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Burnout in Professional Services, with Dr. George Vergolias, R3 Continuum

June 8, 2023 by John Ray

Burnout
North Fulton Studio
Burnout in Professional Services, with Dr. George Vergolias, R3 Continuum
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Burnout

Burnout in Professional Services, with Dr. George Vergolias, R3 Continuum

Dr. George Vergolias, Chief Clinical Officer at R3 Continuum, joined host John Ray to discuss burnout in solo and small firm professional services providers. Dr. Vergolias described the stages of burnout, differentiated between stress and burnout, and offered tips and strategies to mitigate its effects, particularly when your firm is small without a lot of big firm resources. He also discussed building resilience in recovery from burnout, broaching the topic with someone you think might be suffering, and much more.

The Price and Value Journey is presented by John Ray and produced by the North Fulton studio of Business RadioX®.

R3 Continuum

Behavioral health is fundamental to workplace wellbeing, culture, and performance. It is also the key to resilient and thriving employees, organizations, and communities. For over thirty years, R3 has been a workplace behavioral health pioneer and innovator, providing rapid response and ongoing behavioral health solutions that help people and organizations recover, perform, and thrive in the wake of disruption and stress.

Company website | LinkedIn | Facebook

Dr. George Vergolias, Chief Clinical Officer, R3 Continuum

Dr. George Vergolias, Chief Clinical Officer, R3 Continuum

George Vergolias, PsyD, LP is a forensic psychologist and threat management expert. As part of his role of Chief Clinical Officer of R3 Continuum, he leads their Threat of violence and workplace violence programs.

Dr. Vergolias is also the founder and President of TelePsych Supports, a tele-mental health company providing involuntary commitment and crisis risk evaluations for hospitals and emergency departments. He has over 20 years of forensic experience with expertise in the following areas: violence risk and threat management, psychological dynamics of stalking, sexual offending, emotional trauma, civil and involuntary commitment, suicide and self-harm, occupational disability, law enforcement consultation, expert witness testimony, and tele-mental health.

Dr. Vergolias has directly assessed or managed over one thousand cases related to elevated risk for violence or self-harm, sexual assault, stalking, and communicated threats. He has consulted with regional, state, and federal law enforcement agencies, including the FBI, Secret Service, and Bureau of Prisons.

He has worked for and consulted with Fortune 500 companies, major insurance carriers, government agencies, and large healthcare systems on issues related to work absence management, workplace violence, medical necessity reviews, and expert witness consultation.

LinkedIn

TRANSCRIPT

John Ray : [00:00:00] Hello, I’m John Ray on the Price and Value Journey. As we pour our passion and energy into serving our clients and growing our respective businesses, we often find ourselves walking a tightrope, you might say, balancing multiple responsibilities in our firms and with our families, of course, and pushing ourselves to meet the ever-increasing demands of entrepreneurship. Those never stop. The risk of burnout is ever present in that kind of situation and understanding its causes, its consequences, and most importantly, prevention strategies is essential for our well-being and our long-term success.

John Ray : [00:00:44] So, to address the issue of burnout, I’m privileged to have Dr. George Vergolias join us today. George is a doctor of psychology. He’s a workplace resilience consultant. He’s an expert in workplace well-being. He’s got quite a CV, you might say, in this area. And he is the chief clinical officer at R3 Continuum, and R3 Continuum is a worldwide leader in providing tailored behavioral health solutions for organizations that help people manage through workplace disruption and stress. George, thank you for joining us.

George Vergolias: [00:01:23] Pleasure to be here, John. Thanks for having me.

John Ray : [00:01:25] Yeah, thank you so much. So before we get going on burnout, let’s talk a little bit about you and R3 Continuum and the work you’re doing.

George Vergolias: [00:01:34] Certainly. Let me start with talking about R3 Continuum. We’ve been in business for about 35 years, and as you said in the intro, we really offer tailored behavioral health solutions to workplaces to help promote well-being, help mitigate disruptive events. Those could be anywhere from a natural disaster like a fire or tornado, as well as manmade tragedies like an active shooter situation, an accidental death, a suicide at the workplace. We respond to almost 3000 individual events every month. We have an international network of providers that we leverage to do that. And our goal is in that front to really help people recover and bounce back from those events in a way that kind of maximizes their resilience and allows them to get back on their feet.

George Vergolias: [00:02:21] We also offer a range of psychological evaluations that might be required in the workplace, fitness for duty evaluations, pre-employment screens that help reduce risk and help, again, get people back on track that may be struggling with some issues. And then, we do workplace violence solutions as well because unfortunately, we see a rise in those across the workplace, across all sectors.

George Vergolias: [00:02:46] And then, we have a leadership program and executive optimization, leadership wellness program, where we work with high-level leaders and a number of organizations, both small and large, around helping promote their well-being and their leadership skills. And part of that is leadership wellness, support as well as performance coaching. So, it’s a wide range of activities that we engage in, but all of it is geared towards offering those tailored behavioral health solutions to the workplace.

George Vergolias: [00:03:14] As far as my background, I’ve been a psychologist, initially a clinical psychologist, and I did my post-doc in forensic psychology at Notre Dame many years ago, longer than I care to admit. But I’ve been doing this for almost 30 years. And early career, I actually did a lot of traditional forensic work. I did a lot of work with the courts. I did a lot of assessments for people not guilty by reason of insanity and so on.

George Vergolias: [00:03:39] And then, at one point I started moving into doing school violence assessments and school shooting assessments right around the time that Columbine hit and when that occurred, because there were so few specialists doing that, you were thrust into being an expert. A few years later, I transitioned that expertise into the corporate setting, working with workplace violence, and I’ve been doing that now for 20-plus years.

George Vergolias: [00:04:01] It was about 10 or 12 years ago that I really felt like when I joined R3 about 12 years ago, it was right around that time that I began to realize that dealing with individual threats, I still do that, by the way. It’s an important activity. There’s a lot we can do to mitigate threats if we’re aware of them. But I felt like it was whack-a-mole, like you would deal with one threat and mitigate it and then another would pop up somewhere else and another would pop up somewhere else.

George Vergolias: [00:04:28] And I began to ask the question, “What can we do at scale? What can we do larger? And I was watching a documentary on the Dalai Lama, ironically, and it struck me, John, that the Dalai Lama is probably close to 0% risk of engaging in a mass shooting because the Dalai Lama it’s because he’s living his life, maximizing a sense of emotional and psychological well-being. He’s living a really sharp, well-honed life of resilience and compassion. And that got me thinking. If we could build workplace cultures, and let’s be honest, we spend about a third of our life at work, if we could build workplace cultures that foster well-being and resilience, we at scale can really start moving the needle towards more people being somewhat inoculated from engaging in heinous, violent acts. That’s what got me into understanding psychological resilience and well-being. I approach it from a kind of a tougher edge. I don’t approach it from the let’s-go-to-a-mountain-top-and-do-yoga approach. I find it’s really useful. And then, of course, the pandemic hit and the awareness of employee well-being skyrocketed. It had to.

John Ray : [00:05:40] Yeah.

George Vergolias: [00:05:40] And that finds us here today. So that’s my trajectory with a lot of details left out. But that’s a larger part of my story that brings me here today.

John Ray : [00:05:48] Yeah, that’s really helpful. And that could take me on a bunny trail we don’t have time to go down, so I’m going to the Dalai Lama piece of that particularly, but we’ll let that go for the moment. But maybe that’s another episode. But let’s talk about burnout. And maybe what we can do is start by defining burnout, because everyone’s got their own idea of what that means.

George Vergolias: [00:06:10] Yeah. And there are many definitions of this, by the way. When I think of burnout, I think of feeling overwhelmed, right? And by the way, I’m stealing some of these ideas from Brene Brown. She does wonderful work. Many of your audience may know her. She does wonderful work on resilience and vulnerability.

George Vergolias: [00:06:25] So when we speak of overwhelm, it really means an extreme level of stress and emotional or cognitive intensity that really evolves to a point where we’re feeling unable to function. We’re immobile. Even if we’re somewhat functional, we’re just clearly not near the top of our game. What’s interesting is we can function with stress. We all have stress. We have stress every day at various levels. And some of that stress is good. When we think of negative stress we don’t want in our life, the word stress captures that.

George Vergolias: [00:06:25] There’s actually a psychological concept that’s not often used. It’s called eustress, E-U-S-T-R-E-S-S. And this stands for stress that we actually embrace or choose. Think of planning a wedding. Think of planning a large family reunion, of preparing for the birth of a first child or a second child, and the nesting that comes with that. These are very stressful events. Building a new home, which I’m doing right now. These are very stressful things, but they’re exciting stress. So there is a difference there. The key is we all experience that.

George Vergolias: [00:07:26] But when we get to burnout, really what we’re talking about is there are three stages we tend to think about. And the first is normative. We’re not even necessarily – I call it pre-burnout, right? It’s stage one. It’s stress. We feel increased arousal, increased demands on us, both personal and professional. We have some irritability and we might have some anxiety. We might wake up in the night and we can’t get back to bed.

George Vergolias: [00:07:50] Stage two, we actually go into almost an evolutionary defense of starting to conserve energy. We might be showing up to work late. Even if we’re working remotely from home as I do, we might be waking up later. It’s harder to get out of bed. It’s harder to be excited in the morning. We procrastinate a little more than we normally would, and that eventually could lead to presenteeism or quiet quitting.

George Vergolias: [00:08:16] Stage three, we get to a place we are psychologically and physically exhausted. In addition to that, there’s a disengagement from the work. The passion just is no longer there anymore. And that could also then lead to or spill into clinical levels of sadness, depression, and anxiety, among other things, which can lead to increased substance abuse if someone’s trying to cope or combat those.

George Vergolias: [00:08:40] That is my definition. But the stages I think are helpful because it helps people understand where they might be in that process of evolving or – I don’t like evolving – progressing into more and more burnout.

John Ray : [00:08:54] Yeah, that’s very helpful. But let’s dive into that a little further. These are signs or symptoms. But how do I self-identify? Particularly, our audience is particularly solo and small professional services providers. You know, the question of self-identification of where you are in those stages can be hard, right?

George Vergolias: [00:09:18] Absolutely. It absolutely can be. And what’s tough is when you are a solopreneur, right, a solo entrepreneur or whether even just a small group, most people that are running or leading those companies, they’re in it at some level because they feel some passion for it. Not always necessarily. It might be, I just got connected to a job, but often there is some degree of feeling some ownership, especially owners of these groups and solo folks.

George Vergolias: [00:09:46] And so, what’s interesting is, what I like to ask, is there a passion that has been lost? I remember a quote I heard a while back that said this, the reason that you feel burned out is not that you’re doing too much. The reason that you feel burned out is that you’re not doing enough of what really gets you excited. And what happens often with solo entrepreneurs or really small companies, especially leaders in those companies, is they go into the business because they love being an architect.

George Vergolias: [00:10:22] I love being a psychologist, but then once I start a group practice and I got four or five people under me and I’m running it, now I’m a business person, now I’m an H.R. director. Now I’m navigating malpractice insurance premiums. I’m navigating marketing and sales if I want to grow. And most small companies don’t have separate divisions for all of these functions. And it takes a while for that person to realize that I’m no longer doing the thing I love doing at the beginning, which is being a psychologist. Being aware of that, being aware of where has that passion gone and how has it been lost is the first step.

George Vergolias: [00:10:52] I think it’s also important to just be aware of how we feel emotionally and physically. And I know that sounds so easy, but for most people, and there are some gender differences, especially for men, we’re not very good at that. And entrepreneurs that maybe are a little type-A personality, maybe high motivation that goes, it’s really hard to slow down and take inventory around how we’re feeling. So, things like meditation, journaling, doing gratitude practices, they are helpful in their own right by slowing us down, but they’re helpful because they allow us to self-reflect and get an idea of where we stand. So that helps with that identification of that first stage of burnout even going into that second stage. It comes with awareness.

John Ray : [00:11:43] So, I would think a lot of professionals have the feeling, look, it’s supposed to be stressful. I’ve been in a stressful profession my whole life. I think of accountants, the tax deadlines and having to deal with that. Just, for example, attorneys with court filings and deadlines they have to meet and so forth, they are – stress is part of the deal. Right? And so – and how do I incorporate some sense of awareness when my default has always been stress?

George Vergolias: [00:12:19] Yeah, that’s a great point. So what I like to do to break that down, because it is hard, right? Because again, when you’re high performing, when the whole company lays on your shoulders or you feel like it does, it’s hard to turn that off. And the reality is you may not be able to, right? You just may not be able to. There’s people that depend on you, not only your family, but other workers that depend on you.

George Vergolias: [00:12:40] What I like to do is I like to look at barriers and goals. And what’s interesting is when people start out any kind of new business, even a new job, they tend to be focused on goals, right? How do I improve? How do I get these sales? How do I build this new production line? How do I grow this practice? Whatever it may be. And there’s excitement with that often. At some point, for many of us, what happens is we transition and we have to deal with the barriers that get in the way.

George Vergolias: [00:13:08] When we are focused, when we are waking up every day, or for me at times in my life, waking up at three in the morning and just focused and obsessing over the barriers and not focusing on the goals as well, I start asking for me at least, am I now entering some realm of burnout? Because the goal is what sustains us. We could be stressed and as long as we’re still focused on that ultimate goal, getting through law school, getting through med school, whatever it may be, even more benign issues like planning a wedding, that’s stressful, but there’s that ultimate goal that kind of sustains us.

George Vergolias: [00:13:45] When we start focusing just on the barriers, and I don’t mean just our attention emotionally, we’re just emphasizing and obsessing over the barriers in a way that we feel like we’re stuck in a sandbag or in a mud pit, the inertia, then I start asking the question the people I consult with, “Are we now in a burnout stage? And let’s reassess where we’re at.”

John Ray : [00:14:07] Right.

George Vergolias: [00:14:07] The question is, what can you do to reignite the spark? And that’s where – I don’t want to go down a rabbit hole because we might get to it, but just at a high level right now, that might mean time management. It might mean we have to give up some control and delegate so that we can get back to doing some of what we really love. And that doesn’t mean we’re doing it 50% of the time.

George Vergolias: [00:14:28] I remember when I was at the height of growing my hospital practice, I got to a point that 10% of my time was what I love doing, 90% I just felt like a daily slog. I just offloaded maybe an additional 20% to some key people and I paid them well to do it, and I still do. So, I didn’t go from 10% of what I love to do to 70%. I literally went from 10 to 30%. That made all the difference in the world. That sustained me. So, it’s finding that balance and then reigniting what it is that brought you to this work and what used to get you excited in it.

John Ray : [00:15:04] This is a really important point here because I think a lot of professionals, service providers, think of outsourcing as something that’s purely economic, that, hey, my time is worth more when I’m working on a case or I’m working on a client issue than it is when I’m doing the social media, or I’m doing the bookkeeping, or I’m doing administrative tasks in the business. And so, they think of it in economic terms purely as opposed to self-care terms, which is what you’re getting at.

George Vergolias: [00:15:36] Yeah. And I would even push back a little. I absolutely am getting at that about the self-care because, again, as leaders, we are not optimizing our performance. We are no different than a track star or a hockey player or an NBA player that is coming off an injury and trains or forces them to play the next night. We know that doesn’t happen, right? It doesn’t happen, right? Now, they have huge resources. They have massive budgets. Right? They have cold plunge baths and all kinds of technology to help recover from injury. But it’s the same logic from an emotional well-being perspective. You can’t lead, you can’t grow if you’re not working close or trying to push towards your optimal performance. And so, there is a cost from that angle: innovation, creativity, flexibility, just good management of people, all suffers, when we feel we don’t have the time to do those things or focus on those things. So, I think it is important to be aware of that from the self-support or emotional support angle to ourselves.

George Vergolias: [00:16:38] But I would say one other thing that I want to push back on only, John, is that from a purely economic stance, my time certainly is better spent seeing a client at a couple of hundred dollars an hour or whatever the rate would be than social media. But the question is, if I want to scale, if I want to grow, if I want to expand, I got to figure out how to do that. And maybe for me, it makes sense for me to do it. If maybe I’m good at it, maybe I enjoy it. I actually enjoy social media a bit myself, so maybe it actually fuels me so then I’ll just keep it. But if it is just another task that continues, I wake up every day loathing, there’s a value in offloading that in some cases. And that’s where each individual has to decide what makes sense.

John Ray : [00:17:30] Yeah. I like the way you frame that because I guess what you’re saying is there are hidden economics in there that you need to recognize and maybe they’re not – maybe they’re hidden, maybe they’re long-term versus short-term. But they have an economic impact on the business one way or the other.

George Vergolias: [00:17:50] Yes.

John Ray : [00:17:50] Ultimately.

George Vergolias: [00:17:51] The most common variation of this that I see, John, and I see it in Fortune 500 companies down to companies that have four employees, I don’t have time to really manage my people and grow them. Like, I can manage them in terms of problems. You made a mistake, let me bring out the stick and admonish you for – but don’t have time to grow them. And my rebuttal constantly is you don’t have time not to, because the cost of replacing them, the cost of building talent in your organization, whether you have two people or 2000 people, is extremely costly in terms of time, lost opportunity, lost sales and lost customer satisfaction. And so, we have to make time for these things. We have to carve out time.

John Ray : [00:18:37] Yeah, for sure. Those costs are only going up, right?

George Vergolias: [00:18:40] Especially since the pandemic hit. Because workers now are really saying, you know, the old model that I grew up in, and perhaps you and I both grew up in and certainly our parents did, you work at a place for 10 or 12 years, you work like a dog, and hopefully there’s some payout at the end. We have Gen X and Gen Z workers that want a lot out of their – they want to feel valued, they want to feel supported, they want to feel like they have a growth trajectory, they want to be compensated well, and they are not afraid to move around every two or three years. They don’t care if their resume has a new job on it for every two years. Whereas I remember coming up early on, all of my advisors were saying, “Oh, you can’t leave a job under five years because it looks terrible.” So as leaders, we have to be mindful of those new dynamics in the workforce because otherwise, we’re just going to lose talent.

John Ray : [00:19:27] Yeah, for sure. George, you mentioned a little earlier and I want to get to this before we get too far away from it. You mentioned the term stepping outside yourself. It strikes me that phrase is a vital one for people that hear the phrase mindless – mindfulness and think, I’m not that person. I’m not the Dalai Lama. You’re pointing toward something I think that may be helpful to people like that.

George Vergolias: [00:19:57] Yeah. Exactly.

John Ray : [00:19:59] Say more about that.

George Vergolias: [00:20:00] Yeah. Yeah. I have a saying and I’ve heard it around. It’s not mine. I didn’t coin it. But we are at a place, I think, in business understanding well-being where yoga does wonderful things. But the saying is you can’t yoga your way out of this. And that’s what we learned from the pandemic, right? All the stressors hitting us and even now, economic stressors, high-interest rates, tremendous difficulty getting reasonable rates on loans and lending, all of that. We’re just not going to be able to sit on a mountaintop and yoga our way out of this as leaders.

