Return to work: outperform and engage employees


Published on

Disability and Injury Management
Planning and Strategizing on how to Return Employees to Work
Absenteeism and increased turnover
Process and Practices of Returning Employees to Work
Benefits plan
Scenarios of Returning Employees to Work
Understanding performance in relation to current standards
Psychological implications for employees and staff
Role of spirituality

Published in: Business, Technology
  • Be the first to comment

  • Be the first to like this

No Downloads
Total views
On SlideShare
From Embeds
Number of Embeds
Embeds 0
No embeds

No notes for slide
  • The consultant would speak to her family doctor about her current treatment plan, her response to date and other possible options. If appropriate, her doctor would refer her to a psychiatrist or outpatient mental health clinic for further consultation and recommendations.■ She was given information about community home care for support for hermother. She was also provided with resource materials including localsupport groups, some proven web sites and self-care materials.■ She was referred to an exercise therapist, sponsored through the rehabilitation consultant, to begin to become more physically active and to add some structure and routine to her week.■ She was referred to a registered psychologist who would provide cognitive behaviour therapy to improve her coping skills, mood management and problem solving. A particular focus was placed on gradual activation, including social involvement, and on planning forissues that could arise at work.■ Finally, the rehabilitation consultant spoke with Donna’s employer who indicated they were willing to support her in a supernumerary graduated return to work program when she was ready.After four months of proper medication management, psychotherapy sessions and an exercise program, she was feeling much better. Her mood, concentration and stamina had improved, she had lost weight and she had reconnected with some colleagues from work. Donna, her doctor and her rehabilitation consultant communicated and agreed that she was ready to return to work. It was recommended that there be some restrictions includingno night shifts, charge responsibilities or overtime for six months. A return to work meeting was held with Donna’s manager and union representative to discuss reintegration to the workplace. A six-week supernumerary graduated program was arranged. Alternate wards were discussed, but Donna felt that returning to her own unit would be the most supportive and looked forward to her return to work. At the end of the Return To Work program Donna was working full-time and feeling well. Her employer indicated there were no concerns about her performance. All restrictions were lifted after three months, but Donna was much more selective about picking up overtime or charge responsibilities.She enrolled in a company supported exercise facility and participated in a community program for single parents. She continued on her medications with the understanding that she would be reassessed and the medication would be gradually discontinued in the absence of renewed symptoms. In conjunction with her psychotherapist and physician, she developed some strategies to deal with future stressors or changes in functioning. Overall,she felt much more confidant about her ability to balance work and homeresponsibilities.
  • Statistics Canada-
  • Statistics Canada-
  • Statistics Canada-
  • Statistics Canada-
  • Statistics Canada-
  • Typical Course of DepressionEveryone experiences normal mood variations over timeHowever, some predisposed individuals will develop progressively more distressing symptoms, often in response cumulative stress or a precipitating event such as a job loss or marital separationFor many these symptoms will resolve without treatment but for others they become progressively more severe until they surpass the diagnostic threshold and require clinical intervention.4. only ½ of those experiencing a depressive episode will seek professional help. Of those who do, some do not respond to usual dare and their depression follows a chronic course that can persist for years.Most who receive appropriate care show significant improvement in 4-12 weeks. Of those who respond to treatment some have a full remissionOthers have only a partial recovery with persistent symptoms of depressionIn either case, it is not uncommon to suffer a relapse although this is far more likely where the response to treatment did not result in full remission.Even after full recovery there is still a 50% chance of recurrence, most often within two years.
