Mental Illness Awareness Week is October 5 - 11, 2014.
Can Employers Move the Needle on America’s Mental Health?
Eight Ways Your Leaders Can Get Started
Just in time for Mental Illness Awareness Week (October 5th through 11th), Graeme Cowan points out why America’s employers are in a prime position to make a difference in our country’s collective mental health, and shares eight strategies to help leaders get started.
Oakland, CA (September 2014)—Mental Illness Awareness Week (October 5th through 11th) highlights the fact that one in five Americans takes at least one psychiatric medication, such as an anti-depressant or anti-anxiety drug. It’s obvious that something about our modern lifestyles needs to change. And Graeme Cowan has a clear—and perhaps surprising—idea of where that change should start: the workplace.
“Since we spend a significant chunk of our waking hours at work, employers are in a prime position to make a difference in America’s collective mental health,” says Cowan, author of Back from the Brink: True Stories and Practical Help for Overcoming Depression and Bipolar Disorder (New Harbinger Publications, Inc., 2014, ISBN: 978-1-608-82856-2, $16.95, www.IAmBackFromTheBrink.com). “Because of the large role they play in employees’ lives, employers can be a first line of defense in keeping mental health issues from taking root, and can also play a pivotal role in helping individuals who suffer from depression and anxiety cope and recover.”
Cowan isn’t placing the blame on employers for the current epidemic of mental health issues, but simply pointing out that illnesses like depression and anxiety are often exacerbated by environments that are stressful, demanding, and hectic (e.g., most workplaces).
“Many employers can’t change the pace or workloads required of their employees, but they can cultivate a culture that fosters engagement and wellness,” he points out. “They can also take steps to reduce the unfortunate stigma around mental health issues, encourage employees to seek help, and actively support those who do. And while I hope that all business leaders genuinely care for the well-being of their people, the fact is that committing to these changes won’t be a purely philanthropic endeavor, either—employers’ bottom lines stand to benefit a great deal from improving their teams’ mental health.”
In fact, a study recently published by the Journal of the American Medical Association found that depressed workers experienced more health-related productivity losses than those without depression—costing employers $44 billion. And despite the fact that depression and stress disorders are such a significant source of lost productivity, Cowan’s research shows that 86 percent of those afflicted would rather suffer in silence than speak up to their bosses.
“Clearly, when employers step up and create a mentally healthy work culture, everyone wins,” Cowan comments.
Here, Cowan shares eight tips to help employers create programs that foster a mentally healthy and high-performing culture:
Link your efforts to purpose and values. First and foremost, employers need to understand that creating a culture of mental well-being isn’t something that can be changed simply by instituting new rules and policies. Employees’ well-being—particularly their mental health—is a very personal thing. And most people won’t be willing to speak up about their needs, preferences, struggles, and experiences unless they feel that your efforts are more than just another initiative handed down from the folks in the corner offices.
“People are motivated and energized when they really believe that the changes being made will make a positive difference—not just to your company’s bottom line, but also to them as individuals,” notes Cowan. “For example, Suncorp, an insurance company I work for, has identified ‘Creating brighter futures’ as their overarching purpose. It is easy to see the link between this goal, Suncorp’s future, and its employees’ well-being.”
Make sure leaders set the example. A recent Harvard global study of 19,000 employees showed that only 25 percent believed that their leader lived a balanced and sustainable lifestyle. The one in four employees who did believe that their leader lived a balanced and healthy life were shown to be 52 percent more engaged, and had a 72 percent higher well-being.
“The point? The most practical thing leaders can do to create a mentally healthy work culture is to lead healthy lives themselves,” says Cowan. “For instance, if you encourage employees to leave work at work so that they can devote time to family, friends, hobbies, exercise, etc., you need to do the same. If your people see you sending frantic emails at 10 p.m., they’ll assume they should be connected after hours, too—and their stress levels will remain at unhealthy levels.”
Don’t expect change to happen overnight—create a multi-year plan. Culture doesn’t change overnight, especially given the stigma associated with mental health conditions. When you consider that almost 9 out of 10 of those afflicted would rather suffer in silence than share their condition with work colleagues, it becomes clear that a long-term plan is essential.
“The following tips will identify aspects of what that plan should include,” Cowan notes. “But overall, as they implement their plans, organizations should make sure to regularly assess the impact of stress on employees and how willing they are to share what is happening to them with work colleagues. Some of the United States’ most successful organizations are including these questions in their annual engagement surveys.”
