Rundtable Discussin Advancing Wrkplace Mental Health in Healthcare Settings Summary Reprt Prepared by: The Mental Health Cmmissin f Canada and HealthCareCAN December 2014
Table f Cntents The Backstry... 1 The Purpse... 1 The Peple... 2 The Rundtable Discussin... 2 Why the Standard? Why nw?... 2 What are r culd be the barriers t implementatin?... 2 What are r culd be the key success factrs fr implementatin?... 3 The Tls and Resurces... 3 The Next Steps... 4 Participant List... 6 Advancing Wrkplace Mental Health in Healthcare Settings
The Standard is ne f the best kept secrets. It s easy t access, user-friendly. The Backstry In January 2013, Canada became the first cuntry in the wrld t launch a vluntary standard n psychlgical health and safety in the wrkplace Psychlgical Health and Safety in the Wrkplace- Preventin, Prmtin and Guidance t Implementatin. The Standard is a vluntary set f guidelines, tls and resurces fcused n prmting emplyees psychlgical health and preventing psychlgical harm due t wrkplace factrs. Its develpment was champined by the Mental Health Cmmissin f Canada (MHCC). Later in 2013, HealthCareCAN released Psychlgical Health and Safety in Canadian Healthcare Settings, a plicy statement that encurages its members and all health stakehlders t cmmit t taking actin t implement the Standard. Since its launch, sme healthcare rganizatins acrss Canada have begun t implement the Standard. These rganizatins recgnize the significance f prtecting and prmting the psychlgical health f the healthcare wrkfrce. Simply put, gd psychlgical health is integral t being an effective healthcare wrker and prtecting the psychlgical health f healthcare wrkers may cntribute t fewer medical errrs and patient-safety incidents. Evidence-based research is, hwever, needed. As such, MHCC is leading a multi-year Case Study Research Prject fllwing ver 40 Canadian rganizatins as they implement the Standard. Fifteen f these rganizatins are in the health sectr; nine f these are within Ontari. They represent a wide range f rganizatins including large academic health sciences centres, lcal family health units, reginal and prvincial health authrities and private industry. MHCC and HealthCareCAN are cmmitted t bradening the awareness and imprtance f wrkplace mental health and the Standard within the healthcare sectr acrss Canada. T achieve this, tgether we are c-hsting a series f rundtables in varius Canadian lcatins at events that will strategically leverage existing effrts (i.e. relevant cnferences), fr example, at the June 2015 Natinal Health Leadership Cnference in Charlttetwn, Prince Edward Island. Additinal pprtunities fr rundtables in ther regins f the cuntry are als being identified. The first rundtable meeting was held n Sunday, Nvember 2, 2014 at the Metr Trnt Cnventin Centre as an invitatin-nly pre-cnference rundtable sessin at the Nvember 2014 HealthAchieve cnference. The Purpse The verall purpse f the series f rundtables is t build relatinships, crdinate effrts and identify areas f cllabratin amng healthcare rganizatins wh are implementing, r wh wish t begin implementing, the Standard. Specifically, the bjectives are t: 1. Take stck f the Standard and its implementatin in the health sectr; 2. Learn frm thse wh are implementing the Standard in the health sectr; 3. Explre ways t increase uptake f the Standard within the sectr; and 4. Identify and share tls and resurces that can assist with the implementatin f the Standard and identify tls and resurces that are missing and culd be develped. The Nvember 2, 2014 rundtable meeting will be used as a pilt t infrm and shape future rundtable sessins. Advancing Wrkplace Mental Health in Healthcare Settings 1
The Peple This first rundtable brught tgether a wide range f health leaders frm 17 Ontari-based health care rganizatins including Presidents & CEOs, Vice-Presidents, Directrs, Managers and Advisrs. Five f these are participating in the MHCC Case Study Research Prject. The ther 12 have expressed interest in wrkplace mental health. Eight are members f HealthCareCAN. The cmplete list f participants can be fund n page 6. Dr. David Gldblm, Chair f the Bard f the Mental Health Cmmissin f Canada, and Mr. Bill Thll, President & CEO f HealthCareCAN, c-hsted and facilitated the rundtable. Staff frm the MHCC and HealthCareCAN attended the rundtable t supprt its facilitatin, recrd the discussin and prepare this summary. The Rundtable Discussin The fcus f Part 1 f the rundtable was learning frm the rganizatins that are participating in the MHCC s Case Study Research Prject. The discussin was facilitated using three questins: Why the Standard? Why nw? The reasn behind implementing the Standard can differ amng healthcare rganizatins. Fr instance, the mtivatin can relate t the accreditatin prcess, recruitment and retentin, r the recgnitin that staff safety is as imprtant as patient safety. Several f the case study rganizatins at the rundtable, hwever, indicated that implementatin is simply part f a nrmal sequence f activity r a natural evlutin f what they are already ding. They reprted that part f implementing the Standard is taking stck and celebrating the gd wrk and practices that are already in place. Many rganizatins identified the Standard as a natural extensin f staff engagement, rganizatinal values statements, the strategic plan, healthy wrkplace cmmittees, wrkplace wellness, wrkplace vilence plicies and legislatin. Cming ut publicly and saying that yu are cmmitted t the Standard is a pwerful message. If we dn t address the issue, it will be a dwnward spiral fr the rganizatin. Intimidatin and subtle bullying have a huge psychlgical impact n peple and the rganizatin. What are r culd be the barriers t implementatin? By far, the grup felt that awareness and understanding (r lack theref) n several frnts, is the mst significant barrier t implementatin. Awareness f the Standard needs t extend beynd senir leaders t include management and staff. Managers and staff need clarity arund what the Standard is and what implementatin requires in terms f wrklad, resurces, etc. Managers and staff need t understand that implementing the Standard ges beynd cllecting data n sick leave, that it is a shift in culture and that it links t sustainability and cntinuus quality imprvement. Hw the Standard differs frm ther health and wellness initiatives is anther imprtant aspect f awareness. The Standard shuld be viewed as an umbrella under which t crdinate existing benefits, prgrams, and wellness initiatives. Other barriers including a lack f awareness and understanding amng managers f the significance f mental health issues and the lack f cmpetency f managers t address and supprt emplyees experiencing mental health issues. Advancing Wrkplace Mental Health in Healthcare Settings 2
There needs t be greater awareness beynd thse in the knw. The Standard is nt recgnizable t all it needs t be easy t find and understand. Cmpeting pririties was als identified frequently as a barrier t implementatin. Since the Standard is vluntary it can get lst amng cmpeting rganizatinal pririties and legislated requirements; each requires dedicated resurces. Other barriers include a lack f unin supprt, lack f staff supprt (perhaps due t lw levels f understanding), stigma, and the need fr a business case. Many f these barriers culd be addressed thrugh effrts t increase awareness and understanding. What are r culd be the key success factrs fr implementatin? There are several factrs that are critical t the successful implementatin the Standard. In n particular rder, the mst discussed factrs included: 1. Leadership that is fcused n quality and a culture f safety the Standard is an extensin f these principles. 2. A cmmitment t imprving the wrk envirnment thrugh staff engagement and empwerment genuinely engaging staff in imprving the envirnment they wrk in creates buy-in and impacts emplyee satisfactin. 3. A disability management team t lk at the nn-medical factrs cntributing t absenteeism. 4. Unin buy-in nt having unin buy-in is ne f the biggest threats t success. 5. Manager buy-in managers need t acknwledge the risk factrs within the wrk envirnment and cmmit t making meaningful change. The Standard prvides a structure/framewrk within which t mve frward. We wrked very hard with unins t get them n bard. Yu need t wrk with the unins. The Tls and Resurces Part 2 f the rundtable invlved identifying tls and resurces that are r culd be useful fr supprting implementatin. Prir t the grup discussin, MHCC prvided a brief verview f a snt-be released handbk Assembling the Pieces: An Implementatin Guide t the Natinal Standard fr Psychlgical Health and Safety in the Wrkplace (the Guide). The Guide is intended t be used in cnjunctin with the Standard t assist rganizatins n their jurney twards creating psychlgically healthy and safe wrkplace envirnments. It explains implementatin f the Standard by breaking the prcess dwn int fur key steps. Step 1 Building the Fundatin: Leadership team cmmitment t taking actin and dedicating resurces t making a change. Engaging emplyees and unins t get their supprt. Step 2 Identifying Opprtunities: Assessing areas f strength and pprtunities fr imprvement. Advancing Wrkplace Mental Health in Healthcare Settings 3
Step 3 Setting Objectives: Establishing a plan t address the pprtunities r challenges identified. This includes setting bjectives, targets and timelines fr making changes. Step 4 Implementatin: Taking actin by beginning t put the plan int place. Tracking prgress and making adjustments alng the jurney f cntinuus imprvement. Fllwing this verview f the Guide, the grup identified several prmising practices and ideas being used in the healthcare sectr fr mving frward with the implementatin f the Standard and/r t imprve wrkplace mental health, including: Setting up a leadership cmmittee; Leveraging the jint ccupatinal health and safety cmmittee; Tracking staff engagement using a quarterly pulse survey; Issuing a quarterly dashbard reprt; Peer supprt prgram; Having the health and wellness team partner with in-huse psychiatry and mental health staff; Leadership develpment and caching prgrams; Emtinal intelligence training; Prviding health care wrkers with tls t help increase their reflective capacity; Emplyee grunding prgram; and Offering nline cgnitive-behaviral therapy prgrams fr emplyees. Specific tls and resurces being leveraged by the healthcare rganizatins included: NRC Picker Survey; LEAN management tls; Cnnr-Davidsn Resilience Scale (CD-RISC); Stigma scales develped by Sctt Pattn; Stress & Satisfactin Offset Scre (SSOS); Resurces freely available n the Great-West Life Centre fr Mental Health in the Wrkplace website (https://www.wrkplacestrategiesfrmentalhealth.cm/). The Next Steps Rundtable participants identified the fllwing factrs and cnsideratins as the health sectr implements the Standard: 1. The Standard shuld be integrated int the next release f Accreditatin Canada s leadership standards. 2. There is prbably n need t develp a tl r implementatin guide supplement that is specific t the health sectr; the sectr is already used t adapting CSA standards t suit the sectr- Advancing Wrkplace Mental Health in Healthcare Settings 4
specific requirements. 3. What sets the health sectr apart frm thers is physicians. Physicians are generally nt emplyees but they are part f the wrkfrce. 4. Medical Schl training prgrams shuld be aligned with the Standard. This will require engaging rganizatins such as the Assciatin f Faculties f Medicine f Canada, the Canadian Medical Assciatin, the Canadian Medical Prtective Assciatin and medical schls/universities. 5. A crss-case analysis f what is wrking and what needs imprvement with respect t implementatin f the Standard in the health sectr is needed ( by health, fr health ). 6. An awareness push fr the Standard and the Implementatin Guide - is required. The MHCC and HealthCareCAN will take these thughts int cnsideratin as they cntinue t partner t encurage and supprt the implementatin f the Standard within the health sectr. Advancing Wrkplace Mental Health in Healthcare Settings 5
Participant List Healthcare Organizatin Representatives: Cheresa Bacchus, Advisr, Human Resurces Sherburne Health Centre Melissa Bartn, Directr, Occupatinal Health Wellness and Safety, Munt Sinai Hspital (CASE STUDY) (MEMBER) Mary Bensn-Albers, Chief, Human Resurces Officer, Htel Dieu Grace Healthcare Dr. Raj Bhatla, Chief f Psychiatry and Chief Physician, The Ryal Ottawa Hspital (CASE STUDY) (MEMBER) Nancy Casselman, Directr, Human Resurces, Organizatinal Quality, Safety & Wellness Trnt East General Hspital (CASE STUDY) Fina Dalziel, Directr, Occupatinal Health and Safety Services, The Hspital fr Sick Children (MEMBER) Andrew Davidsn, Directr, Human Resurces, Jseph Brant Hspital Andrew Dppler, Vice President, Human Resurces Hamiltn Health Sciences Centre (MEMBER) Kevin Empey, President and CEO Lakeridge Health (CASE STUDY) Dr. Judy Hunter, Vice President, Human Resurces and Organizatinal Develpment, Hlland Blrview Kids Rehabilitatin Hspital (MEMBER) Dr. Bernard Leduc, President and CEO Mntfrt Hspital (MEMBER) Curtney MacDnald, Interim Manager, Human Resurces, Peterbrugh Reginal Health Centre Barb Mildn, VP, Prfessinal Practice, Human Resurces, Research and Chief Nurse Executive Ontari Shres Centre fr Mental Health Science (CASE STUDY) Sharn Nrris, Vice President, Human Resurces and Organizatinal Develpment, Haltn Healthcare Kurt Pristanski, Chief Executive Officer, Geraldtn District Hspital Cathy Stark, Directr, Organizatinal Health, Wellness and Safety, Lndn Health Sciences Centre (MEMBER) Susan A. McIntyre, Directr, Crprate Health and Safety Services, St. Michael s Hspital (MEMBER) Member means the rganizatin is a member f HealthCareCAN. Case Study means the rganizatin is participating in the MHCC Case Study Research Prject. MHCC and HealthCareCAN Representatives: David Gldblm, Bard Chair Mental Health Cmmissin f Canada Ed Mantler, Vice President, Prgrams and Pririties Mental Health Cmmissin f Canada Karla Thrpe, Directr, Preventin and Prmtin Initiatives, Mental Health Cmmissin f Canada Bill Thll, President and CEO HealthCareCAN Jennifer Kitts, Directr, Plicy and Strategy HealthCareCAN Susan Andersn, Senir Plicy Analyst HealthCareCAN Sandra Kppert, Business Develpment and Marketing Officer, Mental Health Cmmissin f Canada Advancing Wrkplace Mental Health in Healthcare Settings 6