Google Sniper

Showing posts with label Mental health. Show all posts
Showing posts with label Mental health. Show all posts

Monday, 30 January 2017

Understanding Depression - What treatments are available?

Antidepressants

Antidepressants work on chemical messengers in the brain to lift your mood. The usual recommendation is that you stay on them for six months. There can be some unpleasant side effects, which are worse to begin with.
Of the various different types available, SSRIs (selective serotonin reuptake inhibitors) are usually better tolerated.
When coming off anti-depressants, it is important to reduce the dose slowly over a period of weeks to avoid withdrawal symptoms.

Psychological treatments

Counselling can be short or long-term. It involves talking with someone who is trained to listen with empathy while you express your feelings and find your own solutions to your problems.

Cognitive Behaviour Therapy (CBT)

Identifies and helps change negative feelings affecting behaviour and may last up to 12 months.

Interpersonal Psychotherapy (IPT)

Focuses on relationships. Therapy often continues for six to 12 months.

Psychodynamic counselling/Physchotherapy

Psychodynamic counselling or psychotherapy focuses on how past experiences may be contributing to experiences and feelings in the present.
Psychotherapy is not usually available on the NHS. It is more frequent and intensive than counselling. For lists of qualified and regulated therapists, visit the British Association for Counselling and Psychotherapy at www.bacp.co.uk.

Source:  http://www.retailtrust.org.uk/services/retailhub/emotional-support/understanding-depression/available-treatments

Saturday, 27 August 2016

11 Facts About the Mental Health of Our Troops

Welcome to DoSomething.org, one of the largest orgs for young people and social change! After you've browsed the 11 facts (with citations at the bottom), take action and volunteer with our millions of members. Sign up for a campaign and make the world suck less.

  1. Depression and post-traumatic stress disorder (aka PTSD, an anxiety disorder that follows experiencing a traumatic event) are the most common mental health problems faced by returning troops.
  2. The most common symptoms of PTSD include: difficulty concentrating, lack of interest/apathy, feelings of detachment, loss of appetite, hypervigilance, exaggerated startle response, and sleep disturbances (lack of sleep, oversleeping.
  3. Post-traumatic stress disorder is diagnosed after several weeks of continued symptoms.
  4. In about 11 to 20% of veterans of the Iraq and Afghanistan wars (Operation Iraqi Freedom and Operation Enduring Freedom) have been diagnosed with PTSD. Create a support board so your friends can show leave messages of encouragement for troops suffering from PTSD and other illnesses. Sign up for Support Board.
  5. 30% of soldiers develop mental problems within 3 to 4 months of being home.
  1. 55% of women and 38% of men report being victim to sexual harassment while serving in the military
  2. Because there are more men than women in the military, more than half of all veterans experiencing military sexual trauma (MST) are men.
  3. An estimated 20% of returning Iraq and Afghanistan veterans turn to heavy drinking or drugs once they return to the US.
  4. Between 10 and 20% of Iraq and Afghanistan veterans have suffered a traumatic brain injury (TBI). Possible consequences of this internal injury include anger, suicidal thoughts, and changes in personality.
  5. In 2010, an average of 22 veterans committed suicide every day. The group with the highest number of suicides was men ages 50 to 59.
  6. Some groups of people, including African-Americans and Hispanics, may be more likely than whites to develop PTSD.
Source:https://www.dosomething.org/facts/11-facts-about-mental-health-our-troops 

Tuesday, 16 August 2016

Mental health

Mental health problems cost employers in the UK £30 billion a year through lost production, recruitment and absence - so why aren't we doing more about it?
The answer is straightforward. Despite the fact that it is very common - one in four of us will suffer mental health problems during our lives - we find it very difficult to talk about.
It often seems too personal, too deep and too complex. You might feel very happy to tell a colleague about a physical injury you've sustained, but when it comes to your mental health, where do you start?
If you can't talk about it, it may prove equally difficult to listen.
Not listening could prove very costly - to the individual and to your business. The Centre for Mental Health charity estimate that employers should be able to cut the cost of mental health - in lost production and replacing staff - by about a third by improving their management of mental health at work.

  • Tackle the stigma around mental health - Mental health rarely conforms to stereotypes. For example, you can be diagnosed with a mental health condition, such as bipolar disorder, but have a very positive state of mental health
  • Focus on the practical things you can do to help - Some of the factors that influence an individual's mental health, like childhood experiences or family relationships, are out of your control. But you can help by monitoring workloads, employee involvement, the physical environment and the nature of relationships at work
  • Develop solutions by listening - Sometimes all you need to do is help employees to help themselves. An employee may already have coping strategies or medical advice that they can follow, but showing empathy always helps

Questions and answers

What is mental health?

Mental health is the mental and emotional state in which we feel able to cope with the normal stresses of everyday life.
If we are feeling good about ourselves we often work productively, interact well with colleagues and make a valuable contribution to our team or workplace.
Positive mental health is rarely an absolute state. One may feel in good mental health generally but also suffer stress or anxiety from time to time.
Mental ill-health can range from feeling 'a bit down' to common disorders such as anxiety and depression and, in limited cases, to severe mental illnesses such as bipolar disorder or schizophrenia.

Why is understanding and addressing mental health important?

A Chartered Institute of Personnel and Development study has highlighted the impact on business of poor mental health in employees. The study found that:
  • 37% of sufferers are more likely to get into conflict with colleagues
  • 57% find it harder to juggle multiple tasks
  • 80% find it difficult to concentrate
  • 62% take longer to do tasks
  • 50% are potentially less patient with customers/clients.
The study also found that, for the first time, stress is now the major cause of long-term absence in manual and non-manual workers.

What can a manager do to promote positive mental health at work?

A manager can:
  • Spot the signs. This may initially mean taking a note of what you see as you walk around or in team meetings and then choosing the right moment to intervene
  • Engage with the problem. There are some good practical steps you can take to help with coping strategies, and some legal requirements you need to bear in mind. For example, your duty to make reasonable workplace adjustments to the working environment in certain circumstances
  • Keep a watching brief. This does not necessarily mean passively observing, although in some circumstances this may be the best option. Promote awareness of mental health issues and create a culture where employees feel they can talk to you about mental health issues. Keeping communication channels open is critical.

Is mental ill health a disability?

Some forms of mental ill health may be classed as a disability under the Equality Act 2010 if they have "a substantial and long-term adverse effect on a person's ability to carry out normal day-to-day activities."
The Act makes it unlawful for an employer to treat a disabled person less favourably for a reason relating to their disability, without a justifiable reason. Some forms of mental illness - such as dementia, depression, bipolar disorder, obsessive compulsive disorder and schizophrenia - are classed as a disability and need to be covered in an employer's equality policies.
Source: http://www.acas.org.uk/index.aspx?articleid=1900

Saturday, 13 August 2016

Substance Abuse and Mental Health

When you have both a substance abuse problem and a mental health issue such as depression, bipolar disorder, or anxiety, it is called a co-occurring disorder or dual diagnosis. Dealing with substance abuse, alcoholism, or drug addiction is never easy, and it’s even more difficult when you’re also struggling with mental health problems, but there are treatments that can help. With proper treatment, support, and self-help strategies, you can overcome a dual diagnosis and reclaim your life.

Understanding the link between substance abuse and mental health

In a dual diagnosis, both the mental health issue and the drug or alcohol addiction have their own unique symptoms that may get in the way of your ability to function, handle life’s difficulties, and relate to others. To make the situation more complicated, the co-occurring disorders also affect each other and interact. When a mental health problem goes untreated, the substance abuse problem usually gets worse as well. And when alcohol or drug abuse increases, mental health problems usually increase too.

What comes first: Substance abuse or the mental health problem?

Addiction is common in people with mental health problems. But although substance abuse and mental health disorders like depression and anxiety are closely linked, one does not directly cause the other.
  • Alcohol or drugs are often used to self-medicate the symptoms of depression or anxiety. Unfortunately, substance abuse causes side effects and in the long run worsens the very symptoms they initially numbed or relieved.
  • Alcohol and drug abuse can increase underlying risk for mental disorders. Mental disorders are caused by a complex interplay of genetics, the environment, and other outside factors. If you are at risk for a mental disorder, drug or alcohol abuse may push you over the edge.
  • Alcohol and drug abuse can make symptoms of a mental health problem worse. Substance abuse may sharply increase symptoms of mental illness or trigger new symptoms. Alcohol and drug abuse also interact with medications such as antidepressants, anti-anxiety pills, and mood stabilizers, making them less effective.

Addiction is common in people with mental health problems

According to reports published in the Journal of the American Medical Association:
  • Roughly 50 percent of individuals with severe mental disorders are affected by substance abuse.
  • 37 percent of alcohol abusers and 53 percent of drug abusers also have at least one serious mental illness.
  • Of all people diagnosed as mentally ill, 29 percent abuse either alcohol or drugs.
Source: National Alliance on Mental Illness

Recognizing co-occurring disorders or dual diagnosis

It can be difficult to diagnose a substance abuse problem and a co-occurring mental health disorder such as depression, anxiety, or bipolar disorder. It takes time to tease out what might be a mental disorder and what might be a drug or alcohol problem.
Complicating the issue is denial. Denial is common in substance abuse. It’s hard to admit how dependent you are on alcohol or drugs or how much they affect your life. Denial frequently occurs in mental disorders as well. The symptoms of depression or anxiety can be frightening, so you may ignore them and hope they go away. Or you may be ashamed or afraid of being viewed as weak if you admit the problem.

