BRADSHAW
"I know what I went through was real. Depression is a physical illness. The beauty of it is that there are medications that work. "
If Terry Bradshaw can do it…
TAKE AWAY
By the year 2020 depression will rank as the 2nd leading cause of worldwidedisability
Global Burden of Disease study
Let’s Review
� One in five of us will experience at least one episode of major depression in our lifetime.
� Depression is the leading cause of disability in the United States.
� The primary cost of depression for employers is the high rate of absenteeism and presenteeism.
ENCOMPASS WORKPLACE MENTAL HEALTHDEPRESSION HURTS WORKBOOK
Copyright eMETA Learning Solutions 2012 8
END OF SECTION 1END OF SECTION 1END OF SECTION 1END OF SECTION 1
SECTION 2SECTION 2SECTION 2SECTION 2
The True Cost Of Depression
ENCOMPASS WORKPLACE MENTAL HEALTHDEPRESSION HURTS WORKBOOK
Copyright eMETA Learning Solutions 2012 9
MEDICAL COSTS & LOST
PRODUCTIVITY
Cincinnati Enquire November 30, 2009
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
� ancientsword's photostreamPatrick J. Lynch's photostream
+
THE MIND AND BODY
CONNECTION
ENCOMPASS WORKPLACE MENTAL HEALTHDEPRESSION HURTS WORKBOOK
Copyright eMETA Learning Solutions 2012 10
CO-OCCURRING DEPRESSION
CAN RAISE TOTAL COSTSPrimary
ConditionCo-occurring Depression
Increase in Total Cost
Asthma 40% 183%
Heart Disease 35% 163%
Arthritis 25% 183%
Diabetes 25% 109%
UNDENIABLE MIND + BODY
CONNECTION
Workers’ comp costs are 2.3 x higher for
those with co-occurring depression
Source: Musich S, et al. J Occup Environ Med. 2001 Jun;43:534-41
IntangibleArts' photostream
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
ENCOMPASS WORKPLACE MENTAL HEALTHDEPRESSION HURTS WORKBOOK
Copyright eMETA Learning Solutions 2012 11
� Untreated depression costs a business more than the treatment
� People with high rates of medical service use, have four times the prevalence of depression and anxiety disorders
Mental Health Cost to Businesses
Let’s Review
END OF SECTION 2END OF SECTION 2END OF SECTION 2END OF SECTION 2
SECTION 3SECTION 3SECTION 3SECTION 3
ENCOMPASS WORKPLACE MENTAL HEALTHDEPRESSION HURTS WORKBOOK
Copyright eMETA Learning Solutions 2012 12
Understanding The Difference Between Sadness and
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:
dnwallace's photostream
ENCOMPASS WORKPLACE MENTAL HEALTHDEPRESSION HURTS WORKBOOK
Copyright eMETA Learning Solutions 2012 13
Depression is a serious neurobiological disease that
affects millions of people each year
Depression can be as distressing as any physical illness
VIDEO Dr. Tracey Skale on Depression
DEPRESSION IS NOT JUST A
STATE OF MIND
Family History
Trauma &
Stress
Physical Conditions
Other Disorders
Depression is related to physical changes in
the brain and connected to an
imbalance of a type of chemical that carries signals in your brain and nerves. These
chemicals are called neurotransmitters Neurotransmitters Video
ENCOMPASS WORKPLACE MENTAL HEALTHDEPRESSION HURTS WORKBOOK
Copyright eMETA Learning Solutions 2012 14
JOB STRESS AND
DEPRESSION
Workers with high job stress:
� were four times more likely to have depressive symptoms and
� 70 % more likely to score in the "clinically depressed" range
Journal of Occupational and Environmental MedicineOctober 19, 2006
DEPRESSION HAS MANY
FACES� Too quiet or speaking
too much
� Sleeping too much ornot enough
� Frequently tearful or unable to express emotion
� Isolating him/herself or almost terrified of being left alone
� Can't work at all or behaves like a workaholic
National Alliance on Mental Illness
� Difficulty in concentrating at all or completely focused on only a few issues
� Difficulty making decisions
� Eating excessively or minimally
� Loss of interest in normal daily activities
� Feeling sad, down, hopeless, or worthless
� Irritability, restlessness, being easily annoyed
� Feeling fatigued or weak
� Thoughts of suicide or suicidal behavior
� Unexplained physical problems, such as back pain or headaches
ENCOMPASS WORKPLACE MENTAL HEALTHDEPRESSION HURTS WORKBOOK
Copyright eMETA Learning Solutions 2012 15
DEPRESSION IS DIFFERENT
IN MEN
� > 6 million menin the U.S. have at leastone episode of majordepression each year
� Men tend to becomeirritable, aggressive, orhostile
Depression in Men
DEPRESSION IS DIFFERENT
IN MEN
� Tend to deny havingproblems because they aresupposed to "be strong.“
� A staggering 75% to 80%of all people who commitsuicide in the U.S. are men.
