www.mhand.org April 27, 2015 Mental Health at Work
www.mhand.org April 27, 2015 Objectives: 1.Discuss mind, body and soul interaction to achieve balance. 2.Develop communication strategies to successfully manage conflict in the workplace. 3.Identify community resources 4.Recognize the signs of workplace stress and anxiety including job burnout.
3 Note: The information contained in this presentation and being presented is provided for general knowledge and education. It is not intended as a replacement for advice from a medical professional.
4 The Connection + Workers’ Mental Health + The Work Environment
5 “Health” is a complete state of: Physical Well-being (body) + Mental Well-being (mind) also referred to as Emotional Health or Mental Health + Social Well-being (soul)
6 Our “Mental Health” It has to do with how we function mentally. It affects productive activities, fulfilling relationships with others, and the ability to adapt to change and cope with adversity. Our brain is an organ just like our heart, liver, kidneys – it can get “sick” and suffer from a mental health condition (mental illness)
7 Our Mental Health and Work Our mental health affects our ability to: Think and be productive Be creative and innovative Establish positive relationships with coworkers Adapt to an ever-changing work environment Cope with adversity
8 Basically, Work is Enjoyable Provides structure Opportunity to socialize Provides a sense of accomplishment Is a source of happiness
9 Downsizing Mergers Restructuring Doing more with less Change Layoffs Higher expectations More demands More pressure The Ever-Changing Workplace Can be a Jungle
10 Each year, in a typical office of 20 people, 4 will suffer from a mental health condition 1 million employees miss work each day due to work stress Economy loses billions of dollars to mental health conditions each year As a Result…
11 COST TO EMPLOYERS Untreated mental disorders impact workforce productivity and affect the company bottom line. Mental illness and substance abuse annually cost employers in indirect costs an estimated $80 to $100 billion. 1 Individuals who are depressed but not receiving care for the condition consume two to four times the healthcare resources of other enrollees. 1 More workers are absent from work because of stress and anxiety than because of physical illness or injury. 2 Mental illness short-term disability claims are growing by 10% annually and can account for 30% or more of the corporate disability experience for the typical employer. 2 1 An Employer’s Guide to Behavioral Health Services, National Business Group on Health, December 2005 2 Marlowe JF: Depression’s Surprising Toll on Worker Productivity, Employee Benefits Journal, March 2002, pp. 16-20.
12 HIDDEN COSTS Employees with depression cost employers $44 billion per year in lost productive time. 1 More days of work loss and work impairment are caused by mental illness than many other chronic conditions such as diabetes, asthma, and arthritis. 2 Individuals with depression are about 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. 3 1 Stewart WF et al: Cost of Lost Productive Work Time Among U.S. Workers with Depression. JAMA, June 18, 2003, pp. 3135- 3144. Employer’s Guide to Behavioral Health Services, National Business Group on Health, December 2005 3 Sederer LI et al: Integrating Care for Medical and Mental Illnesses. Preventing Chronic Disease, April 2006
13 As a Result… Increased employee absenteeism Increased tardiness Increased turnover Diminished productivity Performance problems/issues Safety concerns/potential work accidents These all have a negative effect on a business’ s bottom line.
14 The Workplace Can Sometimes Lead to: + Stress (+ Job Burnout) + Anxiety + Depression
15 Stress is a part of life, it’s all around us Dealing with it successfully is necessary for adaptation and growth A Necessary Evil? Maybe.
16 Why We Feel Stressed A combination of what is happening to us both on and off the job – each of us has individual factors Try to balance work, family, friends/community, and self needs Try to be all things to all people – “do it all” Information overload/too many choices A rapidly changing world (technology, terrorism – we’re forced to adapt)
17 Stress-Causing Work Conditions Heavy workload/too many hats/rapid change/unrealistic deadlines Hectic and routine tasks that have little meaning or tasks that do not utilize workers’ skills or capabilities Inability to make your own decisions Job insecurity/lack of opportunity for growth Uncertain/conflicting job expectations
18 Stress-Causing Work Conditions Isolation Long work hours/shift work Poor employer communication Relationships (management, supervisors, coworkers, and subordinates) Physical conditions (noise, air quality, personal space, equipment, ergonomic problems)
19 Signs of Stress Feeling constantly overwhelmed Strained relationships “Little things” set us off frequently Headache Sleep disturbances/changes High blood pressure Withdrawal Memory loss
20 Signs of Stress Lack of concentration Poor job performance Changes in appetite Low self-esteem Nervousness Upset stomach Cold hands and feet – caused by poor circulation
21 Stress is a contributing factor in 80% of major illnesses: Immune system is weakened, making us more susceptible to ailments Cancer/ulcers Heart disease/diabetes Skin disorders Workplace injury And also, suicide. The newest research shows that chronic stress can actually double our risk of having a heart attack Stress and Your Physical Health
22 Job Burnout: A Reaction to Stress It can leave you feeling: Powerless Hopeless Fatigued Drained Frustrated
23 Factors Related to Job Burnout Overworked/too many responsibilities Underappreciated Resentful about duties that are not commensurate with pay Confused about expectations and priorities Concerned about job security
