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Job Retention and Mental Health in the Workplace Training Welcome!


Mental health disorders account for 23% of those on incapacity benefit in England ... My case manager briefed him on my state of mind, this made a big difference. ... – PowerPoint PPT presentation

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Title: Job Retention and Mental Health in the Workplace Training Welcome!

Job Retention and Mental Health in the
Workplace TrainingWelcome!
Managing Health Social Risk in the Workplace
  • Roger Butterworth
  • Director of NHS Liason
  • Work Life Partnerships Ltd.

Why Job Retention?
Why is prevention retention important? The
economic argument
  • Mental health disorders account for 23 of those
    on incapacity benefit in England
  • Mental health stress problems are now the
    leading cause of absence from work
  • The annual cost of lost employment in England is
    19.4 billion
  • Cost borne by employers in sick leave, lost
    production, recruitment retraining,
    compensation, litigation insurance, early

Australian Study 1993for every dollar
spent on rehabilitation, 4 dollars saved
Response from questionnaire relating to Job
  • In our Trust 78 lost their jobs as a result of
    their mental health difficulties, and through
    lack of advocacy or effective case management
  • Only 11 had found our Occupational Therapy
    service helpful
  • Only 7 had found the Disability Employment
    Advisors helpful

Dr Chris Manning PRIMHE/ Depression Alliance
  • There is huge concern about this group in primary
  • GPs often do not have the time, knowledge or
    skill to deal effectively with work absence or
    sickness due to mental ill health
  • Signing off is seen as protective, but is often
    at the expense of individuals longer term health
  • These clients often pick up labels such as
    fat-filers, heart sinkers, psychosomatics

GPs the facts
  • It is estimated that around 40 of all GP
    consultations include a mental health problem
  • Around 90 of mental healthcare is provided by
    Primary Care
  • 30-50 of those with SEMI, who engage with
    statutory services, use only Primary Care Services

The 3 tiers of prevention, retention and
  • Primary Prevention health promotion, reducing
    stress, prevention of illness and injury wherever
  • Secondary Prevention Job Retention, early
    intervention, managing sickness absence
  • Tertiary Prevention Vocational Rehabilitation

As Vocational Rehabilitation Services
spread in Mental Health, there will be more need
for job retention to keep these individuals in
jobswhen they secure them
The sick absence trajectory
  • The chances of those individuals signed off sick
    returning to work after a period of 6 months is
    only 50
  • After 1 year it is 25
  • After 2 years it is practically nil 5

Outcomes relating to Job Retention before the
  • The successful creation of a job retention
    service, helping over 35 people to remain in
    their jobs, and 15 to find other career paths
  • Development of key stages in job retention
  • Training and education to OTs and other health
    professionals in Trust

The Avon Job Retention PilotJune 2002-3
  • Commissioned by NHS Executive
  • Funded by DWP, DoH and AWMHPT
  • Qualitative Evaluation by IAHSP, Kings College,
  • Our aim was to provide a one stop resource for
    employers case management for employees and all
    the interventions that are vital in creating
    healthy work environments

Private Initiatives
  • Occupational Health, managing absence
  • Stress Policies Audits
  • Workplace Counselling
  • Employee Assistance Programmes
  • Well- being Programmes
  • Helplines
  • Mediation Conflict Resolution

Public Initiatives
  • Health Promotion
  • Job Retention
  • Specialist Mental Health Services

Key Points from the evaluation
  • What a service user said
  • I dont know what Id have done without their
    support. It meant so much to have someone on my
    side, who could understand what Id been through,
    and speak for me when I wasnt well enough to
    deal with anything. I think I have them to thank
    for still being in my job. Id have given up, Im
    sure of that.

Key Points What an employer said
  • We knew she was involved we knew she had a
    nurse, but they had never included us in things.
    It was so much easier when (the JRT) came on
    board. They made some useful suggestions on how
    to proceed, and the support they gave her and us
    made all the difference really.Wed have had to
    let her go, as things couldnt carry on as they

Key points What GPs said
  • It saves my time, and I know they will be able
    to help them, I know they will support my patient
    in sorting it out.
  • They negotiate with work and stop the patient
    being frightened.They negotiate with the employer
    and know the patients rights. They also give
    them the confidence to go back. To have somebody
    they trust to do that, I just dont have the
  • I honestly think its great. I really like
    having a service that recognises theres an issue
    I cant deal with as well as Id like to.

Ongoing support at work
  • Its just knowing that he is there. You know six
    months down the line, if I feel I cant keep it
    together, Ill ring him up.Its nice to have
    someone like that. Its the ongoing support in
    case any problems come up that I cant deal
  • My case manager has been helpful in ironing out
    the problems Ive had since returning to work,
    and there are so many still going on. It takes a
    lot of the pressure off, and I dont feel so much
    on my own anymore.

Saving the job, saving the marriage
  • 69 of job retention cases are in permanent
  • 80 unemployed clients are single
  • My husband thought I should let the situation
    go and not complain This caused problems between
    us. Financial stress! My case manager briefed him
    on my state of mind, this made a big difference.
    So then I had the support of my husband as well.

Life after the pilot
  • Rolling out a nationally co-ordinated Job
    Retention Service
  • Giving an effective response to the SEU Report
  • Answering the need for training with Diploma and
    Certificate in Case Management
  • Developing Public/Private Partnership Initiatives
    with joint investment

Key Elements
  • Full range of professional services- qualified
    and accredited
  • Standards across the professional boundaries, in
    addition to their own
  • Training to manage cases proactively
  • I could not have mustered all the services I
    needed thank-you.

  • The Strategy for Mental Health Work is clear
  • Models tested in the UK are robust and confirmed
    by overseas experience
  • Training Development is urgent we must have
    capacity it is ready to go
  • Funding currently being reviewed
  • We now need planes not pilots!!
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