DSM-5: An interesting angle on the debate

Read­ers who have fol­lowed are blog will be well famil­iar with the debates, issues, updates, and details of the DSM-5 that we have been pub­lish­ing since its first pre-publication announcement.

The linked edi­to­r­ial will be of inter­est to any­one want­ing to know more about some of the goings-on behind the scenes, with respect to the con­flict and debates. Very englightening.

The edi­to­r­ial also offers a valu­able per­spec­tive on the ‘new’ dimen­sional direc­tion for the diag­nos­tic sys­tem model.

Click here, sit back, and be pre­pared to read some (hope­fully) informed opinions.

 

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How can we help?

The Healthy Work­places blog is brought to you by Home­wood Human Solu­tions. We are part of Schlegel Health Care, a family-owned health care orga­ni­za­tion with a focus on men­tal health and addic­tions, employee and fam­ily assis­tance, dis­abil­ity man­age­ment, and long-term care for older adults. How can we help?

Home­wood Human Solutions

Nation­wide EFAP and Dis­abil­ity Pro­grams

Home­wood Human Solu­tions™ offers a one-of-a-kind approach to the mar­ket: the high­est qual­ity of clin­i­cal sup­port and inter­ven­tion avail­able within the EFAP indus­try, and an unmatched con­tin­uum of ser­vices — span­ning health pro­mo­tion, men­tal health and addic­tions treat­ment, and prevention-focused work-life coun­selling services.

Home­wood Dis­abil­ity Treat­ment Program

Effec­tive dis­abil­ity man­age­ment for men­tal ill­ness must go beyond “man­ag­ing” dis­abil­ity to include both inpa­tient and out­pa­tient treat­ment. Treat­ment goals must incor­po­rate strate­gies for suc­cess­ful work rein­te­gra­tion to min­i­mize recur­rence and relapse.

The Home­wood Dis­abil­ity Treat­ment Pro­gram (HDTP) com­bines the ser­vices avail­able through the Home­wood Health Cen­tre – a nation­ally rec­og­nized men­tal health and addic­tion treat­ment cen­tre with the best national net­work of skilled men­tal health and addic­tion treat­ment pro­fes­sion­als through Home­wood Human Solu­tionsTM.

Home­wood Health Centre

Nation­ally rec­og­nized men­tal health and addic­tion facil­i­ties

Home­wood Health Cen­tre is Canada’s unsur­passed med­ical leader in addic­tion and men­tal health treat­ment, pro­vid­ing highly spe­cial­ized psy­chi­atric ser­vices to all Cana­di­ans. We are a 312-bed, Sched­ule 1 facil­ity under the Ontario Men­tal Health Act. We oper­ate nine pro­grams treat­ing a range of men­tal health and addic­tion issues.

Home­wood Health Cen­tre is located in Guelph, Ontario.

Schlegel Vil­lages

Con­tin­uum of care facil­i­ties for older adults (long-term care and retire­ment homes)

Schlegel Vil­lages are designed, built and man­aged by the Schlegel fam­ily of Kitch­ener, Ontario. Our motto: “It Takes a Vil­lage to Care” lives on.

Cana­dian owned and oper­ated, our Vil­lages ben­e­fit from the Schlegel fam­ily hav­ing over 40 years of direct expe­ri­ence co-owning, man­ag­ing and oper­at­ing Long Term Care and Retire­ment Com­mu­ni­ties in Ontario. There are eleven Schlegel Vil­lages hous­ing approx­i­mately 2500 seniors. Each Vil­lage has a Long Term Care com­po­nent, with Full Ser­vice Retire­ment Liv­ing, Assisted Care, Mem­ory Care and Inde­pen­dent Liv­ing options being added in stages. The first Schlegel Vil­lage opened in 1998 in Guelph.

Have you vis­ited our Pin­ter­est site? We have many, many more info­graph­ics to peruse. Have a look here!

We’re on Google Plus!

NOTE: The con­tent and opin­ions offered in Healthy Work­places blog posts do not nec­es­sar­ily reflect the for­mal stance of Home­wood Human Solu­tions, unless oth­er­wise iden­ti­fied. We bring this infor­ma­tion for­ward in the inter­ests of openly shar­ing val­ued infor­ma­tion in this time of fast-growing online con­ver­sa­tions and knowledge.

 

In the news: Trends in Mental Health and Addictions

MENTAL HEALTH

Skep­ti­cism greets resump­tion of talks to reduce sui­cide toll Canada.com. Decem­ber 23, 2013

Pref­er­ences for Men­tal Health Treat­ment Options among Alaska Native Col­lege Stu­dents Amer­i­can Indian and Alaska Native Men­tal Health Research, 2013

Pedophilia Is A Sex­ual Ori­en­ta­tion, Cana­dian Experts Say  Oppos­ing View. Decem­ber 24, 2013

Mar­t­inuk: Sui­cide pre­ven­tion plans at odds with right to die Cal­gary Her­ald. Jan­u­ary 3, 2014

ADDICTION

Sur­vey shows increased drug use by P.E.I. stu­dents The Guardian — Decem­ber 19, 2013

B.C. strug­gles with how to treat the most severe of men­tally ill drug addicts Bran­don Sun. Decem­ber 27, 2013

No more hang­overs? New ‘alco­hol sur­ro­gate’ comes with anti­dote that can make you sober again in min­utes National Post — Decem­ber 30, 2013

Alco­hol abuse pro­grams in B.C., Ams­ter­dam use mod­er­a­tion  Man­aged alco­hol pro­grams give beer, wine, spir­its as part of treat­ment
CBC News — Jan­u­ary 6, 2014

Doc­tors should screen all adult patients for binge drink­ing: CDC report CTV News — Jan­u­ary 7, 2014

Drug and alco­hol abuse high among Yukon min­ers Alaska Dis­patch — Jan­u­ary 7, 2014

Canada’s pre­scrip­tion opi­oid cri­sis
Healthy Debate — Jan­u­ary 9, 2014

Dan­ger­ous new methadone 24 Hours Van­cou­ver — Jan­u­ary 11, 2014

Abbots­ford to review ban on harm-reduction ser­vices Globe and Mail — Jan­u­ary 13, 2014

Prince Edward Island men­tal health ser­vices stretched The Guardian Char­lot­te­town ? Jan­u­ary 7, 2014

WORKPLACE

Work­place well­ness pro­grams can cut chronic ill­ness costs

Man­ag­ing employ­ees with men­tal health issues: Iden­ti­fi­ca­tion of con­cep­tual and pro­ce­dural knowl­edge for devel­op­ment within man­age­ment edu­ca­tion cur­ric­ula. A Mar­tin, M Woods, S Dawkins — Acad­emy of Man­age­ment Learn­ing & Edu­ca­tion, 2014

RESEARCH / HEALTH

‘Rage dis­or­der’ may be treat­able with Aspirin, study sug­gests Canada.com  Decem­ber 30, 2013

Cana­dian Net­work to Pro­duce a Top 10 List of New and Emerg­ing Health Tech­nolo­gies in Canada CNW Jan­u­ary 8, 2014

Ket­a­mine acts as anti­de­pres­sant by boost­ing sero­tonin EurekAlert! — Jan­u­ary 7, 2014

One Ques­tion May Gauge Sever­ity of Unhealthy Drug, Alco­hol Use Sci­ence Daily — Jan­u­ary 13, 2013

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How can we help?

The Healthy Work­places blog is brought to you by Home­wood Human Solu­tions. We are part of Schlegel Health Care, a family-owned health care orga­ni­za­tion with a focus on men­tal health and addic­tions, employee and fam­ily assis­tance, dis­abil­ity man­age­ment, and long-term care for older adults. How can we help?

Home­wood Human Solutions

Nation­wide EFAP and Dis­abil­ity Pro­grams

Home­wood Human Solu­tions™ offers a one-of-a-kind approach to the mar­ket: the high­est qual­ity of clin­i­cal sup­port and inter­ven­tion avail­able within the EFAP indus­try, and an unmatched con­tin­uum of ser­vices — span­ning health pro­mo­tion, men­tal health and addic­tions treat­ment, and prevention-focused work-life coun­selling services.

Home­wood Dis­abil­ity Treat­ment Program

Effec­tive dis­abil­ity man­age­ment for men­tal ill­ness must go beyond “man­ag­ing” dis­abil­ity to include both inpa­tient and out­pa­tient treat­ment. Treat­ment goals must incor­po­rate strate­gies for suc­cess­ful work rein­te­gra­tion to min­i­mize recur­rence and relapse.

The Home­wood Dis­abil­ity Treat­ment Pro­gram (HDTP) com­bines the ser­vices avail­able through the Home­wood Health Cen­tre – a nation­ally rec­og­nized men­tal health and addic­tion treat­ment cen­tre with the best national net­work of skilled men­tal health and addic­tion treat­ment pro­fes­sion­als through Home­wood Human Solu­tionsTM.

Home­wood Health Centre

Nation­ally rec­og­nized men­tal health and addic­tion facil­i­ties

Home­wood Health Cen­tre is Canada’s unsur­passed med­ical leader in addic­tion and men­tal health treat­ment, pro­vid­ing highly spe­cial­ized psy­chi­atric ser­vices to all Cana­di­ans. We are a 312-bed, Sched­ule 1 facil­ity under the Ontario Men­tal Health Act. We oper­ate nine pro­grams treat­ing a range of men­tal health and addic­tion issues.