24 Early Warning Signs of Job Burnout Dread of going to work in the morning You care less than you used to about your job Chronic fatigue – exhaustion, tiredness, a sense of being physically run down Cynicism, negativity, and irritability Anger at those making demands
25 How Do You Score? Take a Burnout Inventory. Visit this web site: http://www.lessons4living.com
26 Anxiety It’s o.k. to experience “normal anxious feelings” Almost everyone experiences anxiety from time to time A normal reaction to stress Is a worried, uptight feeling Typically, it goes away when the triggering event is over May grow out of a conflict between what we would like to do and what we think we should do
27 Anxiety: When it’s a Problem When it becomes an excessive, irrational dread of everyday situations Interferes with daily activities When excessive fear or worry are out of proportion to the situation Difficult to control These feelings are more intense and last longer than normal feelings of anxiety
28 What is Depression? A medical disorder with a biological and chemical basis It affects thoughts, moods, feelings, behavior, and even physical health Depression is the second leading cause of disability in the U.S. (ischemic heart disease is #1)
29 Factors that Contribute to Depression Stressful life events (death, loss of job) Environmental factors (continuous exposure to violence, neglect, abuse, disasters, or poverty) Personality (low self-esteem) and personality traits (positive or negative) Trauma/biochemistry/genetics /medications/or no trigger at all
30 Signs of Depression Persistent feelings of sadness or anxiety Loss of interest or pleasure in usual activities/withdrawal Insomnia or oversleeping Trouble concentrating/making decisions/thinking clearly – problems with memory Persistent negative view of yourself, your situation, and the future
31 Signs of Depression Loss of energy or increased fatigue Thoughts of death, dying, or suicide Note: Signs take different forms for different age groups. Brochures are available in the back of the room on the these topics.
33 Help Give Stress the Boot Proper diet, exercise, and sleep Set realistic goals Talk with others – it helps restore your energy Help others – connect with a cause or community group Take steps to try to recognize your own personal symptoms of stress Look at your lifestyle – see what can be changed Have some fun – take time for you
34 Stomp Out Burnout Identify the job concerns that make you feel stressed Talk to your supervisor about your concerns/changing job responsibilities Focus on positive aspects Learn effective time management Improve your coping skills. Take the test at http://discoveryhealth.queendom.com/ coping_short_access.html http://discoveryhealth.queendom.com/ coping_short_access.html Look at other job/career options
35 Use facts to deal with anxiety – they help “quiet” your mind and help you regain control Medications Psychotherapy (“talk therapy”) Dealing With Anxiety
36 Getting Beyond Depression Seek medical help for an accurate diagnosis Medications Psychotherapy (“talk therapy”) Re-establish harmony or balance within the body and in the lifestyle: aromatherapy; vitamins; and proper diet, exercise, and sleep Note: Visit www.mhand.org to take a free online depression screening.www.mhand.org
37 Handling Workplace Situations “We’re all in this together.” Remember that everyone reacts differently to situations and stress and may have different levels of flexibility If you find yourself upset in a situation, try to remain calm so a more productive conversation can occur – if that’s not possible, explain that you need to step away. Always remember your body language.
38 “We’re all in this together.” Addressing office gossip: walk away, change the subject, state “I’m not comfortable talking about other people…” Communication: Offer ideas for improved communication at work. Be part of the solution.
39 “We’re all in this together.” Dealing with someone who’s angry: Make a friendly gesture (sit down, glass of water, visit in private) Validate their feelings (“I can see why you might think that…” show you care) Listen (Wait for them to finish, say “So, what I hear you saying is…”) State your position in a manner that neither takes blame nor throws it (“I’m sorry this situation has made you so upset…”In the future, I will try to….”)
40 “We’re all in this together.” The “office bully" who makes trouble: ignore them, talk to your supervisor and document inappropriate behavior, or address the person in a calm and self-assured way The “Oops”, “I can’t believe I did that!”: address the issue timely, sincerely, and appropriately – then move on
41 Talk About It Break down the barriers that prevent you from seeking treatment Remember, asking for help is not a sign of weakness – taking care of ourselves is a sign of strength
42 Getting Help Employee Assistance Program (EAP) Your Human Resources Department Your primary care provider A spiritual or religious leader/counselor Mental Health America of North Dakota: Dial 2-1-1 or visit www.mhand.orgwww.mhand.org
43 Calls are FREE and CONFIDENTIAL It’s for everyday needs and in times of crisis Serves as a “one-stop-shop” connecting people to health and human services information (our complete database of resources is on the web at ww.mhand.org – just click below the 2-1-1 logo)ww.mhand.org Is staffed 24/7 by call center specialists Serves all North Dakotans statewide Resource Library (over 1,500 titles) online at www.mhand.orgwww.mhand.org Dial 2-1-1
44 Questions This presentation was developed by and is the property of MHAND, PO Box 4106 – Bismarck ND 58502-4106 www.mhand.org Phone: 2-1-1 or 1-800-472-2911 Your comments and suggestions are welcome. Please email: email@example.com