INTRODUCTION 2012 emeta Learning Solutions Copyright emeta Learning Solutions 2012 1
ENCOMPASS MISSION To provide employers with expert training and consulting for early identification and remediation of mental health issues in the workplace. MODULE II DEPRESSION HURTS THE BOTTOM LINE Copyright emeta Learning Solutions 2012 2
UPON COMPLETION YOU WILL: Understand the prevalence and impact of depression/bipolar disorder in the workplace Be aware of the differences between depression and sadness Be familiar with the different causes of depression/bipolar disorder Be able to identify the problem behaviors that may be signs of depression/bipolar disorder Be able to recognize some of the workplace strategies that promote mental health receptive organizations END OF INTRODUCTION SECTION 1 Copyright emeta Learning Solutions 2012 3
Understanding the Prevalence of Depression and Bipolar Disorder in the workplace DEPRESSION MYTHS & FACTS Depression is hurtful but not a major medical condition If your parent and grandparent had depression, you re sure to get it eventually Only emotionally troubled people become depressed Most people with depression never go to a mental health professional Quiz on Depression Myths DEPRESSION MYTHS & FACTS Depression is most common in elderly people Depression causes physical pain Talking about depression only makes it worse Being optimistic can cure depression Quiz on Depression Myths Copyright emeta Learning Solutions 2012 4
DEPRESSION HURTS Depression can hurt both the employee and employer Physical symptoms often accompany depression Depression is very common among workers today QUIZ: How many individuals will Suffer at Least One Episode of Major Depression During Their Lifetime? a. 1 in 30 b. 1 in 20 c. 1 in 10 d. 1 in 5 ONE IN FIVE Individuals will Experience at Least One Episode of Major Depression During Their Lifetimes Lifetime Prevalence of Depression Copyright emeta Learning Solutions 2012 5
DEPRESSION HURTS THE BOTTOM LINE Depression is the #1 cause of disability in developed countries 37% to 43% of workers with untreated depression experience short-term disability 54% of employer loss of productivity is due to untreated depression Depression Costs Businesses Billions DEPRESSION HURTS THE BOTTOM LINE The average untreated depressed worker takes 40 days off costing employers about $52 billion annually It is estimated that untreated depression reduces a worker's output by 22% Depression Costs Businesses Billions Duke University Medical Center researched 37 US Presidents and found that: 49% had mental health conditions sometime during their life 24% suffered from depression 27% had episodes of illness while in office The Journal of Nervous and Mental Disease Copyright emeta Learning Solutions 2012 6
TERRY BRADSHAW "I know what I went through was real. Depression is a physical illness. The beauty of it is that there are medications that work. " If Terry Bradshaw can do it TAKE AWAY By the year 2020 depression will rank as the 2 nd leading cause of worldwide disability Global Burden of Disease study Let s Review One in five of us will experience at least one episode of major depression in our lifetime. Depression is the leading cause of disability in the United States. The primary cost of depression for employers is the high rate of absenteeism and presenteeism. Copyright emeta Learning Solutions 2012 7
END OF SECTION 1 SECTION 2 The True Cost Of Depression Copyright emeta Learning Solutions 2012 8
MEDICAL COSTS & LOST PRODUCTIVITY Cincinnati Enquire November 30, 2009 COSTS FOR DEPRESSION Treatment Costs --31.4% Inpatient 10.7% Pharmacy 12.5% Outpatient 8.2% Suicide Related Costs 6.6% Presenteeism 18.4% TREATMENT VS WORKPLACE COSTS Absenteeism 43.6% Workplace Costs 62% Greensberg P, et al. Clinical Psychiatry. 2003 Dec; 64:1465-75 THE MIND AND BODY CONNECTION + Patrick J. Lynch's photostream ancientsword's photostream Copyright emeta Learning Solutions 2012 9
CO-OCCURRING DEPRESSION CAN RAISE TOTAL COSTS Primary Condition Co-occurring Depression Increase in Total Cost Asthma 40% 183% Heart Disease 35% 163% Arthritis 25% 183% Diabetes 25% 109% UNDENIABLE MIND + BODY CONNECTION Workers comp costs are 2.3 x higher for those with cooccurring depression Source: Musich S, et al. J Occup Environ Med. 2001 Jun;43:534-41 IntangibleArts' photostream If an individual is being treated through employee assistance programs it might cost the employer about $3000 Left untreated depression will cost the employer twice that Depression Costs Businesses Billions November 19, 2005 Delores Williams Copyright emeta Learning Solutions 2012 10
