1. Accommodation Part II: Mental Health and Addiction 3:00 – 4:00 pm Dec 7th, 2010 Infonex 951 Whitehorse By Chris Hylton, MA CG Hylton & Associates Inc. 800 449-5866 [email_address]
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6. Freud Love and work are the cornerstones of our humanness http://www.freud.org.uk/
9. “ Therein we have one of the fundamental paradoxes we face today: Work is good for your mental health and work can make you crazy” Out of the Shadows at Last: Transforming Mental Health, Mental Illness and Addiction Services in Canada (2006), Standing Senate Committee on Social Affairs, Science and Technology, Honourable Michael J. L. Kirby, Chair
10. Why does this matter to Canadian employers? Making the case
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12. Stress in the Workplace - 3 in 10 at risk Sector Serious Concerns Significant Concerns Total % Reporting Risk Manufacturing 5% 33% 38% Public Administration 3% 29% 32% Health Care and Social Assistance 4% 28% 32% Retail Trade 4% 24% 28% Finance and Insurance 2% 22% 24%
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15. Behavioural Addictions Increasing Addiction Rate in Adult Population Historical Trend Gambling 5% problem; 2% pathological Increasing Sex 3% to 6% Increasing Food / Eating 5% women, <1% men Increasing Internet Use 1% unknown Increasing Workaholism 1% unknown Increasing
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30. So what have we learned so far? Source: Suomi (2010)
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33. Addiction is a Life-long Condition Source: Cleck & Blendy (2008) The Addiction Cycle Often Repeats Over Time, Even with Treatment and Can Worsen
49. Typical Reasons for Calls to EAP Family Stress Depression Alcohol Workplace 25% 22% 25% 18% 8%
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60. Summary of Research Internet Counselling Conducted in UK by Kessler et al. ( Lancet, 2009 ) It used an online, real-time CBT intervention for 113 patients, compared to 97 cases with care as usual by a general medical practitioner. In-person assessment of diagnosis and symptom severity, followed by a series of ten hour-long sessions of online text-based (e-mail) interaction with a mental health therapist. After treatment, more patients recovered from depression in the online treatment group (38%) than in the control group (23%). This effect also was found at 8-month follow-up (42% and 26%). Source: Kessler et al. (2009)
61. Selecting and Strengthening Employee Assistance Programs: A Purchaser’s Guide EASNA’s 2009 Purchaser’s Guide to EAPs
66. Thank you for the opportunity to meet today! Tel 403 264 5288 or 800 449 5866 (800 4hylton) [email_address]
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Notes de l'éditeur
What does this mean for the workplace?
Freud said some funny things but he did make some astute observations: “ No other technique for the conduct of life attaches the individual so firmly to reality as the emphasis on work; for his work at least gives him a secure place in a portion of reality, in the human community” Marie Jahoda, positive mental health movement, pointed out that work Provides structure, Provides social meaning, Provides opportunity for social interaction , Provides an identity…. Not to mention- provides an income However, multiple studies have demonstrated increasing rates of workplace distress, demoralization and disability e.g. 2002: Health Canada study suggest that there is a work/life imbalance- that the lack of balance is getting worse, especially for middle managers and public sector.
Work can be very supportive for most people – but for others it can be a source of stress
Does this mean work or the workplace causes mental illness? Not really, as we do not know the exact cause of any disorders, likely a combination of biogenetic and psychosocial factors which will vary from person to person. But, a psychologically unhealthy work environment can contribute to the onset and severity of a disorder While at the same time, a psychologically healthy environment can prevent the likelihood and minimize the severity of a disorder
The cycle of addiction. Following the initial exposure to an addictive sub- stance, acquisition of drug taking occurs, in which infrequent drug taking escalates into chronic drug use. Periods of chronic drug use are followed by intervals of withdrawal. These periods of abstinence from the addictive drug can last days, weeks, months, or years. However, most addicts do not remain drug free and relapse back into drug use, creating a vicious cycle. Stress can exacerbate drug taking throughout this process facilitating initial drug exposure, increasing acquisition of drug taking, and causing a relapse to drug-taking behavior during withdrawal. Source: Attridge PNWER presentation
Institute for Health Economics and Alberta Health, Jan 2009
Effective Compensation Planning & Benefits Administration CG Hylton & Associates Inc
GM@W provides an evidence-based process that employers can easily and quickly implement to protect psychological safety and promote psychological health in their workplace.