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Coacharya	Mastery	in	Leadership	Series	
22	January	2020	
	
Mental	Health	in	the	Workplace	–		
A	leadership	and	coaching	co...
What	perplexed	me	when	I	started	coaching	a^er	years	of	working	as	a	
psychologist	….	
	
What	I	heard	people	say	….	
	“	Co...
On	Leadership	…	
•  Gazillions	of	textbooks,	video	clips,	theories,	models	–	all	claim	that	
they	are	right/significant.	Si...
ICF	Defini;on	of	Coaching	
	
“ICF	defines	coaching	as	partnering	with	clients	in	a	thought-
provoking	and	crea;ve	process	th...
ICF	Revised	(2019)	Code	of	Ethics	
•  2015	revision	was	a	jump	the	curve	leap	–	
	No	No	No	Don’t	to	aspire	to	Be	and	Do	as...
Resource	for	referral	–	ICF	Website	
UCC1	–	Demonstrates	Ethical	Prac;ce	
7.	Refers	clients	to	other	support	professionals...
Ladder	of	Inference	
Dr	Svea	van	der	Hoorn			E:	svea@solu;onfocusedfutures.com				M:	+27	72	533	9626	
There’s	
nothing	so	...
Op>ons	when	mental	illness	signs	show	up	
-	Coach	becomes		uncertain	
Op;ons:	
	
1.  Con;nue	to	coach	with	awareness	of	se...
What's	wise	when	faced		with	mental	
illness	in	the	coaching	context?	
CONSULT	–	share	the	dilemma	with	someone	who	has	ap...
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Mental Health in the Workplace – a Leadership Coaching Conundrum?

Dr. Svea van der Hoorn explores coaching ethics in the context of mental health of the coachee. This presentation was used in a webinar presented for Coacharya, a coach training organization. For a recording of the webinar and additional background, see https://coacharya.com/blog/mental-health-svea-van-der-hoorn-webinar/

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Mental Health in the Workplace – a Leadership Coaching Conundrum?

