supporting mental health: for employers in long- term care
TRANSCRIPT
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Supporting Mental Health:
For Employers in Long-
Term Care
Hosted by:
Courtney Patt Senior Health Management ConsultantMental Health First Aid Instructor
Marsh & McLennan Agency LLC
Agenda
• Defining mental health and stats
• Supporting someone who lives with or is experiencing a mental health challenge
• Tools and resources that provide mental health awareness and support to employees
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MMA book of business reveals anxiety is now
the #1 mental health diagnosis followed by depression.
Mental Health by the Numbers
1 in 5American adults report
having a mental illness.
After the stay-at-home
orders, widespread layoffs
and general anxiety about
the virus spread,
45% of adults reported their
mental health was
negatively affected.
67%of American workers
reported having
higher stress
since the COVID-19
outbreak.
41%of American workers with
adverse mental health
symptoms, increased
substance use disorder, or
suicidal ideation
during COVID-19.
Overdose counts
increased 45% in 2020; of
those, opioid overdoses
increased 29%
from pre pandemic.
45%
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1. https://www.samhsa.gov/data/sites/default/files/report_1959/ShortReport-1959.html
2. https://www.drugabuse.gov/publications/drugfacts/nationwide-trends
The prevalence of
substance use and
substance use
disorders
is not consistent
across industries
8.7% of full-time
workers used
alcohol heavily in
the past month1
Opioid misuse is
now the second
most prevalent form
of illicit substance
use after marijuana2
9.5% of full time
workers were
dependent on or
abused alcohol or illicit
drugs in the past year
Substance use disorders are associated with negative work behaviors such as absenteeism and
frequent job changes1
Substance Use in the Workplace
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Source: 1. 2021: Statista, Impact of coronavirus pandemic on mental health. 2. Workplace Well-Being and the Employee Experience: Findings from the NBGH/Optum Well-being Survey, 2019.
The State of Mental Health Pre and Post Pandemic
Percentage of U.S. adults showing symptoms of
anxiety and/or depressive disorder1
9 out of 10Employers plan to address mental
health stigma and have concerns
with employee access to
behavioral health services2
8%7%
11%
28%
24%
34%
36.9%
30.2%
42.4%
Symptoms of anxietydisorder
Symptoms ofdepressive disorder
Symptoms of anxiety ordepressive disorder
Jan - June 2019 May 14-19, 2020 December 9-21, 2020
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“Physician Burnout”. Agency for Healthcare Research and Quality. See also Brusie, C. “Study Reveals Alarming Statistics on Nurse Burnout,”Nurse.org, posted April 7, 2019 and Batcheldor, M. “Study Explores Burnout Among APRNs, Physician Assistants,”Vanderbilt University Medical Reporter, December 12, 2019.
The Toll of Chronic Stress on Providers:
Depression affects 1/3 of nurses
1 in 10 nurses is impaired or is in recovery
from alcohol or drug addiction
Nurses who work 12-hour shifts had worse health outcomes and
made more errors than peers who worked 8-10
hour shifts
12 female and 40 male nurses (per 100,000)
complete suicide each year vs. the general population of 7.6 for
female and 28.2 for male
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Source: 2020 Mercer National Survey of Employer-Sponsored Health Plans.
Mental Health is a Top Priority for Employers in 2021
Employers with 500 or More Employees
39%
40%
48%
49%
75%
Physical activity
Nutrition/weight management
Financial well-being
Diabetes
Behavioral health
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HOW TO SUPPORT SOMEONE
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Signs/symptoms of someone struggling
Behavior
• Withdrawing from family and friends
• Pattern of showing up late or cancelling commitments
• Absenteeism or “presenteeism”
• Odd or erratic behavior
Appearance
• Tired-looking
• Disheveled clothing
• Appearing more unkempt than usual
• Declining personal hygiene
• Cuts or bruises in various stages of healing
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Signs/symptoms of someone struggling
Emotion
• No longer enjoying activities/hobbies/work
• Sadness, Worry, Hopelessness
• Anger/rage
Thoughts
• Difficulty concentrating – home, school or work
• Indecisiveness
• Racing or mind going blank
• Increase self-blame
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Be A Mental Health Advocate
Understand the effects of mental health disorders
Use first person language
Cut out offensive slang
Be supportive
Listen
Eye contact
Positive body language
Acknowledge what was heard
Connect to help and know your role
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Starting the Conversation
Sources: Make it Ok makeitok.org/what-to-say/
Mental Health First Aid /www.mentalhealthfirstaid.org/2018/06/5-
tips-conversation-mental-health/
Questions to ASK
I’ve noticed you’ve been more quiet than
usual in our meetings, tell me more about
how work is going for you.