George Vergolias: [00:20:30] And so, the mindfulness isn’t necessarily just about meditation or gratitude practices. It’s about really understanding what are you good at as a leader and what are you not good at. And related to that, overlapping that, is what charges you, refuels you, and what burns you out, and then architecting, structuring your workplace, your leadership, whether again three people or a thousand people, in a way that builds on your strengths and builds on what refuels you, and then finding people to do those other things that fuel them, that they’re good at it. And that’s going to take some time to restructure that. That’s how I think about mindfulness. But it begins with really taking a deep inventory, right, of what works for you and then what doesn’t work for you.

George Vergolias: [00:21:19] And that, I think is at the core of resilience as well, is understanding where am I, what do I need to do in this situation and what’s my best plan forward, and having that approach. It can be difficult to figure that out. For many people, they’re like, “Listen, I’m not a meditation person.” That’s fine. By the way, I cannot sit and just meditate. I actually do walking meditation. I’m way too active. I have ADHD. I manage it. Sometimes it’s a superpower, sometimes it’s a liability. You know, my mindfulness is I fly fish. I go out in the river and there’s a meditative thing to that fly fishing unless I get caught in the tree and then it’s frustrating. But I don’t think of work. I come back after two hours on the river.

John Ray : [00:22:03] Yeah.

George Vergolias: [00:22:04] My family will ask, “So what’d you do? What’d you think about?” Nothing. I didn’t think about anything. But I am now ready to attack the day either later or tomorrow.

George Vergolias: [00:22:13] So, mindfulness isn’t just meditating or putting Tibetan bowls in front of you, right? It can be any activity that allows you to recharge and allows the dust to settle so you can re-approach the barriers and issues in front of you with a fresh eye.

John Ray : [00:22:28] Yeah, that’s really liberating, I think, for a lot of people because it’s not -you’re talking about practices now.

George Vergolias: [00:22:35] Yes.

George Vergolias: [00:22:35] And so, those practices can be as varied as there are human beings, right? It just – it depends on your own mindset, your own DNA when it comes to that kind of thing.

George Vergolias: [00:22:46] Yeah, absolutely. The other thing I would add, I encourage, is seek input from other people. Get an inventory around, whether it’s your workers, whether you have a business coach, whether there’s just somebody you respect in the community that is a colleague of sorts. Maybe you’re part of a business group, maybe you’re part of a church-based group and someone understands you. What kind of leader do you think I am? How do I engage with people? If you could give me feedback on improving my leadership approach or helping grow people, what would that be like?

George Vergolias: [00:23:21] You know what I did early career and I still do it from time to time, I will ask this of coaches of soccer or baseball, not necessarily super young, but grade school to high school coaches that have done it for 15 plus years, ten, 15 years, because these people that stick with that, they know how to develop kids. They know how to develop youngsters. And what I love about when I ask people that do that regularly, they’ll tell me, “I know you, George, and I think you’re too harsh on yourself and as a result, you’re too harsh on your people.” That’s interesting. And then I’ll take that back and I’ll think about that. So you have to seek that input. One of the difficulties of being a solopreneur or just even a small business is you don’t have the feedback loop.

John Ray : [00:24:05] Exactly.

George Vergolias: [00:24:06] Yeah. And so you have to seek that where else you can from people that know you reasonably well. That’s part of the mindfulness as well.

John Ray : [00:24:14] Yeah, for sure. Let’s talk about workload management, and to your point about solo and small professional services firms, there’s a heavy workload, and I’m sure a lot of folks hear tips about time management or what have you and think, “Oh, that’s great for them. I’m not sure it works for me.” So, let’s talk about how you see that for these particular professionals.

George Vergolias: [00:24:40] Yeah. It’s a great question and it’s something that really strikes a lot of people. You know what’s interesting? I consult with a number of firms. I’m not going to mention them but they are in the financial or tax arena, and they have seasons in which half the year they’re working 12, 14 plus hours a day.

John Ray : [00:24:59] Sure.

George Vergolias: [00:24:59] Sometimes six days a week. And we apply these concepts. The first thing we talk about is you have to make it feasible. And so, I’m going to start with what not to do, right? If you go on Instagram or TikTok these days, you’re going to find some productivity guru that’s going to say, you should wake up at 6 a.m., go out – and by the way, I love all of these techniques. I do. But they’re saying do this every day. Go get ten, 15 minutes of sun, then do a cold plunge, and then, or a cold shower, then do like 10 or 15 minutes of mindfulness meditation. Then maybe do 5 to 10 minutes of breath work, then go work out, then come back and have a nice breakfast and fuel yourself. Then do a gratitude. Who has time for that? I got kids. I got to get up and get to work. Right? Chronic, not chronically, but often, I’m up at two in the morning and I can’t get back to bed. I have mental insomnia occasionally, so I need that extra hour of sleep to compensate for what I missed.

George Vergolias: [00:25:53] So what I say is, you can’t do all of that. The question is what can your morning ritual be even if it’s really minimized down that allows you to at least get something in. Just because you can’t do a ten-minute meditation, do a two minute. Just do it. Just get it going, right? Get it started. If you can’t do a 15 or 20-minute walk, do a five-minute walk. Whatever it may be, try to find those places in your day where you can carve out the things that you feel you need to sustain yourself. There will be days that are just not feasible.

George Vergolias: [00:26:28] But what I think one of the hardest things that many solopreneurs and small business leaders do, but I also see this at higher leadership levels with big companies, is they will say, I just don’t have time for that. And I will often say, you know, you have 40 hours a week to get done your work. The question isn’t you don’t have the time. The question is how are you allocating it. A little bit about different ways to think about that and try to do that, it becomes very individualistic. Now that takes time. It takes time to architect that.

George Vergolias: [00:27:02] So one thing that I do, John, usually the first weekend of the new year, I will purposely not plan anything for the weekend. Obviously, there might be some family activities within reason, but I try to have nothing planned and I take that weekend and I do it on the weekend because during the week it’s hard. Business stuff comes up. And I really try to architect what worked for me last year, what do I need to change in my schedule this year, and let me lay that out.

George Vergolias: [00:27:31] I also go into my goals, writing my objectives, but I really try to architect my day of what habits do I want to instill and how do I do that, and then how do I set a goal for 21 days because we know that 21 days is typically your window of really solidifying a habit, and then I build on that. That takes time to do that. It takes time to build that out. I know that’s pretty high level, so we could get into some detail if you want, depending on –

John Ray : [00:27:57] I think everyone’s mileage may vary. Right? And I think to some degree, we’re not going to be able to hit all the possibilities there. But certainly, you’ve given folks, I think, a lot to think about. So, maybe we can just leave it at that because I want to get to recovery. So, building resilience as you recover from burnout, for those of our listeners that may have had an episode, a time in their life when they experienced burnout, how do they recover?

George Vergolias: [00:28:30] Yeah. So, it does begin with awareness of just being aware that I need to recover and I need – where I am today is not where I want to be. There’s a quote I heard not long ago, which I absolutely love, and it is, the reason that you’re burned out is not – no, sorry, I already said that one. Sorry. It’s – bear with me. I’ve got some notes here.

John Ray : [00:28:51] Sure.

George Vergolias: [00:28:54] And actually, I know this by heart. I don’t even need to say it. The single most important factor in determining your success in life is the degree into which you can keep a promise to yourself. And what I love about that is because think about it, how many times on January 1st we said, I’m going to lose weight, I’m going to learn Spanish, I’m going to do something else. February is completely riddled with the broken promises that we made in January for all of us.

George Vergolias: [00:29:19] But when you frame it as I am making a promise to myself, one, there’s total accountability there now. And you’re really framing it in a way that you could choose to go back on that promise. And I do. There’s things I promised, and I said, this isn’t the year for that or this isn’t the month for that. I need to reassess my goals. Nothing wrong with that. But that’s a different dynamic than I let myself down. So I think it starts with awareness and knowing what do you want to improve on. From there, I think what comes with the resilience piece, and this is pretty critical, is understanding the different components of resilience.

George Vergolias: [00:29:58] So for me, I go back to the old Jim Collins analogy from Good to Great, the mirror, the window and the interaction between. So what I like to say when I think of resilience, it’s the ability to absorb adversity and to bounce back from difficult situations. So it really has two forms. One is when I’m resilient emotionally and psychologically, I can take the blow better. I can take a punch better without completely falling down. But there are times in life that I’m going to fall down and resilience also helps me get back on my feet more quickly, right, emotionally and psychologically.

George Vergolias: [00:30:35] And so, from the mirror perspective, I ask the question, “Am I responding to this situation the best way I know how? Am I maximizing my response?” So, I’m looking in the mirror at what can I do, what can I control. It’s a very stoic kind of way of looking at the world.

George Vergolias: [00:30:50] I’m also looking out the window, which is not I’m blaming John because he was mean to me or he didn’t give me the promotion. I’m looking out the window and saying, how has this dilemma or situation been broken down into actionable steps that I can act on? Because again, now I have locus of control. I’m not blaming the world. I’m I now have some ability to control the situation, even if it’s seemingly not in control. And what I mean by that, John, is sometimes there are things we simply cannot control.

George Vergolias: [00:31:21] A great example of resilience, and this was not easy, many local, very small family-owned restaurants or bars when the pandemic hit were just completely limited when everything shut down.

John Ray : [00:31:34] Sure.

George Vergolias: [00:31:36] Bars were – in North Carolina, bars could not open. They were just stuck. But those that had food, they were starting to pivot to doing DoorDash, takeout, delivery. And for a number of them, that allowed them to barely get by. That’s an example where they looked at the situation, said this isn’t ideal, what can we do in the moment?

George Vergolias: [00:31:54] And then, the third aspect there is exploring what are the options. So what resources in me and what resources externally based on the situation and the actionable steps I’ve identified need to come together to maximize the outcome I want to drive towards, right? It’s a very analytical way of looking at it. But the problem when we get beat down or when we get knocked down in life is we tend to get stuck in the emotionality of it. And so, breaking it down that way at least gets us back on track.

George Vergolias: [00:32:25] The other thing that we have to be mindful of or just aware of is there’s a tendency when we feel broken down, beat down, to sink into a state of inertia and hopelessness. That can be very difficult and it could even elevate to clinical levels of depression or anxiety. It’s important that we try to break through and push through those, and there are a number of things we can do to do that, and we could talk about that depending on what direction you want to go in the conversation.

John Ray : [00:32:51] Yeah.

George Vergolias: [00:32:53] You want to do that?

John Ray : [00:32:54] Yeah, let’s briefly do that because I’ve got another little particular piece of this puzzle I want to get to as well.

George Vergolias: [00:32:59] So, I will say that what we saw even pre-pandemic, exacerbated in the pandemic and still lingering on, is four big areas related to burnout that affect people. One is stress and anxiety, two is depression, three is general sleep problems, and four is difficulty with focus.

George Vergolias: [00:33:17] So under anxiety, stress and depression, I’m not going to go into all of these, but it’s important to, one, deep breathing exercises can help with stress and anxiety. Doing easy stuff. Start the day if you feel like I can’t get the motor going in the morning, start with easy stuff. Wash the dishes. In some cases, if you’re simply procrastinating or emotionally avoiding a task, “I don’t want to do my taxes,” right, then start with the harder task. Do something unrelated that’s even more difficult. And what happens is in both of those scenarios, you’re actually priming your dopamine circuit. And not only is it psychologically beneficial because you say to yourself, “I just did that harder thing that was even more annoying, now I’m more open to doing the taxes. The taxes are actually a relief compared to having cleaned out the garage this morning.” But there’s a dopamine effect, a circuit of the dopamine circuit that kicks in, based on achieving those tasks. That’s why when we check off a to do, we often feel good. It’s a little win for the day. There’s actually both a psychological and a biological basis for that.

George Vergolias: [00:34:21] The other is with depression especially or withdrawal, trying to prioritize FaceTime with people. And now that we’re back to engaging, it’s important to try to get out, push past inertia and keep it simple. The KISS technique, Keep It Simple, Stupid. Right? Often people will say, “I need to paint the bedroom. I can’t get motivated.” I’ll tell you what, just paint one wall. Get started.

George Vergolias: [00:34:48] Years ago, I was quite young, but years ago, I just – I procrastinated and I didn’t floss much. Right? A lot of people. Some people floss regularly, others don’t. I had a dentist that said something amazing to me. “I don’t want you to floss your whole mouth. All I want you to do in the morning and when you go to bed is floss one tooth. You floss one tooth. Just do it for a while.” And I did. But what happened is once I got the floss on my fingers and I started doing one tooth, my mind said, “You’re already there, man, finish it. Just finish it.”

George Vergolias: [00:35:16] So when you start with small steps, it creates “All right, now, I’ll take the second. Now, I’ll take the third.” And before you know it, you’ve taken 100 or 200 steps. So that helps in terms of dealing with that bouncing-back inertia that often hits people.

John Ray : [00:35:31] Yeah, that’s very helpful. So, let’s talk about a different aspect of this burnout issue, and that’s what we see in others that we care about. So, maybe it’s a colleague, maybe it’s a strategic partner that has their own firm that we spend a lot of time with, that we refer business back and forth to each other, whatever. What are those warning signs that we need to be watching out for with them? And how do you broach that topic with a colleague that you may think is suffering from burnout?

George Vergolias: [00:36:06] Yeah. That’s a really great question and something that I think affects all of us, not perhaps just on the being burnout side, but certainly on knowing or interacting with others. So, I’ll start with the signs and they can be different, certainly, but some of what I mentioned earlier. So, people that are either more aroused, more vigilant, more emotionally volatile than they used to be, especially if they were subdued and now they’re just acting or their arousal is more, they get more upset, they get more irritable. But the flip side can happen. If you have somebody that’s normally – I’m Greek and Irish, I tend to be a little more dynamic.

John Ray : [00:36:44] You don’t have a chance, George.

George Vergolias: [00:36:45] I don’t. I don’t. Here’s what’s funny, though. I was out a week ago, got some bad news about a friend going through health issues. And ironically, I was at a bar with some friends for a Thursday night trivia thing, and a buddy came up and he goes, “Hey, George, you seem really subdued and quiet today. Everything okay?” I wasn’t, like, sad. I wasn’t crying in my beer, but I was just subdued and he noticed. So, a change in someone’s demeanor is important to notice. That’s one of the first steps. Irritability, more anxiety. And at some point, especially for smaller organizations or companies, because we interact so much with each other when it’s four or five or six of us or less, we can tell when people are off for a period of time. Now, people might be off for a few days or a week or two weeks. Typically what I like to look at is if you’re off for a week or two, I now want to start checking in with you. That’s not just a blip on the map once you get past two or three weeks.

George Vergolias: [00:37:45] What’s interesting, a lot of the diagnostic categories in the Diagnostic and Statistical Manual of Mental Disorders use two to three weeks as a window by which you go from simply having symptoms of depression to now you are in a depression. So I often look at that too. And then, what I will – so, again, irritability, increased anger, just a change in mood, is there a sense that they’re phoning in work where before they weren’t? Are they more scattered with their focus? Are they more short or curt in their emails or a little more hostile? And you’re like, “God, that’s not like John. What’s going on with him?” And I noticed that for a week or one to two weeks for a while.

George Vergolias: [00:38:26] What I will do is, one, I’m pretty direct but in a supportive way. So what I’d like to do is I don’t do it in an audience. I don’t do it in a group format. Let’s say to you, John, I’ll pull you aside and say, “Hey, John, we’ve been working together for five, what, five, six years now?” And if it’s a small business, it might be something like, “You come over to the pool, I’ve come and seen your kids play basketball. We know each other pretty well. I’m a little concerned. I just noticed a change in you, and I just want to check in. How are you doing? Is there anything I can help or support with?” And I open that up not in an accusatory way, “John, you look depressed. John, what the hell is wrong with you?”

John Ray : [00:39:03] Sure.

George Vergolias: [00:39:04] Especially men, especially men. And so really, it’s “I care about you. I’m noticing a change. I just want to check in and see how you’re doing and how can I help.” Hopefully, that leads to a little more dialogue around how things are going. This gets back to what we said earlier, John, around we don’t have time to not manage and engage with our employees. It’s part of that process. The more that we do that as a baseline and we know what their baseline is, the easier it will be for us to spot that they’re sliding a bit into burnout or they’re struggling with their mental health.

John Ray : [00:39:42] Do you find that individuals like this are they’re really just waiting for someone to break that ice for them, to broach this and that by us just knowing that, if that’s the case, that might give us the courage to have that conversation when it’s needed?

George Vergolias: [00:39:59] Yeah, I think it’s one of two things, but both should embolden our courage. One is just they may not be aware, they may not be aware. They may be – their MO in life and in business might be just I am that knight on the white horse and I’m going to ride this white horse until I fall off and die. That’s just – that’s been successful for me for ten years. And damn it, I’m going to keep doing it.

George Vergolias: [00:40:22] And if your ankle was just – imagine a running analogy. If your ankle is a little sore or your Achilles tendon is just tight, maybe pushing through that and doing a marathon works. If you have a broken leg, that’s not going to work. It’s just not going to work. You have to take time away. So that’s the first bucket is they’re just not aware.

George Vergolias: [00:40:41] The other bucket is exactly like you said, they are aware and they feel I cannot slow down. Everyone is depending on me and I can’t let myself down. I can’t let my family down. I can’t let my employees down. When someone comes to you and opens up in the way I said, checks in, they still might be a little bit defensive, but it softens. It makes it more open for them to engage.

George Vergolias: [00:41:08] I heard something ironically from a cartoon. There’s a great cartoon called The Horse, the Fox, I think, the Hare and the Boy. And the fox and horse are walking along and the horse says to the fox, “What’s the bravest word you ever said?” And the fox said, “Help. That’s the bravest thing I’ve ever said is help.” What’s funny is when you ask for help or if we were to go, if I saw you struggling and I came to you and checked in and you admitted, “Yeah, I am struggling and this is what I’m dealing with,” in a way, you’re saying help. If it’s nothing more than just hear me out, just listen to me, that is decidedly not giving up because you’re still in the fight. You’re still wanting to engage. Right?

George Vergolias: [00:41:53] So I think it’s important that we try to have those conversations earlier, then better. There is a point when people get so burned out that they are now just checked out. They are just disengaged. It doesn’t mean it isn’t worth having. It’s just harder to get them back. But I think those are really important discussions that we don’t have enough at work.

John Ray : [00:42:14] Yeah, absolutely. So, we were talking before we came on here about just the plethora of resources that are out there that have come about here over the last few years, even really before the pandemic as you pointed out, and some innovative approaches to address burnout and workplace well-being. Talk about the ones – help people sort through those, if you will, and the ones that our listeners ought to pay attention to in your view.

George Vergolias: [00:42:47] So, I want to open this by just anchoring a critical concept and that is I do a lot of training internationally and I always ask around this topic. If I were to write a blog, let’s say, or an article on physical health, what do you think I would talk about? And typically people say nutrition, weight lifting, cardio, working out, yoga, Pilates, whatever. And if I was going to talk about physical illness, what would I be writing about? Cancer, diabetes, heart issues. Okay.

