Our new research 'Surviving or Thriving? The state of the UK's mental health' shows that most of us experience something we’d describe as a mental health problem at some time. Our research also showed that just 13% of the UK population has a high level of good mental health – that’s too low and it’s time we recognised and addressed the barriers that prevent some people from thriving.
Work is a big part of most adults' lives – and therefore our workplaces are a key setting for understanding and addressing our mental health. In our research study 'Added value: mental health as a workplace asset' at the end of 2016, 86% of respondents agreed that their job and being at work were important to protecting and maintaining their mental health – with people who had experienced mental health problems most likely to agree. We believe in workplaces where everyone, regardless of their backstory, can thrive.
We believe it is time to turn the argument on workplace mental health from one of burden and cost to one of recognising the value and the potential gain from protecting and improving mental health at work. The economic argument supports this, with people working with a mental health problem estimated to be responsible for 12.1% of the UK’s GDP – that’s £226 billion in value. This is nine times greater than the still substantial £25 billion cost of lost productivity arising from mental ill-health. We need to be mindful of the cost – but also if we are bottom-line focused, just as concerned with the potential risks of not acting to prevent distress.
We know that when our working life supports our ability to thrive, the identity, income and purpose that it brings can be good for our mental health. We also know that challenging working conditions can be toxic to our mental health and we may lose the mental health benefits work can bring.
The world of work is changing. In that change and pressure to become leaner, there are hazards for mental health and well-being, and a risk that some people can be left behind. We want to see a labour market that includes everyone who wants to be a part of it, and recognises and addresses challenges before they become toxic. To do that we need to understand and address the causes of mental health problems and ensure that working life both supports good mental health and addresses risk factors.
In a recent meta-review, which I reported for The Mental Elf, Samuel Harvey and colleagues examined the evidence for work-related risk factors for common mental health problems. Based on the ﬁndings of the review, the authors present a new, unifying model of psychosocial risk factors in the workplace - perhaps by pro-actively balancing these factors we can find the levers for creating thriving workplaces.
Diagram reproduced from Occup Environ Med, Harvey SB, Modini M, Joyce S, et al, 74:301-310, 2017 with permission from BMJ Publishing Group Ltd.
So what do we need to do to enable people to thrive at work?
In truth, there is a range of personal, workplace and societal factors that need to be factored into the debate on workplace mental health.
But that's like saying that a cake is a blend of eggs, flour and sugar - it's how you bring it all together that matters.
At a personal level, we all bring talents and challenges to everything we do in life, including our work. There are a number of evidence-based things we can do to boost our mental health and prepare us for the challenges life throws at us. Improving our sleep, improving our diet, our relationships, taking more exercise and practising mindfulness - even doing good for others can all help us protect and improve our mental health. Where employers can support and incentivise these activities with employee benefits and time, it is likely that mental health will improve. Even so, we also need to understand that not everybody is able to adopt these strategies without help and support.
Today, we are aware of so many examples of employers that have taken steps to address mental health across the business, with outstanding examples such as KPMG UK, who are running over 40 events this week across the UK business and encouraging staff to take 30 minutes out of their working week to do something for their mental health as part of a commitment to mental health in the business.
Photo of Chris O'Sullivan on the panel at KPMG's 'Thriving in the workplace' event to mark the start of Mental Health Awareness Week 2017.
We have worked with businesses such as Royal Mail Group, who worked with us to create a suite of videos for staff that focused on mental health in a holistic way. We need to celebrate the work that’s happening to create and grow mentally healthy workplaces across the UK. We see the workplace and the position that workplaces have in communities as key to our call for creating a national programme for improving mental health in communities. We also need to do more to understand how we share the learning often forged in large businesses at the cutting edge, with small businesses in which so many of us work.
We can talk about talking, and coming forward when you have a problem – but the reality is still that for many people, that isn’t safe or helpful. We must address discrimination at work, and ensure that there are support services that people can access quickly, effectively and without prejudice.
If we want to encourage disclosure, there must be a 'disclosure premium', where those of us with lived experience understand that coming forward and bringing our whole selves to work is not going to result in dismissal, discrimination or even destitution.
In our recent research report Added Value we asked over 2,000 respondents to list their top priorities for addressing mental health at work - managers and staff, with and without personal experience of mental ill-health. The top three desired actions were the same across the board:
- Creating a workplace culture that supports mental health and enables people to seek help when they need it
- Commitment from senior leadership to support mental health and well-being in the company
- Clear mental health policies within the company are implemented at all levels.
Whilst there is a wealth of good evidence on mental health at work, we still have many challenges and unanswered questions.
We need to recognise that many people are working in rapidly changing, sometimes hostile environments where the risk of psychological injury is high. We need to recognise that the riskiest jobs for mental health - those with the most demands and the least control, the least reward per effort, and where the organisational justice is negligible are those often occupied by people with the highest risk of mental health problems.
We need to know more about the mental health impact of precarious employment, working multiple jobs, or the effect of compulsion on any employment arising from social security policy if we are to understand the role of work in both addressing and perpetuating mental health inequalities.
These unexplored factors are key in our call for better mental health research, to help us understand and address the causes of mental ill-health both in work and around work.
This week, we’ll be speaking at a number of workplaces about what thriving means to them – and how workplaces can best commit to ensuring that their people are able to thrive when possible.
We need your help
Statistics: Mental health at work
Working conditions and environment can have a huge impact on mental health and, equally, someone's mental health can have a significant impact to perform well in their job.
How to support mental health at work
This guide provides you with tips on how to look after your mental health at work. Good mental health at work and good management go hand in hand and there is strong evidence that workplaces with high levels of mental wellbeing are more productive. Addressing wellbeing at work increases productivity by as much as 12%.