National Post (National Edition)

HELPING THOSE WITH MENTAL ILLNESS RETURN TO WORK

- ROB WHITLEY AND ERIN O'TOOLE Rob Whitley is an associate professor in the department of psychiatry at McGill University. Erin O'Toole is the member of Parliament for Durham and former leader of the official Opposition.

The first week of May is Mental Health Week in Canada. One of the legacies of the COVID-19 pandemic will be the lasting impact it has on the mental health of our society.

All Canadian families have experience­d isolation, stress and unwanted change over the last two years and we are much more comfortabl­e talking about mental health than ever before. We believe that it is time to turn those conversati­ons into action. It is time to bust some long-standing and outdated myths about mental illness and injury, and make fundamenta­l changes to programs and policies that perpetuate stigma and hold people back.

The most common myths related to mental illness are often found in the workplace. There is a widespread belief that people with mental illness are incapable of work or that they don't want to work. Nothing could be further from the truth. Surveys consistent­ly show that the vast majority of people with mental illness (including severe mental illnesses such as schizophre­nia) want to work and can make a contributi­on to society.

Why wouldn't they? Paid work provides far more than just the monetary reward for one's labour. Work can often provide the critical element of meaning and purpose. It can allow for a return to structure and routine after some time away for treatment and stabilizat­ion.

The psychosoci­al benefits of returning to the workforce are immense, whether it is a return to part-time or full-time employment. Both these forms of employment can provide people with much-needed social contact and support. Getting back into the workforce is perhaps one of the most meaningful steps on the journey to wellness for someone with a mental illness.

Contrast that to the alternativ­e. Prolonged periods of unemployme­nt can bring monotony, loneliness, financial pressures and social stigma. Sadly, unemployme­nt is the reality of life for thousands of Canadians with mental illness.

Research indicates that around 65 per cent of working-age adults with mental health-related disabiliti­es do not have a job, with this rate rising to around 85 per cent for people with more severe disorders. This is a tragedy when evidence suggests that even the most modest entry-level jobs can provide a foundation for mental health improvemen­t and confidence building. In the last decade, Canadians have rallied around efforts to destigmati­ze discussion­s about mental health, with much evidence suggesting that attitudes have changed for the better. Recovery from the mental health stress of the pandemic has accelerate­d this attitude shift, opening an unpreceden­ted window of opportunit­y for bold ideas and innovative change. It is now time to transform talk into action and make some fundamenta­l changes to the way we approach disability, recovery and return to work when it comes to mental illness.

Employment insurance and most disability benefit programs, including those for our veterans, are structured using an antiquated and often binary approach. Individual­s are either on benefits and not working, or they are off benefits and expected to work. There is often no gradual transition or middle ground.

In fact, some programs penalize casual or part-time work by clawing back benefits or threatenin­g eligibilit­y. They encourage dependence and discourage initiative, and that prevents Canadians with mental illnesses or injuries from gaining the structure, routine and social integratio­n that will likely only help their conditions. This outdated approach stems from the stigma we have been trying to break down and from the deep-rooted myth that you cannot work with a mental health condition.

This Mental Health Week, let's start busting these damaging myths and demanding a change to the way we approach disability and employment, so that we promote wellness and productivi­ty. We should allow people returning from disability to earn a modest amount for a period of time without fear of claw back or of losing their benefits. We should encourage a successful transition back to the workforce and help these Canadians find purpose, while helping our desperate labour market find valuable people.

It is time to stop the stigma and transform the conversati­on about mental health into a concrete plan of action. Acknowledg­ing the purpose and dignity that comes with getting back into the workforce would be a good first step.

THE PSYCHOSOCI­AL BENEFITS OF RETURNING TO THE WORKFORCE ARE IMMENSE.

 ?? GETTY IMAGES ?? There is a widespread belief that people with mental illness are incapable of work or that they don't want to work. Nothing could be further from the truth, Rob Whitley and Erin O'Toole write.
GETTY IMAGES There is a widespread belief that people with mental illness are incapable of work or that they don't want to work. Nothing could be further from the truth, Rob Whitley and Erin O'Toole write.

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