Home­wood Health Cen­tre is located in Guelph, Ontario.

Schlegel Vil­lages

Con­tin­uum of care facil­i­ties for older adults (long-term care and retire­ment homes)

Schlegel Vil­lages are designed, built and man­aged by the Schlegel fam­ily of Kitch­ener, Ontario. Our motto: “It Takes a Vil­lage to Care” lives on.

Cana­dian owned and oper­ated, our Vil­lages ben­e­fit from the Schlegel fam­ily hav­ing over 40 years of direct expe­ri­ence co-owning, man­ag­ing and oper­at­ing Long Term Care and Retire­ment Com­mu­ni­ties in Ontario. There are eleven Schlegel Vil­lages hous­ing approx­i­mately 2500 seniors. Each Vil­lage has a Long Term Care com­po­nent, with Full Ser­vice Retire­ment Liv­ing, Assisted Care, Mem­ory Care and Inde­pen­dent Liv­ing options being added in stages. The first Schlegel Vil­lage opened in 1998 in Guelph.

Have you vis­ited our Pin­ter­est site? We have many, many more info­graph­ics to peruse. Have a look here!

We’re on Google Plus!

NOTE: The con­tent and opin­ions offered in Healthy Work­places blog posts do not nec­es­sar­ily reflect the for­mal stance of Home­wood Human Solu­tions, unless oth­er­wise iden­ti­fied. We bring this infor­ma­tion for­ward in the inter­ests of openly shar­ing val­ued infor­ma­tion in this time of fast-growing online con­ver­sa­tions and knowledge.

 

Will the mHealth market reach projections?

mHealth solu­tions have been dis­cussed since the end of the 90s and ini­tial pro­jec­tions of strong mar­ket uptake were very pos­i­tive (esti­mat­ing bil­lions of dol­lars of activity).

Early movers in the mHealth arena (2000 to 2008) based busi­ness mod­els on these early mar­ket esti­mates, but gen­er­ally made use of exist­ing PDAs and hand­held com­put­ers to deliver ser­vices.  But with a few excep­tions projects didn’t progress beyond the trial stage and the mHealth mar­ket never really took off. Since then, quite a few of the early mHealth solu­tion providers have dis­con­tin­ued their mHealth busi­ness altogether.

We are now wit­ness­ing a revi­tal­iza­tion of the race to dom­i­nate the mHealth mar­ket and even more opti­mistic mar­ket pro­jec­tions are being reported. Why the sud­den revitalization?

1. The launch of Apple’s app store in 2008 saw a quick and assertive dom­i­nance of the  smart­phone appli­ca­tion mar­ket. Since then, a num­ber of play­ers have built sim­i­lar app store solu­tions, attempt­ing to aggres­sively pur­sue and dom­i­nate Apple’s lead­ing position.

2. Early mHealth solu­tion providers worked with lim­ited device capa­bil­i­ties requir­ing them to seek hard­ware part­ners to fur­ther develop the mobile device. Many of these fea­tures are now stan­dard on smart­phones (e.g. sensors).

3. ‘Reach’ (the num­ber of users in the mobile ‘audi­ence’) was far more lim­ited in the past than with today’s smart­phones (esti­mated to be 1 bil­lion in 2013).

4. The new smart­phone mar­ket model offers global reach with­out requir­ing tra­di­tional dis­tri­b­u­tion chan­nels (e.g. via health insur­ance providers, hospitals).

5. Smart­phone appli­ca­tions offer a bet­ter user expe­ri­ence (from dis­cov­er­ing the app to down­load­ing to billing, and to usage). Addi­tion­ally, user-centric designs have sim­pli­fied the tech­nol­ogy chal­lenges for one of the biggest tar­get groups for mHealth users: seniors.

6. Secu­rity and con­fi­den­tial­ity of infor­ma­tion in mHealth appli­ca­tions was pre­vi­ously unreg­u­lated (severely lim­ited uptake by health insur­ers, pro­fes­sion­als, hos­pi­tals, users, etc). The renewed growth of the mobile mar­ket for health appli­ca­tions is now accom­pa­nied by a com­men­su­rate growth of reg­u­la­tory guide­lines and gov­ern­ing bod­ies (e.g. FDA mobile appli­ca­tion reg­u­la­tions).

All indi­ca­tors bode pos­i­tive for the mHealth mar­ket and we look for­ward to the excit­ing oppor­tu­ni­ties, and solu­tions, that this renewed activ­ity generate.

 

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How can we help?

The Healthy Work­places blog is brought to you by Home­wood Human Solu­tions. We are part of Schlegel Health Care, a family-owned health care orga­ni­za­tion with a focus on men­tal health and addic­tions, employee and fam­ily assis­tance, dis­abil­ity man­age­ment, and long-term care for older adults. How can we help?

Home­wood Human Solutions

Nation­wide EFAP and Dis­abil­ity Pro­grams

Home­wood Human Solu­tions™ offers a one-of-a-kind approach to the mar­ket: the high­est qual­ity of clin­i­cal sup­port and inter­ven­tion avail­able within the EFAP indus­try, and an unmatched con­tin­uum of ser­vices — span­ning health pro­mo­tion, men­tal health and addic­tions treat­ment, and prevention-focused work-life coun­selling services.

Home­wood Dis­abil­ity Treat­ment Program

Effec­tive dis­abil­ity man­age­ment for men­tal ill­ness must go beyond “man­ag­ing” dis­abil­ity to include both inpa­tient and out­pa­tient treat­ment. Treat­ment goals must incor­po­rate strate­gies for suc­cess­ful work rein­te­gra­tion to min­i­mize recur­rence and relapse.

The Home­wood Dis­abil­ity Treat­ment Pro­gram (HDTP) com­bines the ser­vices avail­able through the Home­wood Health Cen­tre – a nation­ally rec­og­nized men­tal health and addic­tion treat­ment cen­tre with the best national net­work of skilled men­tal health and addic­tion treat­ment pro­fes­sion­als through Home­wood Human Solu­tionsTM.

Home­wood Health Centre

Nation­ally rec­og­nized men­tal health and addic­tion facil­i­ties

Home­wood Health Cen­tre is Canada’s unsur­passed med­ical leader in addic­tion and men­tal health treat­ment, pro­vid­ing highly spe­cial­ized psy­chi­atric ser­vices to all Cana­di­ans. We are a 312-bed, Sched­ule 1 facil­ity under the Ontario Men­tal Health Act. We oper­ate nine pro­grams treat­ing a range of men­tal health and addic­tion issues.

Home­wood Health Cen­tre is located in Guelph, Ontario.

Schlegel Vil­lages

Con­tin­uum of care facil­i­ties for older adults (long-term care and retire­ment homes)

Schlegel Vil­lages are designed, built and man­aged by the Schlegel fam­ily of Kitch­ener, Ontario. Our motto: “It Takes a Vil­lage to Care” lives on.

Cana­dian owned and oper­ated, our Vil­lages ben­e­fit from the Schlegel fam­ily hav­ing over 40 years of direct expe­ri­ence co-owning, man­ag­ing and oper­at­ing Long Term Care and Retire­ment Com­mu­ni­ties in Ontario. There are eleven Schlegel Vil­lages hous­ing approx­i­mately 2500 seniors. Each Vil­lage has a Long Term Care com­po­nent, with Full Ser­vice Retire­ment Liv­ing, Assisted Care, Mem­ory Care and Inde­pen­dent Liv­ing options being added in stages. The first Schlegel Vil­lage opened in 1998 in Guelph.

Have you vis­ited our Pin­ter­est site? We have many, many more info­graph­ics to peruse. Have a look here!

We’re on Google Plus!

NOTE: The con­tent and opin­ions offered in Healthy Work­places blog posts do not nec­es­sar­ily reflect the for­mal stance of Home­wood Human Solu­tions, unless oth­er­wise iden­ti­fied. We bring this infor­ma­tion for­ward in the inter­ests of openly shar­ing val­ued infor­ma­tion in this time of fast-growing online con­ver­sa­tions and knowledge.

 


Like us on facebook.com/homewoodhumansolutions.

Fol­low @HomewoodHS on Twitter.

Link with linkedin.com/companies/homewood-human-solutions.

Watch us on our Home­woodHS YouTube channel.

Check out our boards on our Pin­ter­est chan­nel.

And we’re now on Google+. Plus-one us here.

Stigma surrounding mental illness major barrier for employment: Aspiring Workforce Report

It is a num­ber both notable and at the same time dis­turb­ing. And a clear call to action: 90%.

Ninety-percent of Cana­di­ans with seri­ous men­tal ill­nesses are unem­ployed due largely to prej­u­dice about their con­di­tions — a star­tling state of affairs that costs the Cana­dian econ­omy an esti­mated $50 bil­lion a year, accord­ing to “The Aspir­ing Work­force: Employ­ment and Income For Peo­ple With Seri­ous Men­tal Illness”

The report, avail­able through www.mentalhealthcommission.ca or our media library (attached), delves into the chal­lenges fac­ing those Cana­di­ans, tar­get­ing all lev­els of gov­ern­ment, busi­nesses, policy-makers and the not-for-profit sec­tor in addi­tion to the atti­tudes of Cana­di­ans them­selves towards those who suf­fer from men­tal ill­ness. The report was com­mis­sioned by the Men­tal Health Com­mis­sion of Canada and con­ducted by the Cen­tre for Addic­tion and Men­tal Health, the Uni­ver­sity of Toronto and Queen’s University.

