The steering committee of the Working Group mandated by the Institute of Population and Public Health (IPPH) and the Institute of Neurosciences, Mental Health and Addiction (INHMA) would like to acknowledge the generous support of the following sponsors. Without the financial support of these sponsors, the workshop could not have taken place.

Founding sponsors

Institute of Population and Public Health of the Canadian Institutes of Health Research
Institute of Neurosciences, Mental Health and Addiction of the Canadian Institutes of Health Research
Institut de recherche Robert-Sauvé en santé et en sécurité du travail

MEMBERS OF THE WORKING GROUP

Working Group Co-Chairs

Jean Yves Savoie, PhD
Chair, Institute Advisory Board, Institute of Population and Public Health of CIHR

Alain Lesage, MD, MPhil
Centre de recherche Fernand-Seguin
Institute Advisory Board, Institute of Neurosciences, Mental Health and Addiction of CIHR

Carolyn Dewa, PhD, MPH
Health Economist, Health Systems Research & Consulting Unit
Centre for Addiction and Mental Health

Working group members

Renée Bourbonnais, PhD
Professor, Laval University

Gaston Harnois, MD
Director, PAHO/WHO Collaborating Centre for Research & Training in Mental Health

Marina Morrow, PhD
Research Associate , BC Centre of Excellence for Women's Health

Michèle Parent
Vice President, Disability Risk Management and Health and Wellness, Standard Life

Phil Upshall
Chair, Canadian Alliance on Mental Illness and Mental Health

Ex-Officio members

Diane Gaudet
President and CEO, Institut de recherche Robert-Sauvé en santé et en sécurité du travail (IRSST)

Jean Pruneau
Manager, Mental Health Promotion Unit, Health Canada

John Service, PhD
Executive Director, Canadian Psychological Association

Bill Wilkerson
CEO, Global Business and Economic Roundtable on Addiction and Mental Health

PURPOSE OF THE REPORT

The purpose of this report is to:

Provide recommendations to the Canadian Institutes of Health Research (CIHR) regarding national research priorities for the next 10 years in the area of workplace mental health
Serve as a tool to engage multiple partners in the development, financing and execution of a research agenda that reflects these priorities

The material contained in this report was informed by a series of activities directed by a Working Group mandated by CIHR's Institute of Population and Public Health (IPPH) and the Institute of Neurosciences, Mental Health and Addiction (INMHA).

In early 2003, this Working Group was tasked with developing a long-term research agenda on mental health in the workplace. The Working Group executed its mandate by designing and implementing a unique stakeholder engagement process that culminated in a workshop at the Renaissance Toronto Airport Hotel, April 28 - 29, 2004.

This report describes the pre-workshop activities and workshop methodology implemented by the Working Group, outlines the specific research priorities identified by workshop participants, and provides a summary of recommendations regarding momentum-building and implementation strategies to ensure that the recommended priorities are implemented as quickly as possible by the broadest possible range of stakeholders.

An underlying assumption of the Working Group - and this report - is that all stakeholders, including employers, must be involved in the development and implementation of future research initiatives. This buy-in is essential to the development of "in-workplace" strategies that will reduce mental illness related productivity losses and disability costs.

ESTABLISHING THE NEED FOR A RESEARCH AGENDA

General population studies indicate that mental and emotional health problems are associated with staggering social and economic costs that place an especially heavy burden on the workplace.

On a monthly basis about eight per cent of working Canadians suffer from a diagnosable mental disorder. This translates into $15 - $33 billion in annual productivity losses. The percentage of disability from all diseases and injuries attributable to mental disorders is close to 25 percent, with as much as 13 percent attributable to depression alone. Mental illness accounts for 25 percent of employers' short-term disability claims. In the next decade the economic impact of mental illness is expected to worsen. Many studies predict that depression will emerge as the leading cause of disability globally, followed by ischemic heart disease. The risk of disability is magnified by internal and external pressures that contribute to the rapidly changing nature of work and workplace organization.

Clearly, research is required to more fully understand the underlying causes of these trends, and to develop approaches that could contribute to a reversal of the tide. Although Canada is a world leader in research related to mental health in the workplace, researchers and workplace practitioners agree that there remain significant gaps in Canada's research approach that must be bridged.

The most significant of these gaps is that the best available knowledge is not being exchanged between the business and researcher domains. On the one hand, the most useful data regarding mental illness in the workplace originates in the workplace itself. Yet, the vast majority of this data is not being transferred to the researcher community.

On the other hand, despite this lack of data, researchers are developing valuable knowledge that could be applied within the workplace to reduce the burden of mental illness. Again, these results are neither readily transferred to employers nor being directly applied within the workplace. In addition to the general need for improved communications between these two domains, there are practical impediments that arise from legal considerations such as ethical questions and privacy issues.

Addressing these knowledge exchange issues must be a priority in moving ahead with a research agenda. Facilitating momentum with respect to knowledge exchange was a significant component of the Working Group's approach and influenced the design of the April workshop.

MANDATE OF THE WORKING GROUP

Recognizing the amplitude and the complexity of the problem, two CIHR Institutes (IPPH and INHMA) mandated a Working Group to develop a long-term research agenda related to the workplace and mental health. The Working Group focused on two main issues for the purpose of advancing research and increasing available evidence in the area of workplace mental health. First, it reported on the state of knowledge and identified gaps in the literature with regard to major factors associated with workplace mental health. Second, the Working Group identified issues that inhibit research and exchange of knowledge in this area, and offered solutions to enhance its feasibility.