  • Return to work: outperform and engage employees

    1. 1. Return to Work: Outperform and Engage Employees 9 am – 12 pm Workshop Oct 27, 2010 Infonex 940 Vancouver Chris Hylton, MA. CG Hylton & Associates Inc. or 403-264-5288
    2. 2. AGENDA Disability and Injury Management Planning and Strategizing on how to Return Employees to Work CG Hylton Absenteeism and increased turnover Process and Practices of Returning Employees to Work Benefits plan Scenarios of Returning Employees to Work Understanding performance in relation to current standards Psychological implications for employees and staff Role of spirituality 2
    3. 3. DO YOU HAVE ANY WORKPLACE ISSUES WE CAN TRY AND SOLVE FOR YOU IN THIS SESSION? CG Hylton•What has come up in your workplace that wecould help you with today?•What examples do you have to share withstories about this issue ?•Any advice for us? 3
    4. 4. REASONS FOR AN EMPLOYEE OFF FROM WORK At work injury (WCB) CG Hylton Personal time injury (car accident, skiing accident etc) Illness or injury Disability- visible or non-visible 4
    5. 5. DISABILITY AND INJURY MANAGEMENTA workplace prevention and remediation strategy that seeks to prevent disability and injuries from occurring or, lacking that, to intervene early following the onset of disability, using coordinated, CG Hylton cost-conscious, quality rehabilitation services that reflects an organizational commitment to continued employment of those experiencing functional work limitations. The remediation goal of this management is successful job maintenance, or optimum timing for return to work, for persons with a disability or injury. 5
    6. 6. THE GOAL Toget employees who have been off sick/injured to return to work as soon as safely as possible CG Hylton Thechances of an employee successfully returning to work decreases rapidly with time  6 months - 50%  12 months - 25%  24 months - less than 5% 6
    7. 7. IMPORTANCE OF EARLY ON INTERVENTION 100 CG HyltonProbability of RTW 80 60 40 20 0 Time (0 to 24 months) 7
    8. 8. REMEMBER Makesure an employee is fully recovered: CG Hylton  Illness: can get other employees sick  Injury: cause further damage to the injury before it can fully recover 8
    9. 9. DISCUSSION What are the most common injuries or illness at your work? CG Hylton What are some methods to prevent injuries? Areyour health and safety policies up to date ? 9
    10. 10. 78 MILLION BABY BOOMERS WITH THE OLDEST NOW TURNING 61 (2007) - Can you identify currently employed CG Hylton individuals who are at significant risk of injury? Physical Physical Demand DemandCapability Of Job 20 40 60 10 Age
    11. 11. STEPS TO ENSURE EMPLOYEE IS FIT FOR WORK1. Fitness for work form – doctor signs and agrees that employee can return for duty CG Hylton and perform the tasks An employee may request to see the document or request that a medical must be done 11
    12. 12. STEPS TO ENSURE EMPLOYEE IS FIT FOR WORK2. Review with employee what the doctor recommends – modified or fully return to CG Hylton work The employer must adhere to what the doctor recommends 12
    13. 13. STEPS TO ENSURE EMPLOYEE IS FIT FOR WORK3. Complete paperwork for modified or return to work – have employee sign and agree to CG Hylton the terms and conditions  Modified – hours/day, duration of period, type of work, etc 13
    14. 14. October 27, 2010Hiring Manager[address]RE: Joe Doe (Composite Crew Laborer) Completed evaluation at 10:45amDear [Manager name],Summary of Test Results CG HyltonWe offer you the following opinion concerning the individual’s present abilities to safely and successfully perform the essential functions of the position for which he/she was tested:_X__ IS CAPABLE of performing the essential functions of the position sought and does not have any present or past medical condition/impairment that we believe would pose a significant risk to him/herself or others should he/she be placed in the position sought.____ NOT CAPABLE of performing the essential functions of the position sought and does not have any present or past medical condition/impairment that we believe would pose a significant risk to him/herself or others should he/she be placed in the position sought.____ NOT CAPABLE of performing the essential functions of the position sought because applicant does have a present or past medical condition/impairment that we believe would pose a significant “medical risk” to him/her or others should he/she be placed in the position sought.Basis for conclusionWhile we are available to discuss in more detail the basis for our finding, the following additional information provides the basis for the above conclusion:The client was deemed “Capable” as he met all testing criteria of the medical history, the dynamic lifting, 14 and the job specific demands.