This report rep­re­sents hope, it really does, for many peo­ple who are voice­less,” Patrick Dion, vice-chairman of the com­mis­sion, said in an interview.

It’s aston­ish­ing that 90 per cent of the men­tally ill are unem­ployed. Our lives are a three-legged stool — a home, a job and a friend — and so if that job leg isn’t there, the jour­ney to recov­ery is made that much more difficult.”

In its exec­u­tive sum­mary, the Aspir­ing Work­force report urges:

  • a “national pro­gram of action to change this sit­u­a­tion. There are effec­tive ways to increase employ­ment; this is a prob­lem that has solutions.”
  • early inter­ven­tion, not­ing that the longer some­one spends away from the work­force, the more dif­fi­cult it is for them to get back to work.
  • urg­ing gov­ern­ments to remove dis­in­cen­tives to return to work, not­ing that those receiv­ing dis­abil­ity pay­ments often fear leav­ing those pro­grams because their finan­cial sit­u­a­tion might become pre­car­i­ous, and could even worsen, by return­ing to work.

Dion calls this lat­ter rec­om­men­da­tion the most cru­cial part of the report.

Imag­ine get­ting into the para­dox of hav­ing employ­ment pro­grams that may pro­vide you with your drug ben­e­fits and care around your men­tal health, and they get clawed back because you’re mak­ing money that still leaves you mar­gin­ally below the poverty line,” he said.

If provin­cial gov­ern­ments across the coun­try were to move in uni­son to pro­vide adapt­abil­ity on those types of pro­grams, that would cer­tainly pro­vide a whole lot more hope and a whole lot more employment.”

It’s my hope that all lev­els of gov­ern­ment will give care­ful con­sid­er­a­tion to these rec­om­men­da­tions because there’s lots that can be done eas­ily, and wouldn’t nec­es­sar­ily come at great expense,” he said.

Reduc­ing the eco­nomic costs of men­tal illness

Approx­i­mately $28.8 bil­lion is also spent every year in pub­lic dis­abil­ity income sup­port for peo­ple with men­tal ill­ness; the report argues that increas­ing employ­ment will dra­mat­i­cally reduce those costs.The report found that work­ing improves the lives of the men­tally ill while reduc­ing the eco­nomic costs. Peo­ple with men­tal ill­ness who work, for exam­ple, use far fewer hos­pi­tal and other health ser­vices than those who are unemployed.

Every­one is a win­ner if we make the right changes,” the report states. “No coun­try can now afford to have pro­duc­tive cit­i­zens sit­ting idle because of poorly designed health and social programs.”

Themes of the Aspir­ing Work­force Report

Below are some of the major themes cov­ered in the report.

Sup­ported Employment

Sup­ported employ­ment is pro­vided by trained pro­fes­sion­als, who assist peo­ple in find­ing work that they are inter­ested in doing. This group of pro­fes­sion­als con­tin­ues to give sup­port to the per­son once they are employed.

Sup­ported employ­ment works – what’s needed now is to get it work­ing for even more Cana­di­ans. Access to sup­ported employ­ment oppor­tu­ni­ties is lim­ited; more fund­ing and research are required.

Provin­cial Dis­abil­ity Programs

Dis­abil­ity pro­grams can act as a dis­in­cen­tive to becom­ing employed. Once peo­ple begin to work, their dis­abil­ity income may be clawed back and their health care ben­e­fits lost. And if they need to stop work­ing, it can take a long time to undo the effects that work­ing has caused on their ben­e­fit eli­gi­bil­ity, leav­ing them in a pre­car­i­ous finan­cial situation.

Sig­nif­i­cant pol­icy changes are needed to cre­ate dis­abil­ity pro­grams that pro­vide incen­tives for return­ing to work, yet remain as a safety net for those who do become employed or main­tain their employment.

Social Busi­nesses

Social busi­nesses are an inno­v­a­tive approach to cre­at­ing employ­ment oppor­tu­ni­ties for peo­ple liv­ing with seri­ous men­tal ill­nesses. While mar­ket­ing goods and ser­vices to the Cana­dian pub­lic, these com­mer­cial ven­tures are also help­ing to increase the pro­file of the AW as a pop­u­la­tion that can make a mean­ing­ful con­tri­bu­tion to our econ­omy and to Cana­dian society.

There are approx­i­mately 100 social busi­nesses oper­at­ing across Canada, but with a for­mal orga­niz­ing struc­ture to pro­mote com­mu­ni­ca­tion and col­lab­o­ra­tion among them, social busi­nesses could be fur­ther devel­oped to ben­e­fit even more Canadians.

The devel­op­ment of such a net­work is just one way to advance the growth of social busi­nesses, but every solu­tion will require an invest­ment of fund­ing and resources.

Leg­isla­tive Model

The cur­rent Cana­dian pol­icy envi­ron­ment often links dis­abil­ity with exclu­sion. Many dis­abil­ity pro­grams draw a defin­ing line between those who can work and those who can­not, with­out cre­at­ing space for those with inter­mit­tent work abil­ity — com­mon for peo­ple liv­ing with episodic men­tal illnesses.

Dis­abil­ity income sup­port pro­grams were not designed with men­tal ill­nesses in mind, but pol­icy reforms in a num­ber of coun­tries have led to improved work­force out­comes for peo­ple with dis­abil­i­ties – we know this can be done.

Imple­ment­ing change suc­cess­fully here in Canada will require col­lab­o­ra­tion by all sec­tors, includ­ing gov­ern­ment, men­tal health part­ners, employ­ers, and society.

Aspir­ing Work­force Report: Sup­ported Income

Work­place Know-How

To help over­come the employ­ment chal­lenges that exist for the AW, one strat­egy is to improve work­place know-how. This is the knowl­edge, skills and strate­gies for cre­at­ing a work­ing life, includ­ing get­ting and main­tain­ing a job, along with ongo­ing career and edu­ca­tional development.

Sup­port­ing the AW, with the con­tex­tual knowl­edge and self-management strate­gies that will help peo­ple to best suc­ceed at work, is an impor­tant piece of the employ­ment puzzle.

Aspir­ing Work­force Report: Work­place Know-How

Resources

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How can we help?

The Healthy Work­places blog is brought to you by Home­wood Human Solu­tions. We are part of Schlegel Health Care, a family-owned health care orga­ni­za­tion with a focus on men­tal health and addic­tions, employee and fam­ily assis­tance, dis­abil­ity man­age­ment, and long-term care for older adults. How can we help?

Home­wood Human Solutions

Nation­wide EFAP and Dis­abil­ity Pro­grams

Home­wood Human Solu­tions™ offers a one-of-a-kind approach to the mar­ket: the high­est qual­ity of clin­i­cal sup­port and inter­ven­tion avail­able within the EFAP indus­try, and an unmatched con­tin­uum of ser­vices — span­ning health pro­mo­tion, men­tal health and addic­tions treat­ment, and prevention-focused work-life coun­selling services.

Home­wood Dis­abil­ity Treat­ment Program

Effec­tive dis­abil­ity man­age­ment for men­tal ill­ness must go beyond “man­ag­ing” dis­abil­ity to include both inpa­tient and out­pa­tient treat­ment. Treat­ment goals must incor­po­rate strate­gies for suc­cess­ful work rein­te­gra­tion to min­i­mize recur­rence and relapse.

The Home­wood Dis­abil­ity Treat­ment Pro­gram (HDTP) com­bines the ser­vices avail­able through the Home­wood Health Cen­tre – a nation­ally rec­og­nized men­tal health and addic­tion treat­ment cen­tre with the best national net­work of skilled men­tal health and addic­tion treat­ment pro­fes­sion­als through Home­wood Human Solu­tionsTM.

Home­wood Health Centre

Nation­ally rec­og­nized men­tal health and addic­tion facil­i­ties

Home­wood Health Cen­tre is Canada’s unsur­passed med­ical leader in addic­tion and men­tal health treat­ment, pro­vid­ing highly spe­cial­ized psy­chi­atric ser­vices to all Cana­di­ans. We are a 312-bed, Sched­ule 1 facil­ity under the Ontario Men­tal Health Act. We oper­ate nine pro­grams treat­ing a range of men­tal health and addic­tion issues.

Home­wood Health Cen­tre is located in Guelph, Ontario.

Schlegel Vil­lages

Con­tin­uum of care facil­i­ties for older adults (long-term care and retire­ment homes)

Schlegel Vil­lages are designed, built and man­aged by the Schlegel fam­ily of Kitch­ener, Ontario. Our motto: “It Takes a Vil­lage to Care” lives on.

Cana­dian owned and oper­ated, our Vil­lages ben­e­fit from the Schlegel fam­ily hav­ing over 40 years of direct expe­ri­ence co-owning, man­ag­ing and oper­at­ing Long Term Care and Retire­ment Com­mu­ni­ties in Ontario. There are eleven Schlegel Vil­lages hous­ing approx­i­mately 2500 seniors. Each Vil­lage has a Long Term Care com­po­nent, with Full Ser­vice Retire­ment Liv­ing, Assisted Care, Mem­ory Care and Inde­pen­dent Liv­ing options being added in stages. The first Schlegel Vil­lage opened in 1998 in Guelph.

Have you vis­ited our Pin­ter­est site? We have many, many more info­graph­ics to peruse. Have a look here!

We’re on Google Plus!