GENERAL PRINCIPLES

Several principles guided the methodology that the Working Group applied to meet their mandate. These are:

A research agenda will only be successful if it is implemented
Successful implementation will only occur if all stakeholders are included in the process to articulate the agenda
Implementation is an ongoing process

To facilitate this process, the Working Group convened a two-day workshop involving over 100 participants from across Canada, each of whom had either a demonstrated expertise or a direct professional interest in workplace mental health issues. The broad range of stakeholders that were invited and attended included: researchers, policy makers, insurance and employee assistance program providers, employers, union representatives, professional organizations and NGOs related to mental health (see Figure 1). The list of participants is provided in Appendix E.

Figure 1: Participant representation by sector

The workshop was structured around six solicited discussion papers focusing on distinct research streams, each written and presented by researchers who had been identified as experts in one of the following areas:

Nature and Amplitude of the Problem
Workplace Prevention and Promotion Strategies
Diagnosis and Treatment
Disability Management and Return-to-Work
Stigma and Work
Integrating Health Research and the Canadian Workplace

In addition, respondent papers were prepared by researchers or practitioners with an applied expertise. The respondents' papers were intended to provide additional perspective for critical analysis by workshop participants of the authors' proposed research priorities.

In advance of the workshop, the Working Group commissioned a bibliometric analysis of mental health and workplace research in Canada that was used for the selection of authors of the papers and of the participants from the research community. Participants received this document along with the series of academic papers and corresponding respondent papers that reviewed the state of knowledge in the six identified streams of workplace mental health research. All these documents can be access through the Internet as indicated in Appendix D.

METHODOLOGY FOR DEVELOPMENT OF RESEARCH PRIORITIES

Participants' primary task during the two-day workshop was to develop priorities regarding research on mental health in the workplace using the authors' proposed priorities as the basis for developing their recommended research priorities to the CIHR. Consistent with the CIHR's goals of fostering research excellence in health research and promoting research that will have a positive impact on Canadians' health and Canada's economy and society, workshop participants were charged with the task of developing a set of research priorities that promise to be stimulating for researchers, engaging for all stakeholders, and that are likely to have direct application in the workplace. This activity was facilitated through a series of break-out sessions - one for each of the six streams. In each session, authors and respondents presented their findings.

Over time, pursuit of the identified research priorities - together with an increased participation of all stakeholders - should lead to:

Enhanced relevant research capacity and results uptake
Reduced incidence of mental illness in the workplace and society as a whole
A reduction in mental illness related productivity losses for employers and society
A reduction in other related financial losses for employers, insurers and employee assistance providers

SUMMARY OF RESEARCH PRIORITIES

There was significant overlap in the priorities identified by participants for each stream of research. This overlap reflected a consensus within the stakeholder community regarding the need for coalition-building. This general notion infused discussions regarding each research stream. Participants generally recognized that much trans-disciplinary work is required, as is the development of a shared vision of what would constitute success with respect to implementing a workplace mental health research agenda. An increased emphasis on partnerships, it was felt, would encourage the active participation of workplaces in the research process and would lead to increased funding from diversified sources.

At the end of the Workshop's Day 1, a broad suite of research priorities for the next 10 years were
proposed. To eliminate repetition amongst these priorities and to ensure that the final recommendations to the CIHR were appropriately generic in nature, members of the Working Group steering committee convened at the end of Day 1 to review all priorities and compiled a) a summary of overarching (or cross-stream) priorities, and b) a list of specific priorities that corresponded to a stream of research covered by one of the papers. These priorities are listed below.

Over-Arching Priorities

Enable applied research on prevention/promotion, treatment, disability management and strategies to address stigma/discrimination, and foster the exchange of relevant knowledge by:

facilitating coalition-building among all stakeholder groups
making "the business case" for pursuing specific research initiatives, especially through economic studies
developing data-sets that include longitudinal and cross-sectional data based on surveys of both the labour force and employers
facilitating access to and linkages among administrative data held by employers, payers and providers
developing and evaluating measurement tools for prevention/promotion, treatment, disability management and interventions to address stigma/discrimination, that can be used to collect information on workers at the organizational and societal levels
fostering the development and evaluation of intervention models for individuals and organizations that address prevention, promotion, treatment, disability management/recovery, and stigma/discrimination initiatives
fostering the recognition and evaluation of current Canadian best practices with respect to promotion/prevention, treatment, disability management/recovery, and positive discrimination initiatives
ensuring that research takes into account issues related to specific segments of population e.g., by gender, ethnicity, culture, socio-economic status, newcomers to Canada.

Specific Research Priorities

Workplace Prevention and Promotion Strategies

Acquire a further understanding and monitor the effects on mental health of prominent
trends in organizational practices.

Gain a better understanding of the prevalence of work organization risks, and positive and protective factors associated with work.

Disability Management and Return-to-Work

Study the impact of government and corporate policies on short-term and long-term individual outcomes and workplace outcomes.

Diagnosis and Treatment

Pursue studies to clarify diagnostic entities, sub-threshold conditions, stress and burn-out, personality disorders and associated physical and mental co-morbidities. Include in these studies an understanding of the biopsychosocial risk and protective factors.

Stigma and Work

Develop conceptual models of the causes and impacts of stigmatization, discrimination, as well as of what creates positive attitudes regarding individuals with mental illness in the workplace.