    15. 15. October 27, 2010Page 2Summary of Test Procedures and PrinciplesAs part of the test, we obtained a medical history of the individual and collected baseline data concerningthe individual’s physical conditioning and specific functional limitations. The primary purpose of the test,however, was to evaluate: 1) the individual’s ability to successfully perform the job related essentialfunctions of the position sought: and 2) whether there was objective medical evidence that performance ofthe job related essential functions would pose a risk to the health or safety of the individual or others. The CG Hyltontest was conducted based on our understanding of the job related essential functions of the positionsought by this individual and the traditional physical demands associated with performance of thoseessential job functions.If necessary, appropriate, and requested, we are available to engage in further examination, testing, ordiscussion with the individual noted above, to ensure that you have accurately assessed his/herqualifications for employment with your organization.Depending on the nature of the medical condition/impairment identified in our test, the risks posed by theposition sought, and the scope of protection afforded by relevant law, it might be appropriate and/ornecessary for your organization to engage in an interactive dialogue with the individual being tested toexplore potential reasonable accommodations that would facilitate safe and successful performance ofessential job functions.We hope this evaluation has been helpful. Please contact me if you have any questions.Sincerely, 15Human Resource, Management, Employee
    16. 16. CG Hylton 16
    17. 17. WHEN THE EMPLOYEE RETURNS TO WORKChallenge: How does the employer engage CG Hylton their modified employee and help them to outperform??? 17
    18. 18. STRATEGIES FOR RETURNING TO WORK Strengthen the self CG Hylton Strengthen the family Strengthen the community 18
    19. 19. STRENGTHEN SELF Fosterhealthy identities, every employee is an individual! CG Hylton Teach how to express emotions in healthy ways  For example: anger – talk it out with your co-worker, supervisor, manager Teach what constitutes a healthy, respectful adult relationship  For example: do not allow any kind of bullying or harassment in the work place 19
    20. 20. STRENGTHEN SELF Teachlife skills; problem-solving techniques, practice in developing discussion, decision making skills, anxiety reduction, communication, CG Hylton coping with stress or anger management, social & assertiveness skills  Have programs available to employees to learn to reduce stress  Offer EAP services – counselling to help employees Promote self-esteem, self-mastery and handling challenges in a healthy way 20
    21. 21. STRENGTHEN SELF Build awareness of social influences CG Hylton Preventionmentorship utilizing community role models for support and guidance in personal growth 21
    22. 22. STRENGTHEN FAMILY Strengthenparenting skills e.g. how to deal with adolescents, how to enforce family policies on substance abuse, drug information, parent role- playing CG Hylton  For example: be flexible with schedules for parents who need to attend their child’s activities Enhance family bonding and relationships through family programs Poster, pamphlets, discussions and presentations on substance abuse 22
    23. 23. STRENGTHEN THE WORKPLACE Bridge youth & elders with inter-generational activities  For example: in a workplace setting pair the young CG Hylton and old to work together Peerleadership prevention activities for youth to reinforce leadership skills  For example: senior staff can mentor the newly hired staff 23
    24. 24. STRENGTHEN THE WORKPLACE Celebrate holidays, birthdays, and company events Have an open door policy CG Hylton  Employees can approach management with problems or issues and ask for advice or help Promote teamwork Dissuade any harassment or bullying in the workplace 24
    25. 25. HELP YOUR EMPLOYEES Byhelping your employees to grow they can reach their potential when returning to work CG Hylton Make your employees confident with returning back to work and that you can help to accommodate them if necessary 25
    26. 26. ENGAGING THE EMPLOYEE EXERCISE Discussion: How can you as an employer help your employees feel better when they return to work? CG Hylton What is something at your workplace that is positive and motivate employees? Give an example of Strengthening the self, family, and community an employer can do for their employees. 26
    27. 27. HELP STAFF HELP THE RETURNING EMPLOYEES Informstaff of returning employee – debrief and explain the situation CG Hylton Have a welcome back party!  Opportunity for co-workers to interact with the returning employee Provideballoons, flowers, cards and /or a welcome back banner in an employees work space to show that the individual was missed 27
    28. 28. HELP STAFF HELP THE RETURNING EMPLOYEES Clear work out as necessary to enable an employee to return to a clean desk or work area CG Hylton Offer your support if required  Work load  Catching up to current projects, people, and issues 28
