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Mental health problems in the workplace: changes in employers’ knowledge, attitudes and practices in England 2006-2010
- Authors:
- HENDERSON Claire, et al
- Journal article citation:
- British Journal of Psychiatry, 202(s55), April 2013, pp.s70-s76.
- Publisher:
- Cambridge University Press
In 2006 the Shaw Trust charity found high levels of ignorance and poor preparedness to deal with mental health problems among 480 senior employers in the UK. The UK government, non-governmental organisations and Time to Change (TTC) have since provided relevant assistance to employers. This study examines whether there have been improvements in mental health-related knowledge, attitudes and workplace practices among British senior employers between 2006 and 2010. A telephone survey was conducted of senior British employers (n = 480 in 2006 and n = 500 in 2009 and 2010). Results found an increased awareness of common mental health problems was detected. Employers continued to believe that job candidates should disclose a mental health problem, but became less likely to view colleagues’ attitudes as a barrier to employing someone with such a problem. Formal policies on mental health and the use of workplace accommodations became increasingly common. These results are consistent with those of the TTC national public attitudes and the Viewpoint survey of service users between 2008 and 2010, which showed improved public attitudes to mental illness and a reduction in experiences of discrimination in employment. (Publisher abstract)
Decision aid on disclosure of mental health status to an employer: feasibility and outcomes of a randomised controlled trial
- Authors:
- HENDERSON Claire, et al
- Journal article citation:
- British Journal of Psychiatry, 203(5), 2013, pp.350-357.
- Publisher:
- Cambridge University Press
Many mental health service users delay or avoid disclosing their condition to employers because of experience, or anticipation, of discrimination. This study investigates whether a decision aid can help to support decision-making about disclosure to an employer, aims to determine whether a large-scale trial is feasible; and to optimise the designs of a larger trial and of the decision aid. An exploratory randomised controlled trial (RCT) was conducted in London, with participants randomly assigned to use of a decision aid plus usual care or usual care alone. Follow-up was at 3 months. Primary outcomes were: (a) stage of decision-making; (b) decisional conflict; and (c) employment-related outcomes. Eighty participants were recruited and interventions were completed for 36 out of 40 in the intervention group; in total 71 participants were followed up. Intention-to-treat analysis showed that reduction in decisional conflict was significantly greater in the intervention group than among controls. More of the intervention group than controls were in full-time employment at follow-up. The observed reduction in decisional conflict regarding disclosure has a number of potential benefits which next need to be tested in a definitive trial. (Edited publisher abstract)