Workplace Mental Health in Canada: Towards a Digital Future

  • Kathleen QuEmail author
  • Sam OzerskyEmail author
Part of the Integrating Psychiatry and Primary Care book series (IPPC)


Mental health in the workplace is increasingly discussed in Canada. Canadians have made strides in creating the only national standard for psychological safety in the workplace (The Standard) and in transforming the workplace to include mental health initiatives. There still remain many gaps and barriers such as stigma, access, engagement, and quality of care to be addressed. By leveraging technology and using e-mental health tools, Canadian organizations have the opportunity to address these gaps by implementing comprehensive, accessible, sustainable, and affordable mental health solutions in and out of the workplace.


E-mental health Workplace mental health Employee well-being Canada Technology Accessibility Digital solution Engagement Quality of care 



Conflict of Interest Declaration: Kathleen Qu is the Product Manager for FeelingBetterNow® as of February 2015. Dr. Sam Ozersky is also affiliated with FeelingBetterNow® as the CEO and founder of the web-based program from 2006 to the present.


Absenteeism (mental health)

The practice of regularly/habitual pattern of absence with reasons that are not clear and can be interpreted by others as not having a good reason but are likely related to underlying mental health issues.

E-mental health

Mental health services and information delivered or enhanced through the Internet and related technologies (definition from Helen Christensen [69]).

Presenteeism (mental health)

The practice of working despite being ill or having a mental health-related illness/concern that leads to loss in productivity.


