A 7-Step Action Plan to Support Employee Mental Health

Employers play an enormous part in supporting the mental health needs of their employees. Here are 7 things to consider while evaluating your programs and tools, and an overview of why supporting employee mental health is one of the most important things you can do. 

support employee mental health, ways to ensure mental health of your employees
The best possible investment for employers is to ensure their employees have timely access to evidence-based mental healthcare, as early as possible.

After years of declining mental health, Jennifer’s psychologist suggested she ask for a leave from work. “I really like my job and I’ve never taken a health-related leave, but he told me a break might improve my depression.”

Jennifer was approved to take some time off on a short-term disability (STD) leave. While on leave, she tried to see her family doctor but she couldn’t get an appointment for several months. Jennifer had hoped to try another treatment, but felt her issues were too complicated for a walk-in clinic.

“What I’m taking obviously isn’t working, “ she shared.

After 3 months of leave, she was deemed able to return to work, which she did, only to go on leave again six months later, because her depression was “worse than ever.”

A lot of Canadians are “working” with a mental illness

This fictional story is typical of so many people who continue to work while struggling with their mental health and highlights the importance of timely access to appropriate mental healthcare. 

Mental illness is associated with more lost work days than any other chronic condition, with an estimated 500,000 Canadians missing work every week, costing our economy more than $50 billion annually in lost productivity

According to Sun Life, mental health-related claims rose more than 70% between 2019 and 2023. Up to 40% of all short term disability claims are due to mental illness, accounting for nearly half of all short term disability costs.

Yes, employees do want to get well and stay well

The vast majority of people on leave for mental illness do not want to take leave. They’d like to be well and at work.

When you’re on medical leave, your healthcare provider (if you have one) is expected to work with you to develop a treatment plan and support your return to work. We know mental illnesses are challenging to diagnose and treat, so Jennifer could be one of the more than 60% of people who are misdiagnosed or under-treated

The best possible outcome for Jennifer and her employer would be for her to return to work successfully, meaning she’s well and her illness doesn’t recur so she doesn’t require additional leaves or, in the worst case, a long term disability leave.

The best possible investment for employers is to ensure their employees have timely access to evidence-based mental healthcare, as early as possible.

In the midst of a healthcare crisis, employers are forced to do more

Canadians already have limited access to timely, evidence-based mental healthcare, so many large organizations have taken this on, offering benefits such as healthcare spending accounts and coverage for psychological counselling services.

Innovative leaders have driven those changes by embracing the proven axiom, “If you take care of your employees, they’ll take care of your business.”

Incredibly, 77% of surveyed employees said they would consider changing jobs and 60% said they would accept less money if a prospective employer offered better support for mental health and wellbeing.

Regrettably, many smaller employers are unable to compete with larger organizations that can offer comprehensive programs, making it more difficult for them to recruit and retain top talent. 

Top 7 impactful actions for employers wanting to support employee mental health

The good news is that employers can take immediate action to support individual team member’s health without waiting for the healthcare system to catch up. Here are my suggestions: 

  1. Be skeptical of vendor’s claims about efficacy. Mountains of health-economic data, which underlies public health policy, is available to support fiscally responsible, scientifically validated healthcare decisions. Don’t rely on your gut! Ask for the scientific evidence that supports a vendor’s claims. Too often mental health solutions are offered with claims that have little or no science to back them up. 
  1. Ask an expert. Look for products that have medical leaders with a strong clinical track record. More importantly, a product should have an external validation committee composed of representatives with a range of healthcare expertise. 
  2. Be open to innovation. Your employees are, like all Canadians, living in a healthcare crisis. Innovative digital solutions and services (e.g. virtual care, AI-powered healthcare tools, apps and online healthcare services) have provided a lifeline for many. Employers are naturally cautious about offering innovative healthcare options because their decisions have economic implications, as well as impacting their team member’s health and safety. Keep an open mind, while remaining skeptical and seeking expert advice. 
  3. Review your drug coverage. In psychiatry, the greatest barrier to recovery is treatment adherence. Many health plans have limited formularies, allowing access to medications that are the least tolerable. This virtually ensures a large percentage will refuse to take them due to unpleasant side effects such as sexual dysfunction or weight gain. Non-adherence increases the risk of short- and long-term disability. Take a look at your health benefits plans and consider whether the efficacy and tolerability of new medications justifies broadening the scope of what you cover. Better tolerability leads to better health outcomes for your employees and avoids other downstream costs associated with untreated or under-treated mental illnesses. Get the best for your employees.
  4. Continue to invest in mental health training. Sadly, stigma related to mental illness continues to endure, having a powerful impact on individuals, but also increasing the costs borne by employers and the healthcare system. Organizations that foster a workplace culture that encourages employees to ask for help if they’re struggling increases team member engagement and loyalty. Supporting team members to seek help sooner reduces absenteeism and presenteeism. Perhaps they won’t require a leave at all if they can rapidly access the help they need. Educate your team members about their healthcare resources and train managers so they can balance workplace demands with employee support. 
  5. Review your healthcare offerings regularly. Ensure you’re working with the best providers by surveying your team members annually about their experience with them. If they’re not innovating, client-centred and responsive to your team member’s needs, look elsewhere.  
  6. Walk the talk. Vulnerability is a leadership superpower. The vast majority of employees feel a greater connection and alignment with an open, relatable leader who demonstrates, through their words and actions, that they prioritize their own health and that of their team members.

I look forward to hearing how some of these ideas work for you. Send me your thoughts on my Contact form or through LinkedIn

Dr. Diane McIntosh is a psychiatrist, innovator, educator, author and speaker. She is a passionate advocate for better mental health care, and a champion for all who suffer from mental health challenges. 

For more on how leaders can improve mental health practices at work, see WickedMind episodes with Louise Bradley (Past President Mental Health Commission of Canada) and Stéphane Grenier (Founder, Mental Health Innovations Consulting)

This blog post is part of a series looking at the state of our mental healthcare system and ways we can create sustainable change to improve quality and outcomes for anyone impacted by mental illness. 

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Dr. Diane McIntosh is a psychiatrist, innovator, educator, author, and speaker. She is passionate advocate for better mental health care, and a champion for all who suffer from mental health challenges.

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