NOTE: The con­tent and opin­ions offered in Healthy Work­places blog posts do not nec­es­sar­ily reflect the for­mal stance of Home­wood Human Solu­tions, unless oth­er­wise iden­ti­fied. We bring this infor­ma­tion for­ward in the inter­ests of openly shar­ing val­ued infor­ma­tion in this time of fast-growing online con­ver­sa­tions and knowledge.

 

Latest mental health and addictions news

Men­tal Ill­ness Patients Strain Canada’s Police Forces

CBC News — Aug 21, 2013

Too many peo­ple who live with men­tal ill­ness are being released from provin­cial insti­tu­tions before they’re ready, then going on to com­mit crimes, say Canada’s police chiefs.

The can­did com­ments were made Wednes­day in Win­nipeg, on the final day of the Cana­dian Asso­ci­a­tion of Chiefs of Police (CACP) annual gen­eral meeting.

http://www.cbc.ca/news/health/story/2013/08/21/mb-police-chiefs-mentally-ill.html

Youth Men­tal Health

Ottawa Cit­i­zen — August 23, 2013

There is a trou­bling new report on youth men­tal health to which the Ontario gov­ern­ment should pay par­tic­u­lar attention.

Accord­ing to the report by the Children?s Hos­pi­tal of East­ern Ontario and the Royal Men­tal Health Cen­tre, young peo­ple in the Ottawa region are wait­ing up to a year for men­tal health care, when the Cana­dian Psy­chi­atric Asso­ci­a­tion says it should be two weeks.

It is the human toll that it takes. Six to 12 months to see a psy­chi­a­trist for a youth and fam­ily in cri­sis is just too long“noted CHEO pres­i­dent Alex Munter. “It is an entire school year. For a youth to be able to learn and develop, and to have a suc­cess­ful school year, is very hard.”

The fig­ures really make dis­turb­ing read­ing: Since 2009, the num­ber of chil­dren and youth seek­ing CHEO’s help for men­tal ill­ness has shot up 64 per cent, while out­pa­tient refer­rals have gone up 76 per cent. The num­ber of patients admit­ted to CHEO with sui­cide risks has increased 33 per cent, and the num­ber with self-injury has gone up 61 per cent.

http://www.ottawacitizen.com/opinion/editorials/Youth+mental+health/8826494/story.html

Agen­cies Pre­pare For Flood?s Effects on Men­tal Health

Cal­gary Her­ald — August 25, 2013

The flood waters have long receded, but a sec­ondary wave of disaster-driven men­tal health prob­lems may be only start­ing to crest.

Social ser­vice agen­cies in south­ern Alberta are prepar­ing for what they say could be a sig­nif­i­cant and long-term increase in cri­sis calls, as flood vic­tims begin to come to terms with the real­i­ties of lost homes and livelihoods.

I’m not an alarmist at all … I think it?s just some­thing we need to be aware of it,” said Stacey Petersen, exec­u­tive direc­tor of the Fresh Start Recov­ery Cen­tre, a res­i­den­tial alco­hol and drug addic­tion treat­ment cen­tre in Cal­gary. “From our stand­point, we’d rather be well-prepared and not needed, than ill-prepared and in trouble”.

http://www.calgaryherald.com/news/Agencies+prepare+flood+effects+mental+health/8831626/story.html

Change of Prac­tice Key to Improv­ing Patients’ Access to Psychiatrists

CMAJ — August 28, 2013

With 1 in 5 Cana­di­ans expected to expe­ri­ence a men­tal ill­ness in their life­time and a dwin­dling num­ber of psy­chi­a­trists, is the sup­ply of men­tal health ser­vices on track to meet demand?

The quick answer is prob­a­bly not. The more com­plex answer is that this is the wrong question.

There will never be enough psy­chi­a­trists to address all the men­tal health needs of Cana­di­ans, nor should there be,” says Dr. David Gold­bloom, chair of the Men­tal Health Com­mis­sion of Canada. While the num­ber of psy­chi­a­trists may be one aspect to the access prob­lem, Gold­bloom thinks this argu­ment has gone stale.

The key to address­ing prob­lems with access to men­tal health ser­vices in Canada is to change how psy­chi­a­trists prac­tice. But until we do so, Gold­bloom is quick to acknowl­edge that “We’re cur­rently not doing too well.”

Accord­ing to the National Physi­cian Sur­vey, the aver­age wait time for non-urgent cases across Canada in 2010 was 11 weeks in urban areas and up to 20 weeks in rural areas. In addi­tion, only 16% of urgent patients were seen within the day. Not sur­pris­ingly, 55% of fam­ily physi­cians rated access to psy­chi­atric care as fair or poor.

http://www.cmaj.ca/site/earlyreleases/28aug13_change-of-practice-key-to-improving-patients-access-to-psychiatrists.xhtml

For Uni­ver­si­ties, Approach To Men­tal Health Ser­vices Grow­ing Slowly

Vic­to­ria Times Colonist ? Sep­tem­ber 2, 2013

As men­tal health issues have received more media atten­tion, uni­ver­si­ties have honed their approach to on-campus ser­vices, invest­ing already lim­ited dol­lars and col­lab­o­rat­ing with other insti­tu­tions. Still, progress remains slow.

http://www.timescolonist.com/life/for-universities-approach-to-mental-health-services-growing-slowly-but-steadily-1.609507

First Nations Men­tal Health Focus Of Aid Project

Jew­ish human­i­tar­ian asso­ci­a­tion Vi’ahavta will send send health experts into communities

CBC News — Sep 6, 2013

A Jew­ish human­i­tar­ian asso­ci­a­tion plans to send men­tal health experts to seven First Nations com­mu­ni­ties in north­west­ern Ontario to help.

The move is part of Ve’ahavta’s first Cana­dian project. The orga­ni­za­tion has pre­vi­ously advised health care work­ers in Guyana and Kenya.

Vi’ahavta pres­i­dent Avrum Rosensweig said this is the first time the orga­ni­za­tion will oper­ate in Canada.

http://www.cbc.ca/news/canada/thunder-bay/story/2013/09/06/tby-first-nations-mental-health-project.html

Spe­cial­ists in Treat­ing Eat­ing Dis­or­ders Not Immune to Fat Bias, Study Suggests

Canada.com ? Sep­tem­ber 10, 2013

Peo­ple who spe­cial­ize in treat­ing eat­ing dis­or­ders can carry some of the same anti-fat atti­tudes and “fat pho­bia” towards obese peo­ple as the rest of soci­ety, new research suggests.

In what is being described as the first look at weight bias specif­i­cally among psy­chol­o­gists, ther­a­pists, social work­ers and other men­tal health pro­fes­sion­als spe­cial­iz­ing in eat­ing dis­or­ders, Yale Uni­ver­sity researchers found a con­sid­er­able per­cent­age believe obese patients have poor self-control, no willpower, and are self-indulgent, unat­trac­tive and insecure.

http://o.canada.com/2013/09/10/specialists-in-treating-eating-disorders-not-immune-to-fat-bias-study-suggests/

ADDICTION

Phar­ma­cies, Doc­tors Fail To Stop Nar­cotic Shop­ping Spree

CBC.ca  Sep­tem­ber 2, 2013

Two sis­ters in B.C. are going pub­lic to expose what they see as a big hole in the health sys­tem after a drug addict was able use their iden­ti­ties to get thou­sands of taxpayer-funded pre­scrip­tion nar­cotic pills.

San­dra Adam­son, a cook from Sur­rey who works for the RCMP, con­tacted CBC’s Go Pub­lic because she believes the sys­tems meant to detect and stop pre­scrip­tion abuse aren’t working.

http://www.cbc.ca/news/canada/british-columbia/pharmacies-doctors-fail-to-stop-narcotic-shopping-spree-1.1367684

US Hos­pi­tal to Launch 1st In-Patient Inter­net Addic­tion Program

CBC.ca  Sep­tem­ber 4, 2013

A psy­chi­atric hos­pi­tal in Penn­syl­va­nia will soon open a new in-patient inter­net addic­tion pro­gram — the first of its kind in the United States or Canada.

Set to launch on Sept. 9 at the Brad­ford Regional Med­ical Cen­ter in Cen­tral Penn­syl­va­nia, the 10-day vol­un­tary pro­gram will see up to four adult patients at a time liv­ing within the hospital’s walls while work­ing to recover from what they say is a debil­i­tat­ing depen­dence on the web.

http://www.cbc.ca/newsblogs/yourcommunity/2013/09/us-hospital-to-launch-1st-in-patient-internet-addiction-program.html

Links Made Between Prob­lem Gam­bling and Sub­stance Abuse, And Lack of Treat­ment Options

Sci­ence Daily — Sep­tem­ber 4, 2013

Sep. 4, 2013 ? Prob­lem gam­blers are a hid­den pop­u­la­tion among peo­ple with men­tal health or sub­stance abuse issues who often don’t get the treat­ment they need, a new study shows. Any­where from 10 to 20 per cent of peo­ple with sub­stance abuse prob­lems also have sig­nif­i­cant gam­bling prob­lem, yet few pro­grams are tar­geted at them and most social ser­vice agen­cies don’t have funds to treat them, the study’s main author says.

http://www.sciencedaily.com/releases/2013/09/130904105353.htm

B.C. Doc­tors Want To Pre­scribe Heroin for Selected Patients

Globe and Mail — Sep­tem­ber 8, 2013

Doc­tors in British Colum­bia are call­ing on Health Canada to per­mit pre­scrip­tion heroin for severely addicted patients exit­ing a ground­break­ing clin­i­cal trial, insist­ing a promis­ing alter­na­tive is not yet sup­ported by sci­en­tific evidence.