Assess and monitor the scope of stigma/discrimination, its determinants and consequences in Canadian work settings through combinations of direct work site studies, quantitative and qualitative studies and population studies.

Integrating Health Research and the Canadian Workplace

Conduct research on how to move knowledge into action, including specific research on the knowledge exchange process with respect to mental health in the workplace.

DESCRIPTION OF THE WORKSHOP PROCESS

Building Momentum

In essence, the workshop and the activities leading up to it were designed as a stakeholder engagement process that would involve all participants not only in the identification of research priorities but also in deliberations on post-workshop next steps. Throughout the workshop, significant emphasis was placed on the knowledge transfer process and implementation issues.

During the workshop, deliberations were purposefully directed toward research initiatives that would have a direct application to the workplace, could occur within the workplace, and would be supported by employers, employees and other relevant stakeholders. This was achieved both
through the participant selection process and the materials used to inform workshop break-out
discussions. Figure 2 illustrates the process used to establish the research agenda.

Figure 2: Flowchart of Workshop Methodology

Context-Setting During the Workshop

The workshop involved several working sessions during which participants were charged with specific objectives related to the development of a research agenda. Copies of the facilitators' guides used during this component of the workshop are included in this report as Appendix C. To set the stage for these activities several presentations that reflected a multi-stakeholder approach were interspersed throughout the two-day session.

On Day 1 these presentations included:

A panel presentation featuring four perspectives on the challenges presented by mental health workplace issues.
- Researcher perspective, Carolyn Dewa - Centre for Addiction and Mental Health
- Worker perspective, Andy King - United Steelworkers of America
- Employer perspective, Bill Wilkerson - Global Business and Economic Roundtable on Addiction and Mental Health
- Knowledge transfer perspective, Aldred Neufeldt - Community Rehabilitation and Disability Studies Program
A presentation by the Honourable Michael Wilson, Chairman, UBS Global Asset Management and Senior Chairman, Business and Economic Roundtable on Addiction and Mental Health, regarding the need for greater collaboration between the researcher and business communities on strategies to address mental health in the workplace.

On Day 2, these presentations included:

A summary of findings from a series of qualitative surveys regarding priority mental health issues identified by various stakeholder groups, preferred knowledge transfer modalities, and expected contributions from a knowledge transfer centre. This summary was presented by Marie-Claire Laurendeau of the Centre de liaison sur l'intervention et la prévention psychosociales.

The priorities that initially served as the basis for deliberation were tabulated in a separate Points of reference document prepared for each paper. These priorities were drawn from those generally found in the executive summary or conclusions of each of the six papers.

At the end of Day 1, break-out session facilitators and members of the working group steering committee convened to review a summary of the priorities established by each group
(see Appendix A). These were subsequently validated by the full plenary on Day 2.

Articulating an Implementation Strategy

Day 2 included a plenary exercise on developing a theory of action, during which participants were specifically tasked with making recommendations on implementing the priorities identified over the course of the workshop. This exercise took place immediately after the priorities identified in Day 1 had been validated in plenary.

Reflected in participants' remarks was a consensus that the workshop constituted a good start for implementing a long-term research agenda. The partnerships and dialogue formed during the workshop were considered essential to building momentum for implementation of the identified priorities. Given the broad range of stakeholders present, this consensus bodes well for future implementation.

The following list of six recommendations reflects the most popularly held views expressed in respect of potential momentum-building and implementation strategies. The full list of recommendations is provided at Appendix B of this report.

Establish a coalition of partners to build the case for increased and consistent funding for partnership-based research in the area of workplace mental health.
Establish various consortia to fund research initiatives that reflect priority areas.
Convene a regular national conference to foster partnerships and to ensure that identified priorities are pursued and supported by all stakeholders on an ongoing basis.
Identify and pursue short-term objectives that have a high probability for success. Quick wins are essential. These will build momentum amongst stakeholders and ensure that priorities remain on the radar screen.
Establish a permanent steering committee to foster knowledge transfer and to ensure that identified priorities are translated into action.
Engage more public champions.

APPENDIX A

Complete Summary of Priorities

The priorities as presented below were validated by the full plenary on Day 2 of the workshop. A summary of the barriers and risks of pursuing these priorities that were identified by participants and were common across the streams of research is also included in this Appendix.

NATURE AND AMPLITUDE OF MENTAL ILLNESS IN THE WORKPLACE

Infrastructure - datasets

Systems confidentiality and anonymity issues
Longitudinal representative data from employee and employer perspectives
Life course data - education, training, retirement

Coalition building - how to.

Developing a shared vision of success and commitment
Incentives that bring different disciplines together
Involving workplaces in research & equipping to implement findings

Conceptual framework to guide research

Opportunities to try out new ways of doing research
Ongoing feedback loop

Measures and tools for organizations & researchers
(these must be easily deployable measures of productivity)

Substantive research issues, include
Effectiveness & best practices
Benefit plan design & uptake
Accommodation for caregivers
Role of workplace as a rehabilitator
Interaction between mental & physical illness & environmental risk factors
Role of stigma

WORKPLACE PREVENTION AND PROMOTION STRATEGIES

Foster the development and evaluation of well-adapted models of interventions designed to concretely reduce adverse psychosocial and chemical/physical factors and their mental health effects to increase positive outcomes and take into consideration productivity and costs.
Gain a better understanding of the prevalence of work organization risk, and positive and protective factors in Canada, how they may be changing and how they affect mental health over time and over the life course.
Acquire an understanding of the effects on mental health of prominent trends in organizational practices, such as restructuring, lean production and flexible staffing (precarious employment), which may pose special risks for women, immigrants or aging workers in Canada.
Collect data on the importance of the considerable direct and indirect costs to business, workers and society of work-related stress in Canada.
Real-life studies of change over time in mental health outcomes that take into consideration the larger societal context and focus on specific populations e.g. gender, cultural, SES, new immigrants.