  1. 1.
    Goodman JT. Mental health. In: Historica Canada. Funded by the Government of Canada. 2014. Accessed 14 Feb 2018.
  2. 2.
    Mental Health Commission of Canada. Mental Health Commission of Canada – Strategic Plan 2017–2022. 2016. Accessed 18 Feb 2018.
  3. 3.
    Government of Canada. Canada Health Act, Section 9; 1984.Google Scholar
  4. 4.
    Kasperski MH, Rockman P. A shared care network: enhancing mental health services in Ontario. Ontario College of Family Physicians, Ministry of Health and Long Term Care. 2000. Accessed 12 Mar 2018.
  5. 5.
    Smetanin P, Stiff D, Briante C, Adair CE, Ahmad S, Khan M. The life and economic impact of major mental illnesses in Canada: 2011 to 2041. Toronto, ON: RiskAnalytica, On behalf of the Mental Health Commission of Canada; 2011.Google Scholar
  6. 6.
    Pearson C, Janz T, Ali J. Mental and substance use disorders in Canada. In: Health at a Glance. Statistics Canada. 2013. Accessed 17 Feb 2018.
  7. 7.
    Ministry of Public Works and Government Services Canada, Government of Canada. The human face of mental health and mental illness in Canada; 2006. ISBN 0-662-43887-6.Google Scholar
  8. 8.
    Mental Health Commission of Canada. Making the case for investing in mental health. 2013. Accessed 17 Feb 2018.
  9. 9.
  10. 10.
    Vermani M, Marcus M, Katzman MA. Rates of detection of mood and anxiety disorder in primary care: a descriptive, cross-sectional study. Prim Care Companion CNS Disord. 2011;132. pii: PCC
  11. 11.
    Maidment ID, Parmentier H. Medication error in mental health: implications for primary care. Mental Health Fam Med. 2009;6:203–7. PMCID: PMC2873876 Accessed 13 Mar 2018Google Scholar
  12. 12.
    Duhoux A, Fournier L, Maenear M. Quality indicators for depression treatment in primary care: a systematic literature review. Curr Psychiatr Rev. 2011;7(2):104–37. Scholar
  13. 13.
    Kirby MJL, Keon J. Out of the shadows at last: transforming Mental Health, Mental Illness and Addiction Services in Canada. The Standing Senate Committee on Social Affairs, Science and Technology. 2006. Accessed 22 Feb 2018.
  14. 14.
    Mental Health Commission of Canada. About us. Mental Health Commission of Canada. 2018. Accessed 25 Feb 2018.
  15. 15.
    Samra J. The evolution of Workplace Mental Health in Canada: Research Report (2007– 017). 2017. Accessed 23 Feb 2018.
  16. 16.
    Mental Health Commission of Canada. Why investing in mental health will contribute to Canada’s economic prosperity and to the sustainability of our health care system. 2013. Accessed 24 Feb 2018.
  17. 17.
    Ministry of Labour. Ontario passes legislation to support first responders with PTSD: new law will allow faster access to benefits and timely treatment. News room. Ontario. 2016. Accessed 5 Feb 2018.
  18. 18.
    Keck PE, Kessler RC, Ross R. Clinical and economic effects of unrecognized or inadequately treated bipolar disorder. J Psychiatr Pract. 2008;14(2):31–8.PubMedGoogle Scholar
  19. 19.
    Sarinen S, Matzanke D, Smeall D. The business case: collaborating to help employees maintain their mental well-being. Healthc Pap. 2011;11:78–84.CrossRefGoogle Scholar
  20. 20.
    Smith JP, Monica S, Smith GC. Long-term economic costs of psychological problems during childhood. Soc Sci Med. 2010;71(1):110–1. Scholar
  21. 21.
    Black CM, Great Britain. Working for a healthier tomorrow: Dame Carol Black’s review of the health of Britain’s working age population: presented to the Secretary of State for Health and the Secretary of State for Work and Pensions. Health, Work, Wellbeing, London. ISBN 9780117025134; 2008Google Scholar
  22. 22.
    Bourget B, Chenier R. Mental health literacy in Canada: Phase One Draft Report Mental Health Literacy Project. Canadian Alliance on Mental Illness and Mental Health. 2007. Accessed 27 2018.
  23. 23.
    Canadian Institute for Health Information (CIHI). Commonwealth Fund Survey 2016. 2018. Accessed 26 Feb 2018.
  24. 24.
    Mental Health Commission of Canada. Strengthening the case for investing in Canada’s Mental Health System: economic considerations. 2017. ISBN 978-1-77318-041-0. Accessed 15 2018.
  25. 25.
    Tai-Seale M, McGuire TG, Zhang W. Time allocation in primary care office visits. Health Serv Res. 2007;42(5):1871–984. Scholar
  26. 26.
    Seth A. Some Ontario physicians put time limit on patient visits to highlight government cuts. Global news. 2016. Accessed 28 Feb 2018.