  1. 1. Coacharya Mastery in Leadership Series 22 January 2020 Mental Health in the Workplace – A leadership and coaching conundrum “The challenge of working ethically means that we will inevitably encounter situa>ons that require responses to unexpected issues, resolu>on of dilemmas, and solu>ons to problems.” ICF Defini;on of Coaching ICF Revised (2019) Code of Ethics ICF Updated (2019) Core Competency Model – UCC1 and UCC2 Dr Svea van der Hoorn E: svea@solu;onfocusedfutures.com M: +27 72 533 9626 Some of my explora;ons and learnings … •  David Boud – Adult Learning Theory – experien;al learning •  Senior Manager – CCMA – statutory Labour Law ins;tu;on •  Academic and researcher – map and territory •  Living systems thinking – Gregory Bateson; Fritjof Capra •  Leadership – Margaret Wheatley; Derek Sivers •  ICF ACTP and MCC – complexity; diversity; quality assurance Dr Svea van der Hoorn E: svea@solu;onfocusedfutures.com M: +27 72 533 9626
  2. 2. What perplexed me when I started coaching a^er years of working as a psychologist …. What I heard people say …. “ Coaches work with people who are well ….. Counsellors/therapists/psychologists work with people with mental health issues” A boundary issue? A ques>on of territory? An ethical ques>on - a ques>on about scope of prac>ce, remit A call for self-regula>on in the world of subtle signals uncertainty The prevalence of mental illness – The GLOCAL reality •  Mental disorders are commonly occurring and o^en seriously impairing in many countries throughout the world. The life;me DSM-IV disorder prevalence es;mates (combining anxiety, mood, externalizing, and substance use disorders) are 18.1–36.1% •  According to the only representa;ve study conducted so far in South Africa, 30.3% of adults will have suffered from some form of mental disorder in a life;me •  Media – movies, DVDs, ar;cles in magazines, newspaper, blogs, interest groups. •  Your Lived experience? Expansion of treatment could be cost-effec>ve both from both employer and societal perspec>ves.
  3. 3. On Leadership … •  Gazillions of textbooks, video clips, theories, models – all claim that they are right/significant. Silver bullet? •  Margaret Wheatley – A leader is someone who steps up to serve when the community has a need Willing to be disturbed – hmps://www.youtube.com/watch?v=M81kQ-XKGF4 •  Derek Sivers – a lone nut who inspires and welcomes a first, and then more followers hmps://www.youtube.com/watch?v=Qu3xpp5BbHU&t=1s •  The mnemonic game LEADER •  The metaphor game - ship Dr Svea van der Hoorn E: svea@solu;onfocusedfutures.com M: +27 72 533 9626 Mental Health and Mental Illness – in the context of coaching If we say we are interested in promo;ng mental health why is our professional language about mental health so impoverished and restricted in comparison with our language about mental illness? Mental Health – a defini.on – World Health Organisa.on Mental health is a “state of well-being in which every individual: •  realises his or her own poten;al •  Can cope with the normal stresses of life •  Can work produc;vely and fruitully •  Is able to make a contribu;on to her or his community”. A resource: WHO-AIMS Report of Mental Health System in South Africa (2007)
  4. 4. ICF Defini;on of Coaching “ICF defines coaching as partnering with clients in a thought- provoking and crea;ve process that inspires them to maximize their personal and professional poten;al.” Hidden in FAQs - hmps://coachfedera;on.org/faqs Dr Svea van der Hoorn E: svea@solu;onfocusedfutures.com M: +27 72 533 9626 Coaching pre-supposi>ons Coaches work with a clinically well popula;on in terms of mental health. “The suffering func;onal” vs “the suffering dysfunc;onal” vs “the mentally ill” At a minimum every execu>ve who is to receive coaching should first receive a psychological evalua>on” - Berglas cited in Buckley & Buckley p 12 Func>oning appropriately relies on context and judgment - it’s a construc>on not a fact “They were okay when we started…”
  5. 5. ICF Revised (2019) Code of Ethics •  2015 revision was a jump the curve leap – No No No Don’t to aspire to Be and Do as follows …. •  2019 con;nues the focus on how to show up as a professional coach •  Partnering – discernment; dignity; respect – trustworthiness Ambiguity; uncertainty; ever-changing and yet stability-seeking Dr Svea van der Hoorn E: svea@solu;onfocusedfutures.com M: +27 72 533 9626 UCC1 – Demonstrates Ethical Prac;ce Defini;on: Understands and consistently applies coaching ethics and standards of coaching 1.  Demonstrates personal integrity and honesty in interac;ons with clients, sponsors and relevant stakeholders 2.  Is sensi;ve to clients' iden;ty, environment, experiences, values and beliefs 3.  Uses language appropriate and respectul to clients, sponsors and relevant stakeholders 4.  Abides by the ICF Code of Ethics and upholds the Core Values 5.  Maintains confiden;ality with client informa;on per stakeholder agreements and per;nent laws 6.  Maintains the dis;nc;ons between coaching, consul;ng, psychotherapy and other support professions 7.  Refers clients to other support professionals, as appropriate Resource - h[ps://coachfedera>on.org/profile/member-toolkit Dr Svea van der Hoorn E: svea@solu;onfocusedfutures.com M: +27 72 533 9626
