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Non Clinical Approach to Mental Health in the Workplace

Non Clinical Approach to Mental 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

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Non Clinical Approach to Mental Health in the Workplace

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  1. Non Clinical Approach to Mental Health in the Workplace

  2. Context

  3. 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

  4. Context and factors that should motivate ACTION and INNOVATION... “….. the longer someone is ill, the more treatment resistant their illness becomes…..” Source: Dr. Diane McIntosh (Psychiatrist)

  5. 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

  6. 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

  7. Struck Down

  8. Set new paradigms Healthy Reacting Injured Ill Social Social Social Social Clinical Clinical Clinical Clinical Adaptive coping Mild and reversible distress or functional impairment More severe, persistent injury or impairment Clinical illnesses and disorders requiring concentrated medical care

  9. Set new paradigms Mental Health Mental Illness Stress Injuries

  10. Set new paradigms Stress Injury FATIGUE GRIEF TRAUMA MORAL CONFLICT

  11. Embrace the obvious After During Before Lack of Social Support Psychiatric History Childhood Abuse Trauma Severity Additional Stressors Other Prior Trauma Journal of Consulting & Clinical Psychology - Brewin et al, 2000

  12. Conceptual Peer Support Continuum Future certified peer support workers Friendship Peer Support Clinical Care Formal Informal Peer Peer Support Support Workplaces MH System

  13. Peer Support “Blue Print” #1 – Certification Process Standards of Practice #2 – Readiness Assessment Organizational requirements for success Code of Conduct Competencies #3 – Implementation protocols Policy development, process #4 – Evaluation Strategy Knowledge Experience Outcomes & Evaluations Methods Principles of Practice Core Values

  14. Alone

  15. References [1] Creamer et al., Guidelines for Peer Support in High-Risk Organizations: AnInternational 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 ResearchVolume 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 Psychiatry33(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;

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