Identify mental health champions. According to Cowan, a mental health champion is someone who is familiar with the organization’s plan and goals, and who is willing to visibly lead change. While it’s important to designate champions at different levels throughout the organization, some should be leaders who have the power to shape organizational policy. And if possible, some should also be individuals who have coped with stress and anxiety, and who are willing to share their stories. Seeing that speaking up about mental health issues isn’t met with stigma or disapproval will be instrumental in ensuring long-term cultural change.
“Given that one in four adults experience mental illness in a given year, it’s very likely that most of your employees know someone suffering from a mental health issue, if they haven’t been dealing with one themselves,” points out Cowan. “My point is, employees at all levels of your organization will have experience helping someone (or themselves) cope with a mental health issue and may want to get involved—so finding champions might not be as difficult as you think. Soliciting their input for the design and communication of programs will be central to success.”
Create a variety of programs and resources. Mental health is not one-size-fits-all. There should be programs and resources to help employees to stay in the “green zone,” as well as strategies to help those who have slipped into the “red zone.”
“Because of the high level of stigma that still exists, it is essential that programs can be accessed anonymously, as well as in more traditional training settings,” Cowan shares. “Also, be sure to identify processes and procedures within the organization that might be causing unnecessary stress, and change them.” NOTE to EDITOR: See attached tipsheet for practical actions that leaders can incorporate into mental wellness programs.
Target high-risk employees. Many organizations have observed that mental stress is highest where engagement levels are lowest. Central to improving health outcomes will be identifying the specific areas where employees are disengaged. There will undoubtedly be performance issues in these areas.
Another key step in identifying high-risk employees is knowing what signs indicate they may be suffering from depression or anxiety. If a normally reliable employee starts calling in sick more than usual, missing deadlines or meetings, looks tired or overwhelmed, or has a decrease in overall performance, he or she could be suffering from a mental health issue.
“Employers, managers, and coworkers should also keep an eye out for changes in temperament,” notes Cowan. “For example, maybe an employee was well known for greeting you and other coworkers each morning or making friendly conversation during work breaks, but now goes straight to his desk or spends his breaks alone or surfing the Internet. These could each be signs that depression has taken hold, and certainly indicate that it might be time to check in with this person to see how he’s doing.”
Teach managers and team members how to ask, “Are you okay?” Fifty-one percent of employees believe that the most effective way to address harmful stress is “speaking to someone at work.” “This creates a compelling case to increase the will and skill of managers and team members to ask, ‘Are you okay?’ and encourage the stressed employee to take action,” says Cowan. “I recommend a four-step process to building trust and helping someone you are concerned about. First, break the ice. The best ice breaker? Simply ask, ‘Are you okay?’ Next, listen without judgment. Then, encourage action. And finally, follow up.
“Many managers are paralyzed by the fear of saying the wrong thing and opt for saying nothing instead. I guarantee that if you approach the conversation with a genuine effort to ‘put yourself in their shoes,’ your intent will be felt and appreciated. Compassion or emotional support plays an essential role in recovering from depression. Employees say that when a supervisor or coworker shows they care about them as a person, it is the biggest predictor of recovery and return to productivity.”
Monitor progress and share success stories. It’s simple: What gets measured gets managed. That’s why your organization no doubt monitors absenteeism, employee turnover, and profitability—they are essential to success.
“Surveys that identify employee engagement and stress levels should be added to this dashboard,” says Cowan. “And leaders should be very conscious of sharing mental health success stories—with the permission of the employee in question, of course.”
“Yes, transforming your company’s culture can seem like a daunting task, but if you want to continue to succeed in a rapidly changing world, it is not optional,” Cowan concludes. “Just take this process one step at a time, making sure that rewards, processes, policies, and guidelines all reflect your commitment to improved mental health. The ROI your organization receives—in employee engagement, loyalty, and productivity—will be worth it.”
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Seven Practical Ways to Promote a Mentally Healthy Workplace Culture
Advice from Graeme Cowan, author of Back from the Brink: True Stories and Practical Help for Overcoming Depression and Bipolar Disorder (New Harbinger Publications, Inc., 2014, ISBN: 978-1-608-82856-2, $16.95, www.IAmBackFromTheBrink.com)
Employers are far from powerless when it comes to helping employees develop and maintain mental health. Here, Graeme Cowan, author of Back from the Brink, shares seven things to do when creating mental wellness programs and resources:
Make sure people can access resources anonymously. Because studies show that 86 percent of employees are unwilling to discuss their condition with workmates, Cowan recommends providing workplace resources—including a mental health policy, wellness program, and intranet materials—that can be accessed anonymously. Whether available via an organization’s intranet or downloadable in the form of a smartphone app, these resources must be both practical and evidence-based. To accommodate different learning styles, multi-media delivery would be optimal.