DIAGNOSIS AND TREATMENT

Determine the optimal role and impact for each of the following: primary care providers, public health professionals, occupational health specialists, Employee Assistance Program providers, employers and employees.
Pursue studies on clarifying diagnostic entities, sub-threshold conditions, stress and burn-out, personality disorders and associated co-morbidities.
Include in these studies an understanding of the bio-psycho-social risk and protective factors. Also include functional capacity measurement sensitive to the workplace.
Develop and evaluate screening tools for mental health, functional capacity, workplace risk and protective factors.
Develop and evaluate the optimal models for delivering services to target populations and the factors that promote their successful implementation.
Pursue studies linking clinical and economic outcomes -- the business case.

DISABILITY MANAGEMENT AND RETURN-TO-WORK

Develop disability management principles taking into account different perspectives including treatment, financing, monitoring, legal context, organizational factors and issues external to the workplace.
Develop and evaluate disability management approaches in target populations to a variety of mental health problems including co-morbidity with physical disorders. Development of benchmarking tools is essential.
Study organizational interventions that foster recovery and maintenance of work function and define optimal roles with respect to what, how, when, where, and by whom these interventions are delivered. These interventions must be sensitive to the episodic nature of mental health problems.
Study the impact of government policies and regulations on return to work and duty to accommodate disabled workers.

STIGMA AND WORK

Assess the extent to which Canadian public and private sector employers as well as unions have come to the view that workplace mental health and anti-stigma programs are necessary to maintaining economic productivity and mental health.
Implement direct work site studies to gain a better understanding of the scope and nature of mental health related discrimination in Canadian work settings, its determinants, and consequences.
Develop and implement regular and ongoing population data studies to monitor and conduct analyses of workplace discrimination/stigma. Combine qualitative studies with population data studies to better understand the issue.
Establish business and union research alliances to develop and evaluate anti-stigma programs or best practices towards fellow employees in the workplace.
Research the relationship between attitudes, behaviours, and systemic discrimination (i.e., stigma vs. discrimination).
Research the gender implications of workplace stigma for diverse groups of men and women.

INTEGRATING HEALTH RESEARCH AND THE CANADIAN WORKPLACE

Research on how to move knowledge to action - research on the KT process informed by different and new paradigms, experiences, models/frameworks
Context - socio-political, organizational
Barriers
New measures of success
Characteristics of different types of knowledge
Role of different players (e.g., unions) in moving knowledge to action
Intervention research, particularly action research leading to better uptake
Develop and sustain applied research partners
Translation of existing knowledge through a range of strategies
User-friendly, timely
"Existing" initiatives (success stories)
Social marketing
Research to understand needs and priorities and constraints/realities of workplaces from the research users' perspective

COMMON BARRIERS AND RISKS

Ethics / privacy issues
Bringing different worlds together/ integration challenges
Access to and sharing of data
Logistical problems
Competitive issues
Comparability
Research cycle vs. business cycle

APPENDIX B

Recommendations for implementation

Day 2 of the workshop included a plenary exercise on developing a theory of action, during which participants were specifically tasked with making recommendations on implementing the priorities identified over the course of the workshop. This exercise took place immediately after the priorities identified in Day 1 had been validated in plenary.

A list of participants' recommendations is outlined below.

Activate a scientific-political lobby

Establish a coalition or national foundation
Operational leadership is needed to make sure partners work together

Financial resources are required

Establish a consortium that charges membership dues. These dues could be used to fund research.

Convene a regular national conference

Identify and pursue short-term objectives

Implement pilot projects that have the support of a broad network of stakeholders
Pursue quick successes and disseminate the results

The working group should continue its work to encourage implementation of identified priorities

Identify more public champions

Engage public employers

Hospitals
Universities and other post-secondary institutions

Work within existing systems rather than creating new ones

Have researchers team-up with others outside the sector and in workplaces.

This could attract new funds and investment for relevant research

Plans for knowledge transfer should be integral to every project

Establish a clearing house for English/ French translation of relevant research

This could be undertaken by the federal government

Prepare for the future by educating the next generation of researchers and users of research.

Establish scholarship and partnership programs

Build the economic justification for workplace mental health research

Link mental health workplace research agenda to occupational health and safety agenda

There would be benefits to this type of partnership
Increase the receptivity of employers to implementation of the agenda

Pursue concrete projects, like creating a reference centre that would match workplace with available tools, assist with site selection and would maintain a longitudinal database of employers' and employees' perspectives

Examine how to best conduct research in the workplace

Share information and practices within research community.

Bring together a small group to look at next steps, based on report from this workshop

APPENDIX C

Invited Workshop

April 28&29, 2004
Toronto Airport Renaissance Hotel

Facilitator's Guide and Workbook

Small group facilitators

GENERAL GUIDELINES

(Please read before the workshop)

Your responsibility as a facilitator is to guide the small group discussion according to the instructions in this booklet and to report on participants' conclusions and relevant commentary in the spaces provided.