Admitting you have a dual diagnosis or co-occurring disorders

Just remember: substance abuse problems and mental health issues don’t get better when they’re ignored. In fact, they are likely to get much worse. You don’t have to feel this way. Admitting you have a problem is the first step towards conquering your demons and enjoying life again.
  • Consider family history. If people in your family have grappled with either a mental disorder such as depression or alcohol abuse or drug addiction, you have a higher risk of developing these problems yourself.
  • Consider your sensitivity to alcohol or drugs. Are you highly sensitive to the effects of alcohol or drugs? Have you noticed a relationship between your substance use and your mental health? For example, do you get depressed when you drink?
  • Look at symptoms when you’re sober. While some depression or anxiety is normal after you’ve stopped drinking or doing drugs, if the symptoms persist after you’ve achieved sobriety, you may be dealing with a mental health problem.
  • Review your treatment history. Have you been treated before for either your addiction or your mental health problem? Did the substance abuse treatment fail because of complications from your mental health issue or vice versa?

Signs and symptoms of substance abuse

If you’re wondering whether you have a substance abuse problem, the following questions may help. The more “yes” answers, the more likely your drinking or drug use is a problem.
  • Have you ever felt you should cut down on your drinking or drug use?
  • Have you tried to cut back, but couldn’t?
  • Do you ever lie about how much or how often you drink or use drugs?
  • Have your friends or family members expressed concern about your alcohol or drug use?
  • Do you ever felt bad, guilty, or ashamed about your drinking or drug use?
  • On more than one occasion, have you done or said something while drunk or high that you later regretted?
  • Have you ever blacked out from drinking or drug use?
  • Has your alcohol or drug use caused problems in your relationships?
  • Has you alcohol or drug use gotten you into trouble at work or with the law?

Signs and symptoms of common co-occurring disorders

The mental health problems that most commonly co-occur with substance abuse are depression, anxiety disorders, and bipolar disorder.

Common signs and symptoms of depression

  • Feelings of helplessness and hopelessness
  • Loss of interest in daily activities
  • Inability to experience pleasure
  • Appetite or weight changes
  • Sleep changes
  • Loss of energy
  • Strong feelings of worthlessness or guilt
  • Concentration problems
  • Anger, physical pain, and reckless behavior (especially in men)

Common signs and symptoms of mania in bipolar disorder

  • Feelings of euphoria or extreme irritability
  • Unrealistic, grandiose beliefs
  • Decreased need for sleep
  • Increased energy
  • Rapid speech and racing thoughts
  • Impaired judgment and impulsivity
  • Hyperactivity
  • Anger or rage

Common signs and symptoms of anxiety

  • Excessive tension and worry
  • Feeling restless or jumpy
  • Irritability or feeling “on edge”
  • Racing heart or shortness of breath
  • Nausea, trembling, or dizziness
  • Muscle tension, headaches
  • Trouble concentrating
  • Insomnia

Treatment for substance abuse and mental health problems

The best treatment for co-occurring disorders is an integrated approach, where both the substance abuse problem and the mental disorder are treated simultaneously.

Recovery depends on treating both the addiction and the mental health problem

Whether your mental health or substance abuse problem came first, recovery depends on treating both disorders.
  • There is hope. Recovering from co-occurring disorders takes time, commitment, and courage. It may take months or even years but people with substance abuse and mental health problems can and do get better.
  • Combined treatment is best. Your best chance of recovery is through integrated treatment for both the substance abuse problem and the mental health problem. This means getting combined mental health and addiction treatment from the same treatment provider or team.
  • Relapses are part of the recovery process. Don’t get too discouraged if you relapse. Slips and setbacks happen, but, with hard work, most people can recover from their relapses and move on with recovery.
  • Peer support can help. You may benefit from joining a self-help support group like Alcoholics Anonymous or Narcotics Anonymous. They give you a chance to lean on others who know what you’re going through and learn from their experiences.

How to find the right program for co-occurring disorders

As with a substance abuse program, make sure that the program is appropriately licensed and accredited, the treatment methods are backed by research, and there is an aftercare program to prevent relapse. Additionally, you should make sure that the program has experience with your particular mental health issue. Some programs, for example, may have experience treating depression or anxiety, but not schizophrenia or bipolar disorder.
There are a variety of approaches that treatment programs may take, but there are some basics of effective treatment that you should look for:
  • Treatment addresses both the substance abuse problem and your mental health problem.
  • You share in the decision-making process and are actively involved in setting goals and developing strategies for change.
  • Treatment includes basic education about your disorder and related problems.
  • You are taught healthy coping skills and strategies to minimize substance abuse, cope with upset, and strengthen your relationships.

Treatment for dual diagnosis or co-occurring disorders

  • Helping you think about the role that alcohol and other drugs play in your life. This should be done confidentially, without any negative consequences. People feel free to discuss these issues when the discussion is confidential, nonjudgmental, and not tied to legal consequences.
  • Offering you a chance to learn more about alcohol and drugs, to learn about how they interact with mental illnesses and with medications, and to discuss your own use of alcohol and drugs.
  • Helping you become involved with supported employment and other services that may help your process of recovery.
  • Helping you identify and develop your own recovery goals. If you decide that your use of alcohol or drugs may be a problem, a counselor trained in integrated dual diagnosis treatment can help you identify and develop your own recovery goals. This process includes learning about steps toward recovery from both illnesses.
  • Providing special counseling specifically designed for people with dual diagnosis. This can be done individually, with a group of peers, with your family, or with a combination of these.
Source: SAMHSA

Treatment programs for veterans with co-occurring disorders

Veterans deal with additional challenges when it comes to co-occurring disorders. The pressures of deployment or combat can exacerbate underlying mental disorders, and substance abuse is a common way of coping with unpleasant feelings or memories. Often, these problems take a while to show up after a vet returns home, and may be initially mistaken for readjustment. Untreated co-occurring disorders can lead to major problems at home and work and in your daily life, so it’s important to seek help.
Veterans often benefit from treatment and support from specialized programs that address the unique stresses veterans face.

Group support for substance abuse and co-occurring disorders

As with other addictions, groups are very helpful, not only in maintaining sobriety, but also as a safe place to get support and discuss challenges. Sometimes treatment programs for co-occurring disorders provide groups that continue to meet on an aftercare basis. Your doctor or treatment provider may also be able to refer you to a group for people with co-occurring disorders.
While it’s often best to join a group that addresses both substance abuse and your mental health disorder, twelve-step groups for substance abuse can also be helpful—plus they’re more common, so you’re likely to find one in your area. These free programs, facilitated by peers, use group support and a set of guided principles—the twelve steps to obtain and maintain sobriety.
Just make sure your group is accepting of the idea of co-occurring disorders and psychiatric medication. Some people in these groups, although well meaning, may mistake taking psychiatric medication as another form of addiction. You want a place to feel safe, not pressured.

Self-help for substance abuse and co-occurring disorders

Getting sober is only the beginning. Your continued recovery depends on continuing mental health treatment, learning healthier coping strategies, and making better decisions when dealing with life’s challenges.

Recovery tip 1: Recognize and manage overwhelming stress and emotions

  • Learn how to manage stress. Stress is inevitable, so it’s important to have healthy coping skills so you can deal with stress without turning to alcohol or drugs. Stress management skills go a long way towards preventing relapse and keeping your symptoms at bay.
  • Know your triggers and have an action plan. If you’re coping with a mental disorder as well, it’s especially important to know signs that your illness is flaring up. Common causes include stressful events, big life changes, or unhealthy sleeping or eating. At these times, having a plan in place is essential to preventing drug relapse. Who will you talk to? What do you need to do?

Recovery tip 2: Stay connected

  • Get therapy or stay involved in a support group. Your chances of staying sober improve if you are participating in a social support group like Alcoholics Anonymous or Narcotics Anonymous or if you are getting therapy.
  • Follow doctor’s orders. Once you are sober and you feel better, you might think you no longer need medication or treatment. But arbitrarily stopping medication or treatment is a common reason for relapse in people with co-occurring disorders. Always talk with your doctor before making any changes to your medication or treatment routine.

Recovery tip 3: Make healthy lifestyle changes

  • Practice relaxation techniques. When practiced regularly, relaxation techniques such as mindfulness meditation, progressive muscle relaxation, and deep breathing can reduce symptoms of stress, anxiety, and depression, and increase feelings of relaxation and emotional well-being.
  • Adopt healthy eating habits. Start the day right with breakfast, and continue with frequent small meals throughout the day. Going too long without eating leads to low blood sugar, which can make you feel more stressed or anxious.
  • Exercise regularly. Exercise is a natural way to bust stress, relieve anxiety, and improve your mood and outlook. To achieve the maximum benefit, aim for at least 30 minutes of aerobic exercise on most days.
  • Get enough sleep. A lack of sleep can exacerbate stress, anxiety, and depression, so try to get 7 to 9 hours of quality sleep a night.