Make it easy to seek help in person, too. Cowan encourages leaders to promote the availability of Employee Assistance Programs and provide regular stories of how these services have helped others. They should also consider how peer support programs could be created so that every team member has a trusted colleague who can provide support and practical advice on mental well-being strategies. (Think of these mentors as “mental health first aid officers.”)
Provide a list of competent mental health professionals. A big regret for depressed individuals is that they didn’t get an accurate diagnosis and treatment plan earlier. One reason people delay getting treated is because it can be very difficult for a depressed person to make a decision regarding what kind of professional they need to see. If companies assemble a panel or list of suitable mental health professionals that employees can feel comfortable going to when they need assistance, that’s a big help.
Provide ways for employees to get exercise. According to the Mayo Clinic, a 30-minute brisk walk improves your mood 2, 4, 8, and 12 hours later compared to those who don’t exercise. So consider incorporating exercise into the workday. Have walking meetings rather than sitting meetings. Encourage people to get outside and, if possible, walk in nature at lunchtime or during breaks. Form an office softball league. Etcetera!
Offer tools to help employees develop mental resilience. Employees with a positive mood are 31 percent more productive, sell 37 percent more, and are 300 percent more creative. Clearly, it’s good for your company’s health, as well as your employees’ health, to help them develop mental resilience. You can help them by teaching time management and stress management techniques. Perhaps you could even offer periodic classes on meditation, yoga, or tai chi to encourage the pursuit of inner peace! And whenever possible, be generous with flex time and time off to help your people switch off, relax, and regenerate.
Discover and use employee strengths. Employees achieve the greatest fulfillment from work when they’re using their strengths. Tom Rath’s (Gallup, Inc.) book Strengths Based Leadership finds that employees who use their top five strengths on a daily basis are 600 percent more likely to be engaged at work and 300 percent more likely to be satisfied with their lives. Furthermore, in his book Flourish, Martin Seligman provides numerous case studies highlighting how recovery from mental illness can be enhanced by coaching people using their strengths. And of course, ensuring your employees are doing work that is truly engaging and that they actually like to do is great for companies, too. Not only will employees be more productive, but their work will be of a greater quality.
Do not punish or penalize employees who are struggling. Employers need to be very careful how they address employees who are struggling with a mental health disorder. Certainly, they should never harass, yell at, or otherwise mistreat people who are underperforming because of their struggles (or allow anyone else in the organization to do so, either). Yet an employer’s duty goes further than just refraining from abusive behavior—the most important thing leaders can do is to constantly display a caring, compassionate attitude. The employer should have an open and honest discussion with the person to determine whether she can fulfill all the duties in her job description. Remember, this discussion is not an opportunity to make the person feel bad about her performance. It is an opportunity to work out a plan that helps everyone move forward in the best possible way.
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About the Author:
Graeme Cowan is the author of Back from the Brink: True Stories and Practical Help for Overcoming Depression and Bipolar Disorder (New Harbinger Publications, Inc., 2014, ISBN: 978-1-608-82856-2, $16.95, www.IAmBackFromTheBrink.com). He is also a speaker who helps people build their resilience, well-being, and performance. Despite spending most of his career as a senior executive in Sydney, Australia, with organizations like Johnson & Johnson, Pfizer, and A.T. Kearney, Graeme had struggled with depression for more than 20 years. Graeme reemerged with not just a best-selling Australian book series to his name but a new attitude toward the way individuals approach recovery.
He is also the author of the report “The Elephant in the Boardroom: Getting Mentally Fit for Work,” which highlights that 86 percent of people with a mood disorder in the workplace would rather suffer in silence than discuss their illnesses with colleagues. Cowan is one of Australia’s leading speakers and authors in the area of building resilience and mental health, and has appeared regularly on national Australian television and radio and had articles written in the Australian Financial Review on workplace health. He is also a director of the R U OK? Foundation, whose slogan is “A Conversation Could Change a Life” (www.ruokday.com), and was supported in its launch campaign with video promotions from Australian actors Hugh Jackman, Simon Baker, and Naomi Watts. Cowan is passionate about sharing his journey and helping others to find hope, know they are not alone, and find a way back from the brink.
See Cowan interviewed on NBC’s affiliate Seattle station.
Sign up for his free 30-Day Mood Challenge at www.IAmBackFromTheBrink.com.
About the Book:
Back from the Brink: True Stories and Practical Help for Overcoming Depression and Bipolar Disorder (New Harbinger Publications, Inc., 2014, ISBN: 978-1-608-82856-2, $16.95, www.IAmBackFromTheBrink.com) is available at bookstores nationwide and major online booksellers.