It is important that you keep accurate notes. You will need to draw on these notes for the priorities setting exercise in the second half of the break out session. These notes will also serve as a source of input for the final report of the workshop.

If you would prefer to have a second person undertake the reporting function, please identify that person in advance of the session and discuss your respective roles before the small group session begins.

The main purpose of these discussions is to identity for the next 10 years in the topic area of the theme paper.

The overall objective of the workshop is to establish a research agenda for the next 10 years that will be stimulating for researchers, engaging for all stakeholders, and likely to have a direct application in the workplace. So, the small break out group discussions are a core element of the overall workshop. These discussions will be used to identify potential research priorities and to set the stage for later discussions regarding the barriers and risks of pursuing these priorities.

You will face two main challenges in keeping discussion on track. Given the complexity and breadth of mental health and the workplace as a subject, participants may veer from the topic of the theme paper or they may make recommendations that are of relevance only to a small stakeholder group. In either case, you should refer participants to the points of reference document and remind them of the overall objective of the workshop.

To achieve this objective, identified priorities must be sufficiently generic as to have a high probability of buy-in from multiple stakeholders. When identifying priorities you should encourage participants to recognize this overall objective and to keep their remarks at a high-level.

Good luck!

Section 1: State of knowledge

15 minutes

**Facilitator to read aloud**

Please refer to the points of reference document and the first section entitled State of Knowledge.

There are several statements regarding the current state of knowledge in this area of research. To establish useful research priorities we must have a clear picture of what we already know.

Questions

What are some generic statements that could be made regarding the state of knowledge in this area of research? Have we missed anything?
In addition to the research strengths noted in the authors' paper, what other strong points of knowledge exist in this area of research in Canada that have not been noted?

Section 2: Gaps in research

15 minutes

**Facilitator to read aloud**

Please refer to the points of reference document and the second section entitled
Gaps in research.

There are several statements regarding identified gaps in current research. To establish useful research priorities we must have a clear picture of what we do not know.

Questions

What are some generic statements that could be made regarding gaps in research in this topic area?

Section 3: Potential research priorities for the next 10 years

15 minutes

**Facilitator to read aloud**

Please refer to the points of reference document and third section entitled potential research priorities for the next 10 years.

Our objective now is to assess the merits of these potential priorities and to develop a list of five research priorities that may or may not include those that are articulated in the points of reference document.

Our aim is to articulate priorities that will be stimulating for researchers and that will have a reasonable probability of buy-in by multiple stakeholders.

In the second half of this morning's session, the priorities we identify will be compared to priorities identified by the other two groups. The three groups will then work together to articulate a set of priorities that will be reported to the main plenary tomorrow.

Questions

Which of the identified priorities would you eliminate, and why?
What priorities have you added, and why?
Which of these priorities require alteration, and why?

APPENDIX D

List of Reference Materials Available on the Internet

Presentations: http://www.camh.net/hsrcu/index.html

The Needs of Large Work Organizations Regarding use of Psychosocial Knowledge Generated by Research
Marie-Claire Laurendeau, Ph.D.
Mireille Mathieu, Ph.D.
Centre de liaison sur l'intervention et la prévention psycosociales

Papers: English versions available as of July 2004 at: http://www.longwoods.com/hp/index.html

French versions available at http://www.camh.net/hsrcu/index.html

NATURE AND AMPLITUDE OF MENTAL ILLNESS IN THE WORKPLACE
Discussion Paper. C.S. Dewa, A. Lesage, P. Goering, M. Caveen
Researcher Response: D. Marcotte
Stakeholder Response: Michèle Parent and Irene Klatt

WORKPLACE PREVENTION AND PROMOTION STRATEGIES
Discussion Paper: M. Vézina, R. Bourbonnais, C. Brisson, L. Trudel
Researcher Response: M. Kompier
Stakeholder Response: Diane Parent

MENTAL HEALTH AND MENTAL ILLNESS IN THE WORKPLACE : DIAGNOSTIC AND TREATMENT ISSUES
Discussion Paper: S. Kennedy & A. Bender
Researcher Response: N. Kates & L. George
Stakeholder Response: J. Service

RESEARCH ADDRESSING MENTAL HEALTH AND MENTAL ILLNESS:
DISABILITY MANAGEMENT, RETURN TO WORK AND TREATMENT
Discussion Paper: E. Goldner, D. Bilsker, M. Gilbert, L. Myette, M. Corbière, C.S. Dewa
Researcher Response: W.H. Gnam
Stakeholder Response: P. Allen

STIGMA AND WORK
Discussion Paper: H. Stuart
Researcher Response: M. Angermeyer
Stakeholder Response: B. Everett

WHAT DOES IT TAKE TO TRANSFORM MENTAL HEALTH KNOWLEDGE INTO WORKPLACE PRACTICE? TOWARDS A THEORY OF ACTION
Discussion Paper: A. Neufeldt
Stakeholder Response: M. Wilson
Stakeholder Response: A. King

BIBLIOMETRIC ANALYSIS OF RESEARCH ON MENTAL HEALTH IN THE WORKPLACE IN CANADA, 1991-2002
Éric Archambault*, Grégoire Côté*,and Yves Gingras #* Science-Metrix and # CIRST-OST