Helping a loved one with a substance abuse and mental health problem

Helping a loved one with both a substance abuse and a mental health problem can be a roller coaster. Resistance to treatment is common and the road to recovery can be long.
The best way to help someone is to accept what you can and cannot do. You cannot force someone to remain sober, nor can you make someone take their medication or keep appointments. What you can do is make positive choices for yourself, encourage your loved one to get help, and offer your support while making sure you don’t lose yourself in the process.
  • Seek support. Dealing with a loved one's dual diagnosis of mental illness and substance abuse can be painful and isolating. Make sure you're getting the emotional support you need to cope. Talk to someone you trust about what you're going through. It can also help to get your own therapy or join a support group.
  • Set boundaries. Be realistic about the amount of care you're able to provide without feeling overwhelmed and resentful. Set limits on disruptive behaviors, and stick to them. Letting the co-occurring disorders take over your life isn't healthy for you or your loved one.
  • Educate yourself. Learn all you can about your loved one’s mental health problem, as well as substance abuse treatment and recovery. The more you understand what your loved one is going through, the better able you’ll be to support recovery.
  • Be patient. Recovering from a dual diagnosis doesn’t happen overnight. Recovery is an ongoing process that can take months or years, and relapse is common. Ongoing support for both you and your loved one is crucial as you work toward recovery.
Source: https://www.blogger.com/blogger.g?blogID=4592506238738253894#editor/target=post;postID=2798203633748840306

Friday, 5 August 2016

Most of us see Irish society as hostile to mental health problems


SOME 65% OF us believe that being treated for a mental health problem is seen as a sign of failure in Irish society.
That’s the discouraging finding of a survey published by St Patrick’s Mental Health Services today, to mark World Suicide Prevention Day.
Worryingly, more than half of those surveyed (53%) said they have worked with someone with a mental health difficulty, and yet one in five said they wouldn’t trust someone who had previously had a mental health problem.
Paul Gilligan, CEO of St Patricks, said the results of the survey were “very disappointing”, and indicated that despite recent progress in Ireland, stigma around mental health and depression still persists.
People that proactively seek and receive help are taking a courageous step on the road to recovery.
Irish society should encourage and support this.
While there are many mental health public awareness campaigns being run throughout Ireland, there is a need to tackle these misunderstandings and stigmatising attitudes, and this is best achieved through a concerted schools-based education campaign.
Some of the other findings of survey, conducted online by 506 adults aged 18-70:
  • More women than men (28 vs 20%) report having been treated for a mental health issue
  • More from the lowest income group in Ireland (household income under €20,000) report seeking mental health treatment (37%), as opposed to 22% from all other income groups.
  • 58% say Irish people would not treat someone with a mental health problem the same as anyone else
  • 54% say Irish people would willingly accept as a close friend someone with a mental health problem, and yet -
  • 63% say they themselves have a close friend who has been treated for a mental health difficulty.
  • 44% said a family member had previously been treated for a mental health difficulty
  • 15% said they would not or might not want to live next door to someone with previous mental health problems
  • 19% said they would or might be opposed to people with a previous mental health issue being allowed to take public office
  • 32% said they would not or might not marry someone with previous mental health problems, even if they seemed to have fully recovered
  • Exactly half said they would not or might not trust someone with previous mental health problems to be a babysitter
Source:  http://www.thejournal.ie/ireland-society-stigma-mental-health-1664519-Sep2014/

Wednesday, 7 October 2015

How top European employers are targeting depression at work

An alliance of European employers is calling on HR and occupational health (OH) professionals to push mental health, and depression in particular, further up the corporate agenda. Sarah Silcox investigates why this is necessary.
The “Target Depression in the Workplace” initiative, run by the HR Leadership Forum, brings together some of the largest businesses in Europe. Occupational Health spoke to three of them – Barclays, Deutsche Post DHL and Ogilvy & Mather – about reducing stigma, changing culture and the best ways to give line managers the confidence to support individuals with mental health problems.
Depression, along with stress and anxiety, is a major contributor to long-term sickness absence in the UK, affecting the lives of significant numbers of employees, their families and the organisations in which they work. A group of big-name European employers has formed an alliance to target depression in the workplace, and has recently published a report as an early first step in its campaign, setting out why employers must act, the challenges they face and the steps they can take to reduce the workplace impact of this serious condition (HR Leadership Forum, 2014).

Depression and impaired work

Depression accounts for 7.2% of the overall disease burden in Europe, affecting 30 million EU citizens at any one time, according to an analysis published on PLOS One in March 2014 (Evans-Lacko and Knapp, 2014). The alliance’s report points out that people with depression lose an average 5.6 more hours a week of productive time than those without the condition. A joint study by the London School of Economics and King’s College London quoted in the “Depression in the workplace in Europe” report estimates that depression costs European business £77 billion a year.

XpertHR resources

Good practice manual: Stress management
Good practice manual: Wellbeing
This loss in productivity is, by far, the greatest contributor to the overall economic impact of depression and the evidence for an association between depression and impaired work performance is strong. During an episode, workers with depression experience a range of cognitive symptoms, including trouble concentrating, indecisiveness or forgetfulness for up to 94% of the time.
However, many line managers believe that employees with mental ill health, including depression, are able to carry on working as normal and that their organisation’s mental wellbeing policies and practices are primarily designed to help the employer avoid litigation, the PLOS One study suggests.
An organisation’s workplace culture and environment strongly influences whether an employee with depression decides to disclose their illness. The support and openness of managers, and, in particular, their willingness to talk about the issues around working with an ongoing condition, such as depression, are crucial in enabling a person to stay in work, and also in building a social acceptance of the illness.

Supporting mental health at DHL

Organisational culture underpins German company Deutsche Post DHL’s (DPDHL) approach to depression at work. DPDHL launched a corporate guiding principle, “Respect and Results”, in 2008: “This means we are always striving for good results, but in ways that show respect for the individual,” according to Andreas Tautz, chief medical officer at the company. The launch of the principle was an important milestone for DPDHL, acting as a starting point for a range of initiatives around building a culture that supports mental health.

Deutsche Post DHL: health strategy

DPDHL believes you can promote workforce wellbeing on four levels, all of which are influenced by health management:
  • Health-promoting workplace design – favourable workplace set-up, working conditions, working hours and working atmosphere.
  • Qualification/development of decision-making competence – foster capability to take responsibility and improve stress resilience.
  • Individual health promotion – support a healthy lifestyle.
  • Respectful company culture and social interaction – open, transparent communication; culture of respectful feedback; creation of social networks; and sympathetic interaction.
Its health strategy is guided by one main principle: “Respect and Results”.
DPDHL manages mental wellbeing at four levels, one of which is described as “respectful culture and social interaction”. Employment is good for health, and the company uses this inherent advantage to promote healthy working environments: “Once we’ve focused on this we can then move on to look at developing a health-promoting company culture by focusing on relationships between executives and employees, and strengthening relationships in teams,” Tautz adds.
The role of DPDHL’s OH team of 70 physicians is: to identify therapeutic needs through referrals; work, if appropriate, with external specialists to provide immediate help with acute needs; and develop rehabilitation plans for those returning to work after time off due to mental ill health.

Barclays’ “This is Me” campaign

Barclays launched a “This is Me” campaign in May 2014 as the central plank of a year-long initiative on mental health at work. “This is Me” was born out of the financial services company’s recognition that depression and other manageable mental health conditions are major issues in its broader mental health agenda.
“We’re starting by tackling stigma – often when someone calls in sick with a mental health issue they tend to mask it with a physical illness,” says Mark McLane, head of global diversity and inclusion at Barclays. “This is Me” attempts to bring the conversation around mental health into the workplace, giving all staff (including line managers) the resources to tackle the issue. It also helps managers and employees to understand depression better, for example, describing how the condition can arise at different points in an individual’s life, or how it can be something that they manage on an ongoing basis.
Barclays’ mental health initiative is based around an online portal, open to all employees, which provides access to a set of resources from external organisations specialising in mental health. It also, crucially, gives access to a community of employees with an interest in a particular area, enabling employees with a question to pitch it to an appropriate colleague with relevant experience. Often, colleagues are able to help each other by signposting additional wellness resources.
McLane thinks this is a “brilliant” approach as it solidifies Barclays’ expectation that the stigma still attached to mental ill health will fall, “but it also empowers colleagues to support each other on depression and other mental health issues”. The community aspect of “This is Me” does a great job, and it brings all Barclays’ other HR policies on tackling stigma and supporting people with mental ill health “to life”, he believes. Line managers are already using the online community to assist them in supporting people in their teams with depression, according to McLane.