George Vergolias: [00:43:17] What’s funny is when I ask the same question about mental health, people mention anxiety, depression, bipolar disorder, suicidality, substance abuse. We automatically attribute mental health to mental illness. We equate them in the zeitgeist, in the general culture. It’s important to know that mental health is like physical health. We are all invested in that. Some of us do better than others in managing that. Some of us do well for a while and we fall away. But every day we are invested in our mental health the way we are invested in our physical health. We all don’t have physical illness and we all don’t have mental illness.

George Vergolias: [00:43:53] So, it’s important for us to understand there’s a difference. As a leader, you have to be engaged and invested in your people’s mental health, even if they don’t have mental illness. Those are not always the same. So, it’s important for us to realize that.

George Vergolias: [00:44:04] In terms of resources, larger companies have employee assistance programs or they have internal wellness or well-being programs that are built in. Solo entrepreneurs don’t have that. Smaller companies often don’t have that. So what you can do, in some ways, maybe you could bring in training to help build on these concepts of resilience and well-being even that can be expensive. But there’s a benefit to being a small company with only a few employees, and that is if you or maybe you designate your office manager because he or she is really into well-being issues, right, you designate them to learn about some of these techniques and then you have them educate or train maybe the rest of the company or just check in with people, or you have certain incentives.

George Vergolias: [00:44:51] You can have – at a local company in Raleigh here, literally, I think they had six people. And what they did is they did a really simple thing. They said, for people that want to do hot yoga or Pilates or even CrossFit, we are going to supplement 25 or 50% of the cost of your training for two months. So it didn’t break the budget. It wasn’t like exactly, totally cheap, but it didn’t break the budget. And what they found, why two months? If you do these things for two months, people either drop out after two weeks, but those that go for two months, they tend to stick with it and they tend to find, hey, this is now is worth it to me and I’m going to pay for it on my own and it’s going to help with my well-being.

George Vergolias: [00:45:35] So, there are creative ways to think about how to connect people to resources without necessarily paying for them for the next two years. The other thing that we will do or we recommend with small companies is have occasional check-ins, right, where it might be once a week, it might be once every other week where you’re checking in with your employees in a morning huddle, and you’re decidedly, for those days, not talking about the business. You’re checking in with how are you doing, how are things at home? Not pushing for that but you’re creating a space in which people feel open to raise their hand and say, “You know what? I’m struggling. My kid’s struggling in school and there’s a lot of tension in the marriage right now and it’s adding to my overall burnout.” Sometimes just sharing that or having coworkers know what that understanding is helps a lot. And then, from there, it’s amazing that other coworkers might say, “You know what? I dealt with that three years ago, and I went and talked to this counselor,” or, “I joined this group,” or My church has a group that deals with this issue.” It’s amazing what those resources are organically if we can tap into those.

John Ray : [00:46:43] Yeah, for sure. And I want to follow up on that, just to be specific. Are you suggesting that as leaders of our teams that we should bring that up in a small group or just in our one-on-one sessions with our team members, or both?

George Vergolias: [00:47:00] No, that’s a great distinction. And I’m glad you made that because I don’t want to, I don’t want to – I was not totally clear on that. What I would recommend is if you have a concern in particular about one employee, back to your previous question, I would do that on a one-to-one basis. Again, let’s say, John, I thought you maybe were struggling. You’ve had a change in behavior. I wouldn’t call you out in front of a group for confidentiality reasons, for stigma. Sometimes people feel a little bit shamed or shameful. They shouldn’t, but they do. It’s a natural reaction. I would do that on a one-to-one basis to keep the confidentiality and the privacy intact.

George Vergolias: [00:47:34] But what I’m talking about in the group format is, let’s say I did this for a while when I was working in the hospital, we would have a Wednesday morning huddle and it was always patient care and what do we need to work on and what do we need to change in our documentation. But what I did at least once a month is I would say the first 15 minutes, no business. I’m just checking in. And how are you guys doing? Let’s just take a temperature. On a scale of 1 to 10, how are you coping? And then, if someone said – ten being bad, they might say – I’m at an eight, do you want to say anything more about that? And invariably, the first few times, no. But as soon as one person starts opening up and engaging, the other group starts feeling more comfortable. So what you’re doing is you’re creating just a safe environment for people to open up and talk and share ideas about how they’re dealing with it.

George Vergolias: [00:48:22] Often you know what one of these is, I’m working with a certain client who’s extremely demanding, maybe even hostile. And someone says, “I had that client last year and this is what I found works with him.” It can be something just really tactical like that that really can help take the edge off and give somebody some insight on how to face a certain problem.

George Vergolias: [00:48:44] So, that’s what I would do in the group format is keep it more general and then allow people to explore whatever or discuss what they feel they need to.

John Ray : [00:48:53] Yeah. Wow. That’s extremely valuable advice there, George. We’re coming up on time for sure. And you’ve been so generous with your time and thank you again for that. But before we let you go, any other success stories of individuals that have overcome burnout or lessons that can be learned that maybe we haven’t touched on?

George Vergolias: [00:49:18] I think there are a lot of success stories. None immediately come to mind. But what I would say is what’s really interesting about burnout is it’s not about – people – we keep thinking it’s about stress. It’s about our reaction to the stress. It’s fascinating how much the human individual, the human being can take in terms of managing stress if we’re managing it in a way that’s palatable. It isn’t about volume. It’s about the quality of how we’re managing that and prioritizing things. And so often what leads to burnout is we are prioritizing things in a way that doesn’t necessarily have to be put at the front of the line.

George Vergolias: [00:50:03] So a classic example for me, and I guess maybe I’m the story, is being a bit ADHD and being a bit driven, I chronically for years, I’m 54, up until literally about 50 years of age I did this, I would make a list of 25 things every day I wanted to get done, and if I didn’t get them done, I really felt like I’m a loser. What am I doing? What did I accomplish? I finally just had to make – I have three key things I want to get done. Everything beyond that is gravy. And if I only get two of those, I feel like it’s a major success. If I get one, I still feel positive about the one. I just had to reorient my sense of priority and my sense of accomplishment. It didn’t take away my drive or my motivation.

George Vergolias: [00:50:47] So, those things that I think are important to realize is that the burnout is yes, we have a lot going on outside of us, but it’s really about our reaction to that and how we’re managing that.

John Ray : [00:50:58] Yeah. Wow, George, this has been terrific. And I can’t imagine there aren’t some folks that having heard some of the advice, tips, guidance that you’ve shared would like to know more. Can they be in touch, and if so, how?

George Vergolias: [00:51:13] Certainly. One is our website, of course, r3c.com, is a great place to find more about the topics I’m talking about. You can reach me directly. It’s george.vergolias – I’ll spell that, V-E-R-G-O-L-I-A-S – @r3c.com. And I’m also, if you use that same name I just linked to you, I’m on LinkedIn, which is another wonderful way to reach out to me.

John Ray : [00:51:41] Terrific. Dr. George Vergolias, R3 Continuum, thank you so much for joining us here on the Price and Value Journey.

George Vergolias: [00:51:48] My pleasure, John. Thanks so much for having me.

John Ray : [00:51:51] Thank you. And, folks, just a quick reminder as we wrap up here, if you want to be in touch with me directly, feel free to email me at john@johnray.co. I’m happy to respond there. Or also on LinkedIn, John Ray, on LinkedIn. You can find me there.

John Ray : [00:52:09] If you would like to receive an update or updates on my upcoming book due to be released later this year, 2023, you can go to pricevaluejourney.com. The name of the book is The Price and Value Journey. Imagine that. The Price and Value Journey: Raising Your Confidence, Your Value and Your Prices Using The Generosity Mindset Method. So if those are issues for you, this book may be right up your alley. Feel free to be in touch to learn more on that.

John Ray : [00:52:39] So for my guests, Dr. George Vergolias, I’m John Ray on the Price and Value Journey. Thank you again for joining us.

 

About The Price and Value Journey

The title of this show describes the journey all professional services providers are on:  building a services practice by seeking to convince the world of the value we offer, helping clients achieve the outcomes they desire, and trying to do all that at pricing which reflects the value we deliver.

If you feel like you’re working too hard for too little money in your solo or small firm practice, this show is for you. Even if you’re reasonably happy with your practice, you’ll hear ways to improve both your bottom line as well as the mindset you bring to your business.

The show is produced by the North Fulton studio of Business RadioX® and can be found on all the major podcast apps. The complete show archive is here.

John Ray, Host of The Price and Value Journey

John Ray The Price and Value Journey
John Ray, Host of “The Price and Value Journey”

John Ray is the host of The Price and Value Journey.

John owns Ray Business Advisors, a business advisory practice. John’s services include advising solopreneur and small professional services firms on their pricing. John is passionate about the power of pricing for business owners, as changing pricing is the fastest way to change the profitability of a business. His clients are professionals who are selling their “grey matter,” such as attorneys, CPAs, accountants and bookkeepers, consultants, marketing professionals, and other professional services practitioners.

In his other business, John is a Studio Owner, Producer, and Show Host with Business RadioX®, and works with business owners who want to do their own podcast. As a veteran B2B services provider, John’s special sauce is coaching B2B professionals to use a podcast to build relationships in a non-salesy way which translate into revenue.

John is the host of North Fulton Business Radio, Minneapolis-St. Paul Business Radio, Alpharetta Tech Talk, and Business Leaders Radio. house shows which feature a wide range of business leaders and companies. John has hosted and/or produced over 2,000 podcast episodes.

Coming in 2023:  A New Book!

John’s working on a book that will be released in 2023:  The Price and Value Journey: Raise Your Confidence, Your Value, and Your Prices Using The Generosity Mindset Method. The book covers topics like value and adopting a mindset of value, pricing your services more effectively, proposals, and essential elements of growing your business. For more information or to sign up to receive updates on the book release, go to pricevaluejourney.com.

Connect with John Ray:

Website | LinkedIn | Twitter

Business RadioX®:  LinkedIn | Twitter | Facebook | Instagram

Tagged With: behavioral health, burnout, Dr. George Vergolias, John Ray, Price and Value Journey, pricing, professional services, professional services providers, R3 Continuum, solopreneurs, stress, value, value pricing

The R3 Continuum Playbook: How Can Your Organization Cultivate a Psychologically Safe Workplace?

July 6, 2022 by John Ray

Psychologically safe
Minneapolis St. Paul Studio
The R3 Continuum Playbook: How Can Your Organization Cultivate a Psychologically Safe Workplace?
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Psychologically safe

The R3 Continuum Playbook: How Can Your Organization Cultivate a Psychologically Safe Workplace?

Dr. George Vergolias, R3 Continuum Medical Director, provides insight for leaders to help them determine what a psychologically safe workplace looks like for their organization. Dr. Vergolias describes crucial factors to consider when navigating the process of bringing more psychological safety to the work environment.

The full webinar can be found here.

The R3 Continuum Playbook is presented by R3 Continuum and is produced by the Minneapolis-St.Paul Studio of Business RadioX®. R3 Continuum is the underwriter of Workplace MVP, the show which celebrates heroes in the workplace.

TRANSCRIPT

Intro: [00:00:00] Broadcasting from the Business RadioX Studios, here is your R3 Continuum Playbook. Brought to you by Workplace MVP’s sponsor R3 Continuum, a global leader in workplace behavioral health, crisis, and security solutions.

Shane McNally: [00:00:15] Hi, there. My name is Shane McNally, Digital Marketing Project Lead at R3 Continuum. On this episode of The R3 Continuum Playbook, we’ll be featuring a segment from a recent webinar presented by R3 Continuum Medical Director, Dr. George Vergolias. This webinar was titled How Can Your Organization Cultivate a Psychologically Safe Workplace?

Shane McNally: [00:00:33] Dr. Vergolias has over 20 years of experience as a forensic psychologist and certified threat manager and has assessed over 1000 cases related to threat of violence or self-harm, sexual assault, stalking, and communicated threats. In this short segment from his webinar, Dr. Vergolias offers his expert insight into psychological safety and what makes a psychologically safe workplace, and how leaders can create that sort of environment for their employees.

George Vergolias: [00:01:02] Now, I want to pivot and talk a little bit about solutions and ways to think about how do we foster psychologically safe workplaces. So, first I want to define that, right? I really believe the Center for Creative Leadership is really a good – they have a really good, useful definition that’s approachable and it hits home and it can translate to practical applications. Right?

George Vergolias: [00:01:32] So, what they define is a shared belief held by members of a team that others on the team will not embarrass, reject or punish you for speaking up. Now, what’s key here is, this doesn’t mean that you get to say whatever you want. It doesn’t mean that any individual’s viewpoint is automatically accepted. Right? And it doesn’t mean we’re nice all the time. I think just sometimes there’s a false narrative that psychological safety means no one will ever say anything that will upset you, right? No.

George Vergolias: [00:02:10] Let me say it this way. No one has a right to not be offended on the one hand. There’s going to be interactions in our lives, personal and in the workplace, that might annoy us or offend us or rub us wrong. What this means is that we are embracing that conflict and we feel that we have a platform, an engagement level, a dialogue by which we can work through those disagreements and conflicts in a productive way so that the group moves forward so that the group is better off for it as a result of that process. And that process isn’t always fine. Conflict is sometimes difficult. That’s why many of us avoid it.

George Vergolias: [00:02:52] So, it’s important to keep in mind that pragmatic definition, because what I feel is there is a real risk of organizations having kind of a hyperbolic reaction in either of the extremes. One extreme is we have to absolutely accept everything everybody says, and we can’t say anything that might be challenging or even remotely perceived as offensive. Right? That’s fraught with its own problems.

George Vergolias: [00:03:24] And the other is where we’re totally tone deaf to the realities, that there are issues that need to be navigated. There are issues whether they’re diversity, equity and inclusion issues, or other issues that we need to talk through and work through and do the difficult work ahead. So food for thought.

George Vergolias: [00:03:43] What they also identify are four stages of types of safety. And the first is inclusion safety, and that satisfies the basic human need to belong. So in this stage, what we’re looking at is we feel safe to be oneself and you’re accepted for who you are, including your unique attributes and defining characteristics. Right? Again, there are limits to this, right?

George Vergolias: [00:04:08] Typically what we mean here is someone can be free. Whether it’s sexual identity, racial identity, other types of identity, they can feel free to express that in a way that they can live their fullest life and not be falsely judged or negatively impacted by that. Right?

George Vergolias: [00:04:27] There are laws that somewhat protect that. And there’s been a big move through corporate America to try to adopt that. That doesn’t mean that if I – I’m going to use an extreme example here. If I identify with neo-Nazism that I have a right to bring that insignia into the workplace because it’s very threatening to other people. So there are limits that organizations will have to determine where they draw those lines. But that’s what we mean by inclusion safety.

George Vergolias: [00:05:00] Next stage is learner safety. What we mean here is, this satisfies the need to learn and grow. And when we feel this, we feel safe to exchange ideas, take risks, put an opinion out there in a way, ask questions, give and receive feedback in a way that isn’t always comfortable, because, again, that’s not the goal, but in a way that we feel safe to do so. We could take those risks in a way that we feel that it is a growth experience, not a stunting or traumatizing or shaming experience.

George Vergolias: [00:05:35] Third stage is contributor safety. So here, what we’re satisfying or the need satisfies the need to make a difference. We feel like we have agency. We can make a difference. We can have an impact. We have relevance in our role, in our job, in our teams, and in our organizations, right, to the degree that we’re gonna use our skills and abilities to do that.

George Vergolias: [00:05:56] And then lastly, challenger safety. What we mean by challenger safety, this satisfies the need to make things better. How do we challenge the status quo in a way that we can grow as individuals but also as teams and as organizations, right? And how do you take up that challenge in a way that is promotional for whatever the values of the team or the organization have behind them?

George Vergolias: [00:06:21] Now, these sound great. They’re very well thought through. Practically, how do we implement them? That’s the big challenge, I think, facing us. Where do we draw those lines, right? A recent one, where do I as a leader, as if this was up to me, but where do I as a leader draw the line between somebody that has a loved one at home that’s immunosuppressed and wants everyone to still wear masks at the workplace and other people that feel like they’ve done everything they possibly can include getting vaccinated and have asthma and find that wearing masks is difficult, not necessarily life-threatening, but really difficult for them? Where do we draw the line between that, right? These are difficult sometimes issues to answer. And we’re going to have to navigate those as we go forward.

Shane McNally: [00:07:15] Hey, George, just going back one side here. I do have a question. You mentioned it’s difficult to implement this. And I was just curious, you know, if you’re an organization that’s been around for a very long time, you’ve got employees that have been there 20, 30, 40 years, I don’t know, they’ve been there for a very long time and say you’re looking at these steps and you’re like, we don’t really have anything like this. Is this something that they should start implementing now, or do you think that these employees that have been there for so long might, you know, it might be something that’s frowned upon?

George Vergolias: [00:07:48] So, it’s a great question. I do think there is something to be said about the longer that we engage in habits, the longer that we engage in a pattern, whether it’s self-imposed or it just was the status quo that we came up with. There is something to be said about it. Yes, it can be more difficult to change. But what I constantly push back when I hear that and I hear that a lot, Shane, from organizational leaders that I consult with on resilience and workplace turnaround and all kinds of things is that every one of us has made those changes. Every one of us has made those changes, right?

George Vergolias: [00:08:23] There are people – there’s a dear friend of mine right now that’s going – just went through a liver transplant. He wasn’t an alcoholic by any means. And that wasn’t why – he had a blood issue, a blood disorder issue going on, and he needed a new liver. But he certainly enjoyed having a few beers back then. Guess what? He’s done drinking. He’s done drinking for the rest of his life, right? Now, it’s easy to say, “Well, that was life or death.” Trust me, I used to do transplant candidacy evaluations. There are a lot of people that can’t make that change or don’t want to, right?

George Vergolias: [00:08:52] Someone has a heart attack at age 50 or 55 or 60, and they totally redo their diet and their workout regimen. Somebody goes through marital counseling and completely reorients their approach to their spouse after 15 years of a volatile marriage. We, as human animals, change all the time. And so, what I don’t accept, I will accept that it’s difficult, but I won’t accept that it’s impossible.

George Vergolias: [00:09:15] And what the key then is for those leaders to do is to really figure out how do we promote the culture of change. How do we give people every chance to make that change and embrace it? And then those that are going to absolutely hold out against it at some point, maybe they’re no longer a good fit for the organization. And those are tough choices for sure, Shane, definitely. But that’s how I would think about that.

Shane McNally: [00:09:41] Awesome. Thank you.

George Vergolias: [00:09:42] Yeah, yeah, yeah. But I’m glad you asked that because that segues to my next slide. A big part of this also has to do with hope, right? As leaders, if you’re going to say to somebody, “Hey, we’re going to go into that wilderness. And although we know a little bit of that wilderness, we don’t totally know that wilderness and that’s new for you. You’ve been working for 25 years and this is a new thing for you, right? You never talked about this before when you came up in the workforce. I want you to trust me, right?”

