CREST.BD Work & Bipolar Disorder Slides

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CREST.BDBipolar Wellness Center Webinars Connect. Learn. Engage.

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Bipolar Wellness Center Webinars Connect. Learn. Engage. CREST.BD

Work

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Bipolar Wellness Center Webinars Connect. Learn. Engage. CREST.BD CREST.BD

Featuring: Dr. Raymond LamCREST.BD Member, Professor and Associate Head of Research, Department of Psychiatry, University of British Columbia,Director of the Mood Disorders Centre of Excellence, UBC Hospital@DrRaymondLam Work

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Defining workWhy work is important to your QoL Work and BDHow you can take action

Webinar focus

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Defining workFocus of webinar: relationship between paid work and QoL Having a job is an important part of life for many people, however, not everyone needs or wants oneMeaningful volunteer work, or other life roles (e.g., caregiving, parenting) can be equally important Activities considered more important or less stressful may be focused onNo one-size-fits-all prescription

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Why is work important to QoL?Work can provide:

purpose and identityfeeling of competence social support and networking financial security and money for other important life areas (e.g., leisure) routine and structure

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Work and BD Unemployment rates are

higher in people with BD than in general populationRates in BD may be inflated BD associated with ‘workplace under-performance’1

1 Marwaha, S., Durrani, A. & Singh, S. (2013). Employment outcomes in people with BD: a systematic review. Acta Psychiatrica Scandinavica, 128: 179-193.

40-60% of people

with BD are unemployed1

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Tse, S., Chan, S., Ng, K. L., & Yatham, L. N. (2014). Meta-analysis of predictors of favorable employment outcomes among individuals with BD. Bipolar Disorders, 16(3): 217-229.

Work and BD: factors for successgood cognition higher education lower illness severity (e.g., being hospitalized less frequently) absence of comorbid conditions (e.g., personality disorder) ability to cope with workplace stigmagood relationships at work

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good fit between the person with BD, the job and support systembeing in recovery from the mood episode2

Work and BD: factors for successSuccessful re-entry into work after a mood episode linked to:

Factors related to success in the workplace broadly for people with mental health conditions include:

regular assessment of mental healthactively working to maintain and improve mental healthstriving to feel connected to others at work3

2Tse, S. & Yeats, M. (2002). What helps people with BD succeed in employment: a grounded theory approach. Work (Reading, Mass.), 19: 47-62. 3Michalak, E. E., Yatham, L. N., Maxwell, V., Hale, S., & Lam, R. W. (2007). The impact of BD upon work functioning: A qualitative analysis. Bipolar Disorders, 9(1): 126-143.

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How you can take actionOptimise BD treatments

Pharmacology a bedrock of treatment for many with BD Pharmacology alone may be insufficient to flourish at work

Consider:

adjunct psychosocial treatments occupational therapists offer a valuable resource

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How you can take actionConsider interventions designed to support people with mental health challenges in the workplace:

‘supported employment’4, 5, 6

e.g., Individual Placement and Support (IPS) - “a direct, individualized search for competitive employment that eschews prolonged preemployment preparation, counseling, and training”employee assistance programsnonprofit organizations

4Campbell, K., Bond, G. R. & Drake, R. E. (2011). Who Benefits From Supported Employment: A Meta-analytic Study. Schizophrenia Bulletin, 37: 370-380.5Howard, L. M. et al. (2010). Supported employment: randomised controlled trial. British Journal of Psychiatry, 196: 404-411.6Tse, S. (2002). Practice guidelines: therapeutic interventions aimed at assisting people with BD achieve their vocational goals. Work (Reading, Mass.), 19: 167-179.

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How you can take actionDisclosure considerations

Disclosure of BD is a difficult decision, given reasonable concern that employers will discriminate, and the possibility of negative attitudes from co-workers Supervisors and coworkers can be excellent sources of support when workplace culture itself is supportive7,8

7Cross, W. & Walsh, K. (2012). BD - A Portrait of a Complex Mood Disorder (ed Dr. Jarrett Barnhill).8Corrigan, P. W., Kosyluk, K. A. & Ruesch, N. (2013). Reducing Self-Stigma by Coming Out Proud. American Journal of Public Health, 103: 794-800.

Employer responsibilities People dealing health conditions have certain rights in the workplaceDisability and anti-discrimination laws protect the work rights of people with BD

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Tools and Resources

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ResourcesWeb MD: Tips for Managing Bipolar Disorder at WorkThis site hosted by WebMD offers a range of tips for managing BD at work and practical suggestions on topics such as: job performance, disclosure, work schedules, leaves of absence and the law.

http://www.webmd.com/bipolar-disorder/guide/managing-bipolar-disorder-at-work-job-performance-tips

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Disclosure in the workplace

Resources

Conceal or Reveal: A guide to telling employers about a mental health conditionhttp://www.kcl.ac.uk/ioppn/depts/hspr/research/ciemh/cmh/CMH-Stigma-Measures/CORAL-DA-Oct13-final.pdf

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Information for Employers Employers’ guide to bipolar disorder and employment (UK)http://www.bipolaruk.org.uk/assets/uploads/documents/information_leaflets/bipolar_uk_employers_guide_to_bipolar.pdf

Accommodation and Compliance Series: Employees with BD (US)http://askjan.org/media/Bipolar.html

Resources

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ResourcesMood FXMonitor your mood on your phone or PC http://moodfx.ca/

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For more information and resources, visit our Bipolar Wellness Center at:

http://www.bdwellness.com/

To assess your quality of life, visit our QoL tool at:

http://www.bdqol.com/

http://www.bdwellness.com/

http://www.bdqol.com/

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Acknowledgments

CREST.BD Work & Bipolar Disorder Slides

Education

Transcript of CREST.BD Work & Bipolar Disorder Slides