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European Year of Mental Health
– Better Work, Better Quality of
Life




Catherine Kilfedder
BT Group Health Adviser


30 October 2012
Mental ill health and UK plc
• Accounts for nearly a
  half of all absenteeism
• 70 million lost working
  days each year
• 1 in 6 experiencing
  depression, anxiety or
  stress
• Costs £1,035 per
  employee
• Reduces GDP by £52
  billion a year
• Accounts for nearly half
  of all people on
  incapacity benefits
Absence management 2012
•   The average days absent fallen from 7.7 days to 6.8 per
    employee per year
•   33% employers report an increase in ‘presenteeism’
•   44% employers report an increase in mental health problems
•   40% employers report an increase in stress-related absence

•   Minor illnesses by far the most common cause of short-term
    absence
•   Musculoskeletal injuries, back pain and stress next most
    common
•   Most common causes of long-term absence are stress, acute
    medical conditions, mental ill health, musculoskeletal injuries
    and back pain
Determinants of population mental health

Protective factors             Risk factors

• Social capital and welfare   • Poverty, poor education,
  protection                     deprivation, high debt
• Healthy prenatal and         • Poor prenatal nutrition,
  childhood environment          abuse, harsh upbringing,
• Healthy workplace and          poor relationship to
  living                         parents, intergenerational
• Healthy lifestyles             transmission
                               • Unemployment, job
                                 insecurity, job stress
                               • Alcohol and/or drug use
Work is generally good for physical and
mental health and well-being
• Financial wellbeing

• Central to individual
  identity, social roles and
  social status

• Main driver of social
  gradients in physical and
  mental health and
  mortality
Being out of work is bad for physical and
mental health and wellbeing
• Higher mortality, poorer general health, poorer
  mental health, higher medical consultation,
  medication consumption and hospital admission rates

• Re-employment leads to improved self-esteem,
  improved general and mental health, and reduced
  psychological distress and minor psychiatric
  morbidity
Health and Safety Executive management
standards for stress
•   Demands: able to cope with the demands of their jobs.

•   Control: able to have a say about the way they do their work.

•   Support: receive adequate information and support from their
    colleagues and superiors.

•   Relationships: not subjected to unacceptable behaviours, e.g.
    bullying at work.

•   Role: understand their role and responsibilities.

•   Change: the organisation engages employees frequently when
    undergoing an organisational change
To what extent do working conditions help
trigger such illnesses?
• About 14% of days lost due to mental health
  problems are attributed to work related mental ill
  health

• Most common cause is workload
• Other top causes:
   – Management style
   – Relationships at work
   – Organisational change/restructuring
Stigma and discrimination
•   1/3rd of people in the UK would
    not be willing to work with
    someone who has a mental
    health problem
•   28% of UK employees believe
    there is less stigma associated
    with mental health issues in the
    workplace than a year ago
•   Why?:
     – Better understanding of mental
       health amongst peers and
       colleagues 48%
     – TV and press campaigns, such as
       ‘Time to Change’ 36%
     – Celebrities talking openly about
       their mental health 28%
     – Government’s mental health
       strategy 23%
European pact for Mental Health and
Wellbeing 2008
• Improve work organisation, organisational cultures
  and leadership practices to promote mental wellbeing
  at work

• Implement mental health and wellbeing programmes
  with risk assessment, prevention and early
  intervention

• Provide measures to support recruitment, retention,
  rehabilitation and return to work of people with MH
  problems
BiTC Workwell model
About BT - March 2012




                                                       UK                       Russia / CEE
                      North America
                                                      73,800                        700
                         3,200


                                                                  Western Europe
                                                                       7,800
                                                                                               Asia Pac
                                                                  Middle East                   2,500
                                                                  and Africa
                                      Latin America                  200
                                           900
BT organisation

BT Retail *
BT Wholesale
BT Global Services * BT
Operate *
BT Innovate & Design
Openreach

* Global operations


                                                         89,100 FTE BT employees
                                                       2011/12 revenues: £19.3 billion
BT Health, Safety and Wellbeing Strategy
Good work Good Health: Good practice
  guidelines




English, French, German, Spanish, Italian, Czech, Polish, Romanian, Portuguese, Greek,
                               Swedish and Estonian
Positive manager behaviour framework

                      • Respectful and
                        responsible: managing
                        emotions and having
                        integrity
                      • Managing and
                        communicating existing
                        and future work
                      • Managing the individual in
                        the team
                      • Reasoning and managing
                        difficult situations
Better specialist support

                                                                       Rehab




                                                     CBT
                                                    Tel, F2F
             “OHS”

                                             CCBT




                                    Couns.