George Vergolias: [00:10:11] As a leader, we have to give them a clear message around that and we have to give them motivation and we have to give them a sense of hope. Right? So, again, we drown not by falling in the river, we drown by staying submerged in it. So, as we look, you know, the best companies that adapted well, maybe some that even thrived during the pandemic, had leaders that really rallied the troops and they instilled a sense of hope as well as a sense of direction.

George Vergolias: [00:10:44] Later in the presentation, I’m going to mention that hope – we’ve all heard this statement, hope floats. But I have a little add-on. Hope floats but it doesn’t swim. Right? Hope gets us and rises us emotionally to the top. But then we need action and direction and intention to get somewhere with that energy. And I think that’s where that is an important part of the messaging at a leadership level.

George Vergolias: [00:11:11] And, again, Shane, I think you were getting at – your question was insightful because it was getting at the sentiment and I hear this all the time, “Well, man, that’s hard to do.” Well, yeah, it is hard. These are hard changes. But the pandemic was hard. The reality is, though, if you look back as difficult as the pandemic was at so many levels for us as individuals, as teams, as organizations, we’re here. Every time we said we couldn’t go on, we did it because we’re still here. So, it’s important to realize that as individuals and as organizations, if we want to get somewhere or get something that we never had, we have to start doing something that we never did. And it’s important to start thinking in those terms.

George Vergolias: [00:11:58] So, what does this mean? More practically, it’s a conceptual shift. So, the idea is it’s no longer a top-down. I’m not going to negate hierarchies. Decisions need to be made. Stewardship needs to still occur. And there needs to be direction at the team level and at the organizational level, for sure, without a doubt. But the conceptual shift now is more different. It’s about engagement. And it’s about shifting how we do that over time and engaging a process from end to end so that when we bump into problematic behaviors, hostility, people that are struggling, instead of Stephen Covey’s first response on that train, on that subway, which was what’s up with this jerk dad who isn’t managing his kids, that completely shifted in an instant to this guy’s really struggling and his kids are really struggling. And now, we know we have a deeper insight. And with that deeper insight, we have a whole other response that that calls for. Right?

George Vergolias: [00:13:04] So engagement from end to end and moving from an adversarial and contentious way of approaching our employees or our employee problems to one that is more collaborative and supportive. And, again, I want to be clear. Support doesn’t mean you let people get away with stuff if there’s bullying, sexual harassment, prejudice, other types of even hate verbiage, right? We just saw in Buffalo, right, a heinous mass shooting that clearly was a hate-driven crime. Those are not acceptable. So when we say supportive, we don’t mean a blank check, but we mean providing a culture by which those issues are dealt with directly and in a timely manner while also continuing to build cultures of inclusion.

George Vergolias: [00:13:48] So, education on that process is important, message of support that is balanced with the need to protect our people and our business interests, and then create alignment of those resources beyond just intervention as a singular event. All too often we think of “George is struggling. Let’s go get him an FFD.” Like that’s an event. “Let’s get him a fitness for duty.” And those, by the way, can be very, very useful. Right? Or we think, let’s give him a write-up or let’s send him to mentoring, or let’s give them a verbal warning. Right? There’s a million, not a million, but there are many ways we can think of how we deal with some problematic behavior or performance issue.

George Vergolias: [00:14:28] All too often we think of that as an intervention, a singular thing that we do, and that thing should somehow promote change. But we need to start thinking of is it’s a process and the intervention is one step in a process that might, if we’re lucky, fix the problem right then and there. But often it won’t. And there might be other steps that we need to take, and at some point we have to make the decision. Is this individual worth keeping with the organization or are they a bad fit? So, all of these are just different ways of thinking about how we start promoting psychological safety and thriving.

Shane McNally: [00:15:09] Creating a psychologically safe workplace is something that has become a lot more top of mind in the last few years. No matter the industry you’re in, ensuring that your employees feel heard and are able to receive the support and resources they need is crucial to the overall well-being of your people and organization.

Shane McNally: [00:15:26] With R3 Continuum evidence-based interventions, specialized evaluations, and tailored behavioral health programs, we can help promote your organization’s individual and collective psychological safety, recovery, and thriving. Connect with us and learn more about our services at www.r3c.com or email us directly at info@r3c.com.

 

 

Show Underwriter

R3 Continuum (R3c) is a global leader in workplace behavioral health and security solutions. R3c helps ensure the psychological and physical safety of organizations and their people in today’s ever-changing and often unpredictable world. Through their continuum of tailored solutions, including evaluations, crisis response, executive optimization, protective services, and more, they help organizations maintain and cultivate a workplace of wellbeing so that their people can thrive. Learn more about R3c at www.r3c.com.

R3 Continuum is the underwriter of Workplace MVP, a show which celebrates the everyday heroes–Workplace Most Valuable Professionals–in human resources, risk management, security, business continuity, and the C-suite who resolutely labor for the well-being of employees in their care, readying the workplace for and planning responses to disruption.

Connect with R3 Continuum:  Website | LinkedIn | Facebook | Twitter

Tagged With: Culture, Dr. George Vergolias, inclusion, psychological safety, R3 Continuum, R3 Continuum Playbook, support, Workplace MVP

How to Talk to Your Kids About Gun Violence

May 26, 2022 by John Ray

How To Talk to Your Kids About Gun Violence
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How To Talk to Your Kids About Gun Violence

How to Talk to Your Kids About Gun Violence

In this public service announcement, Dr. George Vergolias, Chief Medical Director of R3 Continuum, offers guidance on how to talk about gun violence with your kids.

TRANSCRIPT

George Vergolias: [00:00:00] Hello. My name is George Vergolias. I’m the Medical Director for R3 Continuum. I am a forensic psychologist and a certified threat manager with 20 years of experience, specializing in workplace violence and school violence. Most importantly, I’m also a father of a 14-year-old daughter and a 12-year-old son.

At R3 Continuum, our primary and passionate mission is to help organizations adjust to, manage and navigate through difficult disruptive events, including violent incidents. Last week, we collectively witnessed the heinous hate crime in Buffalo, New York, with the killing of 10 black community members at the Tops grocery store, most of them elderly. And we barely absorbed that event, until yesterday, once again, we woke up and bore witness to the attack at an elementary school in Texas, resulting in the deaths of two adult teachers and 19 children – second, third and fourth graders.

There are few words that can capture the outrage, the emotional reaction, the despair that comes with these events. Although we, at R3, can’t change these events having occurred, we can offer tools to make a positive impact. And towards that goal, I want to offer five tips for speaking with children about gun-related violence.

The first tip is that you should talk to them about their worries and concerns openly. Ask open-ended questions to understand what do they know, what are some misconceptions they have, what do they understand about the event. Express feelings about the event. Get them to open up about that, and express their feelings and thoughts. And then, you should also share your feelings as well. And you want to adjust that to their developmental age.

Secondly, adjust your dialogue to what you think they can handle emotionally. Kids at different age ranges and even kids at the same age range with different maturity levels will react differently to these events. Kids that have been previously traumatized may have a more difficult reaction, and you need to adjust that dialogue and that discussion accordingly.

Number three, reassure them about safety. These attacks are high impact, but they are low probability events. They’re unlikely to occur in any given school or any given school district. It’s also important to remind children about all the wonderful and exceptional measures that schools have taken to develop threat management teams, threat assessment, and reaction protocols and security protocols. In total, schools are a pretty safe place to be for kids and one of the most safe environments for them to be in the aggregate. And it’s important to remind them of that.

Four, reduced exposure to media and social media. This is not the time for information overload, particularly information that may not be accurate or may have been created simply for sensationalistic purposes in order to get clicks or additional views. We want to be cautious of exposing them too much to that. Ideally, you would want to titrate their exposure to those situations and that media over time, so they’re not overwhelmed.

Many of our kids, including my 14-year-old and 12-year-old, have their phones. It may be very difficult to get their phones back from them at this age with how much they’re involved in activity and social media. So, rather than trying to completely take the phone away, what you may want to do is some of the older teens where that might be more difficult, you want to at least check in with them periodically – once a day, twice a day – about what they’re hearing about these events, what they’re seeing online, what they’re being exposed to. And the goal there is to be able to correct any misinformation and give them an avenue to digest the information and talk it through. It’s really important to give them that opportunity.

Five, maintain regular routines and model healthy behavior. This is really important. Our kids will look to us for normalcy, as well as when something is not normal or off. And by maintaining regular habits, that becomes critical because these habits are are behavioral anchors to what is normal, and routine and comfortable in our life. And we want to model that and continue to show that in our daily interactions with them. To the extent possible, we want to continue those as much as we can. We can be sad, we can express outrage, we can express anger. Those are human emotions and they’re very normal in response to these events, but we also want to model a proper and productive way of managing those emotions and coping well through those events. And we want to be able to show our kids how to do that effectively.

This list is not exhaustive, but these are very easy take-and-used tips that you can utilize talking with children, and preteens and teenagers about gun violence, about the recent events in the last few weeks that hopefully can get them to express and open up a dialogue and be productive. Thank you for listening. Take care of yourself and take care of those you love.

  

About R3 Continuum

R3 Continuum (R3c) is a global leader in workplace behavioral health and security solutions. R3c helps ensure the psychological and physical safety of organizations and their people in today’s ever-changing and often unpredictable world. Through their continuum of tailored solutions, including evaluations, crisis response, executive optimization, protective services, and more, they help organizations maintain and cultivate a workplace of wellbeing so that their people can thrive. Learn more about R3c at www.r3c.com.

R3 Continuum is the underwriter of Workplace MVP, a show which celebrates the everyday heroes–Workplace Most Valuable Professionals–in human resources, risk management, security, business continuity, and the C-suite who resolutely labor for the well-being of employees in their care, readying the workplace for and planning responses to disruption.

Connect with R3 Continuum:  Website | LinkedIn | Facebook | Twitter

Tagged With: children, Dr. George Vergolias, George Vergolias, gun violence, kids, preventing workplace violence, public service announcement, R3 Continuum, school violence, teens, workplace violence

The R3 Continuum Playbook SPECIAL: A Behavioral Threat Assessment of the Buffalo Mass Shooting

May 24, 2022 by John Ray

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The R3 Continuum Playbook SPECIAL: A Behavioral Threat Assessment of the Buffalo Mass Shooting

On this special episode of the R3 Continuum Playbook, Dr. George Vergolias, Medical Director at R3 Continuum, looks at the Buffalo mass shooting from a behavioral threat assessment perspective. Dr. Vergolias joined host Shane McNally to review the personality of the assailant, the difference between affective and predatory violence, its similarities to other violent events, the potential impact on employees, how companies can support them, and much more.

The R3 Continuum Playbook is presented by R3 Continuum and is produced by the Minneapolis-St.Paul Studio of Business RadioX®. R3 Continuum is the underwriter of Workplace MVP, the show which celebrates heroes in the workplace.

TRANSCRIPT

Intro: [00:00:00] Broadcasting from the Business RadioX studios, here is your R3 Continuum Playbook. Brought to you by Workplace MVP sponsor, R3 Continuum, a global leader in workplace behavioral health crisis and security solutions.

Shane McNally: [00:00:15] Hi, everyone, and welcome to this special live episode of the R3 Continuum Playbook. My name is Shane McNally, Digital Marketing Lead with R3 Continuum. And on today’s episode, we’ll be talking with R3 Continuum Medical Director, Dr. George Vergolias, about the recent mass shooting that occurred in Buffalo, New York. We’ll also be discussing the impact and trauma that this event caused throughout the country, what employers can do to mitigate potential violence in the workplace, what employers can do to support their employees and community after a traumatic event like this takes place, and more.

Shane McNally: [00:00:46] Dr. Vergolias oversees and leads the R3 Continuum’s clinical risk, threat of violence, and workplace violence programs, and has directly assessed over 1,000 cases related to threat of violence, or self-harm, sexual assault, stalking, and communicated threats. He brings over 20 years of experience as a forensic psychologist and certified threat manager to help leaders, organizations, employees, and communities heal and thrive before, during, and after a disruption. Dr. Vergolias, thank you for being with us today.

Dr. George Vergolias: [00:01:19] My pleasure. It’s certainly not my pleasure to talk about what we’re going to talk about, but certainly, it’s nice to be able to leverage my expertise in a way that hopefully will be helpful.

Shane McNally: [00:01:30] Absolutely. And so, I think with that, we just kind of jump right into it. And can you kind of give us a brief talk through of the Buffalo shooting, the style of violence, and what occurred?

Dr. George Vergolias: [00:01:44] Yes, certainly. And I will preface this with a disclaimer and say that, now, what’s interesting in this case is we’re a week out and we know a lot, and we know a lot, because one, the assailant, Payton Gendron, has been apprehended. He had a 180 or so-page manifesto. He was posting online. This is an assailant that, really, he was secretive in terms of the general public, but in select audiences, he really wanted his voice to be heard.

Dr. George Vergolias: [00:02:21] And eventually, at the end of a gun, he wanted to be heard, his message. So, we know a lot about him, and sometimes, we don’t know a lot about the assailants this soon after, so we can make some assumptions and we can say some things that are informed at this point. So, what happened is on May 14th, just about a week ago, Payton Gendron, an 18-year-old White male from Conklin, New York, walked into a Tops grocery store roughly about 200 miles from where he lived, and he opened fire.

Dr. George Vergolias: [00:02:58] He actually began firing in the parking lot, and he proceeded then to walk into the grocery store and continued shooting people. It’s clear from the evidence that this was a racially motivated attack. I’m comfortable saying it was a hate crime, although to say that affirmatively is a legal process, but he’s being brought up certainly on charges of it being a hate crime.

Dr. George Vergolias: [00:03:25] So, what’s interesting here is there’s evidence that going all the way back to late 2021, he was already planning this attack. He was going on websites like 4chan, and more recently, on Discord, and not only engaging in rhetoric that kind of met his ideological view of the great replacement or the major replacement theory of the White race being slowly wiped out, which is one of a number of theories that White nationalists and White nationalism subscribes to in believing that Whites, in general, are being somehow edged out or weeded out of the population, not just in the US, but globally.

Dr. George Vergolias: [00:04:15] So, he was doing this online. He was engaging in online threats. He was engaging in planning. He, for a number of months, was selling off belongings, so he can have the money to buy tactical gear, and weapons, and ammunition, and so on. On March 8th, he went to—he drove the 200 or so miles to the Tops grocery store, and he basically cased the joint. He walked through up and down the aisles.

Dr. George Vergolias: [00:04:44] He walked in and out a number of times. Eventually, he was confronted by a security guard that had basically said to him, “I’ve seen you go in and out a few times. What are you doing?” And basically, Payton said that he was collecting consensus—or rather census data, which could have been reasonable, right? And it was taken at face value. And then, he went home, and later that night, he chatted, and he basically said it was a close call, he almost got caught.

Dr. George Vergolias: [00:05:16] What he was doing, it was, he’s looking at the patterns of people coming in and out. He was looking at the areas of the store that were busier and at what time of the day. He was no doubt looking at the security people and their movements, as well as looking at how they might respond. This is all very planned, what we call pre-attack planned behavior, and it is a pattern that we see a lot with predatory individuals. What he also did is he came in with several firearms in his person, certainly, in his car.

Dr. George Vergolias: [00:05:56] He was suited up in tactical armor, including a tactical helmet. At one point, what they call Army-style or assault-style tactical gear. Several weapons he had, a Mossberg 500 shotgun. He had a hunting rifle that was given to him by his father when he was 16. And he had recently bought a Bushmaster XM-15 rifle in January from a local gun distributor. That weapon was purchased legally, and in between December 8th and January 19th, he actually visited roughly about 15 different gun stores in the greater, larger northern New York state area.

Dr. George Vergolias: [00:06:42] He hid those weapons in his bedroom, and he wrote online that he was worried that his parents would find him, and he would get found out, and his plans would fall apart. That didn’t happen. Unfortunately, that did not happen. When he came on site and started shooting, there was a security guard and ex-law enforcement officer named Aaron Salter, who returned fire, shot Payton, and run, but due to the tactical armor he had on, he wasn’t able to subdue him or bring him down. Payton returned fire and killed Mr. Salter. I could go on about the details, but then he proceeded to work his way through.

Dr. George Vergolias: [00:07:22] His plan, at least as written online, was to then go to other locations that day and continue his killing spree. Fortunately, police responded very quickly. I believe at one point, he turned the gun on himself, he didn’t fire, but he kind of pointed it in his own neck, and the law enforcement officers talked him out of self-harm, and they took him into custody. So, there’s a lot of details I didn’t cover. I wanted to give a little more flavor. And what I was highlighting with those facts are things that are very pertinent to the kind of violence that we’re seeing here. Would it be good for me to describe that now, Shane? I know you had several aspects to your question.

Shane McNally: [00:08:09] Yeah, if you would like. I think one question that we could go off of right now that just popped up from what you were saying is when he was going in and out of that store, now, correct me if I’m wrong, he was actually full-on planning and mapping out everything that he was going to do, right?

Dr. George Vergolias: [00:08:25] Absolutely. Absolutely. So, one thing that we see with this type of violence, and there are two types—well, before I go into that, because that’s an explanation, but to answer your question, absolutely. This wasn’t a random, hey, let me just go check out this grocery store. He drove 200 miles in early March to specifically case and do surveillance on this store, partly to solidify it as a target.

Dr. George Vergolias: [00:08:53] Sometimes, psychologically, we call this a hardening of targets. Another way we describe hardening of targets is if you are a target and you put certain security measures in place that toughens them or hardens them. After 9/11, even going as far back as after the Oklahoma City bombing by McVeigh, many federal buildings put large cement pylons in front, so you couldn’t get a truck right up to the door.

Dr. George Vergolias: [00:09:20] That is a security hardening of target. But there’s a psychological principle where you also do something that I refer to as a hardening of the targets. You are no longer thinking of the targets as humans, as subjects, with lives, and goals, and dreams, and loved ones. You’re hardening them in your mind. You’re objectifying them. And when you walk through a site as an attacker, and you’re committed to the plan at this stage, you’re starting to just think of this almost like a cognitive exercise.

Dr. George Vergolias: [00:09:52] You’re not thinking of these people as people. You’re thinking of them just as objects, as targets. And so, that’s part of the process of casing. It is partly, how do I get away with it? How do I inflict maximum damage? But it’s also that process, in your head kind, of steeling yourself, not steal, as in the metal, steel. You’re hardening yourself and hardening your mind psychologically to commit the act.

Shane McNally: [00:10:19] Wow. Yeah, it’s just crazy to think that somebody could do that and even go so far as to, like you said, harden themselves to do that in the planning.

Dr. George Vergolias: [00:10:29] Let me just piggyback on that real quick. What’s interesting is assailants that are in this predatory mode, and I’ll talk about that just next, but they will go to other lengths. Like if you look at Dylan Klebold and Eric Harris. Eric Harris, these are the Columbine assailants, in the weeks leading up to the Columbine attack, Eric Harris specifically went off his antidepressant medication for two reasons. He didn’t want to feel emotionally subdued or mellowed. He wanted to feel the full rage that he was feeling as he went into that attack. He wanted the full, you almost can say it, he wanted to be emotionally amped, right? He wanted to be jacked up emotionally. He purposely did it. That wasn’t accidental.