    29. 29. CG Hylton 29
    30. 30. ATTENDANCE MANAGEMENT Beaware of the signs/attendance that an employee might not be ready to come back to CG Hylton work! Ifemployees are absent find out the reason, and how to respond effectively 30
    31. 31. TYPES OF ABSENCES Innocent Culpable CG Hylton Absenteeism AbsenteeismLong RepetitiveTerm Short TermCondition Absences CANNOT DISCIPLINE! DISCIPLINE WARRANTED 31
    32. 32. INNOCENT ABSENTEEISM Innocent Absenteeism is disability, illness, or other legitimate health reason CG Hylton Discipline is inappropriate May affect non-disciplinary termination  Employee has record of excessive absenteeism  Employee cannot hold regular attendance in the future 32
    33. 33. INNOCENT ABSENTEEISM1. Provide warnings CG Hylton2. Provide opportunity to improve attendance3. Be consistent 33
    34. 34. INNOCENT ABSENTEEISM Institute attendance management program for monitoring absenteeism CG Hylton Understandthe actual levels of absenteeism in the workplace Record all incidents of absenteeism and lateness – but be careful what you count 34
    35. 35. ATTENDANCE MANAGEMENT PROGRAM Improve health and safety procedures  Having a safe free environment is important to CG Hylton prevent future injuries  Decreases the number of employees on leave for injury  Management and the HR department should come to terms the procedures for every situation at work  Should analyze every position and what hazards might these employees encounter  Create health and safety policies that protect the company and their employees 35
    36. 36. ATTENDANCE MANAGEMENT PROGRAM Provide employee assistance programs EAP programs provide counselling services for CG Hylton  employees paid by the employer  Employees can seek help/advice on any issue they find themselves having trouble dealing with  Helping your employees helps you the employer to have a healthier working environment that increases productivity 36
    37. 37. ATTENDANCE MANAGEMENT PROGRAM Provide attendance incentive programs  Reducing absences can help reduce turnover CG Hylton  If one person is sick at work, send them home!  Less likely to get everyone else sick  Less stress due to heavy workloads from the people who are sick  Providing incentives helps employees to go to work and enjoy being rewarded for being there at their jobs 37
    38. 38. ATTENDANCE MANAGEMENT PROGRAM Collect and publish attendance statistics Find out the number of absences a year CG Hylton  Set attendance goals and monitor achievement  Award employees who have a good attendance 38
    39. 39. ATTENDANCE MANAGEMENT PROGRAM An attendance management program  Can be in the form of an incentive program, rewarding CG Hylton employees with good attendance  Can be in the form of a behavioral program – the company will only tolerate so many absences before definitive action is taken  Writing that individual up in a report and have that employee sign  3 strikes you’re out idea  Termination 39
    40. 40. ATTENDANCE MANAGEMENT PROGRAM Remember to be consistent and fair! The program is to help employees improve their CG Hylton attendance Not a punishment program  Can be seen as de-motivating  Increases turnover – as employees are punished for being legitimately ill 40
    41. 41. EARLY INTERVENTION – ‘TURNING THE TAP OFF’ Old system: ‘Sick Note’ New system: ‘Fit Note’ CG HyltonUninterrupted flow of the untreated unwell. 41 Early intervention reducing theCultural and behavioural change required flow on to benefits
    42. 42. BENEFITS Reduces costs  An injured employee takes their time to heal, too CG Hylton soon and causes further injury – costing the employer more in WCB fees or time loss from no one filling that position  Creates a healthier working environment = better employee attendance  Reduces stress of employees- know that their employer is supporting their recovery 42
    43. 43. BENEFITS Increases attendance  Employees are appreciated for their good CG Hylton attendance  Employees know that with a program in place, sick days are treated fairly  Less stress – not as many employees calling sick and therefore workloads are not increased to cover the missing person 43
    44. 44. TURNOVER REDUCED Good employees do not leave because of being overworked!!! CG Hylton Place of employment is healthier and therefore less likely have employees leaving Being a supportive manager/employer for people returning to work will motivate that employee to come back sooner! 44
    45. 45. INNOCENT ABSENTEEISM Don’t rigidly adhere to defined policies CG Hylton Allabsences are presumed innocent unless proven otherwise  Can ask for doctor’s note If culpable, then discipline may be warranted Use progressive discipline 45
    46. 46. INNOCENT ABSENTEEISM Provide feedback Speak with employees when they are having CG Hylton  trouble Discipline when warranted Implement last chance agreements when all else fails (unionized setting) 46
