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MentalHealthintheWorkplace:IdentifyingIssuesand
AccommodatingEmployees
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PresentationTeam
JaySandys,PHDVicePresident,OrganizationalDevelopment
BryanR.CokeleyMember
JamieL.LearyMember
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UnderstandingMentalHealth
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DefinitionofMentalIllness
Amentaldisorderisasyndromecharacterizedbyclinicallysignificantdisturbance inanindividual’s
• Cognition• Emotionregulation• Behavior
MentalIllnessareassociatedwith significantdistressordisabilityinsocial,occupational,orotherdailyactivities
Source: adapted from DSM V
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RecognizingWarningSigns
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ObserveWarningSigns
BehavioralPhysical
• Irritability• Anxiety• Depression• Paranoia• Moodswings
• Headachesorbackaches• Shalloworrapidbreathing• Fatigue• Sweatingorshaking/chills
• Excessivetalkingorrestlessness• Limitedattentionspan• Poormotivation/lackofenergy• Disrespectfulorthreatening• Socialisolation
Emotional
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ObserveSignals
Symptomsmanifestthemselvesin:
• Thequalityoftheworkitself
• Interpersonalrelationships
• Behaviorshifts
• Durationofpresentingissue
PatternOfBehavior
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Work‐RelatedSignsandSymptoms
• Reactingoutofcontext• Feelsresentfulandunappreciated• Leavingworkearlyorarrivinglate• Avoidingsupervisorsorco‐workers• Lackofrespectforworkplaceboundaries
• Financialdifficulties• Changesinpersonalityorbehavior• Poorappearanceandhygiene• Defensiveness
• Frequentabsenteeism• Longlunchbreaks• Onthejobabsenteeism• Rigidperspective• Inabilitytoworkwithco‐workers• Inconsistentworkpatterns• Troubleacceptingresponsibility• Blamesothersforpoorperformance
• Strangeorgrandioseideas
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HighRiskWarningSigns
• Suicidal statements • Saying things like “it would be
better if I wasn’t here” or “I want out”
• Making statements about being hopeless or worthless
• Losing interest in things that used to be valued
• Increased irritability and dramatic mood swings
• Impulsive behavior
• Always thinking about or talking about death
• Taking extreme risks or having a “death wish,” such as driving recklessly
• Giving away possessions, putting affairs in order, saying farewell to friends/colleagues
• Sudden, unexplained change in mood from extreme sadness to calm, happy appearance
• Any major changes in patterns of behavior
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ProvidingSupport
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AsaManager,HowCanYouHelp?
• Knowcompanypoliciesandprotocols• Involveothers(e.g.HRorWork/LifeAssistanceProgram)• Reachouttothepersonbasedonworkperformance• Bespecificaboutwhatyouhaveobserved• Avoidtryingtodiagnose/interprettheproblem• Bepreparedtoofferresources• Avoidenablingandstigma
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ExampleofCCAIntervention
Scenario:Amanagerhasasupervisorymeetingwithanemployeeduetorecentabsenteeism.Theemployeebecomestearfulanddistraught,andsaystheyneedhelp.
Intervention:• Individualisevaluatedimmediatelyforrisk• Ifriskidentified,emergencyservicesengaged• Ifnoimminentrisk,individualreferredforin‐personassessment• Individualprovidedwithshort‐termcounseling(ifappropriate)orreferredontospecializedservices
• Individualprovidedwithcasemanagementoversight• OngoingconsultationwithCompanyregardingemployee’sprogressandreadinessforreturntowork
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HealthandWell‐beingintheWorkplace
Encourage:• Preventivecare• Healthyeating• Exercise• Goodsleephabits• Employeestocontactthework/lifeprogram• Appropriatebreak&mealtimes
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INSERT Cokeley Slides
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LeaveofAbsence:WhatLawApplies?
•Local• State•Federal
• FMLA• HIPAA• COBRA
Anddoespreemptionapply?
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HowWellDoYourBenefitPlansComplementYourLeaveofAbsencePolicy?
• Reviewplandocuments• Forinsuredbenefits,insurancepolicyorgroupcontract• Forself‐fundedbenefits,stoplossinsurancepolicy
• Detailsmatter• Reviewdefinitions• Readprovisionstogether• Comparedifferenttypesofleave– e.g.,nonmedicalvs.medical
• Considerwhat’sbeencommunicated• Summaryplandescriptions• Employeehandbook• Leaveofabsencepolicy
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Pre‐PlanningCanMinimizeStressLater
• Howlongcananemployeeonleavecontinuetobecoveredunderyourbenefits?
• Doyouwanttonegotiatelongercoveragewithinsurers?
• Doyouwanttostandardizethelengthoftimeacrossvariousbenefits?
• DoyouneedtocorrectorclarifybenefitscoverageinyourpoliciesandSPDs?
• WhenwillaCOBRAqualifyingeventoccur,triggeringneedtoissueCOBRAelectionnotice?
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WhenConsideringChanges,KeepinMind:
• HIPAAnondiscriminationregulations• Prohibitsdiscriminationonthebasisofahealthfactor
• Exceptionforbenigndiscrimination
• Considersafeharboreffectivedate
• ERISAdisclosurerequirements• Summaryofmaterialmodificationsgenerallywithin210daysafterendofplanyearinwhichchangeisadopted
• Exceptionsmayapply
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WhenConsideringChanges,KeepinMind:
• ACAPlayorPayConsequences• Isemployeeondisabilityorsickleavestillaccruinghoursofservicefor4980Hpurposes?
• AretheystillconsideredanACAfull‐timeemployee?
• Howwillyoucodetheir1095‐C?
• AreyourCOBRApremiumsACAaffordable?
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WrapUp