Dr. George Vergolias: [00:11:16] When you see these guys, and almost all guys, by the way, I think last data that I looked at from a couple of years ago, pre-pandemic, something like 3 or 4% of mass shootings have been committed by women, so this is almost predominantly a male game right now. And people will say, why do they get all this tactical armor? Well, one is maybe self-protection. But let’s be honest, in most of these attacks, I mean, if you look at the synagogue attack from two years ago, if you look at the Christchurch mosque attack from a few years back, none of these people had weapons.

Dr. George Vergolias: [00:11:53] Why do they wear black? Why do they wear camouflage in the middle of the day? That doesn’t obscure you, that doesn’t hide you, it makes you stand out. They are psychologically gearing up. They’re psychologically putting on the uniform to be a commando, to be a soldier of their cause. That’s another aspect of them psychologically getting geared up and almost building up momentum to go out. The closest normative example for any of us that ever played football, and you’re in the locker room, you got your pads on, you got your helmet on, and you’re smashing helmets with your buddy, and you’re smashing their shoulder pads, what are you doing?

Dr. George Vergolias: [00:12:31] You’re getting amped up for the game before you go out of the locker room and take the field. That’s fairly normative, right? We all see that. We all understand that. These attackers have similar individual rituals that they do to amp themselves up in preparation to go out out of the field of play, as they say it. So, yeah, so these are really good questions, but that’s what we see. It’s a very interesting psychological phenomenon.

Shane McNally: [00:12:56] Wow. And I know you mentioned you want to talk a little bit about the kind of act of violence that this really looked into, but kind of maybe wrap it in with this, my next question of like, does this shooting remind you of other events in history?

Dr. George Vergolias: [00:13:10] Yeah, it absolutely does. So, before I go there, though, let me talk about affective versus predatory violence, and then I’ll talk about the reminders—or what it reminds me of, and then the linkage is between them, if that’s useful.

Shane McNally: [00:13:24] Yeah, absolutely. That sounds great.

Dr. George Vergolias: [00:13:25] So, a little bit of history lesson here, but psychological history lesson that hopefully is interesting. We know now that there are basically two biological or biophysiological modes of violence in the brain. They have different anatomical aspects of the brain that are in operation. They have different neurotransmitters. They operate with different neuronal pathways. And the way this was found out is about 70 years ago or so.

Dr. George Vergolias: [00:13:55] I believe it was German or Austrian scientists, were doing research on cats, and they open their brains while they were obviously alive, and in case we have cat lovers out there, once you anesthetize the skull, the brain doesn’t have sensors, pain sensors, and they would put electrodes on the brain. And what they found out—and then they expose them to different environment stimuli to see how they reacted.

Dr. George Vergolias: [00:14:22] And they weren’t necessarily trying to study violence, per se, but what they found out is that there were two kind of violent reactions that had two different patterns in the brain. One, they deemed affective violence or emotional violence, and the other, they called predatory violence. Sometimes, it’s also referred to as targeted. I don’t like that term. I like predatory, because it kind of shows you the mode. Affective violence is violence that most of us have seen, or if we’re ever going to be a victim of violence, most of us are going to be a victim of affective, reactive violence.

Dr. George Vergolias: [00:14:57] It’s emotional. It has to do with hyperarousal, meaning you’re jacked up, you’re excited, you’re scared, you’re fearful, you’re shamed, you’re annoyed, you’re rageful, but there’s an emotion going on. It tends to be reactive and immediate. It tends to be in response to a perceived threat, somebody is threatening you or you feel threatened and you feel you need to react back at them. It is a fight or flight reaction. I need to fight the threat away, or I need to run away, or better yet, I need to posture in order to drive the threat away.

Dr. George Vergolias: [00:15:32] How is posturing? Well, a quick example of affective posturing, we’ve all seen this. Certainly, boys have all seen this. Growing up in grade school, two kids get in a fight at recess, what often happens is they’re cracking their knuckles, right? They’re puffing their chest. They’re swaying side to side. They’re putting their chin out. And they’re taunting the other person to hit them. “Come on, hit me, man. No, you hit me. No, you hit me. No, you hit me. Do you want to fight? Let’s go.”

Dr. George Vergolias: [00:15:58] And this may go on for minutes before a fight even breaks out. And sometimes, the fight doesn’t even break out. Looking at those two, the untrained eye would say, “Oh, well, those two kids really want to fight”, and the truth is, no, they don’t. They don’t want to fight. What they want is they want the other person to walk away, and they save face. They save kind of ego. If you look at prison attacks and you could pull up the Discovery Channel or A&E, and watch prison documentaries, you will see true predatory attacks.

Dr. George Vergolias: [00:16:29] There’s no warning, there’s no posturing, there’s no verbal threats. Two inmates are sitting there looking like they’re best friends, and the next thing you know, one inmate explosively just starts attacking the other with no warning. It’s a very—and it’s almost unemotional. It’s almost cognitive in the way it’s done. So, affective on the one side. It’s also time-limited, meaning if you think of a fight or flight reaction, our bodies can’t stay in that mode for very long.

Dr. George Vergolias: [00:17:00] Adrenaline is pumping to your major muscles. You have cortisol pumping. You have different things going on that is all designed to get away from an attack or subdue an attacker. And this has evolutionary value, right? If you needed 10 minutes to figure out how to get away from a lion, you didn’t live, right? It was an immediate reaction. You had to mobilize to deal with that. So, it’s time-limited. I’m going to add one more thing that’s kind of interesting.

Dr. George Vergolias: [00:17:30] With affective violence, you will have a displacement of the target. Now, what does that mean? That means that if I’m in an affectively violent mode and someone attacks me, I’m going to attack anyone that comes into my circle. So, imagine, for example, that I have a cat tied to a corner of a room on maybe a six-foot leash, and I slowly walk a Rottweiler or a Doberman Pinscher up to that cat, what’s that cat going to be doing? Right?

Dr. George Vergolias: [00:18:00] Obviously, hissing. Its back’s arched. Its claws are extended. It’s showing its teeth. Even if that cat is looking at the dog, would any of us be willing to walk over and pick the cat up? And the answer should be no, right? Why? Because that cat’s attacking anything that comes into its circle, anything that comes into its sphere. One of the reasons that police officers, their most dangerous response in the field is domestic violence, not just because the abuser is in an amped-up state, which is almost not always, but usually, a man, but often, the victim is in a violent state, because she is defending herself.

Dr. George Vergolias: [00:18:40] She is in a fight or flight arousal herself. And so, the whole environment is supercharged with emotion. And with that emotion comes fight or flight reactivity. Okay. That’s affective violence. Bar fights, fights at the Thanksgiving table, hopefully, we don’t have many of those, but some of us have seen that, right? Tailgate fights, fights at school, all that kind of thing. That’s usually affective violence.

Dr. George Vergolias: [00:19:06] Now, let’s juxtapose that with predatory. Predatory violence is you have minimal arousal. First, let me give you an example. Let’s take that cat, and now, put that cat two days later in the backyard, and there’s a bird feeder maybe 30 feet away, and a bird lands on that bird feeder, and now, the cat sees the bird. Now, the cat isn’t on top of the bird yet. The cat’s 30 feet away. Now, what’s the cat doing? It’s super focused, right?

Dr. George Vergolias: [00:19:31] It’s staring at the cat. It’s got a laser focus to its eyes. Its claws are pulled back, because it’s not ready to attack. It wants to move very stealthily, very quietly, and only at the last minute, when it gets close, might it then attack and get aggressive, but it’s in a very cognitive focused mode. The human correlate of that is an Army sniper. I remember seeing an interview of a sniper from the Serbian-Croatian war, obviously, a number of years ago. And this sniper, every night, would crawl, and he was sniping across what they called Sniper Alley.

Dr. George Vergolias: [00:20:08] It was a division line of literally, roughly about one street that divided the forces, and he would crawl up a rubble-strewn staircase, and he would have to crawl across the room with rocks and rubble on it, and get into position, and then he would look throughout the night for people, frankly, to snipe. And they asked him, “When you get to the top of that staircase, how long does it take you to crawl into position, that 20 feet or so? And people would say an hour, 2 hours. It took him often 5 to 6 hours to crawl 20 feet. That’s how careful, and slow, and methodical he was.

Dr. George Vergolias: [00:20:49] Think of that, though, for a minute. Think how cognitive you have to be to do that. There’s no emotion. There’s no reactivity, right? That is an example. Your Army sniper is a more socially sanctioned example of predatory attacks. So, when we see shooters like Payton Gendron, and everything I opened the podcast with and all his behaviors, this is a predatory attack, right? Minimal arousal, meaning he’s not emotional, he’s not jacked up at the time.

Dr. George Vergolias: [00:21:21] It doesn’t mean that he’s not yelling things. There’s a certain bravado that they will show, but he’s not really feeling fear, anger, rage, panic. It’s purposeful and planned, violent. There’s no imminent perceived threat. What we mean by that is nobody in the Tops grocery store posed an existential threat to Payton Gendron. Nobody did. Now, in his mind, they did, because they represented a minority, a Black community that was taking over the White population by the proliferation of birth rates and all that, if you read his manifesto.

Dr. George Vergolias: [00:21:59] But they didn’t actually pose a threat to him. There was also no displacement of the target. And what we mean by that is if you ever look at closed cam footage of these shooters, and there’s a little bit of this circulating with the Pulse nightclub shooting with Omar Mateen, you could see a little bit of this online with the Columbine shooters, you will notice that they’re not frantic as they walk through and shoot people. They’re very cold, and methodical, and calculated.

Dr. George Vergolias: [00:22:34] Often, I talked about rituals of affective violence, you puff your chest up, because the signal is if it’s in you and me, Shane, it’s Shane, you don’t want any piece of me. I’m going to puff my chest. I’m going to crack my knuckles. I’m going to sway back and forth. I’m going to look tough. I’m going to look like a peacock, right? I’m going to extend my physical prowess, because I want you to walk away.

Dr. George Vergolias: [00:22:55] I don’t really want to fight you, but I can’t admit that, because I’m a man, so I need you to walk away. The problem is you’re doing the same thing, and often, one of us crosses a line and it gets physical. In the predatory style, you don’t see the public displays, because it would give up your intention, right? If every mass shooter showed massive public displays of their intent, we would catch all of these guys.

Dr. George Vergolias: [00:23:18] What they tend to do is they tend to show these displays in very focused communities or groups that they think mirror their ideology. That’s why he went on 4chan. That’s why he went on Discord. That’s why moments or hours before he went on the shooting, he invited a very select group of 15 people that we’re still investigating to visit him on the Discord Channel and look at his postings, and I think there were even links to the live feed that he showed when he went and committed the shooting.

Dr. George Vergolias: [00:23:53] So, all of these are private rituals, and the goal is to fuel their own narcissism, and reduce their paranoia, and kind of gear them up psychologically for the attack. In Columbine, Harris and Klebold, they made basement tapes for weeks and months ahead of time, where they talked about the attacks and their intentions, and what they hope to get out of it, and what their intended outcome is going to be.

Dr. George Vergolias: [00:24:18] So, why do I go into all this? It’s really important to understand these features, so you can understand what kind of violence are you trying to prevent? I can’t tell you after this shooting and after every shooting how many, and we’re going to hear this over the next few weeks, people that knew Payton Gendron come out and say, “Oh, I never saw this coming. He was such a quiet, mild-mannered kid.

Dr. George Vergolias: [00:24:46] Now, he had some problems, no doubt, but I never saw him get all erratic. I never saw him explode in rage. I never saw him show high levels of emotion.” Well, of course, you didn’t. He’s a predatory attacker. It’s a very different kind of MO than what we would see. If you’re a psychopath, you’re going out to the bars every night and getting in bar fights. It’s a very different kind of psychology that goes behind this. I know that was long-winded, but I wanted to do that question justice.

Shane McNally: [00:25:15] Yeah, absolutely, and thank you for that. And I think that leads into the next one really well when you just mentioned kind of the psychology of it, but there’s a lot of talk, obviously, there’s a lot of media, and we’ll get into that in a second, around this shooting and everything, but there’s also a lot of talk about the attacker himself and being evaluated by mental health professionals the year prior to the attack. So, there’s this like idea out there that mental health treatment can or should play a role in preventing these types of attacks. And events like this, obviously, like the idea is that they show a crack in the system. Can you kind of like expand and speak a little bit more on that?

Dr. George Vergolias: [00:25:52] Yeah, I can. So, we don’t know everything about that. What we know is roughly about a year, maybe a year-and-a-half, I don’t have the exact time frame, I believe he wrote a paper or he wrote something down, where he talked about or he made statements about committing a murder suicide at school. The school did what they needed to do. They flagged it and they sent him for a mental health evaluation. I don’t know where that occurred. I actually work locally here in North Carolina in hospitals, and I do these evaluations. Typically, when the school flags it, they’re like, we think this kid might be dangerous to themselves or others. They send them into the emergency department. They’re evaluated.

Dr. George Vergolias: [00:26:34] And at that moment, it’s important to know that the evaluating clinician, typically, a doctor, could be a social worker, but typically, it’s a doctor of psychology or a psychiatrist, they have to adhere to an imminent risk standard, which means, are you imminently at risk of killing yourself or others? Not, are you kind of a bad person or might you do something a week from now, a month from now, a year from now? But are you so dangerous in the next 24 to 48, to 72 hours that I need to take away your rights and commit you to the hospital? There’s a few avenues to make that happen, but that’s the ultimate, is I’m literally going to commit you against your will.

Dr. George Vergolias: [00:27:14] In order for that statute, that bar to be met in most jurisdictions across the country, there has to be a lot of data that shows that you’re thinking of hurting yourself, you have strong ideation of doing it, you have a plan, you have intent, and you lack certain impulse control to hold yourself back, and you lack certain protective factors. That’s a lot of checkboxes. What happened, as best we know, from what I can gather from second party sources, is that he went in. Again, by the way, most of these guys are fairly manipulative.

Dr. George Vergolias: [00:27:52] Payton was bright. He actually, I think, won first prize in middle school at a chemistry contest. I think he was on the honor roll for most of his high school career until he dropped out. This was not a stupid kid. He went in basically, and said, “Oh, I was just trying to get out of school. I was bored and I knew that would get me out of school.” And the other checkboxes just weren’t there, and they released him. And that was a year ago, right? You can’t lock a kid up for a year, so—you can in some cases, but you have to be very severely mentally ill, which he wasn’t.

Dr. George Vergolias: [00:28:26] So, I think there’s this misconception that a mental health evaluation is going to solve all these problems. There was a really wonderful op-ed piece by Mark Follman, F-O-L-L-M-A-N, who’s written for The New York Times. He’s written for Mother Jones. And most of his writing as a journalist has focused in the last five or so years on understanding mass shooting and mass attacks. And he’s worked with a lot of very well-known researchers on threat assessment and forensic psychologists.

Dr. George Vergolias: [00:28:58] I’ve seen him talk. I’ve met him at conferences. Really great journalist. He just published an op-ed piece. I believe it was in The New York Times or The Washington Post. I can’t remember immediately off the top of my head. I’ve been digesting so much information on this. But he talks about how these individuals do have mental health issues, no doubt, but this is not a mental health problem at its core.

Dr. George Vergolias: [00:29:22] The overwhelming majority of people with mental illness are not violent. Mental illness doesn’t, otherwise, take a nonviolent person, and suddenly, make them violent. There are rare, and I mean very rare exceptions, where you might have somebody with severe mental illness, paranoid delusions, psychosis, where they believe people are after them and they feel they need to defend themselves.

Dr. George Vergolias: [00:29:47] There’s almost no cases in which those individuals go on a shooting spree. There’s a few. There’s a few. I think it represents something like 3 to 4% of all mass shooting seem to be motivated by the nature of the psychotic, paranoid delusions that the person was having. The overwhelming majority of these cases, these people, they didn’t have a great sense of right and wrong, meaning their morality was a little bit skewed like a psychopath’s is, but they knew right and wrong.

Dr. George Vergolias: [00:30:19] They knew what they were doing and they were making decisions to do these based on an ideology that they were subscribing to. So, that’s one of the factors, I think, that’s important to realize, is that mental health, we do need to improve our mental health system, no doubt. And I think we need to rethink some of the laws we have in order to try to keep people safe, but a lot of these shootings would not necessarily be prevented simply because somebody was hospitalized against their will. And in this case, that was well over a year ago. That probably wouldn’t have had a massive impact here.

Shane McNally: [00:30:55] Yeah, those are some excellent points to bring up around that, so I appreciate you taking that question there, too. And so, like I mentioned at the beginning of that question, of going back to it a little bit here, you did mention earlier that there was a massive amount of media presence around this shooting, and understandably so, with news outlets and everything like that, and can you tell us about the impact that having so much media presence has with this level of violence?

Dr. George Vergolias: [00:31:25] Yeah, absolutely. So, there’s this thing in the field that we call the contagion effect. There’s also the copycat effect. The copycat effect is simply—and actually, we saw this, and I’m actually going to dovetail this with an answer to a question you asked earlier that I got away from, where you ask simply, does the shooting remind me of other things? And it absolutely does, and just in recent memory, right?

Dr. George Vergolias: [00:31:50] So, we know, for example, on, I think it was October 27, 2018, in Pittsburgh, the Tree of Life synagogue, Robert Gregory Bowers, 46-year-old male, went in and shot 11 people in the synagogue. And his thing was very similar to the whole White replacement theory, and he was blaming Jewish people for being responsible for—being the immigrant invaders and being responsible for promulgating the immigrant invaders. We all have heard of March 2019, the Christchurch New Zealand shooting.

Dr. George Vergolias: [00:32:30] 51 people shot by Brenton Harrison Tarrant, 28-year-old White male from Australia, and he clearly was responding in a very similar way to what he perceived was the great replacement. He actually called his manifesto The Great Replacement, and it was the same ideation that Payton Gendron was replying to. In fact, in August of 2019, Patrick Wood Crusius at the Walmart shooting in El Paso shot 20 people. Same thing. His manifesto, he called The Inconvenient Truth, but it was the same thing he was railing against, is that this attack is the responsible for Hispanics, in this case, invading Texas, and he felt like people needed to come after or he needed to go after that contingent of society to defend the White race.

Dr. George Vergolias: [00:33:26] So, there’s clearly a plan here, and what’s interesting is Patrick Crusius, the shooting at the Walmart, he got his inspiration from Harrison Tarrant of the Christchurch shooting. And we know there are indications from the manifesto that Payton Gendron also got his influence, or motivation, or inspiration from prior shootings as well. So, what we see is there’s a certain copycat effect of people see earlier shootings, where people have similar or closely aligned ideologies, and they use that to fuel their own ideation, and they almost see it as their hero, and they further commit an act. What we also know that—that’s the copycat effect.

Dr. George Vergolias: [00:34:12] What we also know is there is something called the contagion effect. And what we’ve known, and we’ve known this for 30 years, and that is when there is a mass televised or massively publicized shooting of a mass shooting or a widely publicized story of a mass shooting, there is a significant increase, usually, it’s been measured at 10 to 13X increase of another unrelated mass attack occurring within about two weeks of that publicized event. Now, that used to be regional if you go back 30 years ago, basically, if you go back before social media and mobile phones.

