MENTAL WELL-BEING PPMA CONFERENCE. Dr Wolfgang Seidl, MD MA MBACP(Accred), Partner Head of Health Management Consulting EMEA London, 20 October 2014

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1 MENTAL WELL-BEING PPMA CONFERENCE Dr Wolfgang Seidl, MD MA MBACP(Accred), Partner Head of Health Management Consulting EMEA London, 20 October 2014

2 The pressure performance curve Intended Performance Performance Lost Performance Actual Performance Boredom Improved performance Peak performance Fatigue Exhaustion Ill-Health Panic Breakdown & Burnout Pressure Adapted from Kelly, 1998

3 Stress is personal! 2

4 Stress is personal Stress occurs when your perception of a threat or pressure exceeds your perceived ability to cope Stress is not a disease in itself but may lead to physical or psychological ill health if prolonged or excessive 3

5 Who stays healthy under stress Source: Kobasa et al. RESEARCH QUESTION: Is it possible to encounter stress and remain healthy SAMPLE: Homogeneous group of people experiencing high levels of stress FINDINGS: Two groups High stress / High illness High stress / Low illness 4

6 Early warning signs PHYSIOLOGICAL Frequent colds or flu Weight loss or gain Increase in accidents EMOTIONAL Change in social behaviour with colleagues Frequent mood swings Tearfulness 5

7 Early warning signs COGNITIVE Decrease in concentration Forgetfulness Decrease in alertness Prone to errors Increased aggression BEHAVIOURAL Lack of social interest Missed appointments and deadlines Increase in frequency of mistakes Change in quality or quantity of work 6

8 Adaptive & maladaptive forms of stress Adaptive Maladaptive

9 A system of decline Increase in workload/conflict Less time for work/life balance More (unproductive) time spent at work 1 2 Decrease in personal satisfaction Decrease in individual effectiveness Increase in stress Adapted from source 8

10 Good stress bad stress Does the science stack up? Pressure vs. stress Good stress / Eustress: energy to succeed Short spurts of stress strengthen the immune system Segerstrom & Miller 2004 Key: time-limited Long-term stress weakens immune system Resilience: bouncing back from or adjusting to challenges and change 9

11 HSE stress management standards Demands e.g. workload, work patterns, staffing levels, emotional demands, exposure to physical hazards Control e.g. over how you do your work Relationships e.g. team working, avoid conflict, bullying & harassment Role e.g. are roles clear and unambiguous? Change e.g. how organisational change is managed & communicated Support e.g. from managers / peers, training, individual differences Source: HSE,

12 Stress management techniques Good diet Regular exercise Rest, maintain a good routine Regular sleep patterns Challenge negative thoughts Identify alternatives Cognitive Behaviour Therapy (CBT) Mindfulness Progressive muscle relaxation Counselling 11

13 A system of renewal Increase in workload/ conflict Inner alignment Life balance maintained Increase in professional satisfaction More purposeful and effective use of time, prioritising, delegating and 1 empowerment 2 Increase in personal satisfaction Increased engagement and capacity to lead Decrease in perceived stress Adapted from source 12

14 Common mental health issues Stress Anxiety Depression Drug & Alcohol Co-morbidity Absenteeism Presenteeism

15 Absenteeism v. presenteeism Source: Ronald Kessler, Harvard Medical School 2006

16 Diabetes - The global picture

17 Diabetes - Global projections

18 Mental health issues at work How do you know? What can you do? When is it a performance issue? When is it impairment that may lead to medical leave? When is it about the job? When is it about harassment?

19 Case study - health pathways WHAT IT IS QUESTIONS TO ASK Accurate assessment of condition Triage Referral Data Claims history? Top claims categories? How do you reduce claims costs? CLIENT EXAMPLE OUTCOME Investment bank 4,000 employees High claims for psychiatric referrals Data Risk containment Reduction in absence and presenteeism cost 18

20 Resilience 23 October

21 Who stays healthy under stress? 20

22 Case study - resilience CLIENT CHALLENGE Engineering firm 45,000 employees Global Alignment with existing H&S strategy Cultural adaptation Support in-house resources SOLUTION VALUE ADD Training modules Webinar Train the Trainer Dealing with stress Produced by Mercer specialist clinicians Creation of a library of bespoke training materials Dovetailed with corporate values and CSR agenda

23 The psychology of happiness 23 October

24 Positive mental states broaden and build cognitive processes People in a positive mood: Have a broader focus of attention Generate more ideas Are more resilient in stressful situations Are more generous and tolerant to others 23

25 Number of ideas generated in different emotional states Joy Content Neutral Fear Anger Fredrickson & Branigan 24

26 Happiness tools Get physical Count your blessings Talk time Plant something Cut your TV viewing in half Have a good laugh at least once a day Phone a friend Give yourself a treat every day Daily kindness Adapted from: Stevens, Henry, Corlett & Mullan 25

27 Good leaders Make the workplace gen-friendly and happy Embrace diversity Multi-generational teams Ready for the workplace of the 21 st Century Give back control Provide feedback Support health & wellbeing Encourage community

28 Benefits Value Health + Engagement = Productivity HEALTHY & PRODUCTIVE WORKFORCE HEALTHY HIGH PERFOR- MANCE CULTURE ENGAGED WORKFORCE BRAND VALUE ENGAGED INCREASED REVENUE 27

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