mental health … the second wave of the pandemic

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© 2020 American Psychiatric Association Foundation. All rights reserved. Mental Health … The Second Wave of the Pandemic Darcy Gruttadaro, J.D. Director, Center for Workplace Mental Health Workplacementalhealth.org

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© 2020 American Psychiatric Association Foundation. All rights reserved.

Mental Health … The Second Wave of the PandemicDarcy Gruttadaro, J.D.Director, Center for Workplace Mental Health

Workplacementalhealth.org

The world has changed … and

Mental health has taken center stage.

© 2020 American Psychiatric Association Foundation. All rights reserved.3

Extremely Challenging Times for Mental Health

COVID-19 Pandemic

Racial & Political Tensions

Economic Uncertainty

Sustained Fear & Stress

Collective Grief & Loss

Social Distancing & Isolation

Extreme Disruption

A trifecta

© 2020 American Psychiatric Association Foundation. All rights reserved.4

Latest U.S. Census Data …

Rates of depression and anxiety symptoms have more than tripled in 2020 when compared with rates in 2019. - U.S. Census Survey Data, October 2020

While nations struggle to manage the initial waves of the death and disruption associated with the pandemic, accumulating evidence indicates another “SECOND WAVE” is building: rising rates of mental

health and substance use disorders. - JAMA, 10/12/2020

© 2020 American Psychiatric Association Foundation. All rights reserved.5

Guides: Addressing Covid-19, MH & Wellbeing…

Workplacementalhealth.org

> 216K page views!

Introducing the LEAD Framework

What can employers do?

LEAD

© 2020 American Psychiatric Association Foundation. All rights reserved.7

LEAD … in a rapidly changing world

Leadership

Effective Communication

Adapt to Change

Double down on Access

Reassure, normalize, show empathy, make MH visible!

Routine, listen, be available, be a trusted source

Policies, practices, expectations, style, flexibility

Prevention, support, EAP, MH & SUD care

Strengthen Prevention

Share signs of common MH conditions

Promote early and easy access to care

Share stress management strategies

Promote resiliency

Consider Employee Resource Groups

Promote meditation & mindfulness

© 2020 American Psychiatric Association Foundation. All rights reserved.9

Doubling Down on Access to Care

EAP: are > people reaching out?

Are digital options offered?

Health plan benefits: are people connecting with care they need?

Access to care is a major challenge!!

Working to forge a Path Forward …

Mental health is extremely difficult to navigate.Can employees connect with services & supports?

National Technical Resource TeamEducation to NationalStakeholders

(Consultants, Industry Groups)

Advise and Support Coalitions

Website /Tools/SpeakersBureau

The PATH FORWARD Five-Year PlanNetworkAccess

Measurement-based Care

Collaborative Care

MH Parity Compliance

Tele-behavioral Health

NATIONAL STEERING COMMITTEENational Alliance of Healthcare PurchaserCoalitions

HR Policy Association and American Health Policy InstituteAmerican Psychiatric Association

APAF Center for Workplace Mental HealthBowman Family Foundation

Meadows Mental Health Policy Institute

30 Non-RESET Coalitions Purchaser Engagement Initiative

Educate consultants /employers

Enlist Purchaser “Sign-On” to Initiative

Execute 10 Universal Action Steps

Eight RESET RegionsMulti-Stakeholder Change Initiative

Establish Regional Baseline

Foster Stakeholder Plan

Project Management/ Problem Resolution

BEHAVIORAL HEALTH SUPPLY CHAIN

Benefits Consultants Employers/Plan Sponsors Health Plans/TPAsPBMs

Health SystemsPrimary CareBH Specialists

RESET

egionalmployertakeholderngagementeam

RESET

© 2020 American Psychiatric Association Foundation. All rights reserved.11

How do we support better connection to care?

Only ½ of people with mental health conditions get help. Why? Stigma, myths, stereotypes Fear of judgment Not sure how to access care

How do we increase the number of people seeking care when it’s needed?

© 2020 American Psychiatric Association Foundation. All rights reserved.12

An e-Learning training module for leaders and people managers that supports them to: Understand the impact of mental health on employees and the

organization.

NOTICE what may be signs of potential mental health concerns.

Know how to TALK with a person they may be concerned about.

Be better equipped to ACT by connecting a person with services and supports.

© 2020 American Psychiatric Association Foundation. All rights reserved.13

NOTICE changes that are not typical

The key word is “changes,” suggesting that a person may be experiencing mental health challenges.

It’s not about suggesting a mental health diagnosis. Rather it’s about seeing changes in a person’s:

o Appearanceo Behavioro Moodo Thinking

© 2020 American Psychiatric Association Foundation. All rights reserved.14

TALK by Checking In

© 2020 American Psychiatric Association Foundation. All rights reserved.15

ACT: Connecting the Person with Services and Supports

© 2020 American Psychiatric Association Foundation. All rights reserved.16

Rich Array of NTA at Work Resources

Art of Listening Caregiving

Crisis Response Protocol for a Mental Health

Crisis

Disability and Accommodations Eating Disorders

Employee Assistance

Programs (EAPs)

Employee Resource Groups

(ERGs)

External and Community Resources

Factors Impacting Mental Health

Family and Medical Leave

(FML)

Leave Management and Return-to-Work

Loneliness NTA at Work Overview

Privacy and Confidentiality

Psychological Safety

Racism and Trauma at Work

Remote Work and Mental Health Substance Misuse Suicide Prevention

Warning Signs of Mental Health

Conditions

20 Downloadable Resources!

Learn more about Notice. Talk. Act.™ at Work?

WorkplaceMentalHealth.org/NTAatWork

© 2020 American Psychiatric Association Foundation. All rights reserved.18

Contact Information

Darcy Gruttadaro, DirectorEmail: [email protected]

Visit: workplacementalhealth.org@darcygrutt

As Uncertainty Remains, Anxiety and Stress Reach a Tipping Point at Work. Oracle Report Nov. 2020