Building line management capability

Workplace depression in Europe

One in 10 people have taken time off work because of depression, according to a European-wide poll of 7,065 employees and managers published in 2012. Other findings from the IDEA survey, which explored the impact of depression on both organisations and individuals, include:
  • An average of 36 working days are lost per episode of depression, with the highest average occurring in Great Britain (44 days per episode, on average).
  • The highest rates of depression diagnoses were in Great Britain and the lowest in Italy.
  • Only 20% of employees in France would tell their employer if they were diagnosed with depression, compared with the average of 34%.
  • Nearly one in three managers reported they had no formal support or resources to deal with employees disclosing depression. Among those managers who stated that they were supported, support from a medical professional was the most frequently cited source (43% of those with any support), followed by support from an HR department (30%).
  • Awareness of the cognitive symptoms of depression is poor – relatively low proportions of participants were able to identify forgetfulness and indecisiveness as symptoms.
Source: Ipsos MORI, Impact of depression at work in Europe audit, final report
Boosting the confidence and capability of line managers to support team members with depression is challenging, but also crucial to an organisation’s success in reducing stigma around the issue and fostering acceptance. All the organisations we spoke to recognise this, and have introduced training and professional development modules covering mental health. This management training covers areas such as initiating sensitive conversations, managing confidentiality and making effective referrals to specialists, including OH.
Advertising and media company Ogilvy & Mather, approaches workplace depression as part of a wider mental health strategy. Julia Ingall, the company’s talent management director for the UK division of EAME, believes that there is insufficient understanding of depression in the workplace, particularly among line managers, who often find themselves in a difficult position. “They may not understand what constitutes ‘depression’, or that it can include work-related aspects, such as a loss of concentration or change in behaviour towards colleagues. This can be quite scary for managers,” she suggests.
Ogilvy & Mather is working with consultant, Robertson Cooper, to deliver resilience training across the organisation, starting with its leadership level by building it into existing management programmes. “The lines are blurred between work and home, often driven by technology, and I worry that people do not get a break,” Ingall says. Putting the training in place will help managers understand their own resilience levels, how to build on their personal strengths in addition to acknowledging weaker areas.
An assessment tool developed by Robertson Cooper, called i-resilience, has been introduced. It will eventually produce data that can be interpreted to develop action plans for individuals. “We’ve also selected eight key HR people to undertake some ‘train the trainer’ programmes so they can understand the issues and roll these programmes out,” Ingall adds.
DPDHL provides managers with evidence and data on the value of managing mental health, explaining how their behaviour influences employees and suggesting ways to minimise the impact of damaging behaviour and maximise the positive. The company provides e-learning resources for managers on leading on mental health issues, developed in conjunction with a German university and the Ministry of Labour.
“We also started a programme of workshops for managers on preventing depression and burnout in 2012, designed to boost their confidence in handling these issues,” Tautz explains. The workshops operate alongside other HR training activities and professional development plans. “The latest development is a new training programme for senior managers covering mental health at work,” he adds.

Employee involvement

Involving employees in developing initiatives on depression in the workplace is a feature common to employers in the Target forum. DPDHL established health working circles in each branch in 1997, including representatives from Works Councils, OH physicians and health and safety experts. “These circles explore how and where to address different health topics, including many linked to mental health, such as conflict management, burnout and stress,” Tautz notes.
Ogilvy & Mather is in the process of setting up a wellbeing forum to work through issues affecting employee wellbeing: “The job of the forum will be to gather feedback from local offices. We’ve also used leadership groups to explore six pillars of wellbeing, including the impact of client demands and our leaders’ clarity of vision, on employee health,” Ingall adds.
One of the “really interesting” aspects of Barclays’ “This is Me” campaign is that it is colleague driven, using the company’s established employee network, Reach, according to McLane. A self-selecting network of around 700 people with an interest in disability, Reach also incorporates listening groups, which are formal focus groups of employees who have self-identified as having a disability, including ongoing mental health issues.
“These groups are asked for their views on gaps in the organisation’s approach to diversity and inclusion, for example, how our reasonable adjustments programme could be made better,” McLane explains. This helps Barclays develop improvements, which have recently included the launch of an intranet-based online catalogue of reasonable adjustments which employees can quickly access without the need to go through an application/procurement process. “We will also draw on employees’ own stories as a part of our efforts to tackle stigma; for example, we’ve started with six people telling their stories about managing their own mental health problems whilst having successful careers.”

Evaluating interventions

Providing evidence for the effectiveness of workplace initiatives on depression is the “biggest challenge”, according to Tautz. However, he adds, there is sufficient global data around to demonstrate the need for systematic health management, and DPDHL also uses its own employee opinion surveys and feedback from training sessions for qualitative evidence. “We also use validated tools such ICD10 to track the incidence rates for different work-related conditions, in addition to analysing our absence data.”
Barclays’ “This is Me” is currently a UK-based initiative, but the company plans to roll it out to the bank’s operations in the Americas and Africa during 2014: “This expansion will be one of the campaign’s success metrics,” McLane explains. “We will also look at activity levels within the community and, later on, will invite people to tell their stories around the support it provides,” he adds.
Source: 
An alliance of European employers is calling on HR and occupational health (OH) professionals to push mental health, and depression in particular, further up the corporate agenda. Sarah Silcox investigates why this is necessary.
The “Target Depression in the Workplace” initiative, run by the HR Leadership Forum, brings together some of the largest businesses in Europe. Occupational Health spoke to three of them – Barclays, Deutsche Post DHL and Ogilvy & Mather – about reducing stigma, changing culture and the best ways to give line managers the confidence to support individuals with mental health problems.
Depression, along with stress and anxiety, is a major contributor to long-term sickness absence in the UK, affecting the lives of significant numbers of employees, their families and the organisations in which they work. A group of big-name European employers has formed an alliance to target depression in the workplace, and has recently published a report as an early first step in its campaign, setting out why employers must act, the challenges they face and the steps they can take to reduce the workplace impact of this serious condition (HR Leadership Forum, 2014).

Depression and impaired work

Depression accounts for 7.2% of the overall disease burden in Europe, affecting 30 million EU citizens at any one time, according to an analysis published on PLOS One in March 2014 (Evans-Lacko and Knapp, 2014). The alliance’s report points out that people with depression lose an average 5.6 more hours a week of productive time than those without the condition. A joint study by the London School of Economics and King’s College London quoted in the “Depression in the workplace in Europe” report estimates that depression costs European business £77 billion a year.

XpertHR resources

Good practice manual: Stress management
Good practice manual: Wellbeing
This loss in productivity is, by far, the greatest contributor to the overall economic impact of depression and the evidence for an association between depression and impaired work performance is strong. During an episode, workers with depression experience a range of cognitive symptoms, including trouble concentrating, indecisiveness or forgetfulness for up to 94% of the time.
However, many line managers believe that employees with mental ill health, including depression, are able to carry on working as normal and that their organisation’s mental wellbeing policies and practices are primarily designed to help the employer avoid litigation, the PLOS One study suggests.
An organisation’s workplace culture and environment strongly influences whether an employee with depression decides to disclose their illness. The support and openness of managers, and, in particular, their willingness to talk about the issues around working with an ongoing condition, such as depression, are crucial in enabling a person to stay in work, and also in building a social acceptance of the illness.

Supporting mental health at DHL

Organisational culture underpins German company Deutsche Post DHL’s (DPDHL) approach to depression at work. DPDHL launched a corporate guiding principle, “Respect and Results”, in 2008: “This means we are always striving for good results, but in ways that show respect for the individual,” according to Andreas Tautz, chief medical officer at the company. The launch of the principle was an important milestone for DPDHL, acting as a starting point for a range of initiatives around building a culture that supports mental health.

Deutsche Post DHL: health strategy

DPDHL believes you can promote workforce wellbeing on four levels, all of which are influenced by health management:
  • Health-promoting workplace design – favourable workplace set-up, working conditions, working hours and working atmosphere.
  • Qualification/development of decision-making competence – foster capability to take responsibility and improve stress resilience.
  • Individual health promotion – support a healthy lifestyle.
  • Respectful company culture and social interaction – open, transparent communication; culture of respectful feedback; creation of social networks; and sympathetic interaction.
Its health strategy is guided by one main principle: “Respect and Results”.
DPDHL manages mental wellbeing at four levels, one of which is described as “respectful culture and social interaction”. Employment is good for health, and the company uses this inherent advantage to promote healthy working environments: “Once we’ve focused on this we can then move on to look at developing a health-promoting company culture by focusing on relationships between executives and employees, and strengthening relationships in teams,” Tautz adds.
The role of DPDHL’s OH team of 70 physicians is: to identify therapeutic needs through referrals; work, if appropriate, with external specialists to provide immediate help with acute needs; and develop rehabilitation plans for those returning to work after time off due to mental ill health.

Barclays’ “This is Me” campaign

Barclays launched a “This is Me” campaign in May 2014 as the central plank of a year-long initiative on mental health at work. “This is Me” was born out of the financial services company’s recognition that depression and other manageable mental health conditions are major issues in its broader mental health agenda.
“We’re starting by tackling stigma – often when someone calls in sick with a mental health issue they tend to mask it with a physical illness,” says Mark McLane, head of global diversity and inclusion at Barclays. “This is Me” attempts to bring the conversation around mental health into the workplace, giving all staff (including line managers) the resources to tackle the issue. It also helps managers and employees to understand depression better, for example, describing how the condition can arise at different points in an individual’s life, or how it can be something that they manage on an ongoing basis.
Barclays’ mental health initiative is based around an online portal, open to all employees, which provides access to a set of resources from external organisations specialising in mental health. It also, crucially, gives access to a community of employees with an interest in a particular area, enabling employees with a question to pitch it to an appropriate colleague with relevant experience. Often, colleagues are able to help each other by signposting additional wellness resources.
McLane thinks this is a “brilliant” approach as it solidifies Barclays’ expectation that the stigma still attached to mental ill health will fall, “but it also empowers colleagues to support each other on depression and other mental health issues”. The community aspect of “This is Me” does a great job, and it brings all Barclays’ other HR policies on tackling stigma and supporting people with mental ill health “to life”, he believes. Line managers are already using the online community to assist them in supporting people in their teams with depression, according to McLane.