The calls come as the first par­tic­i­pants exit the SALOME trial, a three-year project launched by researchers from Prov­i­dence Health Care and the Uni­ver­sity of B.C. in late 2011 to deter­mine whether hydro­mor­phone, a pow­er­ful but legal opi­ate, is as effec­tive as diacetyl­mor­phine (pre­scrip­tion heroin) in help­ing severely addicted heroin users.

http://www.theglobeandmail.com/news/british-columbia/bc-doctors-want-to-prescribe-heroin-for-selected-patients/article14182339/

Seniors Health­care Should Be a Fed­eral Priority

The Globe and Mail — Aug. 19 2013

Cana­di­ans have lit­tle con­fi­dence in the abil­ity of the health-care sys­tem to meet the needs of a bur­geon­ing num­ber of seniors and they are look­ing to gov­ern­ment to shift their pri­or­i­ties and come up with a coher­ent plan.

That?s the mes­sage that emerges from a new poll com­mis­sioned by the Cana­dian Med­ical Association.

The anx­i­ety Cana­di­ans have about health care in their so-called golden years is both real and well-founded,” said Anna Reid, out­go­ing pres­i­dent of the CMA.

Nation­wide, three in five respon­dents said they believed there would not be suf­fi­cient hos­pi­tal beds, long-term care and home-care ser­vices to meet demand in their golden years.

http://www.theglobeandmail.com/life/health-and-fitness/health/seniors-healthcare-should-be-a-federal-priority/article13836147/

Canada ‘Way Behind’ On Home-Care Help, Patient Advo­cates Say

Already har­ried sys­tem not ready for ris­ing home-care demand

CBC News — Aug 27, 2013

When patient advo­cate Donna Davis helped a friend nav­i­gate the tran­si­tion from hos­pi­tal to home care, she encoun­tered a vex­ing problem.

Hos­pi­tal and home-care work­ers “just tell you what to do,” Davis recalls. “It’s that pater­nal­is­tic: ?We will make the deci­sion for you. We will tell you when to go home. We will tell you how to go home.”

http://www.cbc.ca/news/health/story/2013/08/26/f-community-home-care.html

Alter­na­tive Level of Care: Canada’s Hos­pi­tal Beds, the Evi­dence and Options      

Health­care Pol­icy, 9(1) August 2013

Abstract

Patients des­ig­nated as alter­na­tive level of care (ALC) are an ongo­ing con­cern for health­care pol­icy mak­ers across Canada. These patients occupy valu­able hos­pi­tal beds and limit access to acute care ser­vices. The objec­tive of this paper is to present pol­icy alter­na­tives to address under­ly­ing fac­tors asso­ci­ated with ALC bed use. Three alter­na­tives, and their respec­tive lim­i­ta­tions and struc­tural chal­lenges, are dis­cussed. Poten­tial solu­tions may require a mix of pol­icy options pro­posed here.

RESEARCH / HEALTH

Alco­hol Depen­dence, Eat­ing Dis­or­ders Asso­ci­ated With Com­mon Genes

Med­ical News Today — August 23, 2013

Peo­ple with alco­hol depen­dence may be more genet­i­cally sus­cep­ti­ble to cer­tain types of eat­ing dis­or­ders, and vice-versa, accord­ing to a study in the Sep­tem­ber issue of the Jour­nal of Stud­ies on Alco­hol and Drugs.

In a study of nearly 6,000 adult twins, researchers found that com­mon genetic fac­tors seemed to under­lie both alco­holism and cer­tain eat­ing dis­or­der symp­toms — namely, binge eat­ing and purg­ing habits, such as self-induced vom­it­ing or lax­a­tive abuse. Genes appeared to explain 38 per­cent to 53 per­cent of the risk of devel­op­ing those disorders.

http://www.medicalnewstoday.com/releases/265107.php

How the Brain Remem­bers Plea­sure: Impli­ca­tions for Addiction

Sci­ence Daily — August 25, 2013

Aug. 25, 2013 — Key details of the way nerve cells in the brain remem­ber plea­sure are revealed in a study by Uni­ver­sity of Alabama at Birm­ing­ham (UAB) researchers pub­lished today in the jour­nal Nature Neu­ro­science. The mol­e­c­u­lar events that form such “reward mem­o­ries” appear to dif­fer from those cre­ated by drug addic­tion, despite the pop­u­lar the­ory that addic­tion hijacks nor­mal reward pathways.

http://www.sciencedaily.com/releases/2013/08/130825171530.htm?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+sciencedaily+%28ScienceDaily%3A+Latest+Science+News%29

Psy­chother­apy via the Internet

eHealthNews.eu — 19 August 2013

Does psy­chother­apy via the Inter­net work? For the first time, clin­i­cal researchers from the Uni­ver­sity of Zurich have stud­ied whether online psy­chother­apy and con­ven­tional face-to-face ther­apy are equally effec­tive in exper­i­ments. Based on ear­lier stud­ies, the Zurich team assumed that the two forms of ther­apy were on a par. Not only was their the­ory con­firmed, the results for online ther­apy even exceeded their expectations.

Six ther­a­pists treated 62 patients, the major­ity of whom were suf­fer­ing from mod­er­ate depres­sion. The patients were divided into two equal groups at ran­dom and assigned to one of the ther­a­peu­tic forms. The treat­ment con­sisted of eight ses­sions with dif­fer­ent estab­lished tech­niques that stem from cog­ni­tive behav­ior ther­apy and could be car­ried out both orally and in writ­ing. Patients treated online had to per­form one pre­de­ter­mined writ­ten task per ther­apy unit — such as query­ing their own neg­a­tive self-image. They were known to the ther­a­pist by name.

Online ther­apy even more effec­tive in the medium term

In both groups, the depres­sion val­ues fell sig­nif­i­cantly,” says Pro­fes­sor Andreas Maer­cker, sum­ming up the results of the study. At the end of the treat­ment, no more depres­sion could be diag­nosed in 53 per­cent of the patients who under­went online ther­apy — com­pared to 50 per­cent for face-to-face ther­apy. Three months after com­plet­ing the treat­ment, the depres­sion in patients treated online even decreased whereas those treated con­ven­tion­ally only dis­played a min­i­mal decline: no more depres­sion could be detected in 57 per­cent of patients from online ther­apy com­pared to 42 per­cent with con­ven­tional therapy.

For both patient groups, the degree of sat­is­fac­tion with the treat­ment and ther­a­pists was more or less equally high. 96 per­cent of the patients given online ther­apy and 91 per­cent of the recip­i­ents of con­ven­tional treat­ment rated the con­tact with their ther­a­pist as “per­sonal”. In the case of online ther­apy, the patients tended to use the ther­apy con­tacts and sub­se­quent home­work very inten­sively to progress per­son­ally. For instance, they indi­cated that they had re-read the cor­re­spon­dence with their ther­a­pist from time to time. “In the medium term, online psy­chother­apy even yields bet­ter results. Our study is evi­dence that psy­chother­a­peu­tic ser­vices on the inter­net are an effec­tive sup­ple­ment to ther­a­peu­tic care,” con­cludes Maercker.

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How can we help?

The Healthy Work­places blog is brought to you by Home­wood Human Solu­tions. We are part of Schlegel Health Care, a family-owned health care orga­ni­za­tion with a focus on men­tal health and addic­tions, employee and fam­ily assis­tance, dis­abil­ity man­age­ment, and long-term care for older adults. How can we help?

Home­wood Human Solutions

Nation­wide EFAP and Dis­abil­ity Pro­grams

Home­wood Human Solu­tions™ offers a one-of-a-kind approach to the mar­ket: the high­est qual­ity of clin­i­cal sup­port and inter­ven­tion avail­able within the EFAP indus­try, and an unmatched con­tin­uum of ser­vices — span­ning health pro­mo­tion, men­tal health and addic­tions treat­ment, and prevention-focused work-life coun­selling services.

Home­wood Dis­abil­ity Treat­ment Program

Effec­tive dis­abil­ity man­age­ment for men­tal ill­ness must go beyond “man­ag­ing” dis­abil­ity to include both inpa­tient and out­pa­tient treat­ment. Treat­ment goals must incor­po­rate strate­gies for suc­cess­ful work rein­te­gra­tion to min­i­mize recur­rence and relapse.

The Home­wood Dis­abil­ity Treat­ment Pro­gram (HDTP) com­bines the ser­vices avail­able through the Home­wood Health Cen­tre – a nation­ally rec­og­nized men­tal health and addic­tion treat­ment cen­tre with the best national net­work of skilled men­tal health and addic­tion treat­ment pro­fes­sion­als through Home­wood Human Solu­tionsTM.

Home­wood Health Centre

Nation­ally rec­og­nized men­tal health and addic­tion facil­i­ties

Home­wood Health Cen­tre is Canada’s unsur­passed med­ical leader in addic­tion and men­tal health treat­ment, pro­vid­ing highly spe­cial­ized psy­chi­atric ser­vices to all Cana­di­ans. We are a 312-bed, Sched­ule 1 facil­ity under the Ontario Men­tal Health Act. We oper­ate nine pro­grams treat­ing a range of men­tal health and addic­tion issues.

Home­wood Health Cen­tre is located in Guelph, Ontario.

