Mental health stigma in the workplace
Employers and managers/supervisors play an important role in helping to reduce mental health-related stigma – a psychosocial hazard, which has the potential to cause workers psychological or in some instances, physical harm.
Stigma explained
Mental health health-related stigma consists of the negative stereotypes, prejudice and discrimination towards people experiencing mental health issues, including those living with a diagnosed mental health condition, such as anxiety or depression.
Stigma in the workplace can:
- lead to discriminatory behaviour towards workers with experiences of mental health issues, including bullying and harassment
- exclude workers with experiences of mental health issues from work activities, promotion opportunities, and other workplace engagements
- prevent those with experiences of mental health issues from feeling safe to disclose and seek support from their manager/supervisor and others around them
- lead to absenteeism, decreased productivity, social withdrawal
- make recovery and return to work harder.
An open and inclusive workplace, where workers feel safe and supported to seek help early, is better for everyone.
Comcare has developed new resources on ways to reduce mental health-related stigma in the workplace and encourage wellbeing at work every day. The Mental Notes program aims to raise awareness of mental health-related stigma, increase manager/supervisor knowledge and skills to support workers’ mental health, encourage support and promote help-seeking behaviour early.
Watch this short video by the Black Dog Institute which explains how mental health-related stigma impacts people in the workplace:
Types of stigma in the workplace
Public stigma
Public stigma is a person’s stigmatising thoughts, feelings and behaviours about/towards other people.
Public stigma can lead to:
- negative attitudes and beliefs such as that workers are ‘dangerous’ or ‘incapable’ based on negative stereotypes about mental health issues
- harassment of a colleague in relation to their mental health
- the decision not to employ or promote somebody because of their experiences with mental health issues
- unfair assumptions being made about the capability of somebody in relation to their mental health.
Self-stigma
Self-stigma is the stigmatising views that individuals hold about themselves. This may result from internalising the negative stereotypes and attitudes held by others.
Self-stigma may:
- prevent someone with experiences of mental health issues from seeking help, as they believe they should be stronger or more resilient and able to recover on their own
- prevent somebody from seeking employment or promotion, as they feel unworthy due to their mental health issues
- self-criticism or judgement and low self-esteem.
Structural stigma
Structural stigma is where organisational policies, practices and cultural norms restrict the opportunities and enable the unfair treatment of workers with experiences of mental health issues.
Structural stigma may:
- lead employers to limit the help or support provided to their workers in relation to a worker’s wellbeing and mental health
- make it difficult for a worker with experiences of mental health issues to seek formal support, because workplace policies and procedures do not sufficiently support reasonable adjustments and other necessary supports.
What you can do
What managers and supervisors can do to reduce stigma
The actions of managers/supervisors can help reduce mental health-related stigma in the workplace. Managers/supervisors can:
- Undertake mental health training to support workers and promote mentally healthy workplaces.
- Provide access to mental health training for workers linked to their professional development and induction processes.
- Lead by example and create a workplace culture that is supportive of workers with mental health issues by demonstrating positive behaviours, healthy work habits and open conversations about mental health.
- Make reasonable job adjustments to support workers with experiences of mental health issues to stay at work or return to work after a period of absence.
See resources to assist managers and supervisors in building the capability to support mentally healthy workplaces.
What employers can do to reduce stigma
Employers have an influence on workplace stigma at a systematic level through their strategies, policies, monitoring of practices, and by providing access to training and resources.
Employers, senior executives and leaders can take actions to reduce mental health-related stigma in the workplace by:
- Developing a workplace mental health strategy, wellbeing policies and policies on appropriate workplace adjustments for workers experiencing mental health issues, where they are required.
- Establishing a positive working environment and minimising psychosocial hazards, such as job demands, lack of role clarity, bullying and harassment, etc.
- Initiating, monitoring and improving work and organisational design factors, such as role clarity and job control. This will ensure workers understand their role, reporting responsibilities and organisational changes and allowing them to participate in decisions about their work.
- Communicating commitment to equal opportunity and privacy. This will help develop a safe and inclusive culture in the workplace.
- Building mental health awareness by making information, tools and support accessible to all workers. Better understanding around mental health can build trust between colleagues.
- Ensuring managers and supervisors undertake mental health training and have appropriate capabilities to support workers’ mental health and wellbeing.
Why workplaces need to focus on stigma
Mental health-related stigma is a key challenge facing many workplaces.
Increased work participation and improved health outcomes
Mentally healthy workplaces deliver improved productivity and workforce participation.
Workplaces that foster and support the psychological health and wellbeing of workers address stigma and encourage help-seeking behaviour early. These workplaces are likely to experience less absenteeism, presenteeism, employee turnover and psychological claims.
The latest results from the National Return to Work Survey (2021) tell us that 69% of workers with a mental health injury thought they would be treated differently by people at work upon their return. Yet, returning to work after a mental health injury can help many people recover faster. Stigma associated with having experiences of mental health issues is a barrier to seeking support, returning to work and recovery. Workers often feel that they will be judged and their performance might be questioned, preferring to keep their experiences private.
Reducing mental health-related stigma is crucial to preventing mental health injuries, assisting with early help-seeking and intervention, and improving recovery and return to work outcomes.
Stigma fact
The National Survey of Mental Health-Related Stigma and Discrimination estimates that over four million Australians experienced mental health-related stigma and discrimination in the 12-month period prior to the survey.
One in three people reported unfair treatment in the workplace. (Behavioural Economics Team of the Australian Government, 2022)
Comcare has developed new resources on ways to reduce mental health-related stigma in the workplace and encourage wellbeing at work every day.
The Mental Notes program aims to raise awareness of mental health-related stigma, increase manager/supervisor knowledge and skills to support workers’ mental health, and promote help-seeking behaviour early.
More information
Information and resources to support stigma reduction in the workplace.
Videos
Factsheets and information
- Mentally Healthy Workplace - National Mental Health Commission
- Workplace Wellbeing factsheet – Black Dog Institute 2020
- Mental health in the workplace - Headspace
- Reducing Mental Health Stigma in the Workplace factsheet – Queensland Mental Health Commission 2019
- Language and Stigma – Everymind
- Workplace Mental Health Tool Kit – Black Dog Institute.
- Model Code of Practice: Managing psychosocial hazards at work - Safe Work Australia
Training
- Mental Health is Everybody's Business training – Black Dog Institute
- Mental Health First Aid training
- Workplace Mental Health Essentials for Leaders Workshop - SuperFriend
- Online Mental Health Treatment Programs - THIS WAY UP
- Managing for team wellbeing - Black Dog Institute
- Psychological first aid - Phoenix Australia
Webinars
- Better Mental Health at Work - Why it Matters? – Heads Up and Beyond Blue 2017.
- Tackling Mental Health Stigma Webinar
- #MHForAll Webinar: Stigma and discrimination — Global Mental Health Action Network
- Mental Health Stigma in the Workplace Webinar - Everymind At Work
- Psychosocial Health and Safety Forum
- Mental Health Community of Practice (April 2023)
- Comcare webinar: Psychosocial hazards and regulation