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The Coping Crisis: Building Psychologically Safe Workplaces Dr. William Howatt Greetings from Dr. Bill 25+ Years of experience Author: Certified Management Essentials (CME) 10‐course program Pathway to Coping Skills: 9‐week interactive program Regular contributor to The Globe and Mail’s 9 to 5 and Leadership Lab Business Career Columns Chief Research & Development Officer, Workforce Productivity Author: The Coping Crisis 2 The Coping Crisis Today’s discussion will include: 1. Why coping skills matter Reference: The Conference Board of Canada, September 30, 2015 http://www.conferenceboard.ca/e‐library/abstract.aspx?did=7305 3 Hmm, why are you thinking about … The number of employees reporting mental health and chronic disease on the surface continues to grow What you may not know is how deep this problem is and its root causes. 5 Stress is not all bad. It is when it moves from eustress to distress Distress, resulting in hypoarousal Depression Performance Peak performance Eustress Distress, resulting in hyperarousal Anxiety Stress severity and duration scale 6 Daily stress load defines risk for mental health driven by psychosocial stress 100 maximum tolerance High Risk Distress FDI can prediction Mental Health Risk Frequency Duration Intensity (FDI) Consequence and impact on home and work are evident Experience symptoms of stress physically and/or mentally Intense bursts of feeling overwhelmed Worry more about failing or experience stressful thinking Challenged Motivated 0 to low stress Low Risk Eustress can support life fulfillment and happiness 7 Distress left alone can be a driver of chronic disease Depending on perception and situation, the following can be triggers Family Peers Money Social Work Noise Health Life Expectations Psychological safety The fight or flight response is either all on or off; you can’t turn it half on or half off. The fight or flight cannot tell the difference or process the discrepancy between a bear and a baby! 8 Stress, if left unchecked or not dealt with, over time can result in disease Stress Disease Burnout Crisis state Functioning state At each level it is common for a person to have different abilities to cope with stress. Base Line Health Duration The challenge for leaders 1 in 5 Canadians will experience a mental illness in their lifetime. One of the root problems of mental illness is the fact that those with an illness are not disclosing their issue. 1/3 get treatment. 10 Group Activity #1—What percentage of your workforce falls in each of the below 5 categories? % Happy % OK % % Stressed Mental Health Issues % Mental Disorder (Organic/Cognitive) Risk 60% of employees are “at risk” for mental wellness challenges 11 Happy — Discouragement — Risk Happy OK Stressed Mental Health Issues Mental Disorder (Organic/Cognitive) Examples ONLY Presents self in a positive manner Typically enjoys engaging in pro-social behaviours (exercise, community, etc.) Energy and drive are evident/presents to the world a positive light Proven cognitive coping skills to manage and balance the challenges life and work present 12 Happy — Discouragement — Risk Happy OK Stressed Mental Health Issues Mental Disorder (Organic/Cognitive) Examples ONLY Presents as being content – and, yes, experiences happy moments Self-disciplined to push through day – lives life M-T-W-T-F-S-S Most days has enough energy to get through day Able to cope with most days – but often has some script running 13 Happy — Discouragement — Risk Happy OK Stressed Mental Health Issues Mental Disorder (Organic/Cognitive) Examples ONLY Feels pressure that often releases when changing environments (e.g., leaving work) Stress is often situational (e.g., peer conflict) and when away from stress can feel OK. Finds it hard being around stressors Increased fatigue (mental and physical) Health habits slip and struggles to cope. Can appear in some situations not as confident as some onlookers would expect. 14 Happy — Discouragement — Risk Happy OK Stressed Mental Health Issues Mental Disorder (Organic/Cognitive) Examples ONLY Struggling more with internal dialogue to find options that could give some relief Symptoms starting to chronically have a negative impact on quality of life – happiness and health Stressful events harder to recover from; often just shut person down. Symptoms increasing, stress May be introduced to psychotropic drugs to cope with anxiety or depression, or sleep medication 15 Happy — Discouragement — Risk Happy OK Stressed Mental Health Issues Mental Disorder (Organic/Cognitive) Examples ONLY Nature vs. Nurture: some folks are born; some develop; there is not one road! Chronic symptoms to be managed, risk for self-harm increasing, risk to others increasing Some type of medical intervention is commonly required. But not in all cases! Greatly benefit from development of coping strategies to be able to function at full potential in society 16 Exploring how to curb the slippery slope from health to mental illness Healthy state Coping challenges Mental health risk Mental illness 17 External stressors impact on employees Perceived