Depression in Men
DEPRESSION SCREENING
This screening may help identify any depressive
symptoms and determine whether a
further evaluation by a medical or mental
health professional is necessary..
http://www.depression-screening.org/depression_screen.cfm
ENCOMPASS WORKPLACE MENTAL HEALTHDEPRESSION HURTS WORKBOOK
Copyright eMETA Learning Solutions 2012 16
People who suffer with even "light" or minor depression may actually be about six
times more likely to progress into a serious
depressive episode.
Depression: When a Little Blue Turns into Thick Clouds
of Darkness
Yet many of us are trained from childhood to ignore a sense of the blues. We're
told to smile, to fake it until we can make ourselves feel
better. Depression: When a Little Blue Turns into Thick Clouds of
Darkness
Food For Thought
The symptoms of depression are both common and different. Can you give an example of this?
ENCOMPASS WORKPLACE MENTAL HEALTHDEPRESSION HURTS WORKBOOK
Copyright eMETA Learning Solutions 2012 17
The Answer
Some of the common symptoms are fatigue, trouble sleeping, and sadness that won’t go away. However, some symptoms are different in men than women. Men tend to express depression with irritability and anger.
END OF SECTION 3END OF SECTION 3END OF SECTION 3END OF SECTION 3
SECTION 4SECTION 4SECTION 4SECTION 4
ENCOMPASS WORKPLACE MENTAL HEALTHDEPRESSION HURTS WORKBOOK
Copyright eMETA Learning Solutions 2012 18
Understanding Bipolar Disorder
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
VIDEO Dr. Tracey Skale on Bipolar
CHARACTERISTICS OF
BIPOLAR DISORDER
� Bipolar disorder affects about 1 in 25 Americans
� Mood swings from overly happy and excited to overly irritable and angry
• 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
ENCOMPASS WORKPLACE MENTAL HEALTHDEPRESSION HURTS WORKBOOK
Copyright eMETA Learning Solutions 2012 19
JANE PAULEY
"Anybody can get this;
you don’t need to be ashamed of
yourself, and you can get
through it."
NAMI | Jane Pauley: The Sanest Person in Television
Catherine ZetaCatherine ZetaCatherine ZetaCatherine Zeta----Jones: 'There Jones: 'There Jones: 'There Jones: 'There
Is No Need to Suffer Silently'Is No Need to Suffer Silently'Is No Need to Suffer Silently'Is No Need to Suffer Silently'
"If my revelation of having bipolar II has encouraged one person to seek help, then it is worth it. There is no need to suffer silently and there is no shame in seeking help."
http://www.flickr.com/photos/shankbone/with/7089463283/
AVERAGE LOST WORKDAYS
IN A YEAR
0.0
20.0
40.0
60.0
80.0
Bipolar disorder disrupts the workplace
PER U.S.
WORKER
With Depression
With Bipolar
40 days
65.5 days
ENCOMPASS WORKPLACE MENTAL HEALTHDEPRESSION HURTS WORKBOOK
Copyright eMETA Learning Solutions 2012 20
Let’s Review
Bipolar disorder is less common than depression but far more costly to
employers because of greater rates of absenteeism.
END OF SECTION 4END OF SECTION 4END OF SECTION 4END OF SECTION 4
SECTION 5SECTION 5SECTION 5SECTION 5
ENCOMPASS WORKPLACE MENTAL HEALTHDEPRESSION HURTS WORKBOOK
Copyright eMETA Learning Solutions 2012 21
KEEPING QUIET KEEPING QUIET KEEPING QUIET KEEPING QUIET --------
SUFFERERS FEAR SUFFERERS FEAR SUFFERERS FEAR SUFFERERS FEAR
DISCLOSUREDISCLOSUREDISCLOSUREDISCLOSURE
STIGMA IS A SERIOUS
BARRIER Fe
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 PROBLEMS
ARE STILL TABOO IN THE
WORKPLACE
annikaleigh's photostream
ENCOMPASS WORKPLACE MENTAL HEALTHDEPRESSION HURTS WORKBOOK
Copyright eMETA Learning Solutions 2012 22
The behavioral problems associated with untreated depression or bipolar
disorder result in
real, significant, and measurable
financial losses.
