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When could a stigma program to address mental illness in the workplace break even?
Carolyn S Dewa1, Jeffrey S Hoch2
1Head, Centre for Research on Employment and Workplace Health, Centre for Addiction and Mental Health, Toronto, Ontario; Senior Scientist and Health Economist, Centre for Addiction and Mental Health, Toronto, Ontario; Professor, Department of Psychiatry and Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario.
A stigma program can be cost-effective for employers. Even without reducing leave duration, preventing a few short-term disability (STD) claims can offset program costs, demonstrating value.
Area of Science:
- Occupational Health
- Health Economics
- Mental Health Program Evaluation
Background:
- Stigma associated with mental health conditions can lead to increased short-term disability (STD) claims.
- Quantifying the economic benefits of stigma reduction programs is crucial for employer investment decisions.
Purpose of the Study:
- To determine the economic break-even points for a stigma reduction program.
- To identify the necessary reductions in STD costs for a program to be financially self-sustaining.
Main Methods:
- Development of a simple economic model comparing STD cost reductions to stigma program costs.
- Utilizing a 2-way sensitivity analysis to explore break-even conditions.
Main Results:
- A stigma program can offer economic value even without reducing STD leave duration.
- To break even in a 1000-worker organization, a program needs to prevent 2.5 STD claims or reduce STD episode length by 7 days.
Conclusions:
- Modeling suggests that stigma programs can be financially viable for occupational health payers.
- Real-world pilot programs and evaluations are essential to validate these economic models.
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