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Preconference – Monday, 9:15 am-3:00 pm

PRECONFERENCE WORKSHOPMENTAL HEALTH IN THE WORKPLACE

Overview of the Day9:15 amSupporting Employee Mental Health at Work

11:00 amAn Employee’s Perspective

12:30 pmEnhancing Outcomes Through Early Detection & Education

2:00 pmEncouraging and Promoting Return to Work

Overview of the Day

Presentations Activities Videos Collaborations

Preconference – Monday, 9:15 am-3:00 pm

Supporting Employee Mental Health At Work

See what employers can do to promote mental health

View the continuum of mental wellness to mental illness

Look at effective programming

Presenters

Sandra TurnerDirector EY Assist/Total Rewards

Jenny HaykinIntegrated Leaves & Accommodations Program Manger

1.1 Million Electric Customers

750,00 Natural Gas Customers

Preconference – Monday, 9:15 am-3:00 pm

3,100 employees

2 unions

6,000+ square mile service area in Washington State

A focus on conservation & green energy

Preconference – Monday, 9:15 am-3:00 pm

Mental Wellness

What mental wellness is

The well to ill continuum &types of support

Triggers and reactions

Interpersonal dynamics

Tips to stay well

Mental Wellness

Preconference – Monday, 9:15 am-3:00 pm

With Mental Wellness You Can…

Use your mind effectively

Be productive in activities

Experience fulfilling relationships with others

Adapt to change and cope with challenges

The Role of Support

• Source: http://www.bridgingthedistance.com/pages/peer.html

Preconference – Monday, 9:15 am-3:00 pm

Where Are You?

Normal functioning

Common, reversible distress

Significant functional impairment

Severe, persistent significant functional impairment

Seeking Support

Support from friends and family Please seek professional help

The Employee Assistance Program (EAP) or your primary care provider can help you locate a specialist near you

Brief professional support may also be useful

The Employee Assistance Program

…and all family members in your home

EAP services are available to you… 

Preconference – Monday, 9:15 am-3:00 pm

A Closer Look at Keeping Healthy

What moves you from here….to here?

Triggers & Personality

Preconference – Monday, 9:15 am-3:00 pm

Some Triggers Vary by Personality Type

Consider…

What triggers you?

What triggers those closest to you?

Individualized TriggerUnexpected changes, environment in disarray

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Individualized Trigger

Unclear directions

Individualized TriggerValue conflicts

Individualized Trigger

Rigid rules

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Individualized Trigger

Repetitive, detailed tasks

Individualized Trigger

Interruptions

Individualized TriggerLack of appreciation

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Individualized TriggerNot enough alone time

Other Triggers

Debt

Other Triggers

Overload

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Other Triggers

Traffic

Other Triggers

Bullying, rejection

Life Event Triggers

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Reactions & Personality

Individualized Reactions

Reactions

Individualized Reaction

• emotional • withdrawn from others• hypersensitive about relationships

Preconference – Monday, 9:15 am-3:00 pm

Individualized Reaction

• intensely angry• rigid• outwardly critical• pessimistic

Individualized Reactionfocused on everyone’s flaws, all the ways they have been hurt by them and how things “should be”

Individualized Reactionpreoccupied with the meaning of life, the future of mankind and the universe

Preconference – Monday, 9:15 am-3:00 pm

Individualized Reaction

hyper-aware of minor bodily sensations or abnormalities, interpreting them as a sign of serious illness

Individualized Reaction

Artist: Jodi Cox

feeling overwhelmed, out of control, unable to sort out priorities and acting inflexible

Individualized Reaction

Artist: Pawel Kuczynski

biting with sarcasm and cynicism

Preconference – Monday, 9:15 am-3:00 pm

Individualized Reaction

Artist: Thea Baldwin

lashing out at others, obsessing over their mistakes, lack of competence and flaws, and self-criticizing

Individualized Reaction

Artist: Vincent Monaco

submitting to self-destructive indulgences, like over-eating, over-exercising, alcoholism, over buying

Individualized Reaction

Artist: Pawel Kuczynski

uncharacteristically angry and quick-tempered, unreasonable, and irrational

Preconference – Monday, 9:15 am-3:00 pm

People’s Reactions Can Trigger Each Other

Artist: Alberto Ruggieri

Triggers Can Create a Chain Reaction

Reaction Intensity Factors

Duration of trigger or life event

Preconference – Monday, 9:15 am-3:00 pm

Reaction Intensity Factors

Severity

Reaction Intensity Factors

Where you were then the trigger or life event began

A Closer Look at Keeping Healthy

What can help move you from here….to here?