APPENDIX E

List of participants

Ms. Jocelyne Achat
Vice President - Employee Relations
TD Bank Financial Group
Jocelyne.achat@td.com

M. Alain Albert
Vice-président
Commission de la santé et de la sécurité du travail
alain.albert@csst.qc.ca

Ms. Paula Allen
Business Leader - Disability Management
FGI
pallen@fgiworld.com

Ms. Kim Bachmann
Senior Research Advisor
Health Canada
kim_bachmann@hc-sc.gc.ca

Dr. Suzanne Bélanger
Medical Services Coordinator
Pratt & Whitney Canada
Suzanne.belanger@pwc.ca

Dr. Ash Bender
Psychiatry Resident
Centre for Addiction and Mental Health
Ash_bender@camh.net

Dr. Alan Bernstein
President
Canadian Institutes of Health Research
Alan.Bernstein@cihr-irsc.gc.ca

Ms. Amber Bieleckey
Graduate Student
Institute for Work and Health
amber.bielecky@utoronto.ca

Dr. Dan Bilsker
Consultant, Mental Health Services Research
Mheccu, University of British Columbia
dbilsker@interchange.ubc.ca

Colonel Randy Boddam
Military Psychiatrist
Department of National Defence
Boddam.R@forces.gc.ca

Dr. Diane Boivin
Director
Centre de recherche, hôpital Douglas
boidia@douglas.mcgill.ca

Mme. Maryse Bouchard
Doctoral Student - UQAM
CINBIOSE
bouchard.maryse.2@courrier.uqam.ca

Dr. Renée Bourbonnais
Professeure titulaire
Faculté de médecine, Université Laval
Renee.Bourbonnais@rea.ulaval.ca

Dr. Richard Boyer
Chercheur agrégé
Centre de recherche F.-Seguin
richard.boyer@umontreal.ca

Dr. Curtis Breslin
Scientist
Institute for Work and Health
CBreslin@iwh.on.ca

Dr. Jean-Pierre Brun
Professeur; Chaire en gestion de la santé et de la sécurité du travail
Université Laval
jean-pierre.brun@mng.ulaval.ca

Dr. Alain Brunet
Assistant Professor
Centre de recherche, hôpital Douglas
alain.brunet@douglas.mcgill.ca

Dr. Robert Buckingham
Canadian Psychiatric Association
Robert.Buckingham@uhn.on.ca

Ms. Michele Caveen
Research Associate
Centre for Addiction and Mental Health
michele_caveen@camh.net

M. Claude Charbonneau
Directeur général
Accès-Cible SMT
cc@acces-cible-smt.qc.ca

Dr. Carolyn Dewa
Health Economist
Centre for Addiction and Mental Health
carolyn_dewa@camh.net

Ms. Erica Di Ruggiero
Assistant Director
Canadian Institutes of Health Research - Institute of Population and Public Health
e.diruggiero@utoronto.ca

Mr. Scott Dudgeon
Executive Director
Toronto District Health Council
dudgeon@rogers.com

Dr. Marie Dumont
Professeure agrégée
Université de Montréal
M-Dumont@crhsc.umontreal.ca

Dr. Fadi El-Jardali
Senior Policy Advisor
Office of Nursing Policy, Health Canada
fadi_el-jardali@hc-sc.gc.ca

Dr. Barbara Everett
Chief Executive Officer
Canadian Mental Health Association (Ontario)
beverett@ontario.cmha.ca

Dr. Murray Finkelstein
Medical Consultant
Ontario Ministry of Labour
Murray.Finkelstein@mol.gov.on.ca

Dr. Renée-Louise Franche
Scientist
Institute for Work and Health
rfranche@iwh.on.ca

Dr. John Frank
Scientific Director
Canadian Institutes of Health Research - Institute of Population and Public Health
john.frank@utoronto.ca

Ms. Michelle Gagnon
Senior Associate, Partnerships and Knowledge Translation
Canadian Institutes of Health Research - Institute of Population and Public Health
Michelle.Gagnon@irsc-cihr.gc.ca

Mme. Diane Gaudet
President and Chief Executive Officer
Institut de recherche Robert-Sauvé en santé et en sécurité du travail (IRSST)
gaudet.diane@irsst.qc.ca

Dr. Lindsey George
Assistant Clinical Professor
McMaster University, Department of Psychiatry and Behavioral Neurosciences
lgeorge@stjosham.on.ca

Ms. Annette Gibbs
Vice President, Group Disability and Life Claims
The Maritime Life Assurance Company
annette_gibbs@maritimelife.ca

Dr. Merv Gilbert
Psychologist
Mheccu, University of British Columbia
mgilbert@interchange.ubc.ca

Dr. William Gnam
Health Economist and Psychiatrist
Centre for Addiction and Mental Health
William_Gnam@camh.net

Dr. Paula Goering
Director
Centre for Addiction and Mental Health
paula_goering@camh.net

Dr. Elliot Goldner
Head, Division of Mental Health Policy and Services
Department of Psychiatry, University of British Columbia
goldnee@interchange.ubc.ca

Mr. Peter Gove
Director, Disability and Rehabilitation Services
SSQ Financial Group
peter.gove@ssq.ca

Ms. Lori Greco
Knowledge Exchange Specialist
Partnerships and Knowledge Translation, Canadian Institutes of Health Research
lgreco@cihr.gc.ca

