1. Depression in the workplace Carol Duff Freelance Trainer 14 th November 2013

2. Aims Myths around depression and mental health conditions What is depression Depression in the workplace How to help someone Training available

3. Fact Or Fiction? Depression is rare and unusual and none of my staff have a mental health condition Depression is common 1 in 5 people will experience depression at some point in their lives

4. People with severe mental health conditions are not able to work Fact Or Fiction? The vast majority of people who have experienced a mental health condition continue or return to work successfully

5. Working makes mental health problems worse Fact Or Fiction? However poor conditions in the workplace can impact on poor mental health therefore it is essential to foster a healthy work environment Being out of work can be more detrimental to mental health There is evidence that work is generally good for health and wellbeing

6. Someone who has previously had a mental health condition will have a bad sickness record in the future Fact Or Fiction? Over 70% of people have a single episode and then fully recover Although people can and do sometimes need time off work with their mental health condition – most can and do recover and only some experience problems over a longer period of time

7. Stigma and disclosure Many people don’t disclose a mental health condition for fear of discrimination Many people don’t understand mental health conditions and avoid talking about them This can exacerbate the issue

8. Finding the balance Employers need to be able to recognise signs of ill health and provide appropriate support They need to understand how to encourage good mental health Employers want to maximise productivity and also support employees

9. Depression But for some people, depression goes on for longer, and becomes so severe that they find it hard to carry on with their normal lives Everyone feels sad, fed up or miserable sometimes

10. Continuum of Mental well being Mental illness Positive mental wellbeing

11. Clinical depression A clinical depression is one that lasts for at least 2 weeks and affects the person physically, emotionally, cognitively and behaviourally It interferes with the person’s ability to carry out his or her work or to have satisfying personal relationships.

12. Emotional Changes Sadness Increased anxiety or stress Feelings of guilt Anger Mood swings Lack of emotional responsiveness Helplessness Hopelessness

13. Changes in thinking Frequent self-criticism Self-blame Worrying Pessimism Poor memory and concentration Difficulty making decisions Confusion Tendency to believe that others see you negatively In severe cases thoughts of death and suicide

14. Physical changes Chronic fatigue Lack of energy Sleeping too much or too little Overeating or loss of appetite Constipation Weight loss or gain Irregular menstrual cycle Loss of libido Unexplained aches and pains

15. Changes in Behaviour Crying spells Withdrawal from others Neglect of responsibilities Loss of interest in personal appearance Loss of motivation Making more mistakes

16. How depression might present in workplace? Decreased productivity Morale problems Lack of co-operation Safety problems Absenteeism Frequent complaints of being tired all the time Complaints of unexplained aches and pains Alcohol and/or other drug misuse

17. What can you do to help or advise Help the person to feel hope and optimism Understand that depression is common Depression is a real medical condition Effective help is available

18. What doesn’t help Being told to snap out of it Being told to cheer up Being made to feel a failure Depression being seen as a weakness

19. Where can you get help for depression? Self help GP Counselling Cognitive behaviour therapy Local groups i.e Cruise Medication

20. What can help in the workplace? Raising awareness of mental health conditions Promoting well-being Identifying the early warning signs and talking at an early stage Keeping in touch during sickness absence Occupational health Considering reasonable adjustments Ongoing support and review

21. Benefits of Intervention The total cost to employers is estimated at nearly £26 billion each year That is equivalent to £1,035 for every employee in the UK workforce Simple steps to improve the management of mental health in the workplace should enable employers to save 30% or more of these costs - at least £8 billion a year

22. Training available Mental Health First Aid ( 2 day course) Mental Health First Aid Lite ( 3 hour session) Line Managers Mental health awareness ( 6 hours) Employee Mental Health Awareness ( 3 hours) Managing stress in the workplace

23. Summary None of us are immune to mental health conditions Both the employer and the employee are responsible for looking after their own mental wellbeing Small changes and proactive support can encourage good mental health and in turn maximise productivity There is help and support available

24. Useful information www.centreformentalhealth.org.uk/employment www.moodgym.anu.edu.au www.depressionalliance.org.uk www.mentalhealth.org.uk www.mind.org.uk www.mindfulemployer.net www.hse.uk www.mhfaengland.org/news/mhfa-england-updates- shift-line-managers-resource www.getselfhelp.co.uk www.ntw.nhs.uk/pic/selfhelp

25. Thank you & questions Contact Details carol.duff@rdash.nhs.uk