Building line management capability

Workplace depression in Europe

One in 10 people have taken time off work because of depression, according to a European-wide poll of 7,065 employees and managers published in 2012. Other findings from the IDEA survey, which explored the impact of depression on both organisations and individuals, include:
  • An average of 36 working days are lost per episode of depression, with the highest average occurring in Great Britain (44 days per episode, on average).
  • The highest rates of depression diagnoses were in Great Britain and the lowest in Italy.
  • Only 20% of employees in France would tell their employer if they were diagnosed with depression, compared with the average of 34%.
  • Nearly one in three managers reported they had no formal support or resources to deal with employees disclosing depression. Among those managers who stated that they were supported, support from a medical professional was the most frequently cited source (43% of those with any support), followed by support from an HR department (30%).
  • Awareness of the cognitive symptoms of depression is poor – relatively low proportions of participants were able to identify forgetfulness and indecisiveness as symptoms.
Source: Ipsos MORI, Impact of depression at work in Europe audit, final report
Boosting the confidence and capability of line managers to support team members with depression is challenging, but also crucial to an organisation’s success in reducing stigma around the issue and fostering acceptance. All the organisations we spoke to recognise this, and have introduced training and professional development modules covering mental health. This management training covers areas such as initiating sensitive conversations, managing confidentiality and making effective referrals to specialists, including OH.
Advertising and media company Ogilvy & Mather, approaches workplace depression as part of a wider mental health strategy. Julia Ingall, the company’s talent management director for the UK division of EAME, believes that there is insufficient understanding of depression in the workplace, particularly among line managers, who often find themselves in a difficult position. “They may not understand what constitutes ‘depression’, or that it can include work-related aspects, such as a loss of concentration or change in behaviour towards colleagues. This can be quite scary for managers,” she suggests.
Ogilvy & Mather is working with consultant, Robertson Cooper, to deliver resilience training across the organisation, starting with its leadership level by building it into existing management programmes. “The lines are blurred between work and home, often driven by technology, and I worry that people do not get a break,” Ingall says. Putting the training in place will help managers understand their own resilience levels, how to build on their personal strengths in addition to acknowledging weaker areas.
An assessment tool developed by Robertson Cooper, called i-resilience, has been introduced. It will eventually produce data that can be interpreted to develop action plans for individuals. “We’ve also selected eight key HR people to undertake some ‘train the trainer’ programmes so they can understand the issues and roll these programmes out,” Ingall adds.
DPDHL provides managers with evidence and data on the value of managing mental health, explaining how their behaviour influences employees and suggesting ways to minimise the impact of damaging behaviour and maximise the positive. The company provides e-learning resources for managers on leading on mental health issues, developed in conjunction with a German university and the Ministry of Labour.
“We also started a programme of workshops for managers on preventing depression and burnout in 2012, designed to boost their confidence in handling these issues,” Tautz explains. The workshops operate alongside other HR training activities and professional development plans. “The latest development is a new training programme for senior managers covering mental health at work,” he adds.

Employee involvement

Involving employees in developing initiatives on depression in the workplace is a feature common to employers in the Target forum. DPDHL established health working circles in each branch in 1997, including representatives from Works Councils, OH physicians and health and safety experts. “These circles explore how and where to address different health topics, including many linked to mental health, such as conflict management, burnout and stress,” Tautz notes.
Ogilvy & Mather is in the process of setting up a wellbeing forum to work through issues affecting employee wellbeing: “The job of the forum will be to gather feedback from local offices. We’ve also used leadership groups to explore six pillars of wellbeing, including the impact of client demands and our leaders’ clarity of vision, on employee health,” Ingall adds.
One of the “really interesting” aspects of Barclays’ “This is Me” campaign is that it is colleague driven, using the company’s established employee network, Reach, according to McLane. A self-selecting network of around 700 people with an interest in disability, Reach also incorporates listening groups, which are formal focus groups of employees who have self-identified as having a disability, including ongoing mental health issues.
“These groups are asked for their views on gaps in the organisation’s approach to diversity and inclusion, for example, how our reasonable adjustments programme could be made better,” McLane explains. This helps Barclays develop improvements, which have recently included the launch of an intranet-based online catalogue of reasonable adjustments which employees can quickly access without the need to go through an application/procurement process. “We will also draw on employees’ own stories as a part of our efforts to tackle stigma; for example, we’ve started with six people telling their stories about managing their own mental health problems whilst having successful careers.”

Evaluating interventions

Providing evidence for the effectiveness of workplace initiatives on depression is the “biggest challenge”, according to Tautz. However, he adds, there is sufficient global data around to demonstrate the need for systematic health management, and DPDHL also uses its own employee opinion surveys and feedback from training sessions for qualitative evidence. “We also use validated tools such ICD10 to track the incidence rates for different work-related conditions, in addition to analysing our absence data.”
Barclays’ “This is Me” is currently a UK-based initiative, but the company plans to roll it out to the bank’s operations in the Americas and Africa during 2014: “This expansion will be one of the campaign’s success metrics,” McLane explains. “We will also look at activity levels within the community and, later on, will invite people to tell their stories around the support it provides,” he adds.
Source: 
An alliance of European employers is calling on HR and occupational health (OH) professionals to push mental health, and depression in particular, further up the corporate agenda. Sarah Silcox investigates why this is necessary.
The “Target Depression in the Workplace” initiative, run by the HR Leadership Forum, brings together some of the largest businesses in Europe. Occupational Health spoke to three of them – Barclays, Deutsche Post DHL and Ogilvy & Mather – about reducing stigma, changing culture and the best ways to give line managers the confidence to support individuals with mental health problems.
Depression, along with stress and anxiety, is a major contributor to long-term sickness absence in the UK, affecting the lives of significant numbers of employees, their families and the organisations in which they work. A group of big-name European employers has formed an alliance to target depression in the workplace, and has recently published a report as an early first step in its campaign, setting out why employers must act, the challenges they face and the steps they can take to reduce the workplace impact of this serious condition (HR Leadership Forum, 2014).

Depression and impaired work

Depression accounts for 7.2% of the overall disease burden in Europe, affecting 30 million EU citizens at any one time, according to an analysis published on PLOS One in March 2014 (Evans-Lacko and Knapp, 2014). The alliance’s report points out that people with depression lose an average 5.6 more hours a week of productive time than those without the condition. A joint study by the London School of Economics and King’s College London quoted in the “Depression in the workplace in Europe” report estimates that depression costs European business £77 billion a year.

XpertHR resources

Good practice manual: Stress management
Good practice manual: Wellbeing
This loss in productivity is, by far, the greatest contributor to the overall economic impact of depression and the evidence for an association between depression and impaired work performance is strong. During an episode, workers with depression experience a range of cognitive symptoms, including trouble concentrating, indecisiveness or forgetfulness for up to 94% of the time.
However, many line managers believe that employees with mental ill health, including depression, are able to carry on working as normal and that their organisation’s mental wellbeing policies and practices are primarily designed to help the employer avoid litigation, the PLOS One study suggests.
An organisation’s workplace culture and environment strongly influences whether an employee with depression decides to disclose their illness. The support and openness of managers, and, in particular, their willingness to talk about the issues around working with an ongoing condition, such as depression, are crucial in enabling a person to stay in work, and also in building a social acceptance of the illness.

Supporting mental health at DHL

Organisational culture underpins German company Deutsche Post DHL’s (DPDHL) approach to depression at work. DPDHL launched a corporate guiding principle, “Respect and Results”, in 2008: “This means we are always striving for good results, but in ways that show respect for the individual,” according to Andreas Tautz, chief medical officer at the company. The launch of the principle was an important milestone for DPDHL, acting as a starting point for a range of initiatives around building a culture that supports mental health.

Deutsche Post DHL: health strategy

DPDHL believes you can promote workforce wellbeing on four levels, all of which are influenced by health management:
  • Health-promoting workplace design – favourable workplace set-up, working conditions, working hours and working atmosphere.
  • Qualification/development of decision-making competence – foster capability to take responsibility and improve stress resilience.
  • Individual health promotion – support a healthy lifestyle.
  • Respectful company culture and social interaction – open, transparent communication; culture of respectful feedback; creation of social networks; and sympathetic interaction.
Its health strategy is guided by one main principle: “Respect and Results”.
DPDHL manages mental wellbeing at four levels, one of which is described as “respectful culture and social interaction”. Employment is good for health, and the company uses this inherent advantage to promote healthy working environments: “Once we’ve focused on this we can then move on to look at developing a health-promoting company culture by focusing on relationships between executives and employees, and strengthening relationships in teams,” Tautz adds.
The role of DPDHL’s OH team of 70 physicians is: to identify therapeutic needs through referrals; work, if appropriate, with external specialists to provide immediate help with acute needs; and develop rehabilitation plans for those returning to work after time off due to mental ill health.