Mr. Mitch Green
Associate
Clairvest Group Inc.
mitchg@clairvest.com

Mr. Grant Grobman
Canadian Mental Health Association
grobman@telus.net

Ms. Esther Hadida
National Rehab Practice Director
Sun Life Financial
Esther.Hadida@sunlife.com

Dr. Dana Hanson
Past President
Canadian Medical Association

Dr. Gaston Harnois
Director
Montreal PAHO/WHO Collaborating Centre for Research & Training in Mental Health
hargas@douglas.mcgill.ca

Dr. Phyllis Harvie
Psychologist
Acadia University
Phyllis.Harvie@AcadiaU.ca

Ms. Judy Hills
Executive Director
Canadian Psychiatric Research Foundation
admin@cprf.ca

Mme. Chantal Hivon
Conseillère en gestion des ressources humaines
Secrétariat du Conseil du Trésor
chantal.hivon@sct.gouv.qc.ca

Mr. Roland Hosein
Vice President and Officer
Corporate Health, Safety and Environment Protection
roland.hosein@corporate.ge.com

Ms. Barbara Jaworski
Director, Worklife Solutions & Well Being
FGI
bjaworski@fgiworld.com

Dr. Wendy Josephson
Canadian Psychological Association
Psychology Department, University of Winnipeg
w.josephson@uwinnipeg.ca

Dr. Nick Kates
Director
Hamilton HSO Mental Health and
Nutrition Program
nkates@mcmail.cis.mcmaster.ca

Ms. Anya Keefe
Director, Research Secretariat
Workers Compensation Board of British Columbia
akeefe@wcb.bc.ca

Dr. Sidney Kennedy
Psychiatrist-in-Chief
University Health Network
Sidney.Kennedy@uhn.on.ca

Ms. Diane Kent
Managing Editor
Longwoods Publishing Corporation
dkent@longwoods.com

Mr. Andy King
National Health, Safety and Environment Co-ordinator
United Steelworkers of America
aking@uswa.ca

Ms. Irene Klatt
Assistant Vice President
Health Insurance Canadian Life and Health Insurance Association Inc. (CLHIA)
iklatt@clhia.ca

Mr. Daniel Labelle
Employee Assistance Program, Learning and Development Division
Health Canada
daniel_labelle@hc-sc.gc.ca

Dr. Alain Lajoie
Directeur des opération
Institut de recherche Robert-Sauvé en santé et en sécurité du travail (IRSST)
lajoie.alain@irsst.qc.ca

M. Alain Langlois
Directeur général
APSAM
alanglois@apsam.com

Mme. Natacha Laprise
Conseillère syndicale
Confédération des syndicats nationneux (CSN)
Natacha.Laprise@csn.qc.ca

Dr. Heather K. Laschinger
Professor and Associate Director, School of Nursing
University of Western Ontario
hkl@uwo.ca

Dr. Marie-Claire Laurendeau
Directrice, Activités de liaison
Centre de liaison sur l'intervention et la prévention psychosociales (CLIPP)
mc.laurendeau@clipp.ca

Dr. Michael Leiter
Professor of Psychology/Director, COR&D
Acadia University
michael.leiter@acadiau.ca

Dr. Alain Lesage
Research Professor
Centre de recherche Fernand-Seguin
alesage@sss.gouv.qc.ca

Dr. Gary Liss
Medical Consultant
Ministry of Labour
Gary.Liss@mol.gov.on.ca

Dr. Patrick Loisel
Professor
Université de Sherbrooke
patrick.loisel@usherbrooke.ca

M. Germain Loiselle
Directeur du Réseau santé mentale et travail/
Mental Health and Workplace Network
germainloiselle@videotron.ca

Ms. Lori Lougheed
Assistant Regional Co-ordinator, Disability Intervention Services
Great-West Life Assurance Company
lori.lougheed@gwl.ca

Dr. Sonia Lupien
Researcher
Douglas Hospital Research Center, McGill University
sonia.lupien@mcgill.ca

Dr. Dave Marcotte
Associate Professor, Department of Public Policy
University of Maryland, Baltimore County
marcotte@umbc.edu

M Jean-Claude Martin
Directeur, Gestion de la qualité et des projets spéciaux
Institut de recherche Robert-Sauvé en santé et en sécurité du travail (IRSST)
martin.jean-claude@irsst.qc.ca

Ms. Heather McAllister
Senior Director, Strategic Initiatives
CIBC
heather.mcallister@cibc.ca

Ms. Lisa McCaskell
Senior Health and Safety Officer
Ontario Public Service Employees Union
lmccaskell@opseu.org

Dr. Donna Mergler
Professeure titulaire
Université du Quebec à Montréal
mergler.donna@uqam.ca

Dr. Karen Messing
Full Professor, Biological Sciences/Associate Professor, Kinesiology
Université du Quebec à Montréal
Messing.Karen@uqam.ca

Ms. Joan Montgomery
Chief Executive Officer
Schizophrenia Society of Canada
montgomeryj@schizophrenia.ca

Dr. Estelle Morin
Professeur titulaire, Service de l'enseignement du management
HEC Montréal
estelle.morin@hec.ca

Dr. Marina Morrow
Research Associate
BC Centre of Excellence for Women's Health
mhmorrow@interchange.ubc.ca

Dr. Cameron Mustard
President
Institute for Work & Health
cmustard@iwh.on.ca

Dr. Aldred Neufeldt
Professor, Community Rehabilitation and Disability Studies
University of Calgary
aneufeldt@ucalgary.ca

