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IS THE FUTURE GOING CRAZY? PSYCHOLOGICAL CLAIMS MANAGEMENT. BY LIZ SCOTT & MICHELLE MACINTOSH. AGENDA. The facts The solution The proof – case study. Manulife LTD Claims by Diagnosis 2001. Increased Cost in STD. OH&S Canada March 2001. Facts and Figures. Disability Costs. LTD. STD.
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LIZ SCOTT &
OH&S Canada March 2001
Cost the Canadian & US economies $60 Billion US annually. Half in lost productivity.
Incidence is growing and getting younger
Depressive disorders account for 30-40% of mental illness in Canada, 50% of mental health $ spent
Fastest growing category of disability claims
Economic cost of mental illness in Canada are 14% of corporate Canada’s profits & 3% of our national debt.The facts…
Working longer but less productive
There is direct link between depression and loss of productivity
The future is mental!
Human capital & the human mind are more important than brawn
Depression directly effects out human capital
Defeating depression must be a corporate priority!The facts…
Research to Reality
The Problem with Mental Health Claims
Bottom line “on the street”
Only 1 in 16…. or 6 in 100 good care rate
Over 40% of all Dr notes are inappropriate
* Coyne, 1995
** Katon, 1995
*** Kessler, JAMA, April 2003
The employee puts in to demonstrate that the employee has a high level of commitment.
Employee going into work with sicknesses (migraine, colds, flu, allergies) and are unable to work at a normal output level
At work but not working.
Time spent on other actions such as personal email, phone calls, internet surfing, “water cooler chitchat”, daydreaming.
Workplaces have little power to reduce actual illnesses, mental and physical, but have tremendous power in changing the sense of Work/Life Balance their employees experience and creating a Corporate Culture that supports and enhances its employee’s lives.
In managing Presenteeism and mutual health disability, companies can effect change in the cost of absenteeism and STD.
Healthy work environment
Physical Work environment
Individual Health practices
Shain, M. Best Advice on Stress Risk Management in the Workplace
Shain,M. Best Advice on Stress Risk Management in the Workplace
Low Job Control
Increased Risk to Mental and Physical Health
Illness, injury, infection, anxiety, depression, substance abuse
A mechanism by which human beings receive messages about the social environment and convert these messages into biological signals that trigger the processes of disease development or health promotion.
3x Heart Problems
3x Back Pains
2x Substance Abuse
5x Certain Cancers
2x -3x Injuries
2x - 3x Conflicts
2x -3x Infections
2x - 3x Mental Health Problems
Shain, M. (2000) NQI - A Healthy Workplace
An understanding attitude towards employees is much healthier than denying the existence of family and family obligation
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Organizational Solutions, 2002
Return to Work
Disability Management Early Intervention = Success
Probability of Returning To Work
Probability of RTW (in %)
Duration of absence (in months)
at the right time,
for the right outcome
HRPAO Presentation - 2006
Liz R. Scott PhD Organizational Solutions email@example.com
Michelle MacIntosh Baylis & Associates firstname.lastname@example.org
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