Schlegel Vil­lages

Con­tin­uum of care facil­i­ties for older adults (long-term care and retire­ment homes)

Schlegel Vil­lages are designed, built and man­aged by the Schlegel fam­ily of Kitch­ener, Ontario. Our motto: “It Takes a Vil­lage to Care” lives on.

Cana­dian owned and oper­ated, our Vil­lages ben­e­fit from the Schlegel fam­ily hav­ing over 40 years of direct expe­ri­ence co-owning, man­ag­ing and oper­at­ing Long Term Care and Retire­ment Com­mu­ni­ties in Ontario. There are eleven Schlegel Vil­lages hous­ing approx­i­mately 2500 seniors. Each Vil­lage has a Long Term Care com­po­nent, with Full Ser­vice Retire­ment Liv­ing, Assisted Care, Mem­ory Care and Inde­pen­dent Liv­ing options being added in stages. The first Schlegel Vil­lage opened in 1998 in Guelph.

Have you vis­ited our Pin­ter­est site? We have many, many more info­graph­ics to peruse. Have a look here!

We’re on Google Plus!

NOTE: The con­tent and opin­ions offered in Healthy Work­places blog posts do not nec­es­sar­ily reflect the for­mal stance of Home­wood Human Solu­tions, unless oth­er­wise iden­ti­fied. We bring this infor­ma­tion for­ward in the inter­ests of openly shar­ing val­ued infor­ma­tion in this time of fast-growing online con­ver­sa­tions and knowledge.

 

 

 

 

Improving worker health: Conference report. Part 2

The fol­low­ing infor­ma­tion is sourced from the APA Mon­i­tor report on the 10th Inter­na­tional Con­fer­ence on Occu­pa­tional Stress and Health 2013.

As noted in yesterday’s blog­ging post

Peo­ple come to work with an under­stand­ing that they are going to fol­low direc­tions, take instruc­tions, be part of a team and learn new skills…It’s really a per­fect place for health interventions.

So com­mented L. Casey Chose­wood, MD, senior med­ical offi­cer at NIOSH at the 10th Inter­na­tional Con­fer­ence on Occu­pa­tional Stress and Health that was held May 16–19 of this year. With more than 770 par­tic­i­pants from 39 coun­tries gath­ered in LA to dis­cuss the lat­est research on ways to improve worker health. This year’s theme: Pro­mot­ing and Pro­tect­ing Total Worker Health.

Orga­nized by the Amer­i­can Psy­cho­log­i­cal Asso­ci­a­tion (APA), National Insti­tute for Occu­pa­tional Safety and Health (NIOSH) and the Soci­ety for Occu­pa­tional Health Psy­chol­ogy, the con­fer­ence brings together par­tic­i­pants work­ing towards shap­ing this grow­ing field.

Today’s blog is the sec­ond part of a two-part report on some high­lights we regard as crit­i­cal take-aways from the conference.

High­lights

1. Pro­mot­ing men­tal health in the workplace

Any improve­ment to men­tal health in the work­place must (1) com­bine reduc­ing work-related risk fac­tors for men­tal health prob­lems, (2) pro­mote pos­i­tive ele­ments of work, and (3) address men­tal health prob­lems among work­ing peo­ple regard­less of the under­ly­ing cause. So reports Anthony LaM­on­tagne, SCD of the Uni­ver­sity of Melbourne’s School of Pop­u­la­tion and Global Health in the open­ing ple­nary ses­sion. Anx­i­ety, depres­sion, and other men­tal health prob­lems were dis­cussed in their rela­tion­ship to work­ing con­di­tions. The main tenet being that any inter­ven­tion to improve men­tal health in the work­place needs to com­bine these three components.

a. Men­tal health inter­ven­tions should pro­mote pos­i­tive ele­ments of work.

Most peo­ple derive some mean­ing or sat­is­fac­tion from work…We don’t do a good enough job try­ing to build up the pos­i­tives” said LaM­on­tagne, fur­ther not­ing that peo­ple craw self-esteem and effi­cacy from their work, regard­less of the type of job.

b. Regard­less of cause (work, home, or some com­bi­na­tion thereof), employ­ers must address men­tal health prob­lems among their work­ing population.

By assist­ing employ­ees to seek pro­fes­sional help, the orga­ni­za­tion and the employee will benefit.

LaM­on­tagne notes that employ­ers have been fairly accept­ing of work­place men­tal health pro­mo­tion pro­grams but these con­cerns stem pri­mar­ily from absen­teeism and pro­duc­tiv­ity issues. But less so when it comes to address­ing job stress issues. Rather than see this as an obsta­cle, LaM­on­tagne calls upon those of us con­cerned about address­ing men­tal health, job stress issues, and opti­miz­ing work prac­tices, to “ride on the coat­tails of men­tal health promotion.”

2. Job inse­cu­rity and acci­dent under-reporting

“Work­ers feel their jobs are inse­cure, they are less likely to report acci­dents and injuries.”

So hypoth­e­sizes Tahira Probst, PhD, from Wash­ing­ton State Uni­ver­sity. Probst stud­ies both job inse­cu­rity and the safety cli­mate of orga­ni­za­tions. She pre­sented results of a recent study inves­ti­gat­ing the inter­sec­tion of those two inter­ests. Three mil­lion work-related injuries and ill­nesses are reported in the United States each year, but some stud­ies have found more than three-quarters of work­place injuries go unreported.

After sur­vey­ing 1265 work­ers in 27 orga­ni­za­tions from a vari­ety of sec­tors, Probst con­firmed that as job secu­rity went down the num­ber of unre­ported injuries climbed. Whereas orga­ni­za­tions with a pos­i­tive safety cli­mate (e.g. reward­ing safe behav­iours, enact­ing food safety train­ing, mak­ing employ­ees feel com­fort­able rais­ing issues to man­agers) had lower rates of under-reporting.

In short, she demon­strated that a pos­i­tive safety cli­mate could over­come the effect of high job inse­cu­rity on acci­dent under-reporting.

And while not­ing that job secu­rity can’t always be improved, Probst com­mented that orga­ni­za­tions can always take steps to improve the company’s over­all com­mit­ment to safety.

3. The gap between pol­icy and practice

When it comes to for­mal poli­cies and man­age­ment stan­dards, organ­i­sa­tions may say one thing but do another…Companies may espouse excel­lent safety prac­tices but cut cor­ners in real­ity if those pro­ce­dures under­mine the bot­tom line…unsurprisingly employ­ees are quick to pick up on this ‘decou­pling’ of pol­icy and practice.

This, accord­ing to Dov Zohar, PhD, at Tech­nion Insti­tute in Haifa, Israel.

Zohor dis­cussed an inter­ven­tion designed to reduce the dis­crep­ancy between for­mal poli­cies and man­age­ment stan­dards (say­ing one thing while doing another).

Zohar ran­domly divided a heavy-industry man­u­fac­tur­ing com­pa­nys 28 depart­ments into con­trol and exper­i­men­tal groups. He asked work­ers in both groups to take sur­veys mea­sur­ing safety cli­mate, safety behav­ior, and teamwork.

Dur­ing the 12-week inter­ven­tion phase, super­vi­sors in the exper­i­men­tal group were given feed­back about the rat­ings they received from employ­ees who com­pleted these sur­veys. With coach­ing to help under­stand the feed­back and set goals for com­mu­ni­cat­ing with employ­ees, he found that safety mea­sures sig­nif­i­cantly improved in those depart­ments that received the feedback.

Zohar con­cluded that his study demon­strated the impor­tance of fre­quent com­mu­ni­ca­tion between super­vi­sors and work­ers and that such inter­ven­tions could improve safety cli­mates in any num­ber of orga­ni­za­tions and, quite pos­si­bly, extrap­o­late to areas other than safety (e.g. ethics cli­mate, diver­sity, etc).

4. Effec­tive­ness of job-search interventions

As employ­ment has risen in recent years, job-search train­ing pro­grams have flour­ished. Stud­ies have found large vari­a­tions in these pro­grams’ effec­tive­ness and few researchers are report­edly tak­ing a big-picture view of the literature.

Songqui Liu, PhD of Penn­syl­va­nia State Uni­ver­sity exam­ined 47 stud­ies of var­i­ous job-search inter­ven­tions to draw broad con­clu­sions about the ingre­di­ents of a suc­cess­ful pro­gram over­all find­ing the inter­ven­tions help­ful.  He com­mented “if you have a blend of [these] tech­niques in your train­ing pro­gram, you’re likely to see the max­i­mum benefits.”

How­ever, job seek­ers are diverse, includ­ing older work­ers who ay ben­e­fit from more pro­grams that teach skills such as using the tech­nol­ogy with skill.

Over­all, Liu found the inter­ven­tions were helpful:

  1. The odds of land­ing a job were 2.67 times higher for job seek­ers who par­tic­i­pated than those who did not.
  2. The most suc­cess­ful pro­grams com­bined skill devel­op­ment (e.g. cre­at­ing a resume, net­work­ing) and moti­va­tion enhance­ment (e.g. set­ting real­is­tic goals).
  3. Older work­ers may ben­e­fit from pro­grams that teach skills (e.g. using the inter­net effec­tively) whereas younger work­ers might get more out of pro­grams that teach net­work­ing or inter­view­ing tips.
  4. The results are not only applic­a­ble to job hunters and career coun­selors but any job-search train­ing pro­grams (e.g. community-based).

——————————————————————————–

How can we help?