Mme. Diane Parent
Directrice générale
Association sectorielle paritaire(ASP) - Secteur affaires sociales
dparent@asstsas.qc.ca

Mme. Michèle Parent
Vice-présidente
Standard Life
michele.parent@standardlife.ca

Dr. Scott B. Patten
Associate Professor, Department of Community Health Sciences and Psychiatry
University of Calgary
patten@ucalgary.ca

Ms. Alice Peter
Director/Research Secretariat
Workplace Safety and Insurance Board (WSIB)
Alice_Peter@wsib.on.ca

Mr. Rod Phillips
President & Chief Executive Officer
Warren Shepell
rphillips@warrenshepell.com

M. Jean Pruneau
Senior Policy Advisor , Mental Health Promotion, Health Community Division
Health Canada
Jean_Pruneau@hc-sc.gc.ca

Dr. Rémi Quirion
Scientific Director
Institute of Neurosciences, Mental Health and Addiction
quirem@douglas.mcgill.ca

Dr. Cheryl Regehr
Associate Professor/Director, Centre for Applied Social Research
University of Toronto
cheryl.regehr@utoronto.ca

Ms. Gail Rieschi
Graduate Student
University of Calgary
grieschi@vocpathways.com

Ms. Kim Ryan-Nicholls
Assistant Professor, School of Health Studies
Brandon University
nichols@brandonu.ca

Dr. Jean Yves Savoie
Chair
Advisory Council of CIHR's Institute of Population and Public Health
jsavoie002@sympatico.ca

Dr. John Service
Executive Director
Canadian Psychological Association
jservice@cpa.ca

Dr. Harry Shannon
Director, Program in Occupational Health and Environmental Medicine
McMaster University
shannonh@mcmaster.ca

Dr. Heather Stuart
Associate Professor, Departments of Community Health and Epidemiology, and Psychiatry
Queen's University
hh11@post.queensu.ca

Mr. Michael Thompson
Formerly Senior Consultant
GPC International, Public Affairs and Communications
(now private)

Ms. Slavica Todorovic
Director, Benefits Policy Branch
Workplace Safety and Insurance Board (WSIB)
slavica_todorovic@wsib.on.ca

M. Serge Trudel
Conseiller syndical
Fédération des travailleurs et travailleuses du Québec (FTQ)
strudel@ftq.qc.ca

Mr. Phil Upshall
Chair
Canadian Alliance on Mental Illness and Mental Health (CAMIMH)
mdsc-sthc@sympatico.ca

Mr. Ted Vandevis
President & Chief Executive Officer
Electrical & Utilities Safety Association (EUSA)
ted.vandevis@eusa.on.ca

Dr. Michel Vézina
Professeur titulaire
Départment de médecine sociale et préventive, Université Laval
Michel.Vezina@msp.ulaval.ca

Dr. Debbie Whitney
Director of Professional Services
Wilson Banwell
dwhitney@wilsonbanwell.com

Mr. Bill Wilkerson
Roundtable Co-Founder and Chief Executive Officer
Global Business and Economic Roundtable on Addiction and Mental Health
bill.wilkerson@gpcinternational.com

Mr. David Willows
Vice President
Aon Consulting
David.Willows@aon.ca

Dr. John Yardley
Director
Workplace Health Research Unit, Brock University
jyardley@brocku.ca

Ms. Susan Yungblut
Manager
Centre for Physician Health & Well-being, Canadian Medical Association
Susan.Yungblut@cma.ca

Common menu bar links

Funding

Public Involvement

Outcomes and Impacts

The Agency

Report on the Working Group mandated by the Institute of Population and Public Health and the Institute of Neurosciences, Mental Health and Addiction

Establishing a Long-Term Agenda for Workplace Mental Health Research

Table of Contents

ACKNOWLEDGEMENTS

Founding sponsors

Sponsors

MEMBERS OF THE WORKING GROUP

Working Group Co-Chairs

Working group members

Ex-Officio members

PURPOSE OF THE REPORT

ESTABLISHING THE NEED FOR A RESEARCH AGENDA

MANDATE OF THE WORKING GROUP

GENERAL PRINCIPLES

METHODOLOGY FOR DEVELOPMENT OF RESEARCH PRIORITIES

SUMMARY OF RESEARCH PRIORITIES

Over-Arching Priorities

Specific Research Priorities

Workplace Prevention and Promotion Strategies

Disability Management and Return-to-Work

Diagnosis and Treatment

Stigma and Work

Integrating Health Research and the Canadian Workplace

DESCRIPTION OF THE WORKSHOP PROCESS

Building Momentum

Context-Setting During the Workshop

Articulating an Implementation Strategy

APPENDIX A

Complete Summary of Priorities

WORKPLACE PREVENTION AND PROMOTION STRATEGIES

DIAGNOSIS AND TREATMENT

DISABILITY MANAGEMENT AND RETURN-TO-WORK

STIGMA AND WORK

INTEGRATING HEALTH RESEARCH AND THE CANADIAN WORKPLACE

COMMON BARRIERS AND RISKS

APPENDIX B

Recommendations for implementation

APPENDIX C

Facilitator's Guide and Workbook

GENERAL GUIDELINES

Section 1: State of knowledge

Section 2: Gaps in research

15 minutes

Section 3: Potential research priorities for the next 10 years

APPENDIX D

List of Reference Materials Available on the Internet

APPENDIX E

List of participants