    47. 47. ABSENCE ACCOMMODATION An employer can accommodate an employee if there are scheduling conflicts that result in absences CG Hylton For example: Single mother cannot get children to the day care until 8am, her shift starts at 8am. She is late almost every day. The employer can accommodate her by starting her shift an hour later. 47
    48. 48. TERMINATION: LAST RESORT Employer has to demonstrate: CG Hylton  Record of excessive absenteeism  Incapable of regular attendance in the future  Accommodation to the point of undue hardship Follow program of progressive discipline Terminate with caution = there is always a risk of a grievance or a human rights complaint 48
    49. 49. CG Hylton 49
    50. 50. RETURN TO WORK AFTER EXTENDED ABSENCE Policies are needed in place for Employees returning to work CG Hylton Management and HR must come together and plan and agree on the terms and conditions that are acceptable 50
    51. 51. POLICIES Provide fair and equitable treatment for employees in receipt of disability benefits CG Hylton Prove assistance, rehabilitation, and accommodation that promotes productive return to work opportunities for disabled employees with work restrictions.  Employees should never be rushed or pressured back to work by management 51
    52. 52. RETURN TO WORK AFTER EXTENDED ABSENCE There are a couple of steps to take when an employee returns after an extended absence CG Hylton1. Meet with the employee- find out how they feel mentally and physically2. If necessary find out from a doctor if the employee is physically fit to work3. Create a plan with the employee – if they can return to their job duties right away or you need to modify their job duties 52
    53. 53. RETURN TO WORK AFTER EXTENDED ABSENCE4. Decide on length of time on modified work, hours per work, pay per hour/week, and anything related CG Hylton to the job5. Write this out formally in a report6. Have the employee sign and agree to the terms and conditions7. Follow up – in a week see how the employee is doing, how they are re-adjusting to working again 53
    54. 54. PLANNING When creating these plans with employees make sure that you are consistent! CG Hylton Remember while everyone’s absences or injuries are different, you must create a plan that suits their needs but also the needs of the company Note: employees returning back to work might not be as fast paced, remember everyone will recover in their own time 54
    55. 55. PLANNING EXERCISE  Situation: A meat cutter in a grocery is returning to work after being injured at work. This worker is on CG Hylton WCB and you have been advised that they can only work certain hours, has to go to physiotherapy, and cannot lift any heavy things. Get together in a small group and create a plan for this worker. What are the conditions to consider? How can you as an employer make this individual return to work transition smooth? 55
    56. 56. RETURN TO WORK ADJUSTMENTS Thereare several methods to help an employee return to work CG Hylton  Changing the number of hours per week the employee has to work  Allowing more breaks in the shift  Changing job duties  Consider that employee for another position for the time being  Partner with another employee to work with 56
    57. 57. BEST PRACTICES IN RETURNING EMPLOYEES TO WORK Different scenarios call for a different approach on how to accommodate a returning CG Hylton to work employee Research, speak with HR, and decide the best accommodations The first time is not always right, remember to monitor and adjust the accommodation if it 57 is not working!
    58. 58. EXERCISE SCENARIO 1 An employee in an accounting firm has recently been disabled from the waist down. CG Hylton What are some of the accommodations to consider? 58
    59. 59. EXERCISE SCENARIO 2 A liquor manager is a recovering alcoholic. He is returning to work after spending 3 months in rehab. CG Hylton What are some of the accommodations to consider? 59
    60. 60. EXERCISE SCENARIO 3 An employee in an office has pneumonia but does not have any more sick days. That employee must CG Hylton return to work. What are some of the accommodations to consider? Should the employee be put on the attendance management program? 60
    61. 61. CASE STUDY: NURSE DONNA Donna is a 42-year-old Registered Nurse. She has worked in a large acute care hospital for the last fifteen years, primarily on a medical ward. She loves being a nurse and takes a great deal of pride in her CG Hylton work. She is a valued member of her team and often covers for the charge nurse when she is away It is not unusual for Donna to pick up overtime shifts. Recently, her unit was assigned to a new manager as a result of hospital reorganization. Donna is recently separated and has been involved in a difficult divorce and custody dispute over her two children. As well, her mother was diagnosed with breast cancer and moved in with Donna for care and support. 61
    62. 62. CASE STUDY: NURSE DONNA Gradually, Donna started feeling overwhelmed by her responsibilities, both at work and at home. She was constantly tired, and often felt irritable and CG Hylton moody. She found she easily forgot things and often could not stay focused on a task. She mentioned this to her family doctor during a routine visit. After a brief interview, her doctor diagnosed her as suffering from depression. She was prescribed an antidepressant and it was suggested that she take a few weeks off work to rest. 62