Barclays’ “This is Me” campaign

Barclays launched a “This is Me” campaign in May 2014 as the central plank of a year-long initiative on mental health at work. “This is Me” was born out of the financial services company’s recognition that depression and other manageable mental health conditions are major issues in its broader mental health agenda.
“We’re starting by tackling stigma – often when someone calls in sick with a mental health issue they tend to mask it with a physical illness,” says Mark McLane, head of global diversity and inclusion at Barclays. “This is Me” attempts to bring the conversation around mental health into the workplace, giving all staff (including line managers) the resources to tackle the issue. It also helps managers and employees to understand depression better, for example, describing how the condition can arise at different points in an individual’s life, or how it can be something that they manage on an ongoing basis.
Barclays’ mental health initiative is based around an online portal, open to all employees, which provides access to a set of resources from external organisations specialising in mental health. It also, crucially, gives access to a community of employees with an interest in a particular area, enabling employees with a question to pitch it to an appropriate colleague with relevant experience. Often, colleagues are able to help each other by signposting additional wellness resources.
McLane thinks this is a “brilliant” approach as it solidifies Barclays’ expectation that the stigma still attached to mental ill health will fall, “but it also empowers colleagues to support each other on depression and other mental health issues”. The community aspect of “This is Me” does a great job, and it brings all Barclays’ other HR policies on tackling stigma and supporting people with mental ill health “to life”, he believes. Line managers are already using the online community to assist them in supporting people in their teams with depression, according to McLane.

Building line management capability

Workplace depression in Europe

One in 10 people have taken time off work because of depression, according to a European-wide poll of 7,065 employees and managers published in 2012. Other findings from the IDEA survey, which explored the impact of depression on both organisations and individuals, include:
  • An average of 36 working days are lost per episode of depression, with the highest average occurring in Great Britain (44 days per episode, on average).
  • The highest rates of depression diagnoses were in Great Britain and the lowest in Italy.
  • Only 20% of employees in France would tell their employer if they were diagnosed with depression, compared with the average of 34%.
  • Nearly one in three managers reported they had no formal support or resources to deal with employees disclosing depression. Among those managers who stated that they were supported, support from a medical professional was the most frequently cited source (43% of those with any support), followed by support from an HR department (30%).
  • Awareness of the cognitive symptoms of depression is poor – relatively low proportions of participants were able to identify forgetfulness and indecisiveness as symptoms.
Source: Ipsos MORI, Impact of depression at work in Europe audit, final report
Boosting the confidence and capability of line managers to support team members with depression is challenging, but also crucial to an organisation’s success in reducing stigma around the issue and fostering acceptance. All the organisations we spoke to recognise this, and have introduced training and professional development modules covering mental health. This management training covers areas such as initiating sensitive conversations, managing confidentiality and making effective referrals to specialists, including OH.
Advertising and media company Ogilvy & Mather, approaches workplace depression as part of a wider mental health strategy. Julia Ingall, the company’s talent management director for the UK division of EAME, believes that there is insufficient understanding of depression in the workplace, particularly among line managers, who often find themselves in a difficult position. “They may not understand what constitutes ‘depression’, or that it can include work-related aspects, such as a loss of concentration or change in behaviour towards colleagues. This can be quite scary for managers,” she suggests.
Ogilvy & Mather is working with consultant, Robertson Cooper, to deliver resilience training across the organisation, starting with its leadership level by building it into existing management programmes. “The lines are blurred between work and home, often driven by technology, and I worry that people do not get a break,” Ingall says. Putting the training in place will help managers understand their own resilience levels, how to build on their personal strengths in addition to acknowledging weaker areas.
An assessment tool developed by Robertson Cooper, called i-resilience, has been introduced. It will eventually produce data that can be interpreted to develop action plans for individuals. “We’ve also selected eight key HR people to undertake some ‘train the trainer’ programmes so they can understand the issues and roll these programmes out,” Ingall adds.
DPDHL provides managers with evidence and data on the value of managing mental health, explaining how their behaviour influences employees and suggesting ways to minimise the impact of damaging behaviour and maximise the positive. The company provides e-learning resources for managers on leading on mental health issues, developed in conjunction with a German university and the Ministry of Labour.
“We also started a programme of workshops for managers on preventing depression and burnout in 2012, designed to boost their confidence in handling these issues,” Tautz explains. The workshops operate alongside other HR training activities and professional development plans. “The latest development is a new training programme for senior managers covering mental health at work,” he adds.

Employee involvement

Involving employees in developing initiatives on depression in the workplace is a feature common to employers in the Target forum. DPDHL established health working circles in each branch in 1997, including representatives from Works Councils, OH physicians and health and safety experts. “These circles explore how and where to address different health topics, including many linked to mental health, such as conflict management, burnout and stress,” Tautz notes.
Ogilvy & Mather is in the process of setting up a wellbeing forum to work through issues affecting employee wellbeing: “The job of the forum will be to gather feedback from local offices. We’ve also used leadership groups to explore six pillars of wellbeing, including the impact of client demands and our leaders’ clarity of vision, on employee health,” Ingall adds.
One of the “really interesting” aspects of Barclays’ “This is Me” campaign is that it is colleague driven, using the company’s established employee network, Reach, according to McLane. A self-selecting network of around 700 people with an interest in disability, Reach also incorporates listening groups, which are formal focus groups of employees who have self-identified as having a disability, including ongoing mental health issues.
“These groups are asked for their views on gaps in the organisation’s approach to diversity and inclusion, for example, how our reasonable adjustments programme could be made better,” McLane explains. This helps Barclays develop improvements, which have recently included the launch of an intranet-based online catalogue of reasonable adjustments which employees can quickly access without the need to go through an application/procurement process. “We will also draw on employees’ own stories as a part of our efforts to tackle stigma; for example, we’ve started with six people telling their stories about managing their own mental health problems whilst having successful careers.”

Evaluating interventions

Providing evidence for the effectiveness of workplace initiatives on depression is the “biggest challenge”, according to Tautz. However, he adds, there is sufficient global data around to demonstrate the need for systematic health management, and DPDHL also uses its own employee opinion surveys and feedback from training sessions for qualitative evidence. “We also use validated tools such ICD10 to track the incidence rates for different work-related conditions, in addition to analysing our absence data.”
Barclays’ “This is Me” is currently a UK-based initiative, but the company plans to roll it out to the bank’s operations in the Americas and Africa during 2014: “This expansion will be one of the campaign’s success metrics,” McLane explains. “We will also look at activity levels within the community and, later on, will invite people to tell their stories around the support it provides,” he adds.

An alliance of European employers is calling on HR and occupational health (OH) professionals to push mental health, and depression in particular, further up the corporate agenda. Sarah Silcox investigates why this is necessary.
The “Target Depression in the Workplace” initiative, run by the HR Leadership Forum, brings together some of the largest businesses in Europe. Occupational Health spoke to three of them – Barclays, Deutsche Post DHL and Ogilvy & Mather – about reducing stigma, changing culture and the best ways to give line managers the confidence to support individuals with mental health problems.
Depression, along with stress and anxiety, is a major contributor to long-term sickness absence in the UK, affecting the lives of significant numbers of employees, their families and the organisations in which they work. A group of big-name European employers has formed an alliance to target depression in the workplace, and has recently published a report as an early first step in its campaign, setting out why employers must act, the challenges they face and the steps they can take to reduce the workplace impact of this serious condition (HR Leadership Forum, 2014).

Depression and impaired work

Depression accounts for 7.2% of the overall disease burden in Europe, affecting 30 million EU citizens at any one time, according to an analysis published on PLOS One in March 2014 (Evans-Lacko and Knapp, 2014). The alliance’s report points out that people with depression lose an average 5.6 more hours a week of productive time than those without the condition. A joint study by the London School of Economics and King’s College London quoted in the “Depression in the workplace in Europe” report estimates that depression costs European business £77 billion a year.

XpertHR resources

Good practice manual: Stress management
Good practice manual: Wellbeing
This loss in productivity is, by far, the greatest contributor to the overall economic impact of depression and the evidence for an association between depression and impaired work performance is strong. During an episode, workers with depression experience a range of cognitive symptoms, including trouble concentrating, indecisiveness or forgetfulness for up to 94% of the time.
However, many line managers believe that employees with mental ill health, including depression, are able to carry on working as normal and that their organisation’s mental wellbeing policies and practices are primarily designed to help the employer avoid litigation, the PLOS One study suggests.
An organisation’s workplace culture and environment strongly influences whether an employee with depression decides to disclose their illness. The support and openness of managers, and, in particular, their willingness to talk about the issues around working with an ongoing condition, such as depression, are crucial in enabling a person to stay in work, and also in building a social acceptance of the illness.

Supporting mental health at DHL

Organisational culture underpins German company Deutsche Post DHL’s (DPDHL) approach to depression at work. DPDHL launched a corporate guiding principle, “Respect and Results”, in 2008: “This means we are always striving for good results, but in ways that show respect for the individual,” according to Andreas Tautz, chief medical officer at the company. The launch of the principle was an important milestone for DPDHL, acting as a starting point for a range of initiatives around building a culture that supports mental health.