SUCH AS…
� High Turnover
� Customer Complaints
� Lost Revenue
� Decreased productivity
� Increased Costs
STIGMA
UNTREATED DEPRESSION
REDUCED PRODUCTIVITY
INCREASED COSTS
LOWER MORALE
A NEGATIVE DYNAMIC IS
SET IN MOTION
ENCOMPASS WORKPLACE MENTAL HEALTHDEPRESSION HURTS WORKBOOK
Copyright eMETA Learning Solutions 2012 23
FEW SUPERVISORS ARE
TRAINED
Only 15% of supervisors are trained to recognize behaviors related to mental health conditions
Foreign and Commonwealth Office's photostream
PRODUCTIVITY IMPACT PRODUCTIVITY IMPACT PRODUCTIVITY IMPACT PRODUCTIVITY IMPACT
MODELMODELMODELMODEL
This model can help estimate the cost of depression to your company and can also project the benefits when depressed employees receive treatment
Depression Calculator
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
ENCOMPASS WORKPLACE MENTAL HEALTHDEPRESSION HURTS WORKBOOK
Copyright eMETA Learning Solutions 2012 24
Let’s Review
� Employers can avoid long term problems by addressing employee depression at the first signs of depression in the workplace
� Most employees who are dealing with depression will benefit from early intervention
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!!!
DR. TRACEY SKALE ON
THE TREATMENT OF
DEPRESSION
VIDEO Dr. Tracey Skale on the Treatment of Depression
ENCOMPASS WORKPLACE MENTAL HEALTHDEPRESSION HURTS WORKBOOK
Copyright eMETA Learning Solutions 2012 25
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
TREATMENT SUCCESS
RATES ARE HIGH
75%80% 80%
45%
0%
20%
40%
60%
80%
100%
AN
XIE
TY
MA
JOR
D
EP
RE
SS
ION
BIP
OLA
R
HE
AR
T
DIS
EA
SE
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
ENCOMPASS WORKPLACE MENTAL HEALTHDEPRESSION HURTS WORKBOOK
Copyright eMETA Learning Solutions 2012 26
Blood Test Diagnoses
Depression
http://www.flickr.com/photos/wcowperthwaite/
MONTEL WILLIAMS
DISCUSSES HOW TO
HANDLE YOUR DEPRESSION
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 ASSET
IN MIND
ENCOMPASS WORKPLACE MENTAL HEALTHDEPRESSION HURTS WORKBOOK
Copyright eMETA Learning Solutions 2012 27
There is a compelling
business case for a
positive, all-
encompassing
approach to mental
health conditions in the
workplace
WORKPLACE STRATEGIESWORKPLACE STRATEGIESWORKPLACE STRATEGIESWORKPLACE STRATEGIES
Provide:
� Education on mental health conditions
� Access to mental health screening tools
� Coverage for mental health treatment when needed
� Instruction of how to access resources
www.workplacementalhealth.org
Provide:
� Prescription medication coverage for mental health conditions
� Coaching managers in respectful and reflective listening
� Training in identification of job performance problems related to mental health conditions
WORKPLACE STRATEGIESWORKPLACE STRATEGIESWORKPLACE STRATEGIESWORKPLACE STRATEGIES
ENCOMPASS WORKPLACE MENTAL HEALTHDEPRESSION HURTS WORKBOOK
Copyright eMETA Learning Solutions 2012 28
WORKPLACE STRATEGIESWORKPLACE STRATEGIESWORKPLACE STRATEGIESWORKPLACE STRATEGIES
Provide:
� Disability management services to facilitate timely return-to-work
� Mental health and stress management through a comprehensive wellness and health promotion program
QUIZ
True or False
A person treated for depression is less likely to recover than a person
treated for a heart condition.
If you answered FALSE
Then you would be correct. A person treated for depression has a 75% success rate versus 45% for heart
disease.
ENCOMPASS WORKPLACE MENTAL HEALTHDEPRESSION HURTS WORKBOOK
Copyright eMETA Learning Solutions 2012 29
quinn.anya's photostream
END OF SECTION 5END OF SECTION 5END OF SECTION 5END OF SECTION 5
Deborah Dutton Lambert, MBA, PC, [email protected]
Daina R. Dennis, MBA, [email protected]
Contact Information
www.encompasselearning.com
© 2012 eMeta Learning Solutions