Help reduce the stigma around workers’ mental health

Start conversations and develop strategies

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Photos: kali9/iStockphoto

Mental health challenges have tested many workers during the COVID-19 pandemic. And as the pandemic reaches the two-and-a-half-year mark, experts say employers need to make employees’ mental health as high of a priority as physical health.

“If you have a physical injury, you would go and get that taken care of,” said Jeannie Nigam, a NIOSH research psychologist. “If you twist your ankle and you can’t walk, you would go to the doctor. We need to approach mental health issues the same way. We need to recognize that it happens to everyone.”

A big step in that process: confronting the stigma that often accompanies mental health disorders.

Stigma looms large

Data reinforces a troubling situation: Many mental health disorders aren’t addressed by employers and go untreated by health professionals.

Of the more than 11,000 respondents to a survey commissioned by nonprofit association Mental Health America as part of its 2022 “Mind the Workplace” report, 66% disagreed with this statement: “My company’s leadership speaks openly about mental health in my workplace.”

Further, although 59% indicated their supervisor cares for their well-being, only 35% said they would feel comfortable requesting a mental-health accommodation from a manager or human resources. Additionally, the Substance Abuse and Mental Health Services Administration reports that almost 60% of adults with a mental illness didn’t receive services or treatment over the past year.

Make no mistake, stigma looms as a key culprit for this lack of comfort and communication, says Rachael Cooper, associate director for the National Stigma Initiative at the advocacy group Shatterproof.

Cooper notes that stigma comes in many forms, including biases we apply to ourselves and those from public and media portrayals of mental illness, and this influences our perceptions. Whatever the case, “the biggest impact that stigma has is it prevents people from seeking treatment and support,” she said.

So, how can employers help reduce stigma to get a dialogue going in their workplace?

Associate Editor Kevin Druley discusses this article on the October 2022 episode of Safety+Health's “On the Safe Side” podcast.

Be approachable

Conversation at the beginning of a toolbox talk or pre-work meeting is likely to trend toward current events or work completed the previous day.

As supervisors transition to the topic at hand, Nigam recommends performing casual check-ins by asking workers whether they’ve recently experienced any job stress-related difficulties. Gather feedback and start a discussion, but don’t stop there. Use the conversation as a starting point so workers know you’re there to understand and provide support for issues occurring off the job as well, and relate your own struggles.

Hearing that others are experiencing mental strain – especially anyone who’s well respected – can help normalize the issue and open the door for more in-depth conversation.

“Seeing when a supervisor is human can make an individual feel like it’s acceptable to talk about what they’re feeling,” Nigam said. “And hearing a manager ask with genuine concern about how the worker is doing really helps them feel valued.”

Normalize respectful conversation and attitudes around mental health concerns because, as experts reiterate, they aren’t going away.

“We need to begin the dialogue before the cultural change can happen,” said Timothy Irving, deputy director of OSHA’s Directorate of Construction. “And we do need a cultural shift, again, not only on construction sites, but in workplaces in general.”

A study released in December offers hope: Researchers from Indiana University and Pennsylvania State University analyzed survey data from more than 4,100 adults included as part of the U.S. National Stigma Studies. They found that in 1996, 46% of the respondents said they preferred not to work closely with someone who has depression. In 2018, it decreased to 29%.

Navigating ‘the macho culture’

Ensuring workers feel they’re in a safe space to share experiences is critical. “It’s important to protect their privacy and to assure workers that talking about mental health will not negatively impact their employment or any advancement opportunities,” Nigam said.

Joseph “Chip” Hughes, deputy assistant secretary for pandemic and emergency response at OSHA, acknowledges one sizable communication challenge that’s of particular concern to men: the “macho culture” within construction and other industries. Disclosing experiences may affect perceptions of workers’ masculinity or negatively affect their confidence. In a 2021 survey of nearly 1,200 workers with various supervisory or executive roles in construction, only 17% of respondents believed their workers would comfortably and openly discuss mental health with a supervisor, while 18% believed workers would attempt to confide in co-workers.

Hughes said discussions between co-workers who’ve successfully managed mental health disorders and colleagues currently enduring struggles can be an effective tool. “You want to kick-start these conversations in the workplace before there’s a problem, and really, we know that it’s the workers in the workplace who know what the problem is,” Hughes said. “A lot of times it doesn’t come to management’s attention. So the more that we can educate the workforce about good mental health practices, and also the potential to intervene when necessary if you’re a bystander, the better.”


Mental Health Cost Calculator

To help employers understand the role they play in supporting the mental health of their employees, the National Safety Council and NORC at the University of Chicago created the Mental Health Cost Calculator for Employers, funded by Nationwide. This easy-to-use tool provides business leaders with data-driven insight about the costs of employee mental distress in their workplaces.

Access the calculator

The Centers for Disease Control and Prevention offers various recommendations to employers seeking to promote awareness of the importance of mental health and stress management, such as providing:

  • Free or subsidized clinical screenings for depression from a qualified mental health 
professional, followed by directed feedback and clinical referral when appropriate
  • Health insurance with no or low out-of-pocket costs for depression medications and mental health counseling
  • Free or subsidized lifestyle coaching, counseling or self-management programs
  • Materials (brochures, fliers and videos) to all employees about the signs and symptoms of poor mental health and opportunities for treatment

CDC also advises employers to offer managers training to help them recognize the signs and symptoms of stress and depression in workers, and to encourage workers to seek help from qualified mental health professionals.

“It only takes a moment to ask or say something that may make a difference in a person’s life,” said Scott Ketcham, director of OSHA’s Directorate of Construction. “And it only takes a second for us to make a change there, and many times this is exactly what we should be doing.”

To that end, Cooper urges employers and managers not to feel intimidated or uneasy about the process of observing and approaching workers who may need assistance with mental health concerns.

Familiarize yourself with resources available through your city, county or state health department, as well as those offered nationally by the National Alliance on Mental Illness, the National Safety Council, CDC, SAMHSA, MHA and other sources your organization might trust. Also, stay up to date on what your organization’s employee assistance program offers workers, if applicable, and advise workers to communicate with the human resources team for more information.

“It’s not about diagnosing,” Cooper said. “It’s really just recognizing that somebody is struggling and knowing where to direct them to get help.”

A magazine for worker well-being

Family Safety & Health magazine, produced by the same team that brings you Safety+Health, recently published a special edition focused on mental health and wellness. Inside, you’ll find information on the symptoms of depression, the importance of sleep, safe storage of medications, tips on asking for help at work and more. To learn how you can purchase it for your employees, email NSC Customer Service at [email protected].

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