Monday, 10 February 2020

Mental Health Issues: What is the Cost?



There are estimated 264 million people suffering from depression, globally, according to World Health Organization (WHO). And this could cost the global economy US$ 1 trillion each year in lost productivity.

A new Lancet Commission report on mental health said that mental disorders are on the rise in every country and will cost the global economy $16 trillion by 2030. The economic cost is primarily due to early onset of mental illness and lost productivity, with an estimated 12 billion working days lost due to mental illness every year.

What about its impact in Malaysia? RM14.46 billion. That’s the estimation of business cost due to mental health disorders among employees in 2018 (Relate Mental Health Malaysia). This is equivalent to about 1% of the country’s gross domestic product (GDP) in that year, and the actual cost may be more.

Titled “Workplace mental health – The business cost”, the study estimated the Rm14.46 billion loss in productivity and extra costs incurred by businesses are based on three main factors: staff turnover, absence and presence (working while unwell). According to the study, 68% (close to RM10bil) of the loss was the result of workers turning up to work while feeling unwell. The economy lost a further RM3.28bil due to absence, while the balance of RM1.34bil was because of staff turnover.

Dr Chua, occupational health services manager from Qualitas Medical Group pointed out that employees in Asian countries were likely to show physical symptoms such as fatigue and muscle aches, rather than concede that they were either depressed or anxious. Employee with a lot of physical pain could be a warning sign. They may start to zone out, miss deadlines and become more forgetful.

Source: Relate Malaysia

In order to address mental health issues, we must first understand the risk factors. According to WHO, there are many risk factors for mental health that may be present in the working environment:

           inadequate health and safety policies;
           poor communication and management practices;
           limited participation in decision-making or low control over one’s area of work;
           low levels of support for employees;
           inflexible working hours; and
           unclear tasks or organizational objectives.

Risks may also come together with job content: when a task is allocated above a person’s competency, or a high and unrelenting workload result in stress. Some jobs may carry a higher personal risk than others, for instance, first responders and humanitarian workers.

Cases that are referred to hospitals are already considered severe. Therefore, instead of waiting for the Government to come out with guidelines or policies, businesses should raise awareness of mental health issues in the workplace for early detection.  Make available an employee assistance programme (EAP) that can provide both prevention and early intervention for workers’ problems related to mental health, stress and emotional issues which affect job performance. Flexible hours, job-redesign, and confidential communication with management can help people with mental disorders continue to or return to work. Provide support such as insurance coverage or regular mental check-ups or have an in-house counsellor or psychologist. Finally, remove all forms of discrimination against persons who are suffering from mental illness.


Reference:

1. ‘Mental health hurts economy badly’, 18 Feb 2020, The Star
2. Mental Illness Will Cost the World $16 USD Trillion by 2030, 16 Nov 2018, Psychiatric Times
3. World Health Organization (2019), Mental health in the workplace


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