Abstract
The rise of mental health issues in the workplace is widely known. Though mental health issues were not covered by the Workplace Safety Insurance Board (WSIB) in Ontario (Canada) until 2018, it was listed as responsible for payment of inpatient psychiatric hospital stays between 2006 and 2016. This population-level observational analytic study compares the clinical and service needs of 1,091 individuals admitted to inpatient psychiatry with WSIB coverage to all other admissions (n = 449,128). Secondary analysis was based on the interRAI Mental Health assessment. The WSIB group differed from all other admissions on almost all characteristics considered. Most notably, depression (65.08 vs. 57.02%), traumatic life events (25.48 vs. 15.58%), substance use (58.02 vs. 46.92%), daily pain (38.31 vs. 12.15%) and sleep disturbance (48.95 vs. 37.12%) were much higher in the WSIB group. Females with WSIB coverage had more depression (74.36 vs. 59.91%) and traumatic life events (30.00 vs. 22.97%), whereas males had more substance issues (63.62 vs. 47.95%). In addition, persons under the age of 55 had more substance issues (<25 = 75.47%; 25–54 = 61.64%: 55 ± 40.54%) and traumatic life events (<25 = 26.41%; 25–54 = 28.18%; 55 ± 15.31%), while those 25–54 years had more daily pain (41.67% vs. <25 = 3.77% and 55 ± 34.23%) and sleep disturbance (50.74% vs. <25 = 33.96% and 55 ± 45.94%). All variables differed significantly by sex and age within the comparison group, though not always following the patterns observed in the WSIB group. Future research examining mental health needs and outcomes among injured workers receiving inpatient psychiatric services is needed, and should take into account sex and age.
Highlights
That mental health conditions are on the rise is widely known
There were 1,091 assessments that had Workplace Safety Insurance Board (WSIB) listed among responsible sources of payment, representing 0.24% of all admissions (Table 1)
The WSIB group was less often admitted for all reasons listed, with one exception: this group had more admissions due to problems with addiction or dependency
Summary
That mental health conditions are on the rise is widely known. These affect hundreds of millions of people internationally, and are recognized among the leading causes of disability [1]. By 2030, the global cost of mental illness will surpass six trillion dollars [2]. In Canada, the annual economic burden of mental illness is ∼50 billion dollars, and is projected to reach 307 billion by 2041 [2]. The rise of mental health issues in the workplace is widely known. A systematic review and meta-analysis found that ∼18% of workers met the criteria for common mental health
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