Dr. George Vergolias: [00:34:57] It used to be—I live in Raleigh, North Carolina. Shane, I know you’re in Minneapolis. If there was widely publicized in the newspaper, there would be a certain geographic barrier to the publication of that where that risk would increase. Now that we are truly a globalized news kind of feeder source, that regional barrier just doesn’t exist. It doesn’t really matter, right? You could have a shooting in New Zealand, and it’s covered all over the news globally, and it’s on CNN and Fox News every night, and it motivates some guy in Albuquerque, right? But what’s behind this psychologically?

Dr. George Vergolias: [00:35:40] In a weird way, it’s a really understandable dynamic, aside from the heinousness of the violence. What’s behind it is someone sitting at home right now as we’re talking, and they got a lot of hate, a lot of anger, whatever their ideology is, it could be right wing, which a lot of it right now is right wing, it could be left wing, right? It could be radical, violent Islamist. A lot of directions, but they’re thinking somebody should do something, somebody should do something.

Dr. George Vergolias: [00:36:13] And then, they watch a shooting like this, and maybe they start saying in their head, God, this Payton guy was kind of a loser, if he could carry this out, certainly, I can, right? I could pull this off if he can. Why wouldn’t I? Maybe I should step up and take arms for the cause, fill in the blank of whatever the cause is, right? Because it could be on different levels of the political spectrum.

Dr. George Vergolias: [00:36:36] And then, it emboldens them to start—it’s almost like the light bulb goes off and it emboldens them to move forward with a plan. The other thing is there’s people that have already been incubating in that for months or years, and what they needed in a way psychologically is that model, that last inspirational push over the edge to move into planning or to take things to the next level and go into planning mode. Now, when I said earlier, this is normative psychologically, you’re like, what?

Dr. George Vergolias: [00:37:07] Well, here’s my explanation, and I’m going to give you my personal story, almost every year, I sit down sometimes with my wife, she’ll watch it, other times, she doesn’t, but almost every year, when the Iron Man, the Kona Iron Man is on TV, I watch it from beginning to end. And I love watching the athletes that finish in X number of hours, but I also love watching the people that are doing it all day long and they make it in with 5 minutes to go before they shut the race down, right? And there’s also that one guy, I forget his name, whose son has cerebral palsy, and he finishes the whole race every year, or used to. I don’t know how old he is now, but it’s very inspirational, and he does it with his son.

Dr. George Vergolias: [00:37:48] He like pulls the son on a small raft, and then he rides the son on the bike, and then he pushes the son on a stroller through the marathon, and it’s the most inspirational thing in the world. And what do I do in the next morning? I wake up early, and I go and buy groceries, and I buy spinach, and I buy protein drinks, and I buy all kinds of stuff, and for about two days, I work out, and then I go back to eating nachos, right?

Dr. George Vergolias: [00:38:11] But for a short period of time, I’m looking at these images, and saying, damn, I can do that, I should do that. It’s the same psychological principle with the contagion effect, we’re just seeing it directed in a really heinous, violent avenue. So, yes, these events do have precursors and they do piggyback off one another in the mindset of certain numbers of assailants. But let me say one more thing, because it’s important to know.

Dr. George Vergolias: [00:38:42] Positive interactions could have the opposite effect as well. I remember listening to a famous security expert threat manager, Joel Dvoskin. He was doing a post-mortem autopsy, a psychological autopsy, as we call it, on the Columbine assailants. And Eric Harris was set, he applied to the Marines, and about three weeks before the shooting, he got his rejection letter. And he got rejected, I think he had an ear or a foot issue.

Dr. George Vergolias: [00:39:13] I don’t remember the exact issue, but there was some issue medically, and they just said, we can’t accept you. And somebody asked him, if Eric Harris would have gotten into the Marines, do you think he would have backed away from the shooting? And Joel Dvoskin said, and I agree with him, absolutely. Absolutely. That gave him something to look forward to. That was his whole life. It gave him motivation towards something better and more prosocial. There’s no way he would have gone through that shooting, and I’m inclined to agree.

Dr. George Vergolias: [00:39:40] So, what’s interesting is there are people on this trajectory that haven’t committed yet but are inching towards committing, and something positive happens. They find a girlfriend. They get that job that they didn’t think they’d get. An old mentor calls them. I mean, a million little things, and it just turns them off a trajectory, and it’s just enough to nudge them off the pathway. Now, some kid get nudged back on the pathway, but sometimes, it’s just enough to nudge them off the pathway. So, there are some really interesting dynamics that play as people are navigating through this process of trying to decide, do I take this to the next step and continue on that path?

Shane McNally: [00:40:24] Well, yeah, and like you said, we’ve seen this everywhere in the news and everything like that, and additionally, this one was a little, I think, different, because it was also live-streamed. He had a live stream up as well. And I think kind of going into how this can actually impact people that were there, but also, people across the country that have seen some of these videos or are just upset and traumatized, honestly, about the whole thing, and understandably so. How did live-streaming this online really have an effect on people that may have seen it? Is it likely to increase fear and trauma to people that weren’t there, but did see this shooting play out?

Dr. George Vergolias: [00:41:07] Yeah, I think there’s a few ways in which it could significantly impact people. By no means am I going to say that it’s going to cause trauma. That’s prescriptive and different people react differently to that. What I will say is for those people that have been subjected to violence, those people that have been involved in a shooting, lived through a shooting, have had loved ones involved in a shooting, it almost brings a—can, I should say, bring back the experience very viscerally.

Dr. George Vergolias: [00:41:39] So, there’s that subgroup. That’s still a pretty small subgroup of the population. But even those people that may have not been subjected to it, but saw it, it’s disturbing. These are disturbing things. I have been allowed, given my background as a threat manager and a forensic psychologist, I have had aspects—or I’m sorry, access to seeing aspects of closed cam footage shooting or even direct shooter footage when they had a body cam or they had a GoPro, and it’s disturbing. These are disturbing things to see without a doubt. So, certainly, there’s the risk of it being traumatizing.

Dr. George Vergolias: [00:42:16] There’s a flip side to it, and that is for those individuals that are on a trajectory and maybe just a little more upstream from where Payton was at the process, it could also be emboldening to them, right? It could be an image for them of almost reinforcing their own sense of belief of going through something like this. Fortunately, and this is where social media has come a long way, this thing was taken down, I think, within minutes, and scrubbed, which is good.

Dr. George Vergolias: [00:42:50] But yeah, I mean, these are traumatic things. I think if I recall right, the first, there actually were other captured shootings that occurred. There was a shooting from the late ’80s where there was a gentleman whose son had been molested, and the molester had fled the state and was being extradited back into the state, flown in to a certain airport, I forget the name off the top of my head here, and the assailant was at a payphone. I mean, you’re nodding. I guess you’re nodding, right?

Shane McNally: [00:43:31] Yeah, I know exactly what you’re talking about.

Dr. George Vergolias: [00:43:32] And he just said, “Why? Why did you do this to my son?”, and opened fire. That was on TV, right? Ruby shooting Lee Harvey Oswald was on TV. The difference here is that was passively captured. The first time, I think, we saw it by the assailant, to my knowledge, was I think it was Vester Flanagan, the Virginia news anchor, who shot a cameraman and he shot a female anchor, because he lost his job at OWN-something or other in Virginia.

Dr. George Vergolias: [00:44:10] Again, usually, I know these off the top of my head. And he live-streamed and videotaped approaching them during an external video shoot, and he shot the cameraman, and he shot the female anchor. We saw this a few other times. I fear that we’re going to continue to see this a little more often. It is, if you get out of the moral aspect of this, and this is part of a podcast that where if someone takes this next statement out of context, I’m going to look like a monster, so I’ll preface it, if you get out of the moral overlay, and you approach this from a perspective of, boy, how do you really want your message to be heard? How do you want to get out your message to the world?

Dr. George Vergolias: [00:44:55] If you really think you’re a soldier of X cause, X, Y, Z cause, boy, taking a gun, and strapping a camera to you, and shooting a bunch of people in service of a cause, being a martyr, being a soldier of the cause, great way to get your message out, right? In other words, that’s the problem, is it can have real important meaning—not important, visceral impact from the perspective of getting your voice out. Now, it’s a voice of hate. It’s a voice of violence. It’s not a voice—I think anyone in a pro-social democratic society wants to support, but it is a way to get your voice out, yeah.

Shane McNally: [00:45:39] Yeah, absolutely. And like you mentioned, I mean, this can impact people all over the place, and I think that it’s important to kind of take it into like the workplace context. So, say, if you’re an employer and you have employees that have seen this or maybe this hate crime has really—they’re scared now to go kind of out and about. They weren’t there, they weren’t at this Tops, they just feel they weren’t directly impacted, but they do feel some major emotional connection to this. What should employers be doing to kind of help out their employees after this?

Dr. George Vergolias: [00:46:17] There’s a few things that I would keep in mind. One is be careful not to prescribe trauma. In other words, just because people are upset doesn’t mean they’re traumatized, right? There’s an old saying that every time you said you couldn’t go on, you did, right? What’s interesting about the research on trauma is the overwhelming majority of people that have been traumatized don’t actually experience ongoing traumatic symptoms.

Dr. George Vergolias: [00:46:42] In other words, they absorb it. They absorb the punch, is how I describe it, psychologically. It may take a few weeks, but they settle back into their life. They pull up their natural resilience. They pull up their loved ones, their friends, their hobbies, their coworkers, their faith-based groups, whatever it is, and they basically just kind of get back to their life. It doesn’t mean it didn’t impact them. Some walk away with a deep sense of meaning as a result of what they went through, but they kind of get back.

Dr. George Vergolias: [00:47:10] There are other people that for any number of reasons, and no judgment and it’s not a sign of weakness, they can’t quite get over it, and they might need treatment. They might need medications. They might need therapy. All good. We want to get them that if we can. So, as employers, I think it’s really important to not necessarily assume, oh, everyone is fine, or assume everyone’s totally traumatized. It’s important to have resources for that whole gamut and allow people to tap into their natural resources and their natural resilience.

Dr. George Vergolias: [00:47:41] So, that’s the first step. The other thing is to be mindful of these are high-impact events, but they’re extremely low risk in terms of statistical likelihood, right? So, they’re low-frequency, high-impact, no doubt, right? Most of us, many of us have been involved in very bad severe weather, maybe even some of us in a tornado, but every time it rains or thunders, we don’t immediately freak out about a tornado occurring, right?

Dr. George Vergolias: [00:48:14] So, it’s important to educate ourselves on the likelihood of any one of us being involved in a mass shooting as a victim is really, really, really low. What you can do, though, is be mindful of where you are, have awareness. To this day—well, it’s funny. After Sandy Hook, one of the biggest fights my wife and I ever had, but she agreed with me, to her benefit, so I’ll give her props, my kids must have been—boy, there must have been like seven and nine, maybe even six and eight.

Dr. George Vergolias: [00:48:51] And after Sandy Hook, I sat them down and I had a talk with them about mass shooting. I explained how predators think in these attacks. I explained how they look for a kill zone. I explained run, hide, fight. I literally explained, if you have to run away, run away holding your book bag in front of you, reverse it on your chest. And now, some people are going to be laughing at this. None of that’s going to stop an AR-15.

Dr. George Vergolias: [00:49:20] And my wife was mad at first until I convinced her, we’re either going to have a hard discussion now—by the way, I’m also a forensic psychologist. I’m also a child psychologist. I kind of know how to have these discussions. I’m not saying this is for every parent and I’m not saying everyone has a tolerance for this, so I’m not prescribing it, right? But I said, we’re either going to have this hard discussion now, and it’s a low risk, a very low risk, but we might have to have a hard discussion over a funeral casket, and I’m not having that discussion.

Dr. George Vergolias: [00:49:51] And if I do have that discussion, I’m going to have it knowing I tried everything I can to educate my kids on resilience and being aware. Really interesting, fast-forward two years, my daughter had a school shooting, a significant scare. Turned out it was a false claim, but they locked everything down. And there was allegedly somebody on site that might have had a gun. What was interesting is they were barricaded in her room, and it’s hard to visualize on a podcast, but imagine that there’s the door to the classroom, and as soon as you open the door, she was directly in line of that doorway.

Dr. George Vergolias: [00:50:30] And there was a kid in the totally adjacent corner that got up to go get his book bag, now, whether you agree with my daughter’s morality, you could you could debate, but when he did that, she knew, based on what I taught her, that as soon as that gunman comes in, he’s likely to start firing, and he’s likely to spray to one side or the other, and usually, they spray, and they pull out, and they go to the next room, because that’s what they’re doing.

Dr. George Vergolias: [00:50:54] They’re moving on. They’re moving on. Almost like an urban assault. You clear a room, you move on. You clear a room, you move on. And I know that in large classrooms, like Columbine, and this is tough to talk about, but it’s rare that everyone in the classroom is shot unless the assailants come back and they look for victims to pick off. I won’t go way down into that detail. But she knew all this.

Dr. George Vergolias: [00:51:19] So, when that kid got up, she scurried across the room and she took his spot knowing that she was in a better position based on what I taught her. Now, I’m not saying anyone listening to this go out and teach their kids this, what I’m saying, though, is as employers, decide, what do you want to impart to your employees just about physical security awareness, awareness of your space? Right?

Dr. George Vergolias: [00:51:44] If somebody does come in with a gun, where are you going to hide? What can you use as a barricade? If it does come down to a last ditch effort, what can you use as a weapon to fight? Right? Understand the concepts of run, hide, fight, and understand that it’s not a sequence. You don’t always have the luxury of going from running to hiding, to fighting. There are moments where it’s like you turn a corner, and it’s like, damn, there’s a gunman and he’s two feet from me, right?

Dr. George Vergolias: [00:52:11] If you psychologically try to, at least, at least, to some degree, get in the mental space for this, you’re going to be just a little more prepared than somebody that is completely ignorant of understanding these concepts. Now, I’m not saying all employers just start a dialogue. I really believe it’s important to get experts that know how to do this, and whether they coach you on having that dialogue, whether they do the dialogue with you or maybe they do the dialogue themselves as the experts, it’s important to have dialogues and discussions around these things so that people are forewarned with information, and that way, they can be somewhat forearmed to be ready if and when these things start to occur.

Shane McNally: [00:52:56] That’s a great point. And I want to ask, too, as a follow-up, whether you are an employer or a leader in a corporate setting, where you’re going into the office every day or you manage like, for example, a grocery store, is it equally important for both sides to teach their employees and provide resources to be proactive and understand that ahead of time?

Dr. George Vergolias: [00:53:21] I think it is. I think what we see from the data, and unfortunately, we’ve got a lot of it, is from an industry perspective or a location perspective, these are equal opportunity attacks. We see them in manufacturing plants. We see them in churches. We see them in grade schools. We see them in daycares. We see them in grocery stores. We see them in a number of different types of environments.

Dr. George Vergolias: [00:53:48] And whether it is an unassociated attacker, Gendron was not associated with Topps. He picked it, there was a racial profiling, was what he did, and he chose it for that reason, just like the mosque attack in New Zealand, just like the Walmart attack, or it’s an ex-employee that’s disgruntled, and that is an associated, that’s a more personal attack, the company aggrieved me in some way, even if you feel like, well, we’re super low risk, we’re not a minority group, right wing groups aren’t going to attack us, right?

Dr. George Vergolias: [00:54:22] Okay. You’re some White church in the South, right? I’m being cliche here on purpose. Yeah. My guess is maybe White nationalist groups may not want to target you, if we’re using the right wing extremism, jihadist groups might. The point is, you can always have that disgruntled ex-parishioner, that disgruntled ex-worker that, for a number of reasons, decides at some point that they need to be heard and they’re going to be heard at the end of a gun. So, I think, yes, to your point, all employers need to be thinking, not panicking. Again, I want to give voice of caution and voice of cool heads here, but at least being forewarned and forearmed with information is really important in this day and age.

Shane McNally: [00:55:15] Yeah. And you mentioned, too, that experts are able to help out. Can you kind of just give a little bit of some insight into like what you mean by experts or what resources people should be utilizing?

Dr. George Vergolias: [00:55:26] Yeah. So, I’m going to talk, specifically, I’m a certified threat manager, I’m a forensic psychologist, so I have consulted with companies where I have trained the trainer, or I have trained HR or managers to have these discussions or to train their people on situational awareness. Other times, I’ve co-presented with them, and other times, we’ve just come in as experts and we’ve done the training ourselves.

Dr. George Vergolias: [00:55:50] There are other times we’ve facilitated roundtables, where people might get a training, and then they could come in for several weeks, and just have open discussion about their worries, or concerns, or even scenarios, right? Just have an open dialogue about these things. There are different ways that you can manage this in different organizations. Many organizations have their own security departments, and they might have their own trained people that understand threat management and threat assessment, and they don’t need outside experts, but a lot of them don’t have that, right? A lot of employers don’t have that access. And so, they do need that available.

Shane McNally: [00:56:25] Yeah, absolutely.

Dr. George Vergolias: [00:56:26] And by the way, Shane, let me just add real quick, I also do this at the individual level, right? This doesn’t have to be at the employer level. To this day, every time—my kids hate it, to this day, every time I go to a movie theater, and before the lights go down and before the previews start, I will say to them, “Alright. Where are the exits? If a guy comes in from-” and again, I always say a guy, because it tends to always be. “If a guy comes in from here, where are you going? If a guy comes in from there, where are you going?”

Dr. George Vergolias: [00:56:54] And it’s to the point that as soon as they start their sentence, “Yeah, Dad, we know. If a guy comes in from the left, we’re going over this seat and we’re going down to the exit down there. We’re going to keep a low profile and we’re going to duck behind the-“, and it’s almost a game now, but again, it’s ingrained in their head now. It’s ingrained in their head, and I just try to do that at the individual level as well.

Shane McNally: [00:57:14] I will also say, I can attest to that. Since working at R3, I have actually started to do that same thing, and I am not a certified threat manager or anything like that, but just kind of hearing those stories and and ways to do that, I will literally, like especially going to a movie theater or things like that, I do the exact same thing. So, yeah, it’s come to me, too. So, looking at like—we’ve talked about kind of preparing, and before, how you can help mitigate this as an employer. Looking at after the fact, if an event occurs, so say this shooting happens at your organization, what resources or what should leaders be doing to help this recovery process after the fact?

Dr. George Vergolias: [00:58:02] Few things off the top of my head that come to mind. One is, I think it’s important to give them access to counseling support resources. Now, what I mean by counseling is not necessarily formal therapy, right? Some people may need that, right? But if you remember what I said earlier, the majority of people adjust to trauma. They’re affected for a few weeks, but then they kind of get their life back, right?