Preconference – Monday, 9:15 am-3:00 pm

Taking Care of Yourself

Recognize your triggers and reactions

Taking Care of Yourself

Recognize the triggers and reactions of others

Add a Practice to Your Self-Care

Preconference – Monday, 9:15 am-3:00 pm

Taking Care of Your Mind & Yourself

Taking Care of Yourself

Exercise

Taking Care of Yourself

Spend time in nature

Preconference – Monday, 9:15 am-3:00 pm

Taking Care of YourselfEat a balanced diet

Taking Care of Yourself

Meditate, practice mindfulness, do martial arts or yoga

Taking Care of YourselfGet enough sleep

Preconference – Monday, 9:15 am-3:00 pm

Taking Care of Yourself

Experience Awe

Taking Care of Yourself

Keep a journal

Taking Care of YourselfDo something you are good at and enjoy

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Taking Care of YourselfShare time with animals who make you happy

Taking Care of YourselfShare time with the supportive people in your life

The Role of Wellness Programs

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Thank You

What are triggers that can arise at work?

Preconference – Monday, 9:15 am-3:00 pm

r u ok?

Addressing mental illness and addictionsat EY

2017

Page 74 r u ok? | Addressing mental illness and addictions at EY

EY Overview

► EY is one of the largest professional organizations in the world and is one of the Big Four accounting organizations. We are 231,000 people based in 150 countries.

► Our purpose is building a better working world for our clients, our people and our communities.

► Part of building a better working world for our people is building a culture of caring.

► EY has been named one of Fortune’s “100 Best Companies to Work For” for 19 years.

Page 75 r u ok? | Addressing mental illness and addictions at EY

Impact in the Workplace

EY’s culture of high performance teaming is not immune to the effects of mental illness and addiction in the workplace

Errors in judgment

Absenteeism

Lack of engagement

Conflict with team

members

Death due to suicide and overdose

Impact on physical health

Impact

Preconference – Monday, 9:15 am-3:00 pm

Page 76 r u ok? | Addressing mental illness and addictions at EY

EY Assist Resources

► Immediate counseling support 24/7

► Management consultation

► Training on stress, resilience, mental health and addictions, communications, etc.

► Counseling sessions by phone, online or face-to-face

► Backup care (e.g., child, adolescent, adult or self)

► College coaching

► Daily life research and referrals

► Health and wellness guidance

► Legal assistance

► EY discounts

Page 77 r u ok? | Addressing mental illness and addictions at EY

r u ok?, EY’s first mental illness and addictions initiative, reinforces EY’s culture of caring by asking this simple question. The initiative aims to build awareness, remove the stigma and incite genuine, non-offensive dialog about mental illness and addictions at EY.

How can you participate in r u ok?

1 Help us build EY’s culture of caring by continually supporting your colleagues and helping others in need.

2 If you identify a problem or know someone who is struggling with an issue, have a r u ok? discussion.

3 By talking it through you can better understand the situation and get help – at the firm or externally.

r u ok? Addressing mental illness and addictions at EY

Page 78 r u ok? | Addressing mental illness and addictions at EY

r u ok? TimelineNotice, ask, listen, act

May Aug Sep Oct-Nov Dec-Apr

Advocate outreach –identify PPEDDs, Talent Team and Peers to help promote the campaign

Soft Launch with training for:

► Leaders – Are You OK?

► Talent Team – How can I help?

► Peers – How can a peer be most helpful?

Made r u ok? hotlink available for the signature line of those completing the training. Linked to EY Assist’s achieve solutions website

Launch with US Personnel:

► Leader message

► Video profiles:

► Eating disorder

► Post-partum depression

► Bi-polar condition

► Alcohol/drug abuse

► DNA articles

► Flipbook

► EY Connect Day activity

► Office promotions

National Depression and Mental Health Screening Month activity:

► Virtual screenings for mental illness and addictions

► Local office educational sessions w/local non-profits (NAMI chapters)

► Onsite EY Assist table at NYC office each week in October

Ongoing reinforcement reduced during busyseason

► Electonic newsletter articles on mental health topics

► Drawing for EY blankets with r u ok? logo for those who completed an e-learning.