  6. 6. Resource for referral – ICF Website UCC1 – Demonstrates Ethical Prac;ce 7. Refers clients to other support professionals, as appropriate Resource - h[ps://coachfedera>on.org/profile/member-toolkit hmps://coachfedera;on.org/app/uploads/2017/12/WhentoRefer.pdf PDF – 10 Top Indicators to refer a client to a mental health professional “It is important to note that the appearance of any one of these indicators, except for #10 which must be referred and followed up on immediately, does not indicate the immediate need for a referral to a psychotherapist or community mental health agency; everyone can experience a very brief episode of any of the indicators. However, if you see that several indicators are emerging and that the client is not presen;ng as whole, competent and capable then it is ;me for a referral to a mental health professional Dr Svea van der Hoorn E: svea@solu;onfocusedfutures.com M: +27 72 533 9626 UCC2: 2. Embodies a Coaching Mindset Defini;on: Develops and maintains a mindset that is open, curious, flexible and client-centered 1.  Acknowledges that clients are responsible for their own choices 2.  Engages in ongoing learning and development as a coach 3.  Develops an ongoing reflec;ve prac;ce to enhance one's coaching 4.  Remains aware of and open to the influence of context and culture on self and others 5.  Uses awareness of self and one's intui;on to benefit clients 6.  Develops and maintains the ability to regulate one's emo;ons Mentally and emo;onally prepares for sessions 7.  Seeks help from outside sources when necessary Dr Svea van der Hoorn E: svea@solu;onfocusedfutures.com M: +27 72 533 9626
  7. 7. Ladder of Inference Dr Svea van der Hoorn E: svea@solu;onfocusedfutures.com M: +27 72 533 9626 There’s nothing so wrong with us, that what’s right with us, can’t fix NOTICING Working in uncertainty territory? The reason for a coaching rela;onship to exist is so that the client can benefit. “If for any reason – psychological, physical or prac;cal the client cannot enter in to the rela;onship then it will fail to achieve any expected benefit” Buckley & Buckley p11 Early recogni>on: -  Recognise the signs – no.cing is sufficient. -  Check – inquire before you advocate -  Decide on a way forward – for you, for the client, for the coaching -  Contractual obliga;ons -  Ethical guidelines -  Prac;cal considera;ons Pay a%en(on to the strength, frequency and severity of interference, not the diagnos(c significance of the symptom itself.
  8. 8. Op>ons when mental illness signs show up - Coach becomes uncertain Op;ons: 1.  Con;nue to coach with awareness of sensi;vity / vulnerability 2.  Con;nue coaching and add other support /services 3.  Stop coaching and support to seek other services via referral 4.  Ini;ate emergency ac;on What to ask instead of rumina>ng or specula>ng Ask yourself 3 ques;ons: •  To what extent and in what ways can my coaching help? (Remember the purpose of coaching – defini;on and coaching agreement) •  What are my limita(ons? (despite my good inten;ons) •  Should my coaching con(nue? What will be an early sign that I should stop coaching, and discuss referral instead? Adapted from Buckley (2010)
  9. 9. What's wise when faced with mental illness in the coaching context? CONSULT – share the dilemma with someone who has appropriate authority and exper;se KEEP NOTES – informa;on and ac;ons NOT OPINIONS and SUPPOSITIONS. Avoid diagnos;c language DRAW ON RESOURCES – literature; colleagues; exper;se in the client’s world eg GP An example of a useful text – evidence-based prac;ce Alan Carr – What works with children, adolescents, and adults? A review of research on the effec.veness of psychotherapy. hmps://books.google.co.za/books? id=9n98AgAAQBAJ&printsec=frontcover&source=gbs_atb#v=onepage&q&f=false Coacharya Mastery in Leadership Series 22 January 2020 Mental Health in the Workplace – A leadership and coaching conundrum Thank you for a[ending. I’d be glad to hear of any experiments you try and how they go. Also if you’d like to learn more on this topic by a[ending further online short courses (ICF-CCE) – drop me an e-mail or a whatsapp Dr Svea van der Hoorn E: svea@solu;onfocusedfutures.com M: +27 72 533 9626

Dr. Svea van der Hoorn explores coaching ethics in the context of mental health of the coachee. This presentation was used in a webinar presented for Coacharya, a coach training organization. For a recording of the webinar and additional background, see https://coacharya.com/blog/mental-health-svea-van-der-hoorn-webinar/

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