stress load Employee Performance Outcomes Impacts Health Organizational Results Predicts Effectiveness Engagement Growth Productivity Profitability External stressors Sustainability 18 Five daily challenges that influence your total health Health Imagine you only had ten brain units. Health Self On average, how many brain units do you spend focused on each of these five areas? Self Relationships Relationships Career Career Money 10 8 Money 6 4 2 0 Employee’s internal stress load impact Perceived stress load Impacts Impacts Internal stressors Employee Total Health Profile Physical Health Mental Health Workplace Health Predicts Predicts Employee Performance Outcomes Health Engagement Productivity Life Health 20 Factors that pull down and lift up health, engagement and productivity Organization’s capabilities Employees’ capabilities Health Engagement Productivity Environmental stressors e.g., work demand, manager – employee… Employees’ stress load Mental & physical 21 Why look beyond engagement Engagement is a critical HR metric but by itself it can be misleading OLD THINKING: Sees survey NEW THINKING: Considers both results as a 100% indication of engagement and health, in three categories: productivity % of Highly Engaged & Healthy Employees Both the organization and the employee benefit High Engagement Survey Results = High discretionary effort = High productivity % of Highly Engaged & Moderately Healthy Employees The organization and the employees benefit; however employees are also experiencing strain on their health and personal lives % of Highly Engaged & At‐Risk Healthy Employees The organization benefits but employees are at risk due to work style (e.g., work addiction, burnout) 22 How coping skills can help in predicting outcomes Perceived Stress Load Health Coping skills Engagement Productivity Environmental and Internal LEADING INDICATOR LAGGING INDICATOR 23 Coping skills Coping skills are the tools one has on demand at their disposal to manage the challenges regardless of the source of stress 1. Internal stress – they put on themselves 2. External stress – that originate from their environment. How effectively such stressful demands are dealt with ultimately depends on the person’s skills to cope with relationships, life and work. 24 A large percentage of the population has never been formally taught coping skills How did you learn coping skills? Coping skills support: • problem solving • decision making • how to manage life stress What is the impact when a person has gaps in their ability to cope? Source: The True Picture of Workplace Absence, Morneau Shepell 2015 25 What is your current resiliency coping charge? Resiliency Stress Size = coping capacity 26 Stress Trapped: resiliency is ultimately the ability to see the light and take action – No hope Low energy Stuck No way out Rescue me 1 2 Light at the end Dig my way out A journey One step at a time 27 Coping crisis: Solve this now or…. What is the rationale for the order of the following numbers? 8 5 4 9 7 6 3 2 0 The perfect resiliency state. Resiliency Stress Size = coping capacity 29 Take the first step to greater coping skills The Coping Crisis and psychosocial factors How many Sams are out there today who are not aware of how their micro decisions and choices are shaping their health? Information does not equal results. For example, what's one key to losing weight? What percentage of people struggling with their weight know this success formula key? What is one potential roadblock? 30 The Case of Sam He drastically increased his body fat. At age 39 he was put on hypertension medication. Sam is struggling to cope with job stress in his current role and work demands. He thinks he is trapped with no options. A G E He developed the habit of over‐eating at night to feel better (e.g., chips, ice cream, pop, and fast foods). His lifestyle choice after work was dominated by watching TV at night and snacking. He has no structured pro‐health habit (e.g., exercise, hobbies or outlets). 34 39 This unhealthy coping between age 34 and 39 put 60 pounds on his 5’8” body frame over a period of 30 months. At age 43 he was put on medication for clinical depression. 42 43 At 42 he became a Type 1 diabetic (late onset). 31 Current coping crisis risk continuum: Where Sam started his journey to creating At-risk coping A person’s sole purpose is to move away from pain Avoidance coping Process coping Effective coping Creating reality A person makes no choices to avoid anxiety and instead may provoke people, places and things as a strategy Process a person goes through to cope Healthy coping that enables a person to react to life in a healthy and safe manner The ultimate coping style – the person is not focusing on coping with life but creating it 32 Coping Skills Conundrum Old behavior So why do so many people fail? New behavior It perhaps has less to do with motivation than awareness of how the mind works. Decision point Coping PAIN Coping Behavior Revert to old behavior A person has a clear plan to lose weight; they know what to do; and they have a plan. The challenge is that the demands of life don’t stop; stress and pressure to set priorities continue. 