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Page 79 r u ok? | Addressing mental illness and addictions at EY

Bill’s StoryA11

Page 80 r u ok? | Addressing mental illness and addictions at EY

Compassion has an Impact at Work and Home

► Mental health has an impact on life, productivity and relationships.

► Compassion also has an impact – a very positive impact.

► Leadership makes a difference!

► Focused training for the Talent Team, leadership and peers builds upon EY’s culture of caring:► Recognize

► Respond with empathy

► Link to EY Assist resources

Page 81 r u ok? | Addressing mental illness and addictions at EY

Rachel’s StoryA12

Slide 79

A11 Dee replace this video link with http://players.brightcove.net/1066292269001/V1CXro3Ce_default/index.html?videoId=5398878925001Author, 4/18/2017

Slide 81

A12 Please add screenshot of Rachel, similar to Bill's (slide 14) and link it to http://players.brightcove.net/1066292269001/V1CXro3Ce_default/index.html?videoId=5398907164001Author, 4/18/2017

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Page 82 r u ok? | Addressing mental illness and addictions at EY

Having a r u ok? DiscussionDownload the r u ok? Guide in the e-learning

► Getting ready to ask

► Determine the right person to askthe question

► Be in the right mood to help others

► Be prepared

► Pick your moment

► Having the conversation

► Ask “r u ok?”

► Listen without judgment

► Encourage action

► Addressing concerns

► Privacy

► Impact to career

► Coverage of their work

► Follow-up

Simple steps for asking “r u ok?”

Page 83 r u ok? | Addressing mental illness and addictions at EY

The impact: October 3, 2016-June 30, 2017

24k+ articles read

26k+ website hits

1k+ videos viewed

2k+ event attendees

800 e-learning completed

1k+ EY Assist consultations

Internal: generated 54k+ touch

points among US employees

Page 84 r u ok? | Addressing mental illness and addictions at EY

Summary

► Active contributions by core design team – a nine-month process

► Leadership buy-in and support

► Employee engagement is high with requests for more information and training

► Phase 2 is under way – continued enhancements and expanded rollout (e.g., exploring several new communications channels, including storytelling videos from across the US firm, EY Connect Day, Family to Family sessions and more)

► Challenges and future opportunities

Preconference – Monday, 9:15 am-3:00 pm

Page 85 r u ok? | Addressing mental illness and addictions at EY

Page 86 r u ok? | Addressing mental illness and addictions at EY

Contact Information

Sandra TurnerDirector EY Assist/Total RewardsSandra.turner04@ey.com

Jenny HaykinIntegrated Leaves & Accommodations Program MangerJenny.haykin@pse.com

Comfort Break

Preconference – Monday, 9:15 am-3:00 pm

Small Group Discussion

An Employee’s Perspective

Presenter

Ken BarlowMeteorologist

Preconference – Monday, 9:15 am-3:00 pm

Lunch 11:30 am-12:30 pm

Hilton Anaheim Food CourtMix LoungeMix RestaurantPool Bar & GrillStarbucks™

Enhancing Outcomes Through Early Detection and Education

Early signs Communication Medical documentation

Presenters

Donna HardakerManager, Workplace Mental Health and Peer Engagement

William FrystakDisability Case Manager & Job Plus Coach

Jenny HaykinIntegrated Leaves & Accommodations Program Manger

Preconference – Monday, 9:15 am-3:00 pm

About Sutter Health

Unified not-for-profit healthcare network in California, Hawaii and Utah

Eighth largest health system in the nation - 55,000 employees +10,000 physicians

In 2016, Truven Health Analytics named Sutter Health a top-five performer among large healthcare systems

CEO Sarah Krevans has announced mental health as a core area of focus

About GlaxoSmithKline Global company with ~100,000 employees (>10,000 in US & PR) in the following businesses:

Pharmaceuticals

Consumer Healthcare

Vaccines

Global Manufacturing & Supply

Research & Development

Global Support Functions

About Puget Sound Energy Gas & Electric Energy Company in Washington State

6,000+ square mile service territory

750,000 Natural Gas & 1.1 million electric customers

3,100 employees

2 unions

A focus on conservation and green energy

Preconference – Monday, 9:15 am-3:00 pm

The complexity of mental health challenges in the workplace

Looking at the experience through a lens of workplace psychological health and safety

Recognizing the need for a comprehensive approach

Preconference – Monday, 9:15 am-3:00 pm

What is being done at Sutter Health

Case management

Seeking documented restrictions

Preconference – Monday, 9:15 am-3:00 pm

Peer review

Independent Medical Examination

Fitness for DutyFitness for duty means an individual is in a physical, mental, and emotional state which enables the performance of the essential tasks of his or her work assignment in a manner which does NOT threaten the safety or health of oneself, co‐workers, property, or the public at large. Source: OSHA 2012 

Preconference – Monday, 9:15 am-3:00 pm

Keeping communication open

Video: The Signs

Preconference – Monday, 9:15 am-3:00 pm

Contact InformationDonna ManagerWorkplace Mental Health and Peer EngagementHardakDT@sutterhealth.org

William FrystakDisability Case ManagerWilliam.e.frystak@gsk.com1-919-475-8592 cell phone

Jenny HaykinIntegrated Leaves & Accommodations Program MangerJenny.haykin@pse.com425 462-3278 desk phone

Small Group Discussion

Encouraging and Promoting Return to Work

Resources Communications Job Modifications

Preconference – Monday, 9:15 am-3:00 pm

Presenters

William Frystak, CPDM, CDMS, CLMSDisability Case Manager & Job Plus Coach

Jenny Haykin, M.A, CRCIntegrated Leaves & Accommodations Program Manger

Sourcing

In-house case management

Outsourced case management

Management of leave from beginning through return to work– not providing or directing care

Disability Case Manager & Job Plus Coach

Preconference – Monday, 9:15 am-3:00 pm

Vendor Case Management

Leaves Administrator Counselors Nurse Case Manager

When Caseworkers Start Services

• Designated Point of Contact

• “Good” Communication

• Education / Information

• Foster culture of Support

How to Support an Employee on Leave

Preconference – Monday, 9:15 am-3:00 pm

FMLA & Leave as a Reasonable Accommodation

• At it’s core, the interactive process is a meaningful, ongoing back and forth conversation …

• A designated person can facilitate the conversation consistently…

• Bringing best people into the dialogue right time to engage situations, resolve issues, identify opportunities

• Most important skills: knowledge & communication

Interactive Process

Landmark Court Case:Gambini vs. Total Renal Care

Preconference – Monday, 9:15 am-3:00 pm

Facilitating Return from Leave

Job Plus Coaches

• Coaching for Returners• Provide support via coaching approach to allow

returner to explore RTW challenges

• Safe, confidential setting to identify barriers to return to work

• Empowers employee to explore shift in identity, managing expectations, and beliefs

• Foundation is trust and belief that employee is whole and capable

Cognitive & Behavioral Restrictions

Preconference – Monday, 9:15 am-3:00 pm

About Accommodations

• Accountable point person who can facilitate the *conversation consistently is essential

• Accommodation in writing

• Return to Work meeting with Disability Case Manager as facilitator & accommodation in writing – both provide clarity to all parties & align expectations

*IAP is ‘…ongoing dialogue…’

Two Categories of Job Modifications

Transitional Duty

• Not legally required

Reasonable Accommodation

• Legally required

Transitional Duty

Preconference – Monday, 9:15 am-3:00 pm

Accommodation Case Studies

Preconference – Monday, 9:15 am-3:00 pm

Critical Incidents & Early Intervention

Table Top ExerciseRestrictions & Accommodations

Preconference – Monday, 9:15 am-3:00 pm

Small Group Discussion

Contact Information

William FrystakDisability Case Managerwilliam.e.frystak@gsk.com1-919-475-8592 cell phone

Jenny HaykinIntegrated Leaves & Accommodations Program Mangerjenny.haykin@pse.com425 462-3278 desk phone

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