Read The Surgeon General’s Framework for Workplace Mental Health and Well-Being to learn more about the Five Essentials of workplace mental health and well-being—a foundation that workplaces of any size, across any industry, can build upon.
Reflection Questions
This set of questions can help leaders reflect on their workplaces and start designing organizational policy and culture around the Five Essentials for Workplace Mental Health & Well-Being.
Practice Examples
This list is not comprehensive, nor does including an example indicate endorsement. Rather, these examples are intended to serve as a starting point for organizations and organizational leaders as they apply the Framework in their workplaces.
Kent State University
The background
Kent State University (KSU) is a public, higher-education institution with approximately 6,000 employees across eight locations in Ohio and New York. In 2012, KSU leadership committed to addressing employee well-being, work-life balance, and mental health. After surveying staff, holding focus groups, and creating an inventory of campus resources, KSU administration confirmed that mental health and work-life balance were top employee concerns and developed a Workplace Mental Health and Wellness Initiative.
The approach
In addition to efforts to build trust and workshops to help supervisors identify and respond to signs of depression among staff, the team at KSU focused on normalizing mental health by minimizing stigma around accessing support services. This included improvements to and communication around their comprehensive EAP program, with online and telephone options, and support with stress, anxiety, depression, child and older adult caregiver needs, as well as assistance with financial, legal or identify theft. The EAP is available to all staff, household members, and dependents of staff. They also focused on increasing time and opportunities for connection, including ‘walk and talks’ which gave workers an opportunity to be together, be physically active, and find peer support.
The outcome
In the first six months following the launch of the campaign, KSU found a notable increase in EAP utilization and increased web traffic to their EAP website on mental health issues. For the 12-month period after the launch of the campaign in 2012, KSU saw a reduction in claims dollars spent for covered employees diagnosed with depression of $4,861.93 per employee per year, resulting in more than $1 million in savings. Following the implementation of the program, positive responses to employee surveys asking if workers believed their organization cared about their health and well-being more than tripled. Their continued efforts to cultivate a positive working environment for employees has led KSU to be recognized as one of the “Great Colleges to Work For” among 212 institutions for the 11th time since the implementation of the initiative. This has included recognition for their efforts in the following areas: Compensation and Benefits; Confidence in Senior Leadership; Shared Governance; Faculty Experience; and Diversity, Inclusion and Belonging.
Gap, Inc
The background
Many retail workers will not know their schedules until a few days in advance of work, or are “on-call”, forcing them to be available without any guarantee of a paid shift. Gap, Inc, a global clothing-retail company, participated in an intervention in 2015-2016 to study the effects of stable schedules on their workforce and business.
The approach
Initiatives to stabilize working schedules included posting workers’ schedules two weeks in advance and eliminating “on-call” shifts. Alongside these baseline initiatives, some managers at different stores implemented additional interventions, such as:
- Instituting standard start and end times for shifts
- Allocating extra staff during times when there is expected to be a sales increase
- Guaranteeing a minimum of 20 hours of work each week for workers
- Allowing associates to swap shifts with other associates without managerial approval
The outcome
This example shows that making schedules as predictable as possible, while ensuring adequate staff resources to meet high work volume, can reap benefits for the worker and organizations alike. Twenty-eight Gap stores implemented stable scheduling initiatives, which impacted the schedules of nearly 1,500 workers. The total costs of these interventions were low—approximately $31,200. In the stores that implemented stable scheduling initiatives during the 35-week measurement period, Gap saw a 5% increase in worker productivity and a 7% increase in sales. An analysis of the intervention estimated that these stores saw $2.9 million in increased revenue due to the stable scheduling practices. Individual-level impacts included sleep quality improving by 6–8% on average among staff surveyed.
9-1-1 Dispatchers
The background
9-1-1 dispatchers experience a high rate of burnout due to the inherently stressful and traumatic nature of their job as first responders. For example, more than 40% of surveyed emergency dispatchers operating within the Los Angeles Police Department, the third largest police force in the U.S., reported high levels of burnout. Researchers at the University of California, Berkeley hypothesized that burnout and turnover among emergency dispatchers can be decreased by fostering a sense of belonging, support, and positive professional identity.
The approach
To test this hypothesis, a group of more than 500 dispatchers across nine U.S. cities received a weekly email for six weeks that featured a story of a dispatcher’s work experience. These emails also included a prompt to encourage workers to reflect on their experiences, in hopes that they would share positive stories their coworkers might resonate with. The stories were collected and stored in an easily accessible online database for future emails. For example, one email featured the story of a dispatcher who saved the life of a woman experiencing intimate partner violence in the community. The email concluded with a prompt asking dispatchers to share similar stories about peers and name who would be great mentors and why. Responses were then featured in the following week’s email.