Deutsche Post DHL: health strategy

DPDHL believes you can promote workforce wellbeing on four levels, all of which are influenced by health management:
  • Health-promoting workplace design – favourable workplace set-up, working conditions, working hours and working atmosphere.
  • Qualification/development of decision-making competence – foster capability to take responsibility and improve stress resilience.
  • Individual health promotion – support a healthy lifestyle.
  • Respectful company culture and social interaction – open, transparent communication; culture of respectful feedback; creation of social networks; and sympathetic interaction.
Its health strategy is guided by one main principle: “Respect and Results”.
DPDHL manages mental wellbeing at four levels, one of which is described as “respectful culture and social interaction”. Employment is good for health, and the company uses this inherent advantage to promote healthy working environments: “Once we’ve focused on this we can then move on to look at developing a health-promoting company culture by focusing on relationships between executives and employees, and strengthening relationships in teams,” Tautz adds.
The role of DPDHL’s OH team of 70 physicians is: to identify therapeutic needs through referrals; work, if appropriate, with external specialists to provide immediate help with acute needs; and develop rehabilitation plans for those returning to work after time off due to mental ill health.

Barclays’ “This is Me” campaign

Barclays launched a “This is Me” campaign in May 2014 as the central plank of a year-long initiative on mental health at work. “This is Me” was born out of the financial services company’s recognition that depression and other manageable mental health conditions are major issues in its broader mental health agenda.
“We’re starting by tackling stigma – often when someone calls in sick with a mental health issue they tend to mask it with a physical illness,” says Mark McLane, head of global diversity and inclusion at Barclays. “This is Me” attempts to bring the conversation around mental health into the workplace, giving all staff (including line managers) the resources to tackle the issue. It also helps managers and employees to understand depression better, for example, describing how the condition can arise at different points in an individual’s life, or how it can be something that they manage on an ongoing basis.
Barclays’ mental health initiative is based around an online portal, open to all employees, which provides access to a set of resources from external organisations specialising in mental health. It also, crucially, gives access to a community of employees with an interest in a particular area, enabling employees with a question to pitch it to an appropriate colleague with relevant experience. Often, colleagues are able to help each other by signposting additional wellness resources.
McLane thinks this is a “brilliant” approach as it solidifies Barclays’ expectation that the stigma still attached to mental ill health will fall, “but it also empowers colleagues to support each other on depression and other mental health issues”. The community aspect of “This is Me” does a great job, and it brings all Barclays’ other HR policies on tackling stigma and supporting people with mental ill health “to life”, he believes. Line managers are already using the online community to assist them in supporting people in their teams with depression, according to McLane.

Building line management capability

Workplace depression in Europe

One in 10 people have taken time off work because of depression, according to a European-wide poll of 7,065 employees and managers published in 2012. Other findings from the IDEA survey, which explored the impact of depression on both organisations and individuals, include:
  • An average of 36 working days are lost per episode of depression, with the highest average occurring in Great Britain (44 days per episode, on average).
  • The highest rates of depression diagnoses were in Great Britain and the lowest in Italy.
  • Only 20% of employees in France would tell their employer if they were diagnosed with depression, compared with the average of 34%.
  • Nearly one in three managers reported they had no formal support or resources to deal with employees disclosing depression. Among those managers who stated that they were supported, support from a medical professional was the most frequently cited source (43% of those with any support), followed by support from an HR department (30%).
  • Awareness of the cognitive symptoms of depression is poor – relatively low proportions of participants were able to identify forgetfulness and indecisiveness as symptoms.
Source: Ipsos MORI, Impact of depression at work in Europe audit, final report
Boosting the confidence and capability of line managers to support team members with depression is challenging, but also crucial to an organisation’s success in reducing stigma around the issue and fostering acceptance. All the organisations we spoke to recognise this, and have introduced training and professional development modules covering mental health. This management training covers areas such as initiating sensitive conversations, managing confidentiality and making effective referrals to specialists, including OH.
Advertising and media company Ogilvy & Mather, approaches workplace depression as part of a wider mental health strategy. Julia Ingall, the company’s talent management director for the UK division of EAME, believes that there is insufficient understanding of depression in the workplace, particularly among line managers, who often find themselves in a difficult position. “They may not understand what constitutes ‘depression’, or that it can include work-related aspects, such as a loss of concentration or change in behaviour towards colleagues. This can be quite scary for managers,” she suggests.
Ogilvy & Mather is working with consultant, Robertson Cooper, to deliver resilience training across the organisation, starting with its leadership level by building it into existing management programmes. “The lines are blurred between work and home, often driven by technology, and I worry that people do not get a break,” Ingall says. Putting the training in place will help managers understand their own resilience levels, how to build on their personal strengths in addition to acknowledging weaker areas.
An assessment tool developed by Robertson Cooper, called i-resilience, has been introduced. It will eventually produce data that can be interpreted to develop action plans for individuals. “We’ve also selected eight key HR people to undertake some ‘train the trainer’ programmes so they can understand the issues and roll these programmes out,” Ingall adds.
DPDHL provides managers with evidence and data on the value of managing mental health, explaining how their behaviour influences employees and suggesting ways to minimise the impact of damaging behaviour and maximise the positive. The company provides e-learning resources for managers on leading on mental health issues, developed in conjunction with a German university and the Ministry of Labour.
“We also started a programme of workshops for managers on preventing depression and burnout in 2012, designed to boost their confidence in handling these issues,” Tautz explains. The workshops operate alongside other HR training activities and professional development plans. “The latest development is a new training programme for senior managers covering mental health at work,” he adds.

Employee involvement

Involving employees in developing initiatives on depression in the workplace is a feature common to employers in the Target forum. DPDHL established health working circles in each branch in 1997, including representatives from Works Councils, OH physicians and health and safety experts. “These circles explore how and where to address different health topics, including many linked to mental health, such as conflict management, burnout and stress,” Tautz notes.
Ogilvy & Mather is in the process of setting up a wellbeing forum to work through issues affecting employee wellbeing: “The job of the forum will be to gather feedback from local offices. We’ve also used leadership groups to explore six pillars of wellbeing, including the impact of client demands and our leaders’ clarity of vision, on employee health,” Ingall adds.
One of the “really interesting” aspects of Barclays’ “This is Me” campaign is that it is colleague driven, using the company’s established employee network, Reach, according to McLane. A self-selecting network of around 700 people with an interest in disability, Reach also incorporates listening groups, which are formal focus groups of employees who have self-identified as having a disability, including ongoing mental health issues.
“These groups are asked for their views on gaps in the organisation’s approach to diversity and inclusion, for example, how our reasonable adjustments programme could be made better,” McLane explains. This helps Barclays develop improvements, which have recently included the launch of an intranet-based online catalogue of reasonable adjustments which employees can quickly access without the need to go through an application/procurement process. “We will also draw on employees’ own stories as a part of our efforts to tackle stigma; for example, we’ve started with six people telling their stories about managing their own mental health problems whilst having successful careers.”

Evaluating interventions

Providing evidence for the effectiveness of workplace initiatives on depression is the “biggest challenge”, according to Tautz. However, he adds, there is sufficient global data around to demonstrate the need for systematic health management, and DPDHL also uses its own employee opinion surveys and feedback from training sessions for qualitative evidence. “We also use validated tools such ICD10 to track the incidence rates for different work-related conditions, in addition to analysing our absence data.”
Barclays’ “This is Me” is currently a UK-based initiative, but the company plans to roll it out to the bank’s operations in the Americas and Africa during 2014: “This expansion will be one of the campaign’s success metrics,” McLane explains. “We will also look at activity levels within the community and, later on, will invite people to tell their stories around the support it provides,” he adds. 
An alliance of European employers is calling on HR and occupational health (OH) professionals to push mental health, and depression in particular, further up the corporate agenda. Sarah Silcox investigates why this is necessary.
The “Target Depression in the Workplace” initiative, run by the HR Leadership Forum, brings together some of the largest businesses in Europe. Occupational Health spoke to three of them – Barclays, Deutsche Post DHL and Ogilvy & Mather – about reducing stigma, changing culture and the best ways to give line managers the confidence to support individuals with mental health problems.
Depression, along with stress and anxiety, is a major contributor to long-term sickness absence in the UK, affecting the lives of significant numbers of employees, their families and the organisations in which they work. A group of big-name European employers has formed an alliance to target depression in the workplace, and has recently published a report as an early first step in its campaign, setting out why employers must act, the challenges they face and the steps they can take to reduce the workplace impact of this serious condition (HR Leadership Forum, 2014).

Depression and impaired work

Depression accounts for 7.2% of the overall disease burden in Europe, affecting 30 million EU citizens at any one time, according to an analysis published on PLOS One in March 2014 (Evans-Lacko and Knapp, 2014). The alliance’s report points out that people with depression lose an average 5.6 more hours a week of productive time than those without the condition. A joint study by the London School of Economics and King’s College London quoted in the “Depression in the workplace in Europe” report estimates that depression costs European business £77 billion a year.