The Healthy Work­places blog is brought to you by Home­wood Human Solu­tions. We are part of Schlegel Health Care, a family-owned health care orga­ni­za­tion with a focus on men­tal health and addic­tions, employee and fam­ily assis­tance, dis­abil­ity man­age­ment, and long-term care for older adults. How can we help?

Home­wood Human Solutions

Nation­wide EFAP and Dis­abil­ity Pro­grams

Home­wood Human Solu­tions™ offers a one-of-a-kind approach to the mar­ket: the high­est qual­ity of clin­i­cal sup­port and inter­ven­tion avail­able within the EFAP indus­try, and an unmatched con­tin­uum of ser­vices — span­ning health pro­mo­tion, men­tal health and addic­tions treat­ment, and prevention-focused work-life coun­selling services.

Home­wood Dis­abil­ity Treat­ment Program

Effec­tive dis­abil­ity man­age­ment for men­tal ill­ness must go beyond “man­ag­ing” dis­abil­ity to include both inpa­tient and out­pa­tient treat­ment. Treat­ment goals must incor­po­rate strate­gies for suc­cess­ful work rein­te­gra­tion to min­i­mize recur­rence and relapse.

The Home­wood Dis­abil­ity Treat­ment Pro­gram (HDTP) com­bines the ser­vices avail­able through the Home­wood Health Cen­tre – a nation­ally rec­og­nized men­tal health and addic­tion treat­ment cen­tre with the best national net­work of skilled men­tal health and addic­tion treat­ment pro­fes­sion­als through Home­wood Human Solu­tionsTM.

Home­wood Health Centre

Nation­ally rec­og­nized men­tal health and addic­tion facil­i­ties

Home­wood Health Cen­tre is Canada’s unsur­passed med­ical leader in addic­tion and men­tal health treat­ment, pro­vid­ing highly spe­cial­ized psy­chi­atric ser­vices to all Cana­di­ans. We are a 312-bed, Sched­ule 1 facil­ity under the Ontario Men­tal Health Act. We oper­ate nine pro­grams treat­ing a range of men­tal health and addic­tion issues.

Home­wood Health Cen­tre is located in Guelph, Ontario.

Schlegel Vil­lages

Con­tin­uum of care facil­i­ties for older adults (long-term care and retire­ment homes)

Schlegel Vil­lages are designed, built and man­aged by the Schlegel fam­ily of Kitch­ener, Ontario. Our motto: “It Takes a Vil­lage to Care” lives on.

Cana­dian owned and oper­ated, our Vil­lages ben­e­fit from the Schlegel fam­ily hav­ing over 40 years of direct expe­ri­ence co-owning, man­ag­ing and oper­at­ing Long Term Care and Retire­ment Com­mu­ni­ties in Ontario. There are eleven Schlegel Vil­lages hous­ing approx­i­mately 2500 seniors. Each Vil­lage has a Long Term Care com­po­nent, with Full Ser­vice Retire­ment Liv­ing, Assisted Care, Mem­ory Care and Inde­pen­dent Liv­ing options being added in stages. The first Schlegel Vil­lage opened in 1998 in Guelph.

Have you vis­ited our Pin­ter­est site? We have many, many more info­graph­ics to peruse. Have a look here!

We’re on Google Plus!

NOTE: The con­tent and opin­ions offered in Healthy Work­places blog posts do not nec­es­sar­ily reflect the for­mal stance of Home­wood Human Solu­tions, unless oth­er­wise iden­ti­fied. We bring this infor­ma­tion for­ward in the inter­ests of openly shar­ing val­ued infor­ma­tion in this time of fast-growing online con­ver­sa­tions and knowledge.

 

Improving worker health: Conference report. Part 1

The fol­low­ing infor­ma­tion is sourced from the APA Mon­i­tor report on the 10th Inter­na­tional Con­fer­ence on Occu­pa­tional Stress and Health 2013.

Peo­ple come to work with an under­stand­ing that they are going to fol­low direc­tions, take instruc­tions, be part of a team and learn new skills…It’s really a per­fect place for health interventions.

So com­ments L. Casey Chose­wood, MD, senior med­ical offi­cer at NIOSH at the 10th Inter­na­tional Con­fer­ence on Occu­pa­tional Stress and Health that was held May 16–19 of this year. With more than 770 par­tic­i­pants from 39 coun­tries gath­ered in LA to dis­cuss the lat­est research on ways to improve worker health. This year’s theme: Pro­mot­ing and Pro­tect­ing Total Worker Health.

Orga­nized by the Amer­i­can Psy­cho­log­i­cal Asso­ci­a­tion (APA), National Insti­tute for Occu­pa­tional Safety and Health (NIOSH) and the Soci­ety for Occu­pa­tional Health Psy­chol­ogy, the con­fer­ence brings together par­tic­i­pants work­ing towards shap­ing this grow­ing field.

In pre­vi­ous years the con­fer­ence dealt mostly with aca­d­e­mic issues (e.g. risk fac­tors for work­place stress, study method­olo­gies). Now, the scope is much broader.

Says Steven Sauter, PHD, con­fer­ence co-chair and con­sul­tant to NIOSH:

We’re look­ing at a whole range of fac­tors that relate to reduc­ing the effects of stress in the workplace.

Some of these fac­tors include:

  • Health pro­tec­tion
  • Health pro­mo­tion
  • Health ser­vices design
  • Eco­nomic costs of job stress
  • Employee com­mu­ni­ca­tion and edu­ca­tion options

Work and health, because they’re such impor­tant com­po­nents of our lives, can­not be sep­a­rated,” said Chose­wood,. “What hap­pens at work doesn’t stay at work, and what hap­pens at home doesn’t stay at home…the work­place is an ideal venue for advanc­ing health…People come to work with an under­stand­ing that they are going to fol­low direc­tions, take instruc­tions, be part of a team and learn new skills.

Chose­wood describes tra­di­tional mea­sures hav­ing focused on non-integrated gen­eral health-promotion pro­grams and/or safety and health mea­sures. Today, that is chang­ing he reports, com­ment­ing that the focus now encour­ages employ­ees to make healthy choices “off the clock”, pro­vid­ing health edu­ca­tion, screen­ing for health issues, and inte­grat­ing health-promotion programs.

High­lights

1. Pro­mot­ing men­tal health in the workplace

Any improve­ment to men­tal health in the work­place must (1) com­bine reduc­ing work-related risk fac­tors for men­tal health prob­lems, (2) pro­mote pos­i­tive elve­ments of work, and (3) address men­tal health prob­lems among work­ing peo­ple regard­less of the under­ly­ing cause. So reports Anthony LaM­on­tagne, SCD of the Uni­ver­sity of Melbourne’s School of Pop­u­la­tion and Global Health in the open­ing ple­nary ses­sion. Anx­i­ety, depres­sion, and other men­tal health prob­lems were dis­cussed in their rela­tion­ship to work­ing con­di­tions. The main tenet being that any inter­ven­tion to improve men­tal health in the work­place needs to com­bine these three components.

Tomor­row, we’ll blog more details of this tenet and ple­nary ses­sion conclusions.

2. Job inse­cu­rity and acci­dent under-reporting

Work­ers feel their jobs are inse­cure, they are less likely to report acci­dents and injuries.”

So hypoth­e­sizes Tahira Probst, PhD, from Wash­ing­ton State Uni­ver­sity. Probst stud­ies both job inse­cu­rity and the safety cli­mate of orga­ni­za­tions. She pre­sented results of a recent study inves­ti­gat­ing the inter­sec­tion of those two inter­ests. Three mil­lion work-related injuries and ill­nesses are reported in the United States each year, but some stud­ies have found more than three-quarters of work­place injuries go unreported.

In tomorrow’s blog…more details of this session.

3. The gap between pol­icy and practice

When it comes to for­mal poli­cies and man­age­ment stan­dards, organ­i­sa­tions may say one thing but do another…Companies may espouse excel­lent safety prac­tices but cut cor­ners in real­ity if those pro­ce­dures under­mine the bot­tom line…unsurprisingly employ­ees are quick to pick up on this ‘decou­pling’ of pol­icy and practice.

This, accord­ing to Dov Zohar, PhD, at Tech­nion Insti­tute in Haifa, Israel.

Zohar dis­cussed an inter­ven­tion designed to reduce this dis­crep­ancy and improve the safety cli­mate which we’ll blog more about tomorrow.

4. Effec­tive­ness of job-search interventions

As employ­ment has risen in recent years, job-search train­ing pro­grams have flour­ished. Stud­ies have found large vari­a­tions in these pro­grams’ effec­tive­ness and few researchers are report­edly tak­ing a big-picture view of the literature.

Songqui Liu, PhD of Penn­syl­va­nia State Uni­ver­sity exam­ined 47 stud­ies of var­i­ous job-search inter­ven­tions to draw broad con­clu­sions about the ingre­di­ents of a suc­cess­ful pro­gram over­all find­ing the inter­ven­tions help­ful.  He com­mented “if you have a blend of [these] tech­niques in your train­ing pro­gram, you’re likely to see the max­i­mum benefits.”

How­ever, job seek­ers are diverse, includ­ing older work­ers who ay ben­e­fit from more pro­grams that teach skills such as using the tech­nol­ogy with skill.

More details in tomorrow’s blog.

Until then…

———————————————————————————

How can we help?

The Healthy Work­places blog is brought to you by Home­wood Human Solu­tions. We are part of Schlegel Health Care, a family-owned health care orga­ni­za­tion with a focus on men­tal health and addic­tions, employee and fam­ily assis­tance, dis­abil­ity man­age­ment, and long-term care for older adults. How can we help?