The outcome
By sharing stories, dispatchers were able to highlight the challenges of the job and find commonality while supporting their peers. This fostered a greater sense of belonging as more dispatchers were able to empathize with the stories and challenges shared by colleagues. Approximately two-thirds of participants asked that the weekly emails continue. Moreover, dispatchers who received these emails reported a decrease in burnout. One model suggested this intervention can reduce turnover by 50%, resulting in cost savings for organizations. For instance, according to the model, a city with 100 emergency dispatchers could save more than $400,000 in recruitment and training costs from turnover. These findings suggest that low-cost interventions for building social connections, helping workers feel valued, and creating a platform for trusted work relationships can mitigate burnout and contribute to worker well-being.
U.S. Army Corps of Engineers, Sacramento, CA
The background
The U.S. Army Corps of Engineers is a major Army command with approximately 37,000 civilian and military personnel, one of the world’s largest public engineering, design and construction management agencies. The district of Sacramento has over 900 workers who manage some of the largest and most complex construction projects in the United States. Their leadership has emphasized the need for a robust and positive workplace safety culture, one that includes physical and psychological health and well-being. Their motto, “Building strong AND Taking care of people” reflects this.
The approach
There is a clear commitment from leadership across all levels to prioritize physical and psychological safety at work. The agency meets staff to support their well-being wherever they are, from office settings to government vehicles to construction sites. They utilize engagement surveys and awards so workers feel empowered to prevent and stop unsafe acts, while fostering a sense of ownership over their safety program and culture. Leadership provides early and ongoing communication and improvement opportunities, from new staff orientations to openly and publicly discussing workplace mental health and well-being. These communications also include safety expectation setting through district-wide letters to all staff, a quarterly council to highlight successes on workplace safety, and a district-wide employee council for troubleshooting challenges.
The outcome
Panels with workers on workplace well-being through the pandemic and training on “Mental Health First Aid” for staff have also helped to normalize struggles and address stigma, while increasing access to mental health care and support. When it comes to workplace mental health and well-being, with this supportive safety culture, one worker reported feeling “more open to sharing my own challenges” with peers and “more supported to address them by my supervisor,” especially alongside other disabilities for which he also needs support. The benefits of this program appeared to spill into the community as well, as at least one worker responded to efforts at work by taking on additional speaking engagements in their community to continue confronting stigma, including joining a city stigma association and sharing their story with local high schools, colleges, and teachers. One more worker shared, “Speaking out has helped others to also speak out and know they won’t be punished… Having flexibility was (also) a life-saver for me—being able to make my doctor’s appointments, adding flexibility to scheduling meetings—it’s made a huge difference in my work life.”
DTE Energy
The background
In response to survey results indicating low performance and creativity among their workforce, leadership at DTE Energy, a Detroit-based energy company, were eager for solutions. They were inspired after visiting a local call center where, contrary to expectations, they noted “positive, fully engaged employees collaborate and go the extra mile for customers.” The secret: “connecting the people to their purpose.”
The approach
One of DTE’s first related initiatives was to film a video articulating the importance of each worker. They highlighted truck drivers, plant operators, corporate leaders, and many others to recognize the impact of their work in the company and on the community. Workers reported being moved by the videos because their work had never before been framed as a meaningful contribution. This newfound meaning was ingrained in the organizational culture itself, as the company adopted a new statement of purpose: “We serve with our energy, the lifeblood of communities and the engine of progress.” This statement was woven into company leadership activities, onboarding and training programs, corporate meetings, and teambuilding efforts.
The outcome
This example demonstrates one way to make an explicit connection between individual’s work and the functioning of an organization and its surrounding community. After centering the importance of mattering in the workplace, DTE Energy received a Gallup Great Workplace Award five years in a row.
More examples
- Center for Workplace Mental Health, American Psychiatric Associationlinks to an external website
- Total Worker Health®, Case Studies Oregon Healthy Workforce Centerlinks to an external website
- Job Quality Case Studies, U.S. Department of Commercelinks to an external website
Protection from Harm
Resources
Toolkit
Fundamentals of Total Worker Health
CDC/NIOSH
This workbook will help you develop new Total Worker Health (TWH) initiatives or better align existing workplace interventions with the TWH approach.
Oregon Healthy Workforce Center
The Safety & Health Improvement Program (SHIP) was designed to increase supervisor and peer support and decrease job strain, which play a key role in safety compliance and improved physical and mental health.
CDC/NIOSH
The NIOSH Worker Well-Being Questionnaire (NIOSH WellBQ) is intended to help researchers, employers, workers, practitioners, and policymakers understand the well-being of workers and target interventions to improve worker well-being, among other applications.
OSHA
The Occupational Safety and Health Administration (OSHA) provides information on employers’ training requirements and offers resources such as free publications, videos, and other assistance to help employers protect workers against injuries and illnesses.