                         Guided
                        Self-help


             Managing
              Mental                                          Stay at Work
              Health                                        Get back to Work
                                                           Move on with dignity

    HR
    LM
Managing mental health

97%   said it increased their awareness and understanding of
      mental health

         said it increased their confidence in dealing with mental
91%      problems


      94%    said it provided them with additional skills to deal with MH
             problems


 36%     said they had reason to use the learning since they
         attended


90%   said it had been helpful or very helpful in their role as a
      people manager
Supporting the individual




                                     1. Building my well‐being 
                                     skills 




                                            Me


                                          BT
                                          BT
                         Community                         We



          3. Doing well for the 
          community around me
                                                                  2. Building the well‐being in 
                                                                  my team
European Year of Mental Health – Better Work, Better Quality of Life
© British Telecommunications plc

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European Year of Mental Health – Better Work, Better Quality of Life

  • 1. European Year of Mental Health – Better Work, Better Quality of Life Catherine Kilfedder BT Group Health Adviser 30 October 2012
  • 2. Mental ill health and UK plc • Accounts for nearly a half of all absenteeism • 70 million lost working days each year • 1 in 6 experiencing depression, anxiety or stress • Costs £1,035 per employee • Reduces GDP by £52 billion a year • Accounts for nearly half of all people on incapacity benefits
  • 3. Absence management 2012 • The average days absent fallen from 7.7 days to 6.8 per employee per year • 33% employers report an increase in ‘presenteeism’ • 44% employers report an increase in mental health problems • 40% employers report an increase in stress-related absence • Minor illnesses by far the most common cause of short-term absence • Musculoskeletal injuries, back pain and stress next most common • Most common causes of long-term absence are stress, acute medical conditions, mental ill health, musculoskeletal injuries and back pain
  • 4. Determinants of population mental health Protective factors Risk factors • Social capital and welfare • Poverty, poor education, protection deprivation, high debt • Healthy prenatal and • Poor prenatal nutrition, childhood environment abuse, harsh upbringing, • Healthy workplace and poor relationship to living parents, intergenerational • Healthy lifestyles transmission • Unemployment, job insecurity, job stress • Alcohol and/or drug use
  • 5. Work is generally good for physical and mental health and well-being • Financial wellbeing • Central to individual identity, social roles and social status • Main driver of social gradients in physical and mental health and mortality
  • 6. Being out of work is bad for physical and mental health and wellbeing • Higher mortality, poorer general health, poorer mental health, higher medical consultation, medication consumption and hospital admission rates • Re-employment leads to improved self-esteem, improved general and mental health, and reduced psychological distress and minor psychiatric morbidity
  • 7. Health and Safety Executive management standards for stress • Demands: able to cope with the demands of their jobs. • Control: able to have a say about the way they do their work. • Support: receive adequate information and support from their colleagues and superiors. • Relationships: not subjected to unacceptable behaviours, e.g. bullying at work. • Role: understand their role and responsibilities. • Change: the organisation engages employees frequently when undergoing an organisational change
  • 8. To what extent do working conditions help trigger such illnesses? • About 14% of days lost due to mental health problems are attributed to work related mental ill health • Most common cause is workload • Other top causes: – Management style – Relationships at work – Organisational change/restructuring
  • 9. Stigma and discrimination • 1/3rd of people in the UK would not be willing to work with someone who has a mental health problem • 28% of UK employees believe there is less stigma associated with mental health issues in the workplace than a year ago • Why?: – Better understanding of mental health amongst peers and colleagues 48% – TV and press campaigns, such as ‘Time to Change’ 36% – Celebrities talking openly about their mental health 28% – Government’s mental health strategy 23%
  • 10. European pact for Mental Health and Wellbeing 2008 • Improve work organisation, organisational cultures and leadership practices to promote mental wellbeing at work • Implement mental health and wellbeing programmes with risk assessment, prevention and early intervention • Provide measures to support recruitment, retention, rehabilitation and return to work of people with MH problems
  • 12. About BT - March 2012 UK Russia / CEE North America 73,800 700 3,200 Western Europe 7,800 Asia Pac Middle East 2,500 and Africa Latin America 200 900 BT organisation BT Retail * BT Wholesale BT Global Services * BT Operate * BT Innovate & Design Openreach * Global operations 89,100 FTE BT employees 2011/12 revenues: £19.3 billion
  • 13. BT Health, Safety and Wellbeing Strategy
  • 14. Good work Good Health: Good practice guidelines English, French, German, Spanish, Italian, Czech, Polish, Romanian, Portuguese, Greek, Swedish and Estonian
  • 15. Positive manager behaviour framework • Respectful and responsible: managing emotions and having integrity • Managing and communicating existing and future work • Managing the individual in the team • Reasoning and managing difficult situations
  • 16. Better specialist support Rehab CBT Tel, F2F “OHS” CCBT Couns. Guided Self-help Managing Mental Stay at Work Health Get back to Work Move on with dignity HR LM
  • 17. Managing mental health 97% said it increased their awareness and understanding of mental health said it increased their confidence in dealing with mental 91% problems 94% said it provided them with additional skills to deal with MH problems 36% said they had reason to use the learning since they attended 90% said it had been helpful or very helpful in their role as a people manager
  • 18. Supporting the individual 1. Building my well‐being  skills  Me BT BT Community We 3. Doing well for the  community around me 2. Building the well‐being in  my team