Let s Review Untreated depression costs a business more than the treatment People with high rates of medical service use, have four times the prevalence of depression and anxiety disorders Mental Health Cost to Businesses END OF SECTION 2 SECTION 3 Copyright emeta Learning Solutions 2012 11
Understanding The Difference Between Sadness and Depression DEPRESSION IS AN OFTEN- MISUNDERSTOOD ILLNESS BL1961's photostream It is not: merely sadness or a passing mood a character flaw or a weakness Depression is: dnwallace's photostream Copyright emeta Learning Solutions 2012 12
Depression is a serious neurobiological disease that affects millions of people each year Depression can be as distressing as any physical illness VIDEO Dr. Tracey Skale on Depression DEPRESSION IS NOT JUST A STATE OF MIND Family History Other Disorders Trauma & Stress Physical Conditions Depression is related to physical changes in the brain and connected to an imbalance of a type of chemical that carries signals in your brain and nerves. These chemicals are called neurotransmitters Neurotransmitters Video Copyright emeta Learning Solutions 2012 13
JOB STRESS AND DEPRESSION Workers with high job stress: were four times more likely to have depressive symptoms and 70 % more likely to score in the "clinically depressed" range Journal of Occupational and Environmental Medicine October 19, 2006 DEPRESSION HAS MANY FACES Too quiet or speaking too much Sleeping too much or not enough Frequently tearful or unable to express emotion Isolating him/herself or almost terrified of being left alone Can't work at all or behaves like a workaholic National Alliance on Mental Illness Difficulty in concentrating at all or completely focused on only a few issues Difficulty making decisions Eating excessively or minimally Loss of interest in normal daily activities Feeling sad, down, hopeless, or worthless Irritability, restlessness, being easily annoyed Feeling fatigued or weak Thoughts of suicide or suicidal behavior Unexplained physical problems, such as back pain or headaches Copyright emeta Learning Solutions 2012 14
DEPRESSION IS DIFFERENT IN MEN > 6 million men in the U.S. have at least one episode of major depression each year Men tend to become irritable, aggressive, or hostile Depression in Men DEPRESSION IS DIFFERENT IN MEN Tend to deny having problems because they are supposed to "be strong. A staggering 75% to 80% of all people who commit suicide in the U.S. are men. Depression in Men DEPRESSION SCREENING This screening may help identify any depressive symptoms and determine whether a further evaluation by a medical or mental health professional is necessary.. http://www.depressionscreening.org/depression_screen.cfm Copyright emeta Learning Solutions 2012 15
People who suffer with even "light" or minor depression may actually be about six times more likely to progress into a serious depressive episode. Depression: When a Little Blue Turns into Thick Clouds of Darkness Yet many of us are trained from childhood to ignore a sense of the blues. We're told to smile, to fake it until we can make ourselves feel better. Depression: When a Little Blue Turns into Thick Clouds of Darkness Food For Thought The symptoms of depression are both common and different. Can you give an example of this? Copyright emeta Learning Solutions 2012 16
The Answer Some of the common symptoms are fatigue, trouble sleeping, and sadness that won t go away. However, some symptoms are different in men than women. Men tend to express depression with irritability and anger. END OF SECTION 3 SECTION 4 Copyright emeta Learning Solutions 2012 17
Understanding Bipolar Disorder BIPOLAR DISORDER IN THE WORKPLACE Like diabetes or heart disease, bipolar disorder is a long-term illness that must be carefully managed throughout a person s life VIDEO Dr. Tracey Skale on Bipolar CHARACTERISTICS OF BIPOLAR DISORDER Bipolar disorder affects about 1 in 25 Americans Mood swings from overly happy and excited to overly irritable and angry The highs may last from days to a month or more The lows often last longer and can be profoundly deep BIPOLAR DISORDER IN THE WORKPLACE Copyright emeta Learning Solutions 2012 18
JANE PAULEY "Anybody can get this; you don t need to be ashamed of yourself, and you can get through it." NAMI Jane Pauley: The Sanest Person in Television Catherine Zeta-Jones: 'There Is No Need to Suffer Silently' "If my revelation of having bipolar II has encouraged one person to seek help, then it is worth it. There is no need to suffer silently and there is no shame in seeking help." http://www.flickr.com/photos/shankbone/with/7089463283/ AVERAGE LOST WORKDAYS IN A YEAR 80.0 60.0 40.0 20.0 PER U.S. WORKER 40 days With Depression 65.5 days With Bipolar 0.0 Bipolar disorder disrupts the workplace Copyright emeta Learning Solutions 2012 19
Let s Review Bipolar disorder is less common than depression but far more costly to employers because of greater rates of absenteeism. END OF SECTION 4 SECTION 5 Copyright emeta Learning Solutions 2012 20
KEEPING QUIET -- SUFFERERS FEAR DISCLOSURE STIGMA IS A SERIOUS BARRIER Fear of Disclosure Diagnosis Treatment Acceptance in the Workplace MENTAL HEALTH PROBLEMS ARE STILL TABOO IN THE WORKPLACE annikaleigh's photostream Copyright emeta Learning Solutions 2012 21
The behavioral problems associated with untreated depression or bipolar disorder result in real, significant, and measurable financial losses. SUCH AS High Turnover Customer Complaints Lost Revenue Decreased productivity Increased Costs STIGMA LOWER MORALE A NEGATIVE DYNAMIC IS SET IN MOTION UNTREATED DEPRESSION INCREASED COSTS REDUCED PRODUCTIVITY Copyright emeta Learning Solutions 2012 22
FEW SUPERVISORS ARE TRAINED Only 15% of supervisors are trained to recognize behaviors related to mental health conditions Foreign and Commonwealth Office's photostream PRODUCTIVITY IMPACT MODEL This model can help estimate the cost of depression to your company and can also project the benefits when depressed employees receive treatment Depression Calculator NET SAVINGS FOR EMPLOYEES EFFECTIVELY TREATED FOR DEPRESSION COMPANY SIZE EMPLOYEES AFFECTED # EFFECTIVELY TREATED TOTAL SAVINGS/YEAR 100 EMPLOYEES 13 10 $14,000 500 EMPLOYEES 63 50 $70,000 1000 EMPLOYEES 125 100 $140,000 10,000 EMPLOYEES 1250 1000 $1,400,000 Data extrapolated from Cost of Lost Productive Work Time Among U.S. Workers with Depression by W.F. Stewart, et.al, June 18, 2003, The Journal of the American Medical Association Copyright emeta Learning Solutions 2012 23
Let s Review Employers can avoid long term problems by addressing employee depression at the first signs of depression in the workplace Most employees who are dealing with depression will benefit from early intervention THE GOOD NEWS IS THAT TREATMENT WORKS!!! DR. TRACEY SKALE ON THE TREATMENT OF DEPRESSION VIDEO Dr. Tracey Skale on the Treatment of Depression Copyright emeta Learning Solutions 2012 24
TREATMENT WORKS Treatment is effective in most cases It can include drugs or therapy or a combination of both Treatment is constantly evolving through research TREATMENT SUCCESS RATES ARE HIGH 100% 80% 75% 80% 80% 60% 40% 20% MAJOR DEPRESSION ANXIETY BIPOLAR 45% HEART DISEASE 0% KEYS TO TREATMENT Early diagnosis and treatment improve success rates Sticking with the treatment long enough for the brain and body to adjust is essential Treatment of Anxiety Disorders Copyright emeta Learning Solutions 2012 25
Blood Test Diagnoses Depression http://www.flickr.com/photos/wcowperthwaite/ MONTEL WILLIAMS DISCUSSES HOW TO HANDLE YOUR DEPRESSION WORKPLACE SOLUTIONS FOR HEALTHY PEOPLE AND HEALTHY ORGANIZATIONS KEEPING YOUR GREATEST ASSET IN MIND Copyright emeta Learning Solutions 2012 26
There is a compelling business case for a positive, allencompassing approach to mental health conditions in the workplace WORKPLACE STRATEGIES Provide: Education on mental health conditions Access to mental health screening tools Coverage for mental health treatment when needed Instruction of how to access resources www.workplacementalhealth.org WORKPLACE STRATEGIES Provide: Prescription medication coverage for mental health conditions Coaching managers in respectful and reflective listening Training in identification of job performance problems related to mental health conditions Copyright emeta Learning Solutions 2012 27
WORKPLACE STRATEGIES Provide: Disability management services to facilitate timely return-to-work Mental health and stress management through a comprehensive wellness and health promotion program QUIZ True or False A person treated for depression is less likely to recover than a person treated for a heart condition. If you answered FALSE Then you would be correct. A person treated for depression has a 75% success rate versus 45% for heart disease. Copyright emeta Learning Solutions 2012 28
quinn.anya's photostream END OF SECTION 5 Contact Information Deborah Dutton Lambert, MBA, PC, CRC deborah@encompasselearning.com Daina R. Dennis, MBA, PhD daina@encompasselearning.com www.encompasselearning.com 2012 emeta Learning Solutions Copyright emeta Learning Solutions 2012 29