    63. 63. CASE STUDY: NURSE DONNA Donna took four weeks off work. She also met with a counsellor though her organization’s external EAP program. CG Hylton She attended the allotted six sessions of counselling. She appreciated the support but found this wasn’t helping to improve her symptoms or functioning. Although she was not feeling much better she did return to work, in part because of financial concerns, but also because she felt she was letting her coworkers down. 63
    64. 64. CASE STUDY: NURSE DONNA Donna worked for two weeks and then stopped due to continued fatigue, poor concentration and memory as well as unpredictable bouts of tearfulness and feelings of anxiety. CG Hylton Donna’s doctor increased her medication and suggested she take an additional 3-4 months off work. She used up her remaining sick time and applied for EI benefits. However, after this time she Donna was still not able to return to work. She applied for and was accepted on to Long Term Disability and was referred to a rehabilitation consultant for vocational rehabilitation services. 64
    65. 65. CASE STUDY: NURSE DONNA As Management, what returning work plan should be created? CG Hylton What factors are there to consider? What must she do to return to work? What must her supervisor do to return her to work? What must her disability consultant do to help her along this process? 65
    66. 66. RETURNING EMPLOYEE TO WORK An employee should feel confident they can return to work CG Hylton Work out that plan! Make sure everyone understands and agrees with the plan Accommodate Absences maybe an indication they are not ready to work yet! 66
    67. 67. BENEFITS FOR EMPLOYEES RETURNING TO WORK Benefits plan  It is important that small businesses to large companies CG Hylton have a good comprehensive benefit plan  Invest in employees – a good benefits plan will help retain the good employees  A security for employees – knowing if anything happened to them they would have coverage  Carriers have the flexibility to create a plan that suits your company’s budget and needs 67
    68. 68. BENEFITS FOR EMPLOYEES RETURNING TO WORK EAP Plan  Employee Assistance Program Plan CG Hylton  Employers pay for a certain number of counselling sessions for their employees  Employees can seek out counselling for advice or help on how to deal with their daily stress, emotional dilemmas, or build stronger relationships with family/coworkers Working together: HR and management  Plan with your Human Resource people  Create policies that protect the company and 68 employees
    69. 69. BENEFITS FOR EMPLOYEES RETURNING TO WORK WCB - Workers  Worker’s Compensation Benefit CG Hylton  Employees injured at work are compensated by WCB paid by the employer  Assessed by WCB doctors to determine if employee is fit to return to work  onal_Coverage.pdf 69
    70. 70. BENEFITS FOR EMPLOYEES RETURNING TO WORK Insurance Company Supervisor & WCB CG Hylton Return to Work CoordinatorMedical Community Injured or Sick Employee Human Resources/Benefits Specialized Services Union Representative (if any) 70
    71. 71. UNDERSTANDING PERFORMANCE IN RELATION TO CURRENT STANDARDS Performance reviews must be fair and equitable to all employees regardless of race, disability, etc. CG Hylton Same standards for all employees Theemployer should review the returning to worker  Tasks assigned  Where completed,  Employee’s attitude, 71  Work ethics, etc
    72. 72. EMPLOYEES RETURNING TOWORK – DEPRESSION STATISTICS Statistics Canada on Jan. 12, 2007, found that half a million Canadian workers experience CG Hylton depression and most of them — almost 80 per cent — say the symptoms interfere with their ability to work 72
    73. 73. IMPORTANCE OF EARLY INTERVENTION 100 CG Hylton 80Probability of RTW 60 40 20 0 Time (0 to 24 months) 73
    74. 74. EMPLOYEES RETURNING TOWORK – DEPRESSION STATISTICSWork impairment more likely among depressed workers CG Hylton Relatively high percentages of workers who had experienced depression reported specific forms of work impairment. These included reduced activities because of a long-term health condition, at least one mental health disability day in the past two weeks, and absence from work in the previous week. 74
    75. 75. EMPLOYEES RETURNING TOWORK – DEPRESSION STATISTICSWork impairment more likely among depressed workers CG Hylton About 29% of workers who had had a recent episode of depression reported reduced work activities because of a long-term health condition. This was three times the proportion of only 10% among those with no history of depression. 75
    76. 76. EMPLOYEES RETURNING TO WORK – DEPRESSION STATISTICSWork impairment more likely among depressed workers CG Hylton As well, 13% of workers who had experienced depression reported at least one day in the previous two weeks when they had to stay in bed, or cut down on normal activities, or their daily activities took extra effort, because of emotional or mental health or the use of alcohol or drugs. 76
