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As the burden of workplace mental health problems on the public and private sectors in Canada increases, the management of workplace mental health issues will be of increasing importance. Yet, strategies for the assessment, prevention and treatment of mental health problems in the workplace are underdeveloped and underused. In order to help remedy this the Workforce Advisory Committee of the Mental Health Commission of Canada asked CARMHA to examine the relevant scientific and ‘grey’ literature on approaches to improving the mental health of employees and create practical resource for employers. The aim of Psychological Health and Safety: An Action Guide for Employers, is to help employers to create a psychologically healthy workplace, one that supports the psychological health of employees in a manner that also furthers the goals of the organization. Promoting psychological health for the entire workforce is an excellent strategy for reducing the risk of psychological harm. A psychologically healthy workplace helps keep workers safe, engaged and productive. The Guide is based on a comprehensive implementation model, the P6 Framework, that describes the change process in terms of six successive components: Policy, Planning, Promotion, Prevention, Process and Persistence. For each component of the P6 Framework, three practical actions are provided. These actions are consistent with research evidence and represent a promising practice in the field of psychological health and safety. Each action also includes an explanation of why it matters, how to implement it and access to supportive tools that are web-based, primarily Canadian and available at no or minimal cost. The guide also includes stories that illustrate how workplaces have tackled psychological health and safety. The Guide is available in French and English and is consistent with, and complementary to, the National Standard of Canada for Psychological Health and Safety in the Workplace.

A Roadmap to Men’s Health was commissioned by the Men’s Health Initiative of BC to raise awareness of Men's Health among healthcare providers, researchers, policymakers and the public at large. The report explains the field of Men's Health, develops a framework for making sense of male health conditions and makes recommendations for improving service delivery and the knowledge base in this important area. A Roadmap to Men’s Health is not a clinical guide to treating health conditions, nor does it cover the full range of male health problems. Instead, it highlights key issues related to a set of high‐priority health conditions strongly affecting male health and longevity. The ultimate aims of this report are: to engage men more fully with the healthcare system to respond to male health needs more appropriately to contribute to the goal of eventually extending men’s lifespan to match that of women’s.

Positive Coping with Health Conditions, A Self-Care Workbook (Dan Bilsker, PhD, RPsych, Joti Samra, PhD, RPsych, Elliot Goldner, MD, FRC(P), MHSc) is a self-care manual authored by scientist-practitioners with expertise in issues relating to coping with health conditions. This manual is designed for individuals who deal with health conditions, including patients, physicians, psychologists, nurses, rehabilitation professionals and researchers.

Coping with Suicidal Thoughts is intended for individuals who are currently experiencing suicidal ideation and/or have had a plan or made an attempt to hurt themselves. The document is designed to offer resources, information, support, and practical steps to help cope with suicidality.

Working with the Suicidal Patient: A Guide for Health Care Professionals, is a useful tool for assessment and management of suicidality for providers without a mental health background, including those that may be working in an acute care/emergency setting. Task One: ASSESS Assess current suicidal ideation Obtain details if there is a suicidal plan Gather details on current and previous attempts Obtain information on psychiatric and other history Conduct mental status examination Task Two: ADVISE Provide meaning and support Develop a safety plan Provide Information Follow-up Communicate with families/ significant other(s) When to make a specialist referral

Depression is rapidly emerging as both a public health and occupational health challenge. This document reviews many of the current clinical and workplace issues associated with this complex disorder and provides a framework for an integrated and comprehensive approach to managing depression in the workplace. In an effort to catalyze action, the report strives to maintain a practical perspective that will appeal to the many stakeholders who must collaborate to create a psychologically healthy workplace. This paper examines clinical and occupational best practices, recommends a systematic array of potential interventions, and identifies numerous resources to assist organizations to develop a customized response that meets their unique needs.

Background Systemic sclerosis (scleroderma; SSc) is a rare autoimmune connective tissue disease. We completed an initial feasibility trial of an online self-administered version of the Scleroderma Patient-centered Intervention Network Self-Management (SPIN-SELF) Program using the cohort multiple randomized controlled trial (RCT) design. Due to low intervention offer uptake, we will conduct a new feasibility trial with progression to full-scale trial, using a two-arm parallel, partially nested RCT design. The SPIN-SELF Program has also been revised to include facilitator-led videoconference group sessions in addition to online material. We will test the group-based intervention delivery format, then evaluate the effect of the SPIN-SELF Program on disease management self-efficacy (primary) and patient activation, social appearance anxiety, and functional health outcomes (secondary). Methods This study is a feasibility trial with progression to full-scale RCT, pending meeting pre-defined criteria, of the SPIN-SELF Program. Participants will be recruited from the ongoing SPIN Cohort ( http://www.spinsclero.com/en/cohort ) and via social media and partner patient organizations. Eligible participants must have SSc and low to moderate disease management self-efficacy (Self-Efficacy for Managing Chronic Disease (SEMCD) Scale score ��� 7.0). Participants will be randomized (1:1 allocation) to the group-based SPIN-SELF Program or usual care for 3 months. The primary outcome in the full-scale trial will be disease management self-efficacy based on SEMCD Scale scores at 3 months post-randomization. Secondary outcomes include SEMCD scores 6 months post-randomization plus patient activation, social appearance anxiety, and functional health outcomes at 3 and 6 months post-randomization. We will include 40 participants to assess feasibility. At the end of the feasibility portion, stoppage criteria will be used to determine if the trial procedures or SPIN-SELF Program need important modifications, thereby requiring a re-set for the full-scale trial. Otherwise, the full-scale RCT will proceed, and outcome data from the feasibility portion will be utilized in the full-scale trial. In the full-scale RCT, 524 participants will be recruited. Discussion The SPIN-SELF Program may improve disease management self-efficacy, patient activation, social appearance anxiety, and functional health outcomes in people with SSc. SPIN works with partner patient organizations around the world to disseminate its programs free-of-charge. Trial registration ClinicalTrials.gov NCT04246528 . Registered on 27 January 2020

Additional File 1. Items from the World Health Organization Trial Registration Data Set

Additional File 1. Items from the World Health Organization Trial Registration Data Set

Additional File 3. Participant consent form (English version)

Additional File 3. Participant consent form (English version)

Additional File 2. Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) 2013 Checklist: Recommended items to address in a clinical trial protocol and related documents

Additional File 2. Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) 2013 Checklist: Recommended items to address in a clinical trial protocol and related documents