XpertHR resources

Good practice manual: Stress management
Good practice manual: Wellbeing
This loss in productivity is, by far, the greatest contributor to the overall economic impact of depression and the evidence for an association between depression and impaired work performance is strong. During an episode, workers with depression experience a range of cognitive symptoms, including trouble concentrating, indecisiveness or forgetfulness for up to 94% of the time.
However, many line managers believe that employees with mental ill health, including depression, are able to carry on working as normal and that their organisation’s mental wellbeing policies and practices are primarily designed to help the employer avoid litigation, the PLOS One study suggests.
An organisation’s workplace culture and environment strongly influences whether an employee with depression decides to disclose their illness. The support and openness of managers, and, in particular, their willingness to talk about the issues around working with an ongoing condition, such as depression, are crucial in enabling a person to stay in work, and also in building a social acceptance of the illness.

Supporting mental health at DHL

Organisational culture underpins German company Deutsche Post DHL’s (DPDHL) approach to depression at work. DPDHL launched a corporate guiding principle, “Respect and Results”, in 2008: “This means we are always striving for good results, but in ways that show respect for the individual,” according to Andreas Tautz, chief medical officer at the company. The launch of the principle was an important milestone for DPDHL, acting as a starting point for a range of initiatives around building a culture that supports mental health.

Deutsche Post DHL: health strategy

DPDHL believes you can promote workforce wellbeing on four levels, all of which are influenced by health management:
  • Health-promoting workplace design – favourable workplace set-up, working conditions, working hours and working atmosphere.
  • Qualification/development of decision-making competence – foster capability to take responsibility and improve stress resilience.
  • Individual health promotion – support a healthy lifestyle.
  • Respectful company culture and social interaction – open, transparent communication; culture of respectful feedback; creation of social networks; and sympathetic interaction.
Its health strategy is guided by one main principle: “Respect and Results”.
DPDHL manages mental wellbeing at four levels, one of which is described as “respectful culture and social interaction”. Employment is good for health, and the company uses this inherent advantage to promote healthy working environments: “Once we’ve focused on this we can then move on to look at developing a health-promoting company culture by focusing on relationships between executives and employees, and strengthening relationships in teams,” Tautz adds.
The role of DPDHL’s OH team of 70 physicians is: to identify therapeutic needs through referrals; work, if appropriate, with external specialists to provide immediate help with acute needs; and develop rehabilitation plans for those returning to work after time off due to mental ill health.

Barclays’ “This is Me” campaign

Barclays launched a “This is Me” campaign in May 2014 as the central plank of a year-long initiative on mental health at work. “This is Me” was born out of the financial services company’s recognition that depression and other manageable mental health conditions are major issues in its broader mental health agenda.
“We’re starting by tackling stigma – often when someone calls in sick with a mental health issue they tend to mask it with a physical illness,” says Mark McLane, head of global diversity and inclusion at Barclays. “This is Me” attempts to bring the conversation around mental health into the workplace, giving all staff (including line managers) the resources to tackle the issue. It also helps managers and employees to understand depression better, for example, describing how the condition can arise at different points in an individual’s life, or how it can be something that they manage on an ongoing basis.
Barclays’ mental health initiative is based around an online portal, open to all employees, which provides access to a set of resources from external organisations specialising in mental health. It also, crucially, gives access to a community of employees with an interest in a particular area, enabling employees with a question to pitch it to an appropriate colleague with relevant experience. Often, colleagues are able to help each other by signposting additional wellness resources.
McLane thinks this is a “brilliant” approach as it solidifies Barclays’ expectation that the stigma still attached to mental ill health will fall, “but it also empowers colleagues to support each other on depression and other mental health issues”. The community aspect of “This is Me” does a great job, and it brings all Barclays’ other HR policies on tackling stigma and supporting people with mental ill health “to life”, he believes. Line managers are already using the online community to assist them in supporting people in their teams with depression, according to McLane.

Building line management capability

Workplace depression in Europe

One in 10 people have taken time off work because of depression, according to a European-wide poll of 7,065 employees and managers published in 2012. Other findings from the IDEA survey, which explored the impact of depression on both organisations and individuals, include:
  • An average of 36 working days are lost per episode of depression, with the highest average occurring in Great Britain (44 days per episode, on average).
  • The highest rates of depression diagnoses were in Great Britain and the lowest in Italy.
  • Only 20% of employees in France would tell their employer if they were diagnosed with depression, compared with the average of 34%.
  • Nearly one in three managers reported they had no formal support or resources to deal with employees disclosing depression. Among those managers who stated that they were supported, support from a medical professional was the most frequently cited source (43% of those with any support), followed by support from an HR department (30%).
  • Awareness of the cognitive symptoms of depression is poor – relatively low proportions of participants were able to identify forgetfulness and indecisiveness as symptoms.
Source: Ipsos MORI, Impact of depression at work in Europe audit, final report
Boosting the confidence and capability of line managers to support team members with depression is challenging, but also crucial to an organisation’s success in reducing stigma around the issue and fostering acceptance. All the organisations we spoke to recognise this, and have introduced training and professional development modules covering mental health. This management training covers areas such as initiating sensitive conversations, managing confidentiality and making effective referrals to specialists, including OH.
Advertising and media company Ogilvy & Mather, approaches workplace depression as part of a wider mental health strategy. Julia Ingall, the company’s talent management director for the UK division of EAME, believes that there is insufficient understanding of depression in the workplace, particularly among line managers, who often find themselves in a difficult position. “They may not understand what constitutes ‘depression’, or that it can include work-related aspects, such as a loss of concentration or change in behaviour towards colleagues. This can be quite scary for managers,” she suggests.
Ogilvy & Mather is working with consultant, Robertson Cooper, to deliver resilience training across the organisation, starting with its leadership level by building it into existing management programmes. “The lines are blurred between work and home, often driven by technology, and I worry that people do not get a break,” Ingall says. Putting the training in place will help managers understand their own resilience levels, how to build on their personal strengths in addition to acknowledging weaker areas.
An assessment tool developed by Robertson Cooper, called i-resilience, has been introduced. It will eventually produce data that can be interpreted to develop action plans for individuals. “We’ve also selected eight key HR people to undertake some ‘train the trainer’ programmes so they can understand the issues and roll these programmes out,” Ingall adds.
DPDHL provides managers with evidence and data on the value of managing mental health, explaining how their behaviour influences employees and suggesting ways to minimise the impact of damaging behaviour and maximise the positive. The company provides e-learning resources for managers on leading on mental health issues, developed in conjunction with a German university and the Ministry of Labour.
“We also started a programme of workshops for managers on preventing depression and burnout in 2012, designed to boost their confidence in handling these issues,” Tautz explains. The workshops operate alongside other HR training activities and professional development plans. “The latest development is a new training programme for senior managers covering mental health at work,” he adds.

Employee involvement

Involving employees in developing initiatives on depression in the workplace is a feature common to employers in the Target forum. DPDHL established health working circles in each branch in 1997, including representatives from Works Councils, OH physicians and health and safety experts. “These circles explore how and where to address different health topics, including many linked to mental health, such as conflict management, burnout and stress,” Tautz notes.
Ogilvy & Mather is in the process of setting up a wellbeing forum to work through issues affecting employee wellbeing: “The job of the forum will be to gather feedback from local offices. We’ve also used leadership groups to explore six pillars of wellbeing, including the impact of client demands and our leaders’ clarity of vision, on employee health,” Ingall adds.
One of the “really interesting” aspects of Barclays’ “This is Me” campaign is that it is colleague driven, using the company’s established employee network, Reach, according to McLane. A self-selecting network of around 700 people with an interest in disability, Reach also incorporates listening groups, which are formal focus groups of employees who have self-identified as having a disability, including ongoing mental health issues.
“These groups are asked for their views on gaps in the organisation’s approach to diversity and inclusion, for example, how our reasonable adjustments programme could be made better,” McLane explains. This helps Barclays develop improvements, which have recently included the launch of an intranet-based online catalogue of reasonable adjustments which employees can quickly access without the need to go through an application/procurement process. “We will also draw on employees’ own stories as a part of our efforts to tackle stigma; for example, we’ve started with six people telling their stories about managing their own mental health problems whilst having successful careers.”

Evaluating interventions

Providing evidence for the effectiveness of workplace initiatives on depression is the “biggest challenge”, according to Tautz. However, he adds, there is sufficient global data around to demonstrate the need for systematic health management, and DPDHL also uses its own employee opinion surveys and feedback from training sessions for qualitative evidence. “We also use validated tools such ICD10 to track the incidence rates for different work-related conditions, in addition to analysing our absence data.”
Barclays’ “This is Me” is currently a UK-based initiative, but the company plans to roll it out to the bank’s operations in the Americas and Africa during 2014: “This expansion will be one of the campaign’s success metrics,” McLane explains. “We will also look at activity levels within the community and, later on, will invite people to tell their stories around the support it provides,” he adds.
Source: Evans-Lacko S and Knapp M, PLOS (2014). “Importance of social and cultural factors for attitudes, disclosure and time off work for depression: findings from a seven country European study on depression in the workplace”.

 Source: Evans-Lacko S and Knapp M, PLOS (2014). “Importance of social and cultural factors for attitudes, disclosure and time off work for depression: findings from a seven country European study on depression in the workplace”.