  27. 27.
    Vogel L. Canadians still waiting for timely access to care. CMAJ. 2017;189(9):E375–6. Scholar
  28. 28.
    Canadian Institute for Health Information (CIHI). Physicians in Canada, 2016. Summary Report; 2017. ISBN 978-1-77109-636-2 (PDF).Google Scholar
  29. 29.
    Singh D, Lalani H, Kralj B, Newman E, et al. Ontario population needs-based physician simulation model. Final Report; 2010.Google Scholar
  30. 30.
    Pelletier L, O’Donnell S, Dykxhoorn J, McRae L, Patten SB. Under-diagnosis of mood disorders in Canada. Epidemiol Psychiatr Sci. 2017;26(4):414–23. Scholar
  31. 31.
    Lin E, Parikh S. Socio-demographic, clinical and attitudinal characteristics of the untreated depressed in Ontario. J Affect Disord. 1999;53(2):153–62.CrossRefGoogle Scholar
  32. 32.
    Cepoiu M, McCusker J, Gole MG, Sewitch M, et al. Recognition of depression by non-psychiatric physicians – a systematic literature review and meta-analysis. J Gen Intern Med. 2007;23(1):25–36. Scholar
  33. 33.
    Mitchell AH, Vaze A, Rao S. Clinical diagnosis of depression in primary care: a meta-analysis. Lancet. 2009;374(9690):609–19. Epub 2009 Jul 27CrossRefPubMedGoogle Scholar
  34. 34.
    Ghaemi SN, Sachs GS, Chiou AM, Pandurangi AK, Goodwin K. Is bipolar disorder still underdiagnosed? Are antidepressants overutilized? J Affect Disord. 1999;52(1–3):135–44.CrossRefGoogle Scholar
  35. 35.
    Ehret MH, Wang M. How to increase medication adherence: what works? Ment Health Clin. 2013;2(8):230–2. Scholar
  36. 36.
    Julius RJ, Novitsky MA, Dubin WR. Medication adherence: a review of the literature and implications for clinical practice. J Psychiatr Pract. 2009;15(1):34–44. Scholar
  37. 37.
    Centre for Addictions and Mental Health. Mental illness and addictions: facts and statistics. 2012. Accessed 1 Mar 2018.
  38. 38.
    Rongen A, Robroek SJW, Ginkel WV, Lindeboom D, et al. Barriers and facilitators for participation in health promotion programs among employees: a six-month follow-up study. BMC Public Health. 2014;14:573. Scholar
  39. 39.
    Livingston S. Wellness programs evolving to mental and financial health. Business Insurance. Business Insurance Holdings. 2016. Accessed 5 Mar 2018.
  40. 40.
    McManamy S. Why people do – and don’t – participate in wellness programs. Harvard Business Review. 2016. Accessed 4 Mar 2016.
  41. 41.
    Environics. Shoppers LOVE. YOU. Run for Women Poll (2016). Online survey conducted by Environics Research; 2016.Google Scholar
  42. 42.
    Canadian Medical Association. Ipsos Reid Public Affairs. 8th Annual National Report Card on Health Care. 2008. Accessed 5 Feb 2018.
  43. 43.
    Dewa CS. Worker attitudes towards mental health problems and disclosure. Int J Occup Environ Med. 2014;5:175–86.PubMedGoogle Scholar
  44. 44.
    Conference Board of Canada. Healthy brains at work. Employer-Sponsored Mental Health Benefits and Programs. 2016. Accessed 18 Feb 2018.
  45. 45.
    OECD. Making mental health count. Focus on Health. 2014. Accessed 27 Jan 2018.
  46. 46.
    Challinor A. Working toward mental wellness; a toolkit for employers. Ontario Chamber of Commerce; 2017. ISBN: 978-1-928052-44-9.Google Scholar
  47. 47.
    Anderssen E. The case for publicly funded therapy. The Globe and Mail. 22 May 2015. Updated 26 June 2017. Accessed 12 Mar 2018.
  48. 48.
    Ivbijaro G, Garrison P, Funk M. Mental health in primary care gap: now is the time to act. Ment Health Fam Med. 2009;6(1):1–4. Accessed 28 Feb 2018PubMedPubMedCentralGoogle Scholar
  49. 49.
    Clatney L, MacDonald H, Shah SM. Mental health care in the primary care setting. Can Fam Physician. 2008;54(6):884–9. Accessed 28 Feb 2018PubMedPubMedCentralGoogle Scholar
  50. 50.
    CSA Group and BNQ. The National Standard of Canada. CAN/CSA-Z1003-13/BNQ 9700-803/2013 Psychological health and safety in the workplace — Prevention, promotion, and guidance to staged implementation. Mental Health Commission of Canada; 2013.Google Scholar
  51. 51.
    Mental Health Commission of Canada. Program history. Mental Health First Aid. 2018. Accessed 3 Jan 2018.
  52. 52.
    Wilson L. Workplace peer support – it works! Mental Health Commission of Canada presentation. Nav Canada and Mental Health Commission of Canada. 2015. Accessed 6 Jan 2018.
  53. 53.
