Canadian HR Reporter Weekly

3 Canadian HR Reporter, a Thomson Reuters business 2018 September 26, 2018 imbalances to drugs and alcohol, concussions and sleep issues, said Allen. Genetic disorders, nutrition and cannabis use are also factors, as some marijuana users have a "genetic predisposition to responding to cannabis in a way that creates psychosis," she said. It is important to distinguish that it's not actually mental illness that disables workers, but rather its symptoms, she said. "A diagnosis doesn't create disability. It's the symptoms that create impairment — that create disability. e majority of symptoms that we're seeing are anxiety and depressive symptoms." Isolation and high-functioning depression are newer trends that employers should be aware of, she said, as isolation is now the third-highest stress factor among workers, at 42 per cent, behind financial stress (62 per cent) and aging parents (43 per cent), said Allen, citing a Morneau Shepell survey. Meanwhile, high-functioning depression often occurs among high performers through symptoms such as increased perfectionism, irritability and relentless criticism. And high performers are handling a lot of strain at present, she said. "e need to have high performers has never been as significant as it is right now." CBT retrains the brain to respond to stressors, and builds skills to reinforce positive change to combat unhelpful perceptions, emotions and behaviour patterns, said Allen. Weekly module treatment typically lasts eight to 10 weeks, she said, and the resulting alterations in brain circuitry provide long-term benefits not available through other mental health treatment options such as medication. CBT reshapes how a patient's brain responds to various situations — reversing the effects of prolonged stress — allowing for a reduction of symptoms and increased productivity, according to Allen. "How you perceive what your emotion is — what your behaviour is — is highly effective intervention for not only mental disorders, but also sleep disorders and pain." Takeaways for HR e most effective ICBT includes a therapist specific to each patient, and trims away typical costs associated with in-person meetings and extended work absences, she said, meaning lower costs for employers looking to combat mental health issues while providing a return to proper health. "Internet-based cognitive behavioral therapy has a therapist, has a clinical protocol, has efficacy," said Allen. In-person CBT is going to go way over a set financial maximum limit, while ICBT is much more cost- effective, she said. "is is an opportunity for you to reduce claims; it's an opportunity to offer therapy in a very accessible way to employees," said Allen. "It's… also very helpful in helping people feel productive when returning to work." From an employee standpoint, scalable digital options are more manageable and attractive as they are convenient and allow for anonymity, she said. And the ecosystem in which digital therapy is offered to employees is important — it needs to be appropriately delivered. Digital therapy options can be offered through an EFAP (employee and family assistance plan) or by way of reference through workers' compensation professionals and disability managers, said Allen. "ere's a lot of triggers. One entry point is not my recommendation." And because a therapist is involved, digital therapy can be included within paramedical plans for reimbursement, she said. Digital therapy can also be completed by employees without fear of backlash or stigma, said Duboc. And employers and human resources professionals should work to reduce as many barriers as possible to allow staff an opportunity for early intervention, he said. "Encourage people — even when they're feeling lightly ill — to do it," said Duboc. "Eliminate all the barriers. Make it easy to access… Make sure people know about it." "Digital provides the option and the promise of helping those that are mild to moderate to moderately severe to get help immediately." This is an opportunity to reduce claims, to offer therapy in a very accessible way to employees." Credit: Marcel Vander Wier Isolation and high-functioning depression are newer mental health trends employers should be aware of, according to Paula Allen, vice-president of research and integrative solutions at Morneau Shepell.

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