I’ve noticed you ______ . How are you
feeling?
I know ________ (acknowledge something
that is happening in their life). Anything you
want to talk about?
How are you doing at the moment?
Is there anything I can do to help?
Questions to AVOID
You’re clearly struggling. What’s up?
Why can’t you just get your act together?
What do you expect me to do about it?
Your performance is really unacceptable right
now – what is going on?
Everyone else is in the same boat and they’re
okay. Why aren’t you?
Who do you expect to pick up all the work that
you can’t manage?
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What if someone doesn’t want support?
• Let them know you are always there to support
them
• You may not be the right person to have the
conversation
• Check in with them again in the future, now may
not be the time
TOOLS AND RESOURCES
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Scan the QR code
to access the NSC
Calculator website:
What is the impact of the mental health of your
employees?
• The National Safety Council has a free tool that
demonstrates the cost of employee mental health and
illness for employers.
• Provides specific information about the cost of mental
health based on the size of employee base, industry,
and state.
Mental Health Cost Resources
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For example, a health
services company
with 100 employees
in Wisconsin
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The Center for Workplace Mental Health also has a cost calculator to help you better understand the potential impact on
your company.
Mental Health Cost Resources
Scan the QR code
to access the
Calculator website:
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For example, a
health services
company with
100 employees
in Wisconsin
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• Involve your data partner
• Review Employee Assistance Program (EAP) utilization
• Review Medical claims
– ER visits for behavioral health
– Pharmacy spend
Making data driven decisions:Understand your behavioral health trend
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STRATEGIES FOR MENTAL HEALTH IN THE
WORKPLACE
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Source: HERO Employee Mental Health and Well-being: Emerging Best Practices and Case Study Examples. September 2020.
Strategies for Positive Mental Health in the Workplace
Raise awareness about the
importance of mental
health and well-being.
Manage psychosocial
risks related to work,
environment, and culture:
• Employee involvement
• Employee recognition
• Employee growth and development
• Work-life integration
• Healthy work environment
• Health and psychological safety
Assess mental health and
well-being needs and
measure intervention
impact.
Partner with local and
national organizations
to extend and share
mental health and
well-being practices.
Integrate mental health
and well-being into a
comprehensive wellness
program inclusive of:
Provide and promote
access to evidence-based,
high quality mental health
care:
• Promote mental health care access
options
• Increase equitable and timely access to
evidence-based mental health care
6 Workplace Mental Health and Well-being Best Practices
• Emotional
• Environmental
• Spiritual
• Financial
• Intellectual
• Occupational
• Physical
• Social
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Build a Caring Culture
Remove the
stigma Make time
to listen
Give
employees
ways to
de-stress
Be
transparent
Establish
quiet spaces Offer benefits
that support
mental health
Implement a
mental health
company
initiative
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Mental Health ResourcesMMA Solution Spectrum
MMA has in-house resources to help employers and employees navigate the spectrum of solutions and vendors available.
Sourcing and referring
quality programs and
education available
publically.
Public Domain
Reviewed and vetted point solution vendors that offer
sub-clinical, clinical, and crisis specific program
offerings.
Point Solutions (fee-based)
Tapping into all the
available carrier
resources that
compliment your
current plan offerings.
Carrier / EAP
Virtual and onsite
training to support
employers with skills
to respond to
employee mental
health needs.
Leadership
Training
Marsh & McLennan Agency LLC
Mental Health First Aid Training
• Interactive training course builds skills to support how to
use your MHFA training skills in the real world to
identify, understand, and respond to signs of mental
challenges and substance use disorders.
• 6.5-hour virtual certification class (with 2 hours of pre-
work)
• Visit https://www.mentalhealthfirstaid.org/ to locate a
local training course OR work with your local Health
Management Consultant to schedule group training with
our MMA trainers.Scan the QR
code to access
the MHFA
website:
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Mental Health Communications ToolkitUpdated for Mental Health Awareness Month
Support your employees’ mental and emotional well-being.
• Topics include:
– Depression.
– Anxiety.
– Stress.
– Sleep disorders.
– Substance abuse.
– New! Resilience.
– Know where to go.
• Directs employees to:
– Behavioral healthcare.
– Employee Assistance Program (EAP).
– Public resources.
To access the Mental Health Toolkit, click
https://mma.marshmma.com/ntl_mental_health_toolkit
Scan the QR code
to access the MMA
MH Toolkit:
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https://www.mhawisconsin.org/ https://mhanational.org/
Scan the QR code
to access MHA
website:
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NAMI Wisconsin
https://www.nami.org/home
https://www.namiwisconsin.org
Scan the QR code
to access NAMI
website:
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