Dr. George Vergolias: [00:58:27] They adjust, just like we adjust to grief, the loss of a loved one. Most of us, we absorb the blow and we get our life back slowly. We still are impacted, but we get our life back at a relatively functional level. Make resources available. One of the best resources is disruptive event management consulting and counseling, where clinical professionals come in, and they help people, totally voluntary for the individuals receiving it, but they help them process, talk through, make sense of, digest, if you will, the events and the impact on them.

Dr. George Vergolias: [00:59:04] A subset of those people, of those recipients, of those employees, they might need referral for more ongoing therapy. Nothing wrong there. That happens. But a lot of them, that initial impact or the impact of that intervention, I should say, can be very, very powerful, and you usually want to impact that within 24 to 48 hours. You don’t want to wait 10 days, two weeks, because what happens is what we know, even from a traumatic angle of the impact on the brain and your body, things start seeping in, and you start developing fear patterns and thought patterns, usually, already within 6 hours after an event, you can short-circuit those and reverse them if you have certain types of interventions within 12, 24, 36 hours.

Dr. George Vergolias: [00:59:49] You start going further out, there’s a risk that we start developing maladaptive habits and patterns. So, that’s why that kind of intervention, you want it very quickly and the goal is to build up their resilience, right? So, that’s one level. The other level and part of that service should also be management consulting. How does management handle the messaging? Right? If certain people are killed, do you share that openly in a message? Do you not share that? Do you give bereavement time to everybody to attend funerals? Do you not?

Dr. George Vergolias: [01:00:28] We literally have had questions where there’s blood at the work site. Do you clean it up before people come back and risk people feeling like you’re whitewashing over the event, or do you leave it and risk retraumatizing people when they come back? These are delicate questions—and these are delicate questions. Sorry about that, guys. There was a tornado warning, of all things, we were joking about on my phone.

Dr. George Vergolias: [01:00:57] And these are delicate questions that managers have to think about, and they have no experience, right? Because very rarely have you been through this before. Most employment locations, happens one time if—well, not most. Most, it never happens to. If it happens to any of them, the overwhelming majority of them have not had these large scale traumatic events occur at all. So, managers, it’s new to them, whereas folks like us, like R3, folks like threat managers like myself, this is what we do. This is the kind of crisis management, threat management work that we do.

Shane McNally: [01:01:35] Yeah, absolutely. And I think we’ve gone through, we’ve discussed the shooting in Buffalo. We’ve kind of gone through what employers and organizations should be doing beforehand, and following that event, and what resources are available out there, so thank you, Dr. Vergolias, for going from A to B on that. If the guests would like to hear more from you, or to get a hold of you, or anything like that, how would they be able to do that?

Dr. George Vergolias: [01:02:03] So, probably, the two best ways is my email at R3 is george.vergolias, V as in Victor-E-R-G-O-L-I-A-S as in Sam, @R-the number 3-the letter C as in Charlie-.com, or you can go to LinkedIn, and I won’t give you my whole actual address. If you type in George Vergolias, I’m the only one that pops up. Fortunately, I have a very uncommon name, so you should be able—a medical director at R3 and you should see me pretty readily.

Shane McNally: [01:02:38] Fantastic. Well, thank you very much for being with us today, Dr. Vergolias, and thank you, everybody, for listening.

Shane McNally: [01:02:45] R3 Continuum offers a plethora of services that can help organizations with disruptive event management, violence mitigation, disruption response and recovery, threats of violence, and behavioral health solutions that can help ensure the psychological and physical well-being of organizations and their employees. We make tomorrow better than today by helping people thrive. Connect with us and learn about our services at wwww.r3c.com or email us directly at info@r3c.com.

 

Show Underwriter

R3 Continuum (R3c) is a global leader in workplace behavioral health and security solutions. R3c helps ensure the psychological and physical safety of organizations and their people in today’s ever-changing and often unpredictable world. Through their continuum of tailored solutions, including evaluations, crisis response, executive optimization, protective services, and more, they help organizations maintain and cultivate a workplace of wellbeing so that their people can thrive. Learn more about R3c at www.r3c.com.

R3 Continuum is the underwriter of Workplace MVP, a show which celebrates the everyday heroes–Workplace Most Valuable Professionals–in human resources, risk management, security, business continuity, and the C-suite who resolutely labor for the well-being of employees in their care, readying the workplace for and planning responses to disruption.

Connect with R3 Continuum:  Website | LinkedIn | Facebook | Twitter

Tagged With: affective violence, behavioral threat assessment, Buffalo, Dr. George Vergolias, mass shooting, NY, predatory violence, preventing workplace violence, R3 Continuum Playbook, workplace violence

The R3 Continuum Playbook: Should I Start a Mental Wellness Program at My Company? – An Interview with Dr. George Vergolias, R3 Continuum on the Decision Vision Podcast

February 24, 2022 by John Ray

R3 Continuum
Minneapolis St. Paul Studio
The R3 Continuum Playbook: Should I Start a Mental Wellness Program at My Company? - An Interview with Dr. George Vergolias, R3 Continuum on the Decision Vision Podcast
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R3 Continuum

The R3 Continuum Playbook: Should I Start a Mental Wellness Program at My Company? – An Interview with Dr. George Vergolias, R3 Continuum on the Decision Vision Podcast

Dr. George Vergolias, Medical Director at R3 Continuum, was a guest on the Decision Vision podcast, hosted by Mike Blake, discussing whether an organization should start a mental wellness program. In this insightful episode, Dr. Vergolias laid out the considerations and issues involved, best practices for meeting the needs of people’s emotional and psychological health, the rise of telehealth, the potential returns of such programs, the characteristics of a successful program, and much more.

The show archive of the Decision Vision podcast can be found here. The R3 Continuum Playbook is presented by R3 Continuum and is produced by the Minneapolis-St.Paul Studio of Business RadioX®. R3 Continuum is the underwriter of Workplace MVP, the show which celebrates heroes in the workplace.

TRANSCRIPT

Intro: Broadcasting from the Business RadioX studios, here is your R3 Continuum Playbook. Brought to you by Workplace MVP sponsor R3 Continuum, a global leader in workplace behavioral health, crisis and security solutions.

Shane McNally: Hi, there. My name is Shane McNally, marketing specialist for R3 Continuum. This week’s R3 Continuum Playbook is going to be a bit different. We’re really excited to share that R3 Continuum Medical Director, Dr. George Vergolias, was recently a guest on the Decision Vision podcast. Dr. Vergolias had a conversation with Mike Blake from Brady Ware & Company, where they discussed mental wellness programs, and if it’s worth considering the implementation of one at your organization. They also discussed best practices for supporting emotional and psychological health, the rise of telehealth and what it takes to create and implement a mental wellness program successfully. Here’s the full conversation between Mike Blake and Dr. George Vergolias.

Mike Blake: Dr. Vergolias, welcome to the program.

George Vergolias: Thank you, Mike. It is a pleasure to be here.

Mike Blake: So, let’s start from the basics because I think people could define this differently depending on their context. How do you define mental wellness?

George Vergolias: So, the World Health Organization has, I think, a very usable and approachable definition. They define it as a state of wellbeing in which the individual in his or her own abilities can cope with the normal stresses of life. They can work productively and fruitfully. And they can make a contribution to their society. I kind of simplified that a little bit, and I like talking about mental wellness as a synergy between emotional, psychological, physical, and spiritual ways of being in the world that allow us to thrive.

Mike Blake: So, you’ve been doing this a long time, obviously, you have a lot of expertise in this field. When people think about or consider implementing a mental wellness program, what does that look like? Most of us know what a physical wellness program looks like. It could be gym memberships, and it could be walks, it could be stretching at your desk, not sitting for too long, all kinds of things of that nature, healthy snacks in the break room. But I’m not sure all that familiar with what a mental wellness program looks like. So, what, in your mind, does that look like? And maybe you can share some best practices with us?

George Vergolias: Sure. Really, it is a program that is designed at the highest level around meeting the needs of people’s emotional and psychological health. I mean, that’s kind of built into the definition. So, what does that mean in terms of best practice or what should you consider if you’re a leader at an organization? There’s a number of things that I’d recommend.

George Vergolias: And the first is, it has to be catered to your organization’s needs and to your organization’s culture. I’m not a fan of a one size fits all. There are different pain points. There are different needs, different industries, different companies, different cultures. And even in the same company, you might have different regions of the world or of the country in the U.S. that have different needs. So, it has to be catered to your needs and culture. It has to be collaborative both internally amongst various departments, as well as with outside vendors that can provide additional resources that you, as the organization, may not be an expert at.

George Vergolias: Leaders and managers need to be invested, engaged, and accountable at the highest level. I think a good example of this, which also shows some vulnerability, is Sheryl Sandberg from Facebook. Strong advocate of a mental health program, came out with her book a number of years ago, Lean In, and really was very open about her own experiences and her own vulnerabilities.

George Vergolias: That really sets a tone for employees. You want the employees to be engaged and you want their input to be part of the process of developing a program. You need to have a clear rollout and a communication plan. You need to leverage technology to support the initiative. On this front, remember, technology is a tool, it’s not the goal.

George Vergolias: I think what has happened in recent years is there have been some technology driven giants that have come on the scene that have wonderful apps and they have wonderful engagement in terms of the technology side. But they don’t necessarily have the best throughput in terms of impacting functional or behavioral change.

George Vergolias: And two more things I’d recommend. Consider a plan for anticipated barriers. Given your unique needs and culture, what are the things that you might hit roadblocks on and anticipate that ahead of time. And lastly, you want to address a menu of offerings in that service plan. Ideally, it shouldn’t be just psycho-educational trainings, or just peer support, or just access to the EAP, or access to mental health services. One size doesn’t fit all, and you really want a range of those things as you’re applying these programs.

Mike Blake: So, an argument might be that employees have it pretty good right now. And I’m not saying I’m saying this, but I have heard this argument, and you probably have too. Employees have not had as much power as they have right now – in my lifetime, for sure – to kind of pick and choose where they want to work, how they want to work. Many of them are working home. And for baby boomers and some Gen Xers, that seems kind of cushy, frankly.

Mike Blake: And so, that leads to the question, you know, is this question of a mental wellness program relevant to organizations that now have large numbers of people working from home? Can a company even put something in place to help them? Because with people working at home now that each have their own individual environments, now their each individual needs that are no longer kind of collectivized by an organization, they’re so diffused and so diverse now. Does that take a mental wellness program off the table? Are there things that companies can do to promote mental wellness, even if you have a largely remote workforce?

George Vergolias: It’s a great question, Mike. And my answer is, it absolutely does not take it off the table. In an interesting way, it heightens the need. Let me throw out some details for you. In March of 2021, the Microsoft Work Trends report was published. And what they came out with is a number of interesting findings, and I’m just going to throw a few out just to anchor this discussion. Compared to 2020, as they went into 2021, they saw a 100 percent increase in the use of Microsoft Teams. The average meeting was extended by ten minutes.

George Vergolias: There was an increase of 45 percent more chats being sent at random times of the day. And one of the difficulties we were finding is you always had to be on camera. So, if you were on camera, it’s really interesting that people don’t realize is if you’re in a board meeting or just a conference meeting at your workplace, you can see the speaker or your boss, and you can see if they’re paying attention to you. So, you can divert your gaze. You could take a sip of water. You can scratch your nose. You can do a million things.

George Vergolias: What’s so odd is when you’re on a Zoom meeting with eight people, you don’t know who’s looking at you at that exact moment. And so, there’s this sense of you always need to be on. You always need to be completely focused. That’s mentally exhausting. And so, there’s these realities of working remote that has really been difficult.

George Vergolias: What we’ve also seen is – this is really a fascinating study – the increased number of emails delivered in February of 2021 versus February of 2020 based on this same study, it increased in the U.S. 40.6 billion more emails were sent. So, what’s interesting is when you think of chat and you think of email, think of the disruptive nature. At any moment in the day, these things can come in and interfere with your work productivity, with your focus.

George Vergolias: And it’s like the real exhaustion. Eighty percent of employees say that they’re more productive through 2020 and through 2021, but 60 percent feel they’re overworked, and 40 percent feel exhausted. And leaders tend to be out of touch. A study from about three or four months ago by Deloitte showed that 61 percent of leaders say that they’re thriving, but only 38 percent of employees say that they’re thriving.

George Vergolias: So, the point with all of this is although that remote environment early on seemed really nice, “I could pick my kids up. I could eat lunch in my own, you know – I could wear my gym bottoms if I’m not showing, you know -” all of these things are wonderful. This sense of merging my home-personal life and my work life and not having clear boundaries with all the things I’ve already mentioned really resulted in a great deal of emotional exhaustion.

George Vergolias: And so, now, more than ever, the creative but problematic issue is, how do we engage employees in a remote work environment in a way that still meets those needs, that meets those behavioral and cognitive and psychological needs. So, it’s definitely needed and it’s a big challenge.

Mike Blake: The Zoom thing is interesting, and you’re right, it is exhausting. It is exhausting to be on camera. I think we all now have a greater appreciation for how hard it is for people who are on TV or the movies as a living. And I think, also, you become so aware because you see yourself often. If you haven’t turned off your own sort of picture that creates a self-consciousness that, I think, is also draining.

George Vergolias: You know what’s interesting, Mike, if I could just interject. What we’ve done at R3 Continuum – which I love this idea. It wasn’t my idea. I think our ops director came up with this because she read an article – is we tacitly or explicitly gave permission for people to go off camera, whether it’s because their kids are screaming in the background, or their dogs barking, or maybe they didn’t clean up, some of our folks were doing these calls from their bedrooms. There’s a number of reasons why you would want to do that. But that really gave permission for people to say as long as you’re still focused within reason as you normally would be in the office, you can go off camera if you need a relief.

Mike Blake: Yeah. And, also, I wonder, you know, I’ve heard that some people are more focused when they can be also a little distracted. You know what I mean? They’re doodling or something, right? But being on camera where you just sort of have to lock your eyes into the camera and you can’t do that, I think that’s also very stressful for people. And turning off the cameras is a really good idea.

George Vergolias: Yeah. Absolutely. Absolutely.

Mike Blake: So, speaking of boundaries, here’s a question I want to ask. Are there any limits or are there boundaries in terms of how realistic it is to expect a mental wellness program to perform in terms of addressing potential sources of mental unwellness? Are there certain things that a corporate mental wellness program can or can’t do despite your best of intentions throwing all the resources at it that you want? Or is anything on the table? Could a well-constructed, well-funded mental wellness program achieve almost anything you want?

George Vergolias: I don’t think it can achieve anything you want. I think what it can do, it can really help prevent a host of developing issues, like anxiety, depression, substance abuse, even suicidal ideation. It can’t fully prevent those. But what it can do is help catch those upstream when they’re developing, and then get people to the proper resources, be they formal clinical treatments, or what we call more organic supportive resources, like peer support, mindfulness programs, psycho-educational training, things of that nature. That could be really helpful.

George Vergolias: And by doing that, the upside is that can impact morale. It could impact productivity, which has a bottom line impact on businesses. And most importantly, it can impact cultural cohesion and cultural engagement. It impacts talent retention, all of those.

George Vergolias: There are some limits, though. So, some things I think it cannot really do is, if somebody has a moderate to severe mental health problem, they probably need formal clinical treatment. They need to be referred to proper treatment providers that can address that either through psychotherapy and/or medications. It’s important to know that it can’t do all of that.

George Vergolias: The other thing I don’t think it can do fully without a separate approach is we see that there’s a host. And we certainly have seen in ’20 and ’21 a host of cultural tensions that emerge at the workplace, be they related to political, ethnic, racial, gender, regional differences. The big two that we’ve been involved in a great deal are the collective response to the murder of George Floyd and the demonstrations, and those demonstrations that then turned into riots. And then, of course, mask mandates and vaccine mandates.

George Vergolias: These are really tough hot points that all the way wellness program can raise the emotional IQ of your employees. And they can alleviate how that tension manifests. If you want to address those kind of cultural issues, you need to address them head on and in some different ways. A wellness program can complement that process very well. But it is not in in it of itself going to take those cultural issues away or off the table.

Mike Blake: And I’m glad you brought that up because it leads into a question I wanted to make sure to cover, and I’ll bet you encountered this. What if the company itself is the source of the mental and wellness? The new word in everybody’s lexicon now is toxic. And there are toxic people, there are toxic workplaces. I think that social media has amplified toxicity in a profound and pervasive way. And as a company reflects on or considers putting in a mental wellness program, is it possible they’re going to find that they’ve seen the enemy, and it is us. That they may be actually self-defeating because they’re the cause of the mental unwellness to begin with?

George Vergolias: One hundred percent, I agree with that. It can be very counterproductive. And I said this earlier, but it’s important to just say it again, it’s really important to know thyself as an organization, to know your culture, know your employees, know your leaders, know your pain points.

George Vergolias: It’s interesting, Mike, the image that comes to mind is imagine you spend $10,000 to landscape your backyard. The landscaper comes in, does wonderful works for weeks and does great. It looks like a Zen garden when they leave. And then, for the next six months, you don’t do anything. You don’t water, you don’t mulch, you don’t weed. What happens? It falls in complete disarray.

George Vergolias: We have seen some companies who do a pretty good launch of a wellness program, or they partner with groups like R3 or others, and we do a really good launch working in tandem with them, but they’re not dealing with their cultural toxicity. And that just undermines the foundation on which all of that is based. What’s really interesting when you think of a physical wellness, bring in massage therapists, have a dietician come in, there’s a number of other ways you can do that. In part, you need to be engaged in that process for it to be beneficial. But there’s physical benefits that one can get without necessarily voluntarily being engaged in the process.

George Vergolias: When you think of mental wellness, the recipient has to have buy in. They have to believe in it and they have to do the work. And if you don’t have a culture of trust, if you have a culture of stigmatization against feeling vulnerable or admitting that you have mental health challenges, the best program in the world just isn’t going to take off. So, it’s a really poignant question that you raise.

Mike Blake: So, in point of fact, this may be something that might be considered hand in hand with a leadership and cultural evaluation. Because it seems to me this is a real double-edged sword of a mental wellness program is that, if you put that in, you may find things out about your organization that you don’t necessarily love.

Mike Blake: I can easily see a scenario in which you put in a mental wellness program, let’s say, you have a telemental health consultations. And then, an employee says, “Yeah. I’m not the underperformer. My boss is really toxic. I’m quitting.” I mean, that’s a very real possible outcome, right?

George Vergolias: That’s absolutely right.

Mike Blake: And I kind of even wonder if before you put in a mental wellness program, you may want to do some sort of self-evaluation to make sure that, again, you’re not the one causing the mental unwellness in the first place.

George Vergolias: I think that’s very important. And that’s why that engagement, all the way from top to bottom, of getting input, certainly, from leadership – that’s important – middle management, all the way down to your frontline employees is critical, so you can understand what those insights are. And it’s critical to do it in a way, I recommend doing that in an anonymous way so that people can feel more comfortable being open and there won’t be backlash on their job. Because what you really want is you don’t necessarily want people to fall in line in that step of the process. You want really honest and candid, almost gut punch data so you can take a really good appraisal of where are we as a company, and what are the pain points that we need to solve along those lines? I totally agree with that.

