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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