Directorate for Employment, Labour and Social Affairs

Sick on the Job?

Myths and Realities about Mental Health and Work

In series:Mental Health and Workview more titles

Published on January 17, 2012

Also available in: French

The costs of mental ill-health for the individuals concerned, employers and society at large are enormous. Mental illness is responsible for a very significant loss of potential labour supply, high rates of unemployment, and a high incidence of sickness absence and reduced productivity at work. In particular, mental illness causes too many young people to leave the labour market, or never really enter it, through early moves onto disability benefit. Today, between one-third and one-half of all new disability benefit claims are for reasons of mental ill-health, and among young adults that proportion goes up to over 70%.   Indeed, mental ill-health is becoming a key issue for the well-functioning of OECD’s labour markets and social policies and requires a stronger focus on policies addressing mental health and work issues. Despite the very high costs to the individuals and the economy, there is only little awareness about the connection between mental health and work, and the drivers behind the labour market outcomes and the level of inactivity of people with mental ill-health. Understanding these drivers is critical for the development of more effective policies. This report aims to identify the knowledge gaps and begin to narrow them by reviewing evidence on the main challenges and barriers to better integrating people with mental illness in the world of work.  


Acronyms and abbreviations
Executive Summary
Measuring Mental Health and its Links with Employment
Work, Working Conditions and Worker Productivity
Mental Health Systems, Services and Supports
Benefit Systems and Labour Market Services
Education Systems and the Transition to Employment
Summary and Conclusions
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>> Link to the OECD Mental Health and Work project

>>"Reconciling Mental Health and Work"  Conference (12-13 December 2011, Paris)

Presentation on Myths and Realities about Mental Health and Work. Session one on Workplace Interventions - Balancing Responsibilities and Supports, session two on  the Transition from Education into the Labour Market, session three on Assessment, Identification and Profiling in the Benefit System and session four on the Employment Responsibility of the Mental Health System.

>>Expert Meeting on Mental Heath, Disability and Work
(April 26-28, Paris

This meeting is intended to bring together policymakers, researchers, and other experts who can contribute state-of-the-art evidence and experience to frame the issues surrounding increasing labour market inclusion for individuals with a mental health-related disability. Agenda, issues papers and presentation of the Expert Meeting in Mental Heath, disability and Work are available.