Home­wood Human Solutions

Nation­wide EFAP and Dis­abil­ity Pro­grams

Home­wood Human Solu­tions™ offers a one-of-a-kind approach to the mar­ket: the high­est qual­ity of clin­i­cal sup­port and inter­ven­tion avail­able within the EFAP indus­try, and an unmatched con­tin­uum of ser­vices — span­ning health pro­mo­tion, men­tal health and addic­tions treat­ment, and prevention-focused work-life coun­selling services.

Home­wood Dis­abil­ity Treat­ment Program

Effec­tive dis­abil­ity man­age­ment for men­tal ill­ness must go beyond “man­ag­ing” dis­abil­ity to include both inpa­tient and out­pa­tient treat­ment. Treat­ment goals must incor­po­rate strate­gies for suc­cess­ful work rein­te­gra­tion to min­i­mize recur­rence and relapse.

The Home­wood Dis­abil­ity Treat­ment Pro­gram (HDTP) com­bines the ser­vices avail­able through the Home­wood Health Cen­tre – a nation­ally rec­og­nized men­tal health and addic­tion treat­ment cen­tre with the best national net­work of skilled men­tal health and addic­tion treat­ment pro­fes­sion­als through Home­wood Human Solu­tionsTM.

Home­wood Health Centre

Nation­ally rec­og­nized men­tal health and addic­tion facil­i­ties

Home­wood Health Cen­tre is Canada’s unsur­passed med­ical leader in addic­tion and men­tal health treat­ment, pro­vid­ing highly spe­cial­ized psy­chi­atric ser­vices to all Cana­di­ans. We are a 312-bed, Sched­ule 1 facil­ity under the Ontario Men­tal Health Act. We oper­ate nine pro­grams treat­ing a range of men­tal health and addic­tion issues.

Home­wood Health Cen­tre is located in Guelph, Ontario.

Schlegel Vil­lages

Con­tin­uum of care facil­i­ties for older adults (long-term care and retire­ment homes)

Schlegel Vil­lages are designed, built and man­aged by the Schlegel fam­ily of Kitch­ener, Ontario. Our motto: “It Takes a Vil­lage to Care” lives on.

Cana­dian owned and oper­ated, our Vil­lages ben­e­fit from the Schlegel fam­ily hav­ing over 40 years of direct expe­ri­ence co-owning, man­ag­ing and oper­at­ing Long Term Care and Retire­ment Com­mu­ni­ties in Ontario. There are eleven Schlegel Vil­lages hous­ing approx­i­mately 2500 seniors. Each Vil­lage has a Long Term Care com­po­nent, with Full Ser­vice Retire­ment Liv­ing, Assisted Care, Mem­ory Care and Inde­pen­dent Liv­ing options being added in stages. The first Schlegel Vil­lage opened in 1998 in Guelph.

Have you vis­ited our Pin­ter­est site? We have many, many more info­graph­ics to peruse. Have a look here!

We’re on Google Plus!

NOTE: The con­tent and opin­ions offered in Healthy Work­places blog posts do not nec­es­sar­ily reflect the for­mal stance of Home­wood Human Solu­tions, unless oth­er­wise iden­ti­fied. We bring this infor­ma­tion for­ward in the inter­ests of openly shar­ing val­ued infor­ma­tion in this time of fast-growing online con­ver­sa­tions and knowledge.

 

Psychotherapy via internet as good as if not better than face-to-face consultations

One of our employ­ees, Simone, has shared this research with us. Thanks Simone!

From the article:

Six ther­a­pists treated 62 patients, the major­ity of whom were suf­fer­ing from mod­er­ate depres­sion. The patients were divided into two equal groups and ran­domly assigned to one of the ther­a­peu­tic forms. The treat­ment con­sisted of eight ses­sions with dif­fer­ent estab­lished tech­niques that stem from cog­ni­tive behav­ior ther­apy and could be car­ried out both orally and in writ­ing. Patients treated online had to per­form one pre­de­ter­mined writ­ten task per ther­apy unit – such as query­ing their own neg­a­tive self-image. They were known to the ther­a­pist by name.

In both groups, the depres­sion val­ues fell sig­nif­i­cantly,” says Pro­fes­sor Andreas Maer­cker, sum­ming up the results of the study. At the end of the treat­ment, no more depres­sion could be diag­nosed in 53 per­cent of the patients who under­went online ther­apy – com­pared to 50 per­cent for face-to-face ther­apy. Three months after com­plet­ing the treat­ment, the depres­sion in patients treated online even decreased whereas those treated con­ven­tion­ally only dis­played a min­i­mal decline: no more depres­sion could be detected in 57 per­cent of patients from online ther­apy com­pared to 42 per­cent with con­ven­tional therapy.

Not quite sure we agree with this state­ment from the arti­cle how­ever “for the first time, clin­i­cal researchers from the Uni­ver­sity of Zurich pro­vide sci­en­tific evi­dence of the equal value of internet-based psy­chother­apy.” We cer­tain have a dearth of research but many that we find are positive.

What we have yet to know are some of the details of ‘psy­chother­apy’ as it can be deliv­ered ‘orally and in writ­ing’ And hypoth­e­sized reasons…more engaged or less like to drop out if the online option cho­sen (would take some effort for texting)

Nev­erth­less, worth a read through. We are pur­su­ing the orig­i­nal arti­cle today.

http://www.mediadesk.uzh.ch/articles/2013/psychotherapie-via-internet-wirkt-gleich-gut-oder-besser-wie–im-sprechzimmer_en.html

Source: http://www.mediadesk.uzh.ch/articles/2013/psychotherapie-via-internet-wirkt-gleich-gut-oder-besser-wie-im-sprechzimmer_en.html

————————————————————————————

How can we help?

The Healthy Work­places blog is brought to you by Home­wood Human Solu­tions. We are part of Schlegel Health Care, a family-owned health care orga­ni­za­tion with a focus on men­tal health and addic­tions, employee and fam­ily assis­tance, dis­abil­ity man­age­ment, and long-term care for older adults. How can we help?

Home­wood Human Solutions

Nation­wide EFAP and Dis­abil­ity Pro­grams

Home­wood Human Solu­tions™ offers a one-of-a-kind approach to the mar­ket: the high­est qual­ity of clin­i­cal sup­port and inter­ven­tion avail­able within the EFAP indus­try, and an unmatched con­tin­uum of ser­vices — span­ning health pro­mo­tion, men­tal health and addic­tions treat­ment, and prevention-focused work-life coun­selling services.

Home­wood Dis­abil­ity Treat­ment Program

Effec­tive dis­abil­ity man­age­ment for men­tal ill­ness must go beyond “man­ag­ing” dis­abil­ity to include both inpa­tient and out­pa­tient treat­ment. Treat­ment goals must incor­po­rate strate­gies for suc­cess­ful work rein­te­gra­tion to min­i­mize recur­rence and relapse.

The Home­wood Dis­abil­ity Treat­ment Pro­gram (HDTP) com­bines the ser­vices avail­able through the Home­wood Health Cen­tre – a nation­ally rec­og­nized men­tal health and addic­tion treat­ment cen­tre with the best national net­work of skilled men­tal health and addic­tion treat­ment pro­fes­sion­als through Home­wood Human Solu­tionsTM.

Home­wood Health Centre

Nation­ally rec­og­nized men­tal health and addic­tion facil­i­ties

Home­wood Health Cen­tre is Canada’s unsur­passed med­ical leader in addic­tion and men­tal health treat­ment, pro­vid­ing highly spe­cial­ized psy­chi­atric ser­vices to all Cana­di­ans. We are a 312-bed, Sched­ule 1 facil­ity under the Ontario Men­tal Health Act. We oper­ate nine pro­grams treat­ing a range of men­tal health and addic­tion issues.

Home­wood Health Cen­tre is located in Guelph, Ontario.

Schlegel Vil­lages

Con­tin­uum of care facil­i­ties for older adults (long-term care and retire­ment homes)

Schlegel Vil­lages are designed, built and man­aged by the Schlegel fam­ily of Kitch­ener, Ontario. Our motto: “It Takes a Vil­lage to Care” lives on.

Cana­dian owned and oper­ated, our Vil­lages ben­e­fit from the Schlegel fam­ily hav­ing over 40 years of direct expe­ri­ence co-owning, man­ag­ing and oper­at­ing Long Term Care and Retire­ment Com­mu­ni­ties in Ontario. There are eleven Schlegel Vil­lages hous­ing approx­i­mately 2500 seniors. Each Vil­lage has a Long Term Care com­po­nent, with Full Ser­vice Retire­ment Liv­ing, Assisted Care, Mem­ory Care and Inde­pen­dent Liv­ing options being added in stages. The first Schlegel Vil­lage opened in 1998 in Guelph.

Have you vis­ited our Pin­ter­est site? We have many, many more info­graph­ics to peruse. Have a look here!

We’re on Google Plus!

Com­ments? Thoughts or resources to share?

.

NOTE: The con­tent and opin­ions offered in Healthy Work­places blog posts do not nec­es­sar­ily reflect the for­mal stance of Home­wood Human Solu­tions, unless oth­er­wise iden­ti­fied. We bring this infor­ma­tion for­ward in the inter­ests of openly shar­ing val­ued infor­ma­tion in this time of fast-growing online con­ver­sa­tions and knowledge.