When Every Day is Monday: Depression in the Workplace and What You - PowerPoint PPT Presentation

When Every Day is Monday: Depression in the Workplace and What You Can Do About It

Today’s Agenda • Partnership for Workplace Mental Health • Why depression matters to employers • What you can do about it: Right Direction

Partnership for Workplace Mental Health Collaborate with employers to advance mental health. Tools to 1. Promote business case for take Strategies early recognition, access & action and case effective treatment. examples Why it 2. Highlight employer case matters examples. 3. Provide tools to increase awareness and help- seeking.

Employer Resources Network of 10,000 companies Make the business case Calculators, literature reviews Share best practices Employer features in Mental Health Works Searchable database of 70 employers representing nearly 3M employees Practical employer guides Working Well Toolkit ]] Mental Health Parity and Addiction Equity Act

1 in 10 people have depression. CDC

MANY DON’T GET HELP • 60% of adults with mental illness didn’t receive mental health services in previous year. • People often suffer for years before getting treated; typically a decade or more of delays – during which time additional problems develop. • Employees with untreated depression who go to work do so with an illness that impairs them physically, mentally, and emotionally.

Untreated Depression Can Result in Suicide Every 15 3,000 times 41,000 deaths MINUTES* a DAY* a YEAR** In 2010, companies spent $8.6B in suicide-related costs in one year ^ and WHO predicts depression will outpace cancer, stroke, war and accidents as the world's leading cause of disability and death by 2030 + *Firestone, L. (n.d.). Suicide: What Therapists Need to Know. American Psychological Association. Retrieved from https://www.apa.org/education/ce/suicide.pdf **National Institute Of Mental Health (n.d.). Suicide in America: Frequently Asked Questions. Retrieved from http://www.nimh.nih.gov/health/publications/suicide- faq/suicideinamerica_faq_508compliant_149986.pdf ^ Greenberg, P. E., Fournier, A. A., Sisitsky, T., Pike, C. T., & Kessler, R. C. (2015). The economic burden of adults with major depressive disorder in the United States (2005 and 2010). Journal of Clinical Psychiatry , 76, 155–162. doi: 10.4088/JCP.14m09298 + World Health Organization (2004). The Global Burden of Disease [PDF]. World Health Organization.

Reasons for NOT GETTING treatment • Inability to afford cost of care (55%) • Not knowing where to go for services (26%) • Believe problem can be handled without treatment (25%) • Not having time to go for care (15%) • Concerned about confidentiality (11%) • Might have negative effect on job (9%)

Employer roles Cost of care Benefit design Don’t know where to go EAP, benefits promotion Handle on own Awareness & education Not having time Policy, culture Confidentiality concerns Policy, education Negative effect on job Policy, culture

Economic Impact of Depression $210.5B in 2010 Absence $23.3B Presenteeism $78.6B Direct medical costs $100 B Suicide- related costs $8.6B Greenberg, P. E., Fournier, A. A., Sisitsky, T., Pike, C. T., & Kessler, R. C. (2015). The economic burden of adults with major depressive disorder in the United States (2005 and 2010). Journal of Clinical Psychiatry , 76, 155–162. doi: 10.4088/JCP.14m09298

World Health Organization 3/30/2017 Announcement: • Depression now leading cause of ill health and disability worldwide with more than 300 million people suffering from the disorder. • Rates of depression have risen by more than 18% since 2005, but a lack of support for the mental health combined with a common fear of stigma means many do not get the treatment they need to live healthy, productive lives. WHO estimates depression and anxiety fuel a global loss of roughly $1 trillion • associated with lost productivity, people being unable to work and health care expenses. • Even in countries with higher incomes and “advanced health care systems,” almost “half of people suffering from depression aren’t properly identified or treated.” “ Depression is now the leading cause of ill health and disability worldwide. ”

A CLOSER LOOK AT PRODUCTIVITY LOSS In a 3-month period, employees with depression miss an Depression is estimated average of 4.8 to cause 400 MILLION WORKDAYS and have lost workdays each year. 11.5 days of REDUCED PRODUCTIVITY. Merikangas KR, Ames M, Cui L, et al. The Impact of Comorbidity of Mental and Physical Conditions on Role Disability in the U.S. Adult Household Population. Archives of General Psychiatry. 2007;64(10):1180–1188. PubMed doi:10.1001/archpsyc.64.10.1180 .

health care resources consumed by employees with depression compared to those without Employees Employees with depression

COMORBIDITY WITH OTHER DISEASES • Increased prevalence of depression with chronic medical illnesses (45% of people with asthma; 27% with diabetes). • Chronic medical conditions adversely affected by mental health conditions. Comorbidity increases impairment in functioning and decreases adherence to prescribed regimens. • Individuals with depression are.. • 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.