Mike Blake: So, you’ve done this for a long time and, of course, you’re right in the middle of it with coronavirus, are you able in any way to measure kind of the ROI of putting programs like this? And what have you seen in terms of improved company performance, bottom line-wise, for companies that have successfully implemented mental wellness programs?

George Vergolias: Yes. Again, great question. And it’s something that if you go back five years and certainly ten years ago, there was some studies that showed ROI, but I don’t think they were nearly as well developed. What we’re seeing just in the last two years is what I’d refer to as an explosion of studies looking at what is the ROI, not only in terms of human impact, but also in terms of bottom line.

George Vergolias: And the ultimate conclusion – I’ll give you a quick data point from a Canadian study that was done recently – you have to make a business case for the benefit as well at some point to get that buy in. So, what’s interesting is Deloitte did a study – now, this was November of 2019. So, what’s interesting here is that was actually at the frontend or just before the pandemic – and they were looking at a wellness program across ten different large companies in Canada.

George Vergolias: And what they found going in, they estimated that ten percent of those employees across that sample size had depression. And the annual cost of depression – and this is in the U.S. – is $31 to 51 billion in terms of lost productivity, absenteeism, presenteeism, and so on.

George Vergolias: And what we know is the World Economic Forum estimates that the cost globally is going to be six trillion and that’s for mental health problems globally, the business loss or the cost of decreased productivity. What’s interesting is when they did this study and they looked at productivity, they looked at engagement of employees, they looked at talent acquisition and overall throughput of work, they found that after three years, there was a 60 percent ROI on dollar spent. And after four plus years, four or five six years, that ROI went up 118 percent. And that’s based on the productivity, and the output, and the creative inventive-ism, if you will, or ingenuity that people were bringing to the table.

George Vergolias: Because the hard reality is, if you have a burned out, exhausted, anxious, depressed core group in your workforce, they’re not being innovative, they’re not being collaborative. They are getting by day-by-day and they’re not pushing the envelope from a business perspective. That’s not the talent you want. Well, you want that talent, but you want that talent to be more at a place of wellness and thriving is what I meant by that.

Mike Blake: So, one question that comes to mind and probably may come to mind with some of our listeners is that, we’re reading all over the place that this is a great time to be a therapist or a psychologist or psychiatrist. You know, most doctors, they’re not even taking new patients right now. You can’t get a consult. How do companies kind of address that or not let that stand in the way of providing resources to their employees?

George Vergolias: So, first, that’s an absolute harsh reality right now. And what’s interesting as a side note, in my work with my Telepsych company, we’ve been doing telehealth for almost 19 years. And up until the pandemic, we struggled with a lot of hospitals getting them to really adopt a telemental health approach. As you said earlier, Mike, as soon as COVID hit, it was like overnight that acceleration adoption just accelerated.

George Vergolias: So, an upside is that there are a lot more options of access to therapists, psychiatrists, social workers, psychologists, and so on via telemental health. And those definitely should be explored. If you are a company, or an HR director, or a company leader, and you are not open to telemental health options, you are really missing out on a wonderful opportunity to expand the reach of resources to your employees. And very soon you’re really falling behind. So, that’s one point.

George Vergolias: The difficulty, though, is I would say that corporations, companies, particularly HR directors, I think they really need to demand and expect their EAPs to continue to build those networks in a way that can meet their client’s needs. They’re paying for services, and it’s important that those networks be developed, be they incite or onsite evaluations and treatment or telemental health services.

George Vergolias: So, that’s one thing I would recommend that if you have an EAP in place, really have dialogue with them about what are the options that you’re offering and how are you shoring up those service gaps. I think that’s really important.

Mike Blake: Now, aside from direct consultations with therapists, what are some other examples of features of wellness programs that companies can put in place, or offerings, if you will?

George Vergolias: Yeah. Certainly. Certainly. So, what we tend to see in those that are most successful is we tend to see an array of offerings. So, these can include psycho-educational resources. Many of those are online trainings, various videos, how to manage conflict at home, how to handle marital conflict, how to handle conflict with your teenage child, managing anxiety, navigating through a panic attack. Again, I could go on. There could be hundreds of topics.

George Vergolias: We actually have a software program that we’ve developed that has well over 100 different modules on mental health and mental wellness that people can choose. And get a quick three to five minute kind of video on either educating them on the nature of the condition of the symptoms or helping them navigate and understand how to navigate those symptoms. There’s a lot of programs out there that do that.

George Vergolias: Another would be, these programs really should also have a factor of peer support and empowering a culture of support and, what I call, empowering a culture of vulnerability, where it destigmatizes mental health, it allows people to feel like they have support, and it allows people to feel safe to reach out and say I need some help. It’s important to have a clear communication plan and roll out the program. We see good programs where half the employees don’t even understand the program exists or understand how the program can benefit them.

George Vergolias: Beyond that, emotional and physical health education, adoption, and integration into the culture, self-help or mindfulness initiatives, peer support, disruptive event management is something R3 does a great deal of across the U.S. and globally. Helping people adjust to traumatic or disruptive events that occur at the workplace. Early intervention support, whether it’s destigmatizing campaigns, mental health first aid, all of these other things that we provide.

George Vergolias: And then, at some point, helping people identify when do you need more formal clinical treatment, mental health treatment, and then linking people to resources so they can access that.

George Vergolias: One last thing I’ll add that I don’t think is explored enough is developing access to what I call organic community resources. I mean, it used to be, and for some of us it still is. It used to be where you can go to your church, you can go to your local clubs, you can go to your local neighborhood groups, ethnic groups, whatever it may be, and you can still get a lot of support. Now, we have a culture by which many of us move around state by state. We are more disjointed than we were pre-COVID. And it’s harder to access some of those more natural supports or organic supports. So, I think that’s another thing that programs should consider as well.

Mike Blake: Now, what about things that are really sort of – I want to get a little bit granular with you if that’s okay – like encouraging meditation or meditation training, breathing exercises. A big one might be, for example, trying to organize some kind of group events, whether in-person or remotely. Because, you know, one of the downsides for many people for remote working is loneliness and isolation.

George Vergolias: Now, not for me, I’m an extreme introvert. So, you know, my wife is not concerned about me cheating on her. Her biggest concern is that I’m going to be picked for the Mars mission because I’m like, “You’re going to put me in a tin can by myself for three years? I’m in.” But, unfortunately, they don’t want fat old people on the mission, so there’s no danger of that. But the point is that sort of these other programs that just try to be a little bit kind of interventional. I guess my question is, are they used with any effectiveness in the workplace alongside the other things that you’re describing?

George Vergolias: I think they are. I think what’s really interesting is mindfulness and meditation programs, including just apps. There’s a proliferation of apps that talk about this as well. The value that they have shown over time, over the last five plus years, has really been astounding in terms of people just being more mindful, more aware of what they’re feeling, more aware of developing conflicts or symptoms over time.

George Vergolias: And I think that has been a huge development forward. Now, this is hard to measure, but I believe anecdotally and based on 20-some years of experience, it has been a huge benefit in helping people stem off more severe development of, not only interpersonal conflict, but other symptoms, developing more severe symptoms of depression or anxiety.

George Vergolias: I also feel it has a counter. These things not only prevent things from getting bad. They help us do better. They help us perform better. They help us have more meaningful relationships. They help us have more happiness and moments of gratitude in our life. So, I think that those are very powerful aspects to a program without doubt.

Mike Blake: So, how expensive are these programs? I understand that it depends on how kind of deep you want to go. I’m sure there are Cadillac programs and there are cheaper programs. But let’s say relative to a conventional healthcare physical health program, are mental wellness programs or should companies expect to spend roughly as much, or more than, or less than whatever they’re spending on their physical health programs?

George Vergolias: That’s a tough one to answer. I’ve got some insights that I’ll offer. Please take these with a certain degree of flexibility. I have to say that, of course, it’ll vary by scope and size. We work with companies that want to roll out a mindfulness meditation program that can be really focused and relatively inexpensive, depending on the nature of what they want to do. We’ve had companies that want to roll out an app that’s already well developed on the App Store or on the Android Store, and they just want some communication around benefits of using it. That can be really kind of low budget, relatively speaking, and still can have some value.

George Vergolias: And then, there’s companies that want to offer a full menu of all the things I already talked about in terms of the full comprehensive menu. So, that will depend a great deal. The key, I think, is identifying the needs and the pain points of your organization and then prioritizing what is it that you want to impact first. And realize that even the biggest, best programs out there with the most resource laden companies that make billions of dollars a year, none of them do all of this that we’re talking about today, Mike. None of them do all of it.

George Vergolias: You know the the old saying, “How do you eat an elephant? One bite at a time.” So, start with where do you think your biggest pain points are? What do you think you’re going to get the best buy in from employees all the way up to leadership? And start with that. It might be a psycho-educational training library. It might be a mindfulness program. It might be just offering peer support groups so people can talk about what they’re struggling with pertinent to remote work or work from home.

George Vergolias: Interestingly, at R3, we offered a parenting support interface, kind of a peer support for parents, including some resources. And what we did is we actually sent those parents a three month subscription to Tinker Crate. And I don’t know if you know what Tinker Crate is, but it’s like a little kit developmentally appropriate for different ages. They could put together different types of little engines or little mechanized things, and it’s kind of a nice, scientific-based project that they can do.

George Vergolias: Well, what we had is we had a whole bunch of our single workers say, “What about us? We’re still struggling. And in a way, we’re struggling more because I’m home alone in an apartment. I don’t have a wife, a husband, or two kids.” And so, it made us really think, “Darn. We really missed that.” And so, we pivoted and we offered other support resources.

George Vergolias: But that’s what I would say, it’s really hard to come up with a price tag because the scope could vary greatly. What I will say, I would not expect it to cost as much as the physical wellness.

Mike Blake: So, I have a view – and you tell me if I’m full of it or not – but I think one thing that mental and physical wellness programs have in common is that, in the right circumstance, you can get a lot of bang for the buck with a very minimal investment. Those Tinker Crates, I think, is a great example. It might cost you $20 per month per employee, maybe. But that can make a huge difference. If that keeps an employee happier, more stable, more actualized for a couple of weeks after that, boy, what a great investment.

George Vergolias: I can’t agree more. You know what’s it’s interesting, Mike? I think of those times in my life where I’m having a really rough day and I’m checking out at the grocery store. And the person at the register clerk or the cash register says, “Boy, I really like your haircut,” or, “I love that shirt”. I’m not feeling like the Dalai Lama. Like, I’m not absolutely at the zenith of my happiness as a result. But it just lifts me enough to feel like, “Well, that was kind of nice.” And that then sets in motion a trajectory of incremental steps throughout the rest of the day or the night where I keep improving on that.

George Vergolias: I call those emotional strokes. Small emotional scopes that give you that uplift, that just give you that feeling of I’m not alone, these other people or these leaders get it, they understand what I’m dealing with. And this was just a nice little small blessing for me today. Those make a big difference. They really do.

Mike Blake: I’m talking with Dr. George Vergolias. And the topic is, Should I start a mental wellness program at my company? We’re running out of time, unfortunately, so I only have time for a couple more questions. But what I do want to make sure we get out there is, what are best practices for companies to measure whether their wellness programs are working or doing the job they’re being asked to do?

George Vergolias: So, certainly, what I would say is, you have to start by being very clear on what are you trying to achieve. Absolutely. You need to know that. What are you trying to achieve? What are the goals? And then, operationalizing those in a way that you can measure them. And what I tend to do is I tend to put it into two buckets.

George Vergolias: One is satisfaction, because you want your employees and your leaders to have engagement in the program. And often, in its highest form, it’s a satisfaction type question or a series of questions. How’s the program working? Do you feel you’re getting better? Do you feel it meets your needs and so on?

George Vergolias: By the way, a lot of companies stop there. And some people may not agree with me, but I’m a big fan that satisfaction doesn’t always indicate outcome or functional benefit. I could be very happy with a therapist and I’m still not getting better. And one of the reasons I’m happy with a therapist is they’re not challenging me to get better. Think of a physical therapist or think of a personal trainer that doesn’t piss you off occasionally or get you angry, that’s not a very good physical therapist and that’s not a very good personal trainer.

George Vergolias: So, what you also need to measure is what are the behavioral functional changes that are occurring over time? And from a business perspective, what is the productivity or the impact on the business that is promoting the business forward? It could be increased team collaboration. It could be a measure of increased innovative ideas. It could be increased operational efficiency.

George Vergolias: There’s a number of ways companies can define that. But that’s what I would say that you need to answer both of those buckets, satisfaction and then – what I call – functional outcome. And that has two types, the behavioral and kind of functional aspect of the individual and then the business functional improvement that you’re seeing as a result. That’s how I would structure that.

Mike Blake: Yeah. And it occurs to me, I’ll bet you there are KPIs that can be structured around this. You know, for example, it could be productivity, it could be turnover, it could be tenure, in some cases, even your pay scale. You have to pay people more to work for you just because you’re not all that pleasant to work with.

George Vergolias: Absolutely.

Mike Blake: George, this has been a great conversation. I’ve got about ten more questions I love to ask, but we’re running out of time.

George Vergolias: I understand.

Mike Blake: I’m sure that there are questions that our listeners would have liked me to cover that we didn’t or would have liked us to cover in more depth. If they’d like to follow up with you on some of these issues, can they do so? And if so, what’s the best way to do that?

George Vergolias: Absolutely. So, you can do so by emailing me at George, G-E-O-R-G-E, .vergolias, V as in Victor-E-R-G-O-L-I-A-S, @r3c.com. Or my office line, feel free to give me a call, area code 952-641-0645, and I’d be happy to engage.

Mike Blake: That’s going to wrap it up for today’s program. I’d like to thank Dr. George Vergolias so much for sharing his expertise with us.

Shane McNally: What an educational and important podcast episode. If you’re a small business owner, make sure you check out Mike Blake and the Decision Vision podcast, where Mike covers topics and issues small business owners are facing and talks with experts about solutions for those issues. If you’d like more information on mental wellness programs or are looking for different strategies to offer the best support and resources for your employees, R3 Continuum can help. Learn about our R3 Continuum Services and contact us at www.r3c.com or email us directly at info@r3c.com

Show Underwriter

R3 Continuum (R3c) is a global leader in workplace behavioral health and security solutions. R3c helps ensure the psychological and physical safety of organizations and their people in today’s ever-changing and often unpredictable world. Through their continuum of tailored solutions, including evaluations, crisis response, executive optimization, protective services, and more, they help organizations maintain and cultivate a workplace of wellbeing so that their people can thrive. Learn more about R3c at www.r3c.com.

R3 Continuum is the underwriter of Workplace MVP, a show which celebrates the everyday heroes–Workplace Most Valuable Professionals–in human resources, risk management, security, business continuity, and the C-suite who resolutely labor for the well-being of employees in their care, readying the workplace for and planning responses to disruption.

Connect with R3 Continuum:  Website | LinkedIn | Facebook | Twitter

Tagged With: Decision Vision podcast, Dr. George Vergolias, Mental Wellness Program, Mike Blake, R3 Continuum Playbook, workplace mental health, Workplace MVP

Decision Vision Episode 155: Should I Start a Mental Wellness Program at My Company? – An Interview with Dr. George Vergolias, R3 Continuum

February 10, 2022 by John Ray

R3 Continuum
Decision Vision
Decision Vision Episode 155: Should I Start a Mental Wellness Program at My Company? - An Interview with Dr. George Vergolias, R3 Continuum
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R3 Continuum

Decision Vision Episode 155: Should I Start a Mental Wellness Program at My Company? – An Interview with Dr. George Vergolias, R3 Continuum

Dr. George Vergolias, Medical Director for R3 Continuum, joined Decision Vision host Mike Blake to discuss the considerations involved in starting a mental health and wellness program in an organization.  Dr. Vergolias discussed best practices for meeting the needs of people’s emotional and psychological health, the rise of telehealth, the potential returns of such programs, the characteristics of a successful program, and much more.  Decision Vision is presented by Brady Ware & Company.

R3 Continuum

R3 Continuum (R3c) is a global leader in workplace behavioral health and security solutions. R3c helps ensure the psychological and physical safety of organizations and their people in today’s ever-changing and often unpredictable world. Through their continuum of tailored solutions, including evaluations, crisis response, executive optimization, protective services, and more, they help organizations maintain and cultivate a workplace of wellbeing so that their people can thrive.

Company website | LinkedIn

Dr. George Vergolias, Medical Director, R3 Continuum

Dr. George Vergolias, Medical Director, R3 Continuum

George Vergolias, PsyD, LP is a forensic psychologist and threat management expert serving as Vice President and Medical Director for the R3 Continuum. As part of his role of Vice President and Medical Director of R3 Continuum, he leads their Threat of violence and workplace violence programs.

Dr. Vergolias is also the founder and President of TelePsych Supports, a tele-mental health company providing involuntary commitment and crisis risk evaluations for hospitals and emergency departments. He has over 20 years of forensic experience with expertise in the following areas: violence risk and threat management, psychological dynamics of stalking, sexual offending, emotional trauma, civil and involuntary commitment, suicide and self-harm, occupational disability, law enforcement consultation, expert witness testimony, and tele-mental health.

Dr. Vergolias has directly assessed or managed over one thousand cases related to elevated risk for violence or self-harm, sexual assault, stalking, and communicated threats. He has consulted with regional, state, and federal law enforcement agencies, including the FBI, Secret Service, and Bureau of Prisons.

He has worked for and consulted with Fortune 500 companies, major insurance carriers, government agencies, and large healthcare systems on issues related to work absence management, workplace violence, medical necessity reviews, and expert witness consultation.

LinkedIn

Mike Blake, Brady Ware & Company

Mike Blake, Host of the “Decision Vision” podcast series

Michael Blake is the host of the Decision Vision podcast series and a Director of Brady Ware & Company. Mike specializes in the valuation of intellectual property-driven firms, such as software firms, aerospace firms, and professional services firms, most frequently in the capacity as a transaction advisor, helping clients obtain great outcomes from complex transaction opportunities. He is also a specialist in the appraisal of intellectual properties as stand-alone assets, such as software, trade secrets, and patents.

Mike has been a full-time business appraiser for 13 years with public accounting firms, boutique business appraisal firms, and an owner of his own firm. Prior to that, he spent 8 years in venture capital and investment banking, including transactions in the U.S., Israel, Russia, Ukraine, and Belarus.

LinkedIn | Facebook | Twitter | Instagram

Brady Ware & Company

Brady Ware & Company is a regional full-service accounting and advisory firm which helps businesses and entrepreneurs make visions a reality. Brady Ware services clients nationally from its offices in Alpharetta, GA; Columbus and Dayton, OH; and Richmond, IN. The firm is growth-minded, committed to the regions in which they operate, and most importantly, they make significant investments in their people and service offerings to meet the changing financial needs of those they are privileged to serve. The firm is dedicated to providing results that make a difference for its clients.

Decision Vision Podcast Series

Decision Vision is a podcast covering topics and issues facing small business owners and connecting them with solutions from leading experts. This series is presented by Brady Ware & Company. If you are a decision-maker for a small business, we’d love to hear from you. Contact us