At her inaugural speech a few days ago, the new president of the Trinidad and Tobago Medical Association, Dr Sandi Arthur, indicated she would focus on the mental wellness of its members during her term. This is wise, as there is no doubt that health professionals, as well as those on frontline duties like the emergency services, see and face a lot more in terms of traumatic and challenging situations than most of us will encounter in our lifetime.
But focusing on mental wellness, especially at work, isn’t vital just for those performing these critical roles; that should apply to all of us. And, as Dr Arthur said in her speech, ‘the workplace is where many spend most of their active, alert hours,’ and that often it permeates other moments of our lives as ‘time is spent preparing for work, thinking about what has to be completed at work, what one does not like at work, who one does not get along with at work, and it goes on and on’.
The good news is that we have come a long way already in understanding the impact of mental health in the workplace, from a time when these issues were seen as someone’s weakness or people faking an illness to avoid work. The reason for that was relatively simple: unlike physical injuries or illnesses, mental ones cannot be seen, touched, or diagnosed with something more straightforward like a blood test or an X-ray.
But they do exist, and, thankfully, they are seen as more credible today (and for the more cynical out there, yes, some people may play fast and loose with mental health claims, but they are in the minority).
There are many good reasons why businesses ought to take mental wellness seriously and do what they can to support their employees so that they avoid developing illnesses in the first place and, if required, help them improve should they be facing problems. The most important one is a legal and moral duty of care every employer must embrace: to look after and support, as reasonably as possible, every employee. And that includes their mental wellness, too.
But there is also an economic imperative to be considered. The most recent global report on mental illness at work, published by the World Health Organization and the International Labour Organization estimated that about 12 billion working days are lost annually due to depression and anxiety alone, costing the global economy US$1 trillion per year.
These figures may be underestimating the size of the problem, as they come from a report based on data gathered before the pandemic; a separate WHO survey found that depression cases alone jumped 25 per cent globally in 2020 and 2021.
Perhaps as expected, mental health issues affect different sectors in different ways. A recent survey on mental health issues in the UK by Deloitte, the accounting and consultancy company, suggested that mental health issues are especially high (and costly) in Britain’s financial and insurance sector, with over 75 per cent of employees showing signs of burnout (against an average of 63 per cent across other industries). The same survey indicated that each employee with poor mental health costs the sector over US$ 6,500 (about $45,000) per year.
And a recent study by Oxford University using data from recruitment websites indeed seems to show a strong correlation between staff well-being and business performance. It created a simulated portfolio including the 100 businesses with the highest well-being results from a survey by Indeed covering over 1,500 listed US companies, with that portfolio consistently outperforming stock market indices.
So, the case for employers to take mental health issues seriously is clear. But what can they do about them? To begin with, they must clearly demonstrate, from the top down, that the organisation is serious about mental wellness, as token gestures or empty slogans can make things worse, not better. This means considering the current workplace culture and identifying improvements that can be made not only in terms of how managers and staff interact but also how peers interact with each other.
Part of this change of culture also involves the development of a climate in which employees (of all ranks) can openly talk about mental health issues without fearing discrimination or ridicule by colleagues. This is even more powerful when coming from more senior staff. And, although there is an expectation that the more senior you are, the more resilient you become, there is a limit to that—the aggressive way some union leaders engage with managers is often shocking and would have been seen by them (rightly) as unacceptable if the same managers spoke to them or to staff in that way.
To put it simply: even in highly pressured situations, a culture of courtesy, politeness, and good manners can go a long way towards reducing stress and other triggers for mental health issues. In fact, and like any other health and safety matter, a positive mental well-being culture should be driven as a partnership between managers, employees, and the local union branch (if applicable) to ensure it truly beds in and generates the positive outcomes expected.
Just like with ‘physical’ illnesses, we will never be able to eliminate mental health issues in the workplace, but by accepting it does exist, by taking it seriously, and actively working towards a better work environment that avoids triggers and adequately supports those facing mental issues, we will go a long way towards reducing its incidence and its impact on individuals and businesses.
The old Latin saying that with a healthy mind comes a healthy body remains true. But what we are learning is that healthy minds and healthy bodies lead to healthy businesses, too.