CDC/NIOSH
This Total Worker Health® webinar features a discussion with experts on what safety climate is, its impact on worker health, and practical applications.
DOL/OSHA
This page includes the Occupational Safety and Health Administration’s (OSHA) compliance assistance resources for Hispanic employers and workers and is intended primarily for English-speaking and bilingual users.
Employer Assistance and Resource Network (EARN)
EARN’s Mental Health Toolkit is a gateway to background, tools, and resources that can help employers learn more about mental health issues and cultivate a welcoming and supportive work environment for employees who may be facing mental health issues or need help for a co-occurring substance use disorder.
CDC/NIOSH
The National Institute for Occupational Safety and Health (NIOSH) provides information and recommendations on how employers can can create work environments that proactively prevent substance misuse, reduce stigma, and encourage treatment and sustained recovery.
DOL/ODEP
This online toolkit features a range of integrated materials to help you or your organization support the message of the “Mental Health at Work: What Can I Do?” PSA.
DOL/OSHA
The Occupational Safety and Health Administration (OSHA) provides safety and health resources specifically designed for small businesses.
DOL/OSHA
The Occupational Safety and Health Administration’s (OSHA) On-Site Consultation Program offers no-cost and confidential occupational safety and health services to small- and medium-sized businesses in all 50 states, the District of Columbia, and several U.S. territories, with priority given to high-hazard worksites.
Connection & Community
Resources
MindShare
This free toolkit outlines the 7 key steps for creating a mental health employee resource group (ERG).
SBA
Free or low-cost counseling and training in your area from SBA and its network of partners.
Employer Assistance and Resource Network on Disability Inclusion (EARN)
EARN provides employers with general guidance and background on the what, why and how of making your organization more welcoming and accessible to applicants and employees with disabilities.
Job Accommodation Network (JAN)
JAN provides A to Z listings by disability, topic, and limitation. This information is designed to help employers and individuals determine effective accommodations and comply with Title I of the Americans with Disabilities Act (ADA).
Toolkit
Work Design Principle #3: Improve Social Relationships in the Workplacelinks to an external website
Harvard T.H. Chan School of Public Health / MIT Sloan School of Management
This toolkit presents case studies of “Promising Practices” that are drawn largely from a systematic review of published experimental research on work design for worker well-being.
Mental Health America
Mental Health America’s Center for Peer Support has all the latest resources and programs on peer support.
Work-Life Harmony
Resources
AARP
AARP offers this resource for employers and workers, including articles, training, and tools to support inclusivity at work and recognize workers’ roles and responsibilities outside the workplace.
Toolkit
Work Design Principle #1: Give Employees More Control over Their Worklinks to an external website
Harvard T.H. Chan School of Public Health /MIT Sloan School of Management
This toolkit presents case studies of “Promising Practices” that are drawn largely from a systematic review of published experimental research on work design for worker well-being.
Mental Health America
Recommendations on how employers can allow employees to have more flexibility and autonomy in their jobs.
MIT Sloan Management Review
Based on survey data that speaks to the challenges that organizations are experiencing from the rapid transition to remote work and their creative solutions, this article highlights five ways that organizations can support remote work.
By Donald Sull, Charles Sull, and Josh Bersin. June 03, 2020
Mattering at Work
Resources
Gallup
This resource from Gallup offers workplace leaders a definition for employee engagement, including tips and tools on how to improve it today.
UMass Lowell
The CPH-NEW Healthy Workplace Participatory Program (HWPP) Toolkit was developed to engage employees in designing integrated solutions that address a wide range of work environment, work organization, safety, and employee health issues.
Institute for Healthcare Improvement
Institute for Healthcare Improvement (IHI) believes that “What Matters” is a simple, yet profound concept that is key to creating deeply personal engagements with patients and their family members, a deeper understanding of what really matters to them, and is the foundation of developing genuine partnerships for co-creating health.
Opportunities for Growth
Resources
U.S. Department of Labor
The U.S. Department of Labor Employment and Training Administration’s Senior Community Service Employment Program (SCSEP) helps subsidize part-time employment and training in community service positions so that older workers can move to unsubsidized, private sector jobs. Find out about SCSEP programs in your area here, including a toll-free number for assistance.
Harvard University Work, Family, & Health Network
The STAR (Support.Transform.Achieve.Results.) toolkits help workplace teams find ways to reduce work-family conflict and increase productivity by decreasing unnecessary work and increasing everyone’s control over their time.
McKinsey & Company
An article on how improving opportunities for low-wage hourly employees to advance their careers can raise US workforce skill levels and give a powerful boost to inclusion.
By Swathi Bhaskaran, Andrew Davis, Christophe Desbrière, and Sara Wasserteil
Mental Health America
Recommendations on professional development opportunities help both employees and employers contribute to a better workplace experience.