    Pfeiffer PN, Heisler M, Piette JD, Rogers MA, Valenstein M. Efficacy of peer support interventions for depression: a meta-analysis. Gen Hosp Psychiatry. 2011;33(1):29–36. Epub 2010 Nov 13CrossRefPubMedGoogle Scholar
  54. 54.
    Health Canada. News Release – Minister Philpott highlights significant investments for better access to mental health services. Ottawa, ON. 2017. Accessed 8 Jan 2018.
  55. 55.
    Anderssen E. How to fix Canada’s mental health system. The Globe and Mail. 2017. Accessed 7 Dec 2018.
  56. 56.
    Government of Canada. Federal public service workplace mental health strategy. Government of Canada. 2016. Accessed 4 Feb 2018.
  57. 57.
    Goldboom D. Prescriptions for health care: our mental health strategy: prevention and intervention. The Globe and Mail. 2012. Accessed 30 Dec 2018.
  58. 58.
    Conference Board of Canada. Healthy brains at work. Estimating the impact of workplace mental health benefits and programs. The Conference Board of Canada, Ottawa. 2016. Accessed 30 Dec 2018.
  59. 59.
    Conference Board of Canada. Wellness initiatives: trends in organizational health management. Ottawa: The Conference Board of Canada; 2017.Google Scholar
  60. 60.
    Anderssen E. Why Starbucks Canada’s investment in mental health therapy matters. The Globe and Mail. 2017. Accessed 3 Feb 2018.
  61. 61.
    Dale AM, Frey JJ, Csiernik R. The history of employee assistance programs: a 50 year perspective (U.S. and Canada) – 6 [Video]. 2016. Accessed 3 Mar 2018.
  62. 62.
    McRee J. How perceptions of mental illness impact EAP utilization. Mental Health. Benefits Quarterly; first quarter 2017. Accessed 28 Dec 2018.
  63. 63.
    Great-West Life Centre for Mental Health in the Workplace. Employee assistance programs and mental health-related issues. Workplace strategies for mental health: an initiative of the .Great-West Life Centre for Mental Health in the Workplace. 2018. Accessed 4 Mar 2018.
  64. 64.
    Stordy A. Investigating the global value of a Canadian Employee Assistance Program. Commissioned by Arete Human Resources. 2013. Accessed 4 Mar 2018.
  65. 65.
    WarrenShepell Research Group. Workplace mental health indicators: an EAP’s perspective. Insights from the WarrenShepell Research Group. WarrenShepell Research Group. 2005. Accessed 17 Dec 2018.
  66. 66.
    Hunsley J, Elliott K, Therrien Z. The efficacy and effectiveness of psychological treatments. The Canadian Psychology Association. 2013. ISBN 978-1-926793-09-2. Accessed 3 Jan 2018.
  67. 67.
    Taranowski CJ, Mahieu KM. Trends in employee assistance program implementation, structure, and utilization, 2009 to 2010. J Workplace Behav Health. 2013;28:172–91. Scholar
  68. 68.
    Christensen H, Griffiths KM, Evans K. e-Mental health in Australia: implications of the internet and related technologies for policy. ISC Discussion Paper No 3; 2002.Google Scholar
  69. 69.
    Cira. The state of Canada’s Internet. Canada’s Internet Factbook 2017. 2017. Accessed 6 Mar 2018.
  70. 70.
    Schellenberg M, Hatcher S, Thapliyal A, Mahajan S. E-Mental health in Canada: transforming the mental health system using technology. Mental Health Commission of Canada. 2014. Accessed 7 Feb 2017.
  71. 71.
    Parikh SV, Huniewicz P. E-health: an overview of the uses of the Internet, social media, apps, and websites for mood disorders. Curr Opin Psychiatr. 2015;28(1):13–7. Scholar
  72. 72.
    Hedman E, Ljotsson B, Lindefors N. Cognitive behavior therapy via the Internet: a systematic review of applications, clinical efficacy and cost-effectiveness. Expert Rev Pharmacoecon Outcomes Res. 2012;12(6):745–64. Scholar
  73. 73.
    Mental Health Commission of Canada. Case study research project findings. Mental Health Commission of Canada. Ottawa, ON. 2017. ISBN: 978-1-77318-038-0. Accessed 6 Feb 2018.
  74. 74.
    Center for Applied Research in Mental Health and Addictions (CARMHA). GuardingMinds @ Work: a workplace guide to psychological health and safety. Centre for Applied Research in Mental Health and Addictions. 2018. Accessed 5 Mar 2018.
  75. 75.
    Mensante Corporation. FeelingBetterNow®. 2018. Accessed 4 Dec 2018.

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Mensante CorporationNorth YorkCanada
  2. 2.Toronto General Hospital Mood Disorder Clinic, University Health NetworkUniversity of TorontoTorontoCanada

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