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ENCOMPASS WORKPLACE MENTAL HEALTHDEPRESSION HURTS WORKBOOK

Copyright eMETA Learning Solutions 2012 1

INTRODUCTIONINTRODUCTIONINTRODUCTIONINTRODUCTION

© 2012 eMeta Learning Solutions



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



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



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



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



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



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.



END OF SECTION 1END OF SECTION 1END OF SECTION 1END OF SECTION 1


The True Cost Of Depression



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



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



� 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





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



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



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



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



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?



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.





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



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



Let’s Review

Bipolar disorder is less common than depression but far more costly to

employers because of greater rates of absenteeism.





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



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



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



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



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



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



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





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.



quinn.anya's photostream


Deborah Dutton Lambert, MBA, PC, [email protected]

Daina R. Dennis, MBA, [email protected]

Contact Information

www.encompasselearning.com

© 2012 eMeta Learning Solutions

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