Workplace mental health (WMH) is an important and expanding practice area for occupational therapists.
Purpose.
This cross-sectional study explores the current practices and support needs of Ontario-based occupational therapists in WMH.
Method.
Registrants from the provincial association who provide mental health and/or work-related services were invited to participate. Ninety-three therapists completed an online survey; 10 participated in follow-up focus groups. Analysis involved descriptive statistics of the survey data and content analysis of the focus group data.
Findings.
Return to work, reactivation, and functional cognitive assessment were the most commonly reported services. Key challenges were limited funding and training and lack of awareness of the occupational therapy role. Therapists emphasized the importance of raising the competence, credibility, and profile of occupational therapy in WMH.
Implications.
Defining the role of occupational therapy, developing training and resources, and advocacy are needed to advance occupational therapy practice within this rapidly changing field.
AndersenM. F.NielsenK. M.BrinkmannS. (2012). Meta-synthesis of qualitative research on return to work among employees with common mental disorders. Scandinavian Journal of Work, Environment, and Health, 38, 93–104. doi:10.5271/sjweh.3257
2.
BeckA. T.RushA. J.ShawB. F.EmeryG. (1979). Cognitive therapy of depression. New York, NY: Guilford Press.
Canadian Standards Association. (2013). Psychological health and safety in the workplace: Prevention, promotion, and guidance to staged implementation(National Standard of Canada No. CAN/CSA-Z1003-13BNQ 9700-803/2013). Retrieved fromhttp://www.mentalhealthcommission.ca/English/national-standard
5.
ChénierL.BoyerC. (2016). Healthy brains at work: Employer-sponsored mental health benefits and programs. Ottawa, ON: The Conference Board of Canada.
6.
CockburnL.KirshB.KrupaT.GewurtzR. (2004). Mental health and mental illness in the workplace: Occupational therapy solutions for complex problems. OT Now, 6(5), 23–25.
7.
CzabalaC.CharzynskaK.MroziakB. (2011). Psychosocial interventions in workplace mental health promotion: An overview. Health Promotion International, 26, i70–i84. doi:10.1093/heapro/dar050
8.
DesironH.de RijkA.Van HoofE.DonceelP. (2011). Occupational therapy and return to work: A systematic literature review. BMC Public Health, 11, Article 615. doi:10.1186/1471-2458-11-615
9.
DewaC. S.TrojanowskiL.JoosenM. C. W.BonatoS. (2016). Employer best practice guidelines for the return to work of workers on mental disorder-related disability leave: A systematic review. Canadian Journal of Psychiatry, 61, 176–185. doi:10.1177/0706743716632515
10.
GravelingR. A.CrawfordJ. O.CowieH.AmatiC.VohraS. (2008). A review of workplace interventions that promote mental wellbeing in the workplace. Edinburgh, UK: Institute of Occupational Medicine.
11.
GuerneyB.StollakG.GuerneyL. (1971). The practicing psychologist as educator: An alternative to the medical practitioner model. Professional Psychology, 2, 271–272.
12.
Jane-LlopisE.BarryM. (2005). What makes mental health promotion effective?Global Health Promotion, 12(Suppl. 2), 47–54. doi:10.1177/10253823050120020108
13.
JoyceS.ModiniM.ChristensenH.MykletunA.BryantR.MitchellP. B.HarveyS. B. (2016). Workplace interventions for common mental disorders: A systematic meta-review. Psychological Medicine, 46, 683–697. doi:10.1017/S0033291715002408
14.
KielhofnerG. (Ed.). (2008). Model of Human Occupation: Theory and application (4th ed.). Baltimore, MD: Lippincott Williams & Wilkins.
15.
KirshB.CockburnL.GewurtzR. (2004). Doing work well: Preserving and promoting mental health in the workplace. Occupational Therapy Now, 6(5), 25–27.
16.
LawM.CooperB.StrongS.StewartD.RigbyP.LettsL. (1996). The Person-Environment-Occupation Model: A transactive approach to occupational performance. Canadian Journal of Occupational Therapy, 63, 9–23. doi:10.1177/000841749606300103
17.
LeeS. (2016, April12). Why Canadian companies can’t ignore the cost of mental illness. Globe and Mail. Retrieved fromhttp://www.theglobeandmail.com
18.
LysaghtR.ShawL.AlmasA.JogiaA.Larmour-TrodeS. (2008). Towards improved measurement of cognitive and behavioral work demands. Work, 31, 11–20.
19.
MarfeoE.NiP.McDonoughC.PeterikK.MarinoM.MeterkoM.…JetteA. (2017). Improving assessment of work related mental health function using the Work Disability Functional Assessment Battery (WD-FAB). Journal of Occupational Rehabilitation, 28, 190–199. doi:10.1007/s10926-017-9710-5
MemishK.MartinA.BartlettL.DawkinsS.SandersonK. (2017). Workplace mental health: An international review of guidelines. Preventive Medicine, 101, 213–222. doi:10.1016/j.ypmed.2017.03.017
MollS.PattenS.StuartH.KirshB.MacDermidJ. (2015). Beyond silence: Protocol for a randomized, parallel-group trial comparing two approaches to workplace mental health education for healthcare employees. BMC Medical Education, 15, Article 78. doi:10.1186/s12909-015-0363-9
24.
MurrayC. J.VosT.LozanoR.NaghaviM.FlaxmanA. D.MichaudC.…AboyansV. (2013). Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990–2010: A systematic analysis for the Global Burden of Disease Study 2010. Lancet, 380, 2197–2223. doi:10.1016/S0140-6736(12)61689-4
25.
NultyD. (2008). The adequacy of response rates to online and paper surveys: What can be done?Assessment and Evaluation in Higher Education, 33, 301–314. doi:10.1080/02602930701293231
26.
PolatajkoH. J.DavisJ.StewartD.CantinN.AmorosoB.PurdieL.ZimmermanD. (2013). Specifying the domain of concern: Occupation as core. In TownsendE. A.PolatajkoH. J., Enabling occupation II: Advancing an occupational therapy vision for health, well-being, & justice through occupation (2nd ed., pp. 13–37). Ottawa, ON: CAOT Publications ACE.
27.
SairanenS.MatzankeD.SmeallD. (2011). The business case: Collaborating to help employees maintain their mental well-being. Healthcare Papers, 11, 78–84.
Stergiou-KitaM.MollS.WalshA.GewurtzR. (2010). Health professionals, advocacy and return to work: Taking up the challenge. Work: A Journal of Prevention, Assessment and Rehabilitation, 37, 217–233. doi:10.3233/WOR-2010-1073
30.
SutherlandG.StonebridgeC. (2015). The footprint of mental health conditions: Healthy brains at work. Ottawa, ON: Conference Board of Canada.
31.
ThorneS.KirkhamS. R.O’Flynn-MageeK. (2004). The analytic challenge in interpretive description. International Journal of Qualitative Methods, 3, 1–11.
32.
WisenthalA.KrupaT. (2013). Cognitive work hardening: A return-to-work intervention for people with depression. Work: Journal of Prevention, Assessment & Rehabilitation, 45, 423–430. doi:10.3233/WOR-131635
33.
WisenthalA.KrupaT.KirshB. H.LysaghtR. (2018). Cognitive work hardening for return to work following depression: An intervention study. Canadian Journal of Occupational Therapy, 85, 21–32. doi:10.1177/0008417417733275
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