    77. 77. EMPLOYEES RETURNING TO WORK – DEPRESSION STATISTICSWork impairment more likely among depressed workers CG Hylton Only 1% of workers with no history of depression had taken a mental health disability day in the previous two weeks. Also, 16% of workers who had had a recent depressive episode had been absent from work in the past week, twice the proportion of 7% of those who had never had a depressive episode. 77
    78. 78. EMPLOYEES RETURNING TO WORK – DEPRESSION Management of depression in the workplace must begin with the workplace. CG Hylton With regard to depression management, neglecting the workplace may result in:  Failure to control or eliminate risk factors, such as conflict with co-workers or supervisors or lack of perceived control over workload, which may initiate or compound depression as well as increase the likelihood of depression relapse 78
    79. 79. EMPLOYEES RETURNING TO WORK – DEPRESSION Delivery of treatments that ignore the depressed person’s relationship to the CG Hylton workplace and thus worsen the disability state This can include recommendations of “stress leave” without concurrent provision of strategies to maintain or build resilience and coping skills This can readily result in demoralization, inactivity, and loss of engagement with coworkers 79
    80. 80. EMPLOYEES RETURNING TO WORK – DEPRESSION Poor communication between healthcare providers, disability managers, and the CG Hylton workplace, resulting in limited understanding of the depressed worker’s status and delayed or inadequate consideration of appropriate return-to- work strategies. 80
    81. 81. UNDERSTANDING THE COURSE OF MENTAL ILLNESS CG Hylton DiagnosisSymptoms ofDepression 81 TIME Adapted from Janus Associates
    82. 82. STEPS TO PREVENT DEPRESSION IN THE WORKPLACE1. Reducing the presence or severity of organizational and workplace CG Hylton stressors  Stress intervention seeks to modify employment characteristics such as excessive/unpredictable workload, unclear job expectations, or lack of perceived control, all of which have been linked to depressive symptoms 82
    83. 83. STEPS TO PREVENT DEPRESSION IN THE WORKPLACE2. Increasing the ability of workers to cope with stress  Examples of stress management skills are:  Structured problem solving to appraise and respond CG Hylton to problems in a more effective way  Interpersonal strategies for mobilizing support in the workplace  Conflict management to handle disagreements with coworkers;  Relaxation techniques to reduce maladaptive tension  Communication training to clearly and assertively express one’s viewpoint 83
    84. 84. TREATScreen TreatSupervisor CG Hylton Community mental EAP healthcare Family Physician Rehabilitation focused treatment Occupational Workers Private health/disability Comp insurer 84 management
    85. 85. BENEFITS FOR EMPLOYEES RETURNING TO WORKIs a collaborative process which assesses, plans, implements, coordinates, monitors CG Hylton and evaluates options and services required to meet an individual’s health needs using communication and available resources to promote quality, cost effective outcomes 85
    86. 86. RETURNING EMPLOYEES- ROLE OF SPIRITUALITY Spirituality- individual’s search for the sacred CG Hylton Provides meaning, purpose, & optimism  Individual’s view of self in relations to otherwise is defined by their early primary caregivers  Expectations for all future relationships developed in adulthood come directly 86 from our childhood
    87. 87. RETURNING EMPLOYEES- ROLE OF SPIRITUALITY Increasing spirituality decreases Depression CG Hylton Religion and spirituality can be the same Religion helps to define purpose and meaning of who we are Spirituality can exist without religion 87
    88. 88. RETURNING EMPLOYEES- ROLE OF SPIRITUALITY Whena crisis/issue arises, how well we deal with it depends on how well we can cope  Attachment Theory CG Hylton  The better the childhood – the faster and stronger an individual can recover  The worse the childhood – the more easily individuals can fall into depression or/and have substance abuse Tocope: build spirituality – self esteem, change those relationships in your life, be self- directing SelfDirecting: active self – improving yourself and learning how to cope 88
    89. 89. THE PERCEPTION OF CREATOR, OR NATURE OR SPIRITUALITY What does this have to do with anything? CG Hylton Benevolent View Punitive View 89
    90. 90. OUR OFFER TO YOU Please call if you have any HR, or workplace issue that you are overwhelmed with We can help you We also are pleased to do Free Workshops for your organization (some limits apply) Let us know what your needs are and we will make it happen! 90
    91. 91. CG HYLTON - SERVICES HR Consulting  Benefits, Pensions, Job Descriptions EAP  Strategic Planning Salary Grids  Drug and Alcohol Wellness at Work programs Staff Morale  Dept re-orgs Training and Workshops  Leadership compensation Tel 403 264 5288 91
    92. 92. THANK YOU! QUESTIONS? CG HyltonChris Hylton403 264 5288Toll 92