33 Understanding Sam’s ERC pathway Internal & external stimuli Mental Experience Beliefs Expectations Values Environment Interpretation E R Emotions Resources Pleasure Pain Process Coping skills Decisions skills C Healthy Coping Choices Unhealthy Coping Choices Action 34 Coping churn’s five gears P In this gear, the mind is looking to turn off and do nothing, such as watch TV, read, Internet – anything that distracts the person from life. This is like living in a micro world. R In this gear the mind keeps replaying the past. This can bring stress as the events are replayed. This can result in the mind looking for ways to get away from pain to feel better. 1 D2 3 Drive 1 – In this gear, the person is starting to push forward through coping churn. There is a degree of motivation and acceptance. What may be the barrier are knowledge and skills Drive 2 – In this gear, the mind starts to accept responsibility and believes there are choices and opportunities. The challenges with this level are failure and not being prepared that failing is typical. Drive 3 – In this gear, the person is moving forward and doing well with life and are now out of coping churn. 35 1‐2‐3 I can cope Awareness Action plan Inventory of skills 36 Establish a pathway to develop coping skills Road to mastering coping skills Get a Baseline THI Coping Skills scale Motivation and committed to learning QWL Globe and Mail Coping skills Pillar Triggers: • Coping skills score • Attendance • STD • WCB Prevention • Coaching • Mentoring • Classroom • On-line Strategy • Selection • On-boarding • Performance • Management Learning coping skills • Relapse • Coping conundrum • Stages of learning • Mastery takes time Move from coping to choosing Selfmanagement is outcome 37 Coping skills are like any other skills to learn Unconscious Incompetence Conscious Incompetence Conscious competence Unconscious competence 38 Like any skill, to master coping skills one will need to manage failure Mastery Competency Feedback Confidence Practice Adapt Focus Normalize Failure Motivation 39 Learning Nine Boxes for Mastering Coping Skills Matrix Poor coping skills but open and motivated to learn; ready to take more ownership for choices and actions Good coping skills, committed to ongoing learning Mastery of coping skills to be a top performer at home and at work Poor coping skills; contemplating benefits to learn Good coping skills overall; has potential to do more if willing to put more effort and time into mastering coping skills Strong coping skills; moderate awareness for benefits for ongoing practice and learning Poor coping skills; unmotivated to learn Functional coping skills; low awareness on the benefits for learning more Good coping skills; moderate risk of being over‐confident and not open to new learning or ideas Coping Capacity Different triggers that indicate when coping skills training can be helpful Attendance issues Performance managing intrapersonal skills THI Coping skills score less than 65% Discipline issues around self-management (e.g. anger, acting out when under pressure) WCB (e.g. PTSD, Chronic Pain) Self evaluation of need and motivated to develop intrapersonal skills (coping skills is a cognitive-based developmental skill) STD/LTD (e.g. mental health 41 Pathway to Coping online course Benefits of the course to employers: Benefits of the course to individuals: • Provides a supportive social environment encouraging employees to seek help • Creates an engaged workforce that is motivated to succeed • Reduces absenteeism and turnover rates • Builds positive employee/employer relationships where employees want to come to work • Enhances both the psychological and physical health of your employees, which will lead to higher employee job satisfaction and increased productivity • • • • Develop new, more adaptive ways of coping Find peace Get ahead personally and professionally Improve relationships 42 Manager micro-skills By Dr. Bill Howatt More and more employers are tuning into the role of employees’ coping skills • How 'mindful hydration' can reduce stress and boost productivity • How to stick to your goals to be healthy, and why that matters at work • Like any skill, developing coping skills requires focus, practice and patience • Do you have the right fuel to make it through your workday? • Take control of your finances to reduce stress at work and at home • Ways to find peace of mind during a busy day • Is a lack of sleep hurting your productivity at work and at home? • Why you need good distractions in your life • How time management is key for your work and personal life • How to have an ‘attitude of gratitude’ 43 Coping skills the ROI/VOI Impact Improved discretionary effort Decrease in preseenteeism Faster return to work Increased return to work experience and coping Improved productivity (e.g. problem solving) Improved mental health Improved employee coping skills Improved job readiness Lower risk for accidents Improved organizational ROI 44 Optimism is the faith that leads to achievement. Nothing can be done without hope and confidence. — Helen Keller 45 Questions? 46 47