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CREST.BD Work & Bipolar Disorder Slides

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A warm welcome to CREST.BD’s Bipolar Wellness Centre webinar series! These webinar slides provide a summary of current research evidence on the relationship between work, bipolar disorder (BD) and quality of life (QoL), as well as pointing you to some tools and resources to help you flourish in your work life.

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CREST.BD Work & Bipolar Disorder Slides

  1. 1. 1 CREST.BDBipolar Wellness Center Webinars Connect. Learn. Engage.
  2. 2. 2 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Work
  3. 3. 3 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BDCREST.BD Featuring: Dr. Raymond Lam CREST.BD Member, Professor and Associate Head of Research, Department of Psychiatry, University of British Columbia, Director of the Mood Disorders Centre of Excellence, UBC Hospital @DrRaymondLam Work
  4. 4. 4 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Defining work Why work is important to your QoL Work and BD How you can take action Webinar focus
  5. 5. 5 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Defining work Focus of webinar: relationship between paid work and QoL Having a job is an important part of life for many people, however, not everyone needs or wants one Meaningful volunteer work, or other life roles (e.g., caregiving, parenting) can be equally important Activities considered more important or less stressful may be focused on No one-size-fits-all prescription
  6. 6. 6 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Why is work important to QoL? Work can provide: purpose and identity feeling of competence social support and networking financial security and money for other important life areas (e.g., leisure) routine and structure
  7. 7. 7 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Work and BD Unemployment rates are higher in people with BD than in general population Rates in BD may be inflated BD associated with ‘workplace under-performance’1 1 Marwaha, S., Durrani, A. & Singh, S. (2013). Employment outcomes in people with BD: a systematic review. Acta Psychiatrica Scandinavica, 128: 179-193. 40-60% of people with BD are unemployed1
  8. 8. 8 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Tse, S., Chan, S., Ng, K. L., & Yatham, L. N. (2014). Meta-analysis of predictors of favorable employment outcomes among individuals with BD. Bipolar Disorders, 16(3): 217-229. Work and BD: factors for success good cognition higher education lower illness severity (e.g., being hospitalized less frequently) absence of comorbid conditions (e.g., personality disorder) ability to cope with workplace stigma good relationships at work
  9. 9. 9 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD good fit between the person with BD, the job and support system being in recovery from the mood episode2 Work and BD: factors for success Successful re-entry into work after a mood episode linked to: Factors related to success in the workplace broadly for people with mental health conditions include: regular assessment of mental health actively working to maintain and improve mental health striving to feel connected to others at work3 2 Tse, S. & Yeats, M. (2002). What helps people with BD succeed in employment: a grounded theory approach. Work (Reading, Mass.), 19: 47-62. 3 Michalak, E. E., Yatham, L. N., Maxwell, V., Hale, S., & Lam, R. W. (2007). The impact of BD upon work functioning: A qualitative analysis. Bipolar Disorders, 9(1): 126-143.
  10. 10. 10 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD How you can take action Optimise BD treatments Pharmacology a bedrock of treatment for many with BD Pharmacology alone may be insufficient to flourish at work Consider: adjunct psychosocial treatments occupational therapists offer a valuable resource
  11. 11. 11 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD How you can take action Consider interventions designed to support people with mental health challenges in the workplace: ‘supported employment’4, 5, 6 e.g., Individual Placement and Support (IPS) - “a direct, individualized search for competitive employment that eschews prolonged preemployment preparation, counseling, and training” employee assistance programs nonprofit organizations 4 Campbell, K., Bond, G. R. & Drake, R. E. (2011). Who Benefits From Supported Employment: A Meta-analytic Study. Schizophrenia Bulletin, 37: 370-380. 5 Howard, L. M. et al. (2010). Supported employment: randomised controlled trial. British Journal of Psychiatry, 196: 404-411. 6 Tse, S. (2002). Practice guidelines: therapeutic interventions aimed at assisting people with BD achieve their vocational goals. Work (Reading, Mass.), 19: 167-179.
  12. 12. 12 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD How you can take action Disclosure considerations Disclosure of BD is a difficult decision, given reasonable concern that employers will discriminate, and the possibility of negative attitudes from co-workers Supervisors and coworkers can be excellent sources of support when workplace culture itself is supportive7,8 7 Cross, W. & Walsh, K. (2012). BD - A Portrait of a Complex Mood Disorder (ed Dr. Jarrett Barnhill). 8 Corrigan, P. W., Kosyluk, K. A. & Ruesch, N. (2013). Reducing Self-Stigma by Coming Out Proud. American Journal of Public Health, 103: 794-800. Employer responsibilities People dealing health conditions have certain rights in the workplace Disability and anti-discrimination laws protect the work rights of people with BD
  13. 13. 13 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Tools and Resources
  14. 14. 14 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Resources Web MD: Tips for Managing Bipolar Disorder at Work This site hosted by WebMD offers a range of tips for managing BD at work and practical suggestions on topics such as: job performance, disclosure, work schedules, leaves of absence and the law. http://www.webmd.com/bipolar- disorder/guide/managing-bipolar- disorder-at-work-job-performance- tips
  15. 15. 15 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Disclosure in the workplace Resources Conceal or Reveal: A guide to telling employers about a mental health condition http://www.kcl.ac.uk/ioppn/depts/hspr/research/ciemh/cmh/CMH-Stigma- Measures/CORAL-DA-Oct13-final.pdf
  16. 16. 16 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Information for Employers Employers’ guide to bipolar disorder and employment (UK) http://www.bipolaruk.org.uk/assets/uploads/documents/information_leaflets/bipolar_uk_ employers_guide_to_bipolar.pdf Accommodation and Compliance Series: Employees with BD (US) http://askjan.org/media/Bipolar.html Resources
  17. 17. 17 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Resources Mood FX Monitor your mood on your phone or PC http://moodfx.ca/
  18. 18. 18 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD For more information and resources, visit our Bipolar Wellness Center at: http://www.bdwellness.com/ To assess your quality of life, visit our QoL tool at: http://www.bdqol.com/
  19. 19. 19 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Acknowledgments

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