Look Beneath the Surface Medical Mental health/substance abuse Pharmacy Disability Presenteeism and lost productivity Absenteeism Overtime to cover sick-day absences Unrealized output Overstaffing Temporary workers Stress on team members Recruitment Hiring costs Retraining

Is Stigma Still an Issue?

Increasing number of people 1996 2006 Neurobiological believe the cause of mental Alcohol dependence 38% 47% illness to be neurobiological. Major depression 54% 67% Schizophrenia 76% 86% Increasing number of people supportive of professional treatment 1996 2006 General med doctor • general medical doctor, • psychiatrist, Alcohol dependence 74% 89% • mental hospital, and/or Major depression 78% 91% • prescription medications. Schizophrenia 72% 87% Bernice A. Pescosolido, Ph.D. et al. "A Disease Like Any Other"? A Decade of Change in Public Reactions to Schizophrenia, Depression, and Alcohol Dependence. American Journal of Psychiatry , 2010.

Acceptance of cause of illness and support for professional treatment did nothing to change prejudice and discrimination, and in some cases, made it worse. Stigma Measure Major Depression Alcohol Dependence Schizophrenia (Social Distance) Unwilling to 1996 (%) 2006 (%) 1996 (%) 2006 (%) 1996 (%) 2006 (%) 46 47 72 74 56 62 Work closely with 23 20 44 39 34 45 Have as a neighbor 35 30 56 54 46 52 Socialize with 23 21 35 36 30 35 Make friends with 57 53 70 79 65 69 Have marry into family Bernice A. Pescosolido, Ph.D. et al. "A Disease Like Any Other"? A Decade of Change in Public Reactions to Schizophrenia, Depression, and Alcohol Dependence. American Journal of Psychiatry , 2010.

Depression can be treated. Well-established that MH/SUD are treatable conditions. For most disorders, there are a range of treatment methods with proven efficacy. – Pharmacological – psychotropic medications. – Psychosocial – psychotherapy, intensive outpatient for SUDs, etc. 10 Up to 80% of those treated for depression show an improvement in their symptoms, usually within four to six weeks of beginning medication, psychotherapy, support groups or a combination of these approaches.

86% of employees treated for depression report improved work performance. 80% of those treated for mental illness report “high levels of work efficacy and satisfaction.” Treatment of depression results about a 40-60% reduction in absenteeism/presenteeism. Early intervention results in decreased disability and avoids more costly levels of care.

As employers, you are in a powerful position to help. What can do about it? Right Direction

Depression awareness initiative for the workplace. Collaboration of The American Psychiatric Association Foundation and Employers Health Goal: increase awareness about depression, reduce stigma and encourage people who need help to seek it. How: provide employers turnkey materials for worksite education to increase employee help-seeking behaviors.

Message is Simple Depression can make you feel alone and lost in the woods. There are many paths toward help. The key is to take a step in the right direction – toward information and help.

RightDirectionForMe.com

& It’s FREE

Materials for Employers “Field Guide” with business case and FAQs Guidance on how to plan, implement and measure the initiative Documents to guide discussions with EAPs and other vendors PPT decks to secure alignment with C-suite & managers Newsletter, intranet content for ease of use

Employee-facing Materials Website: RightDirectionforMe.com PHQ-9 depression screening tool Signs and symptoms, getting help How depression feels & how it looks to coworkers Materials Library 12 different Posters, 3 Intranet articles, 4 Logos, 2 Pocket cards Promotional items “Tips to manage stress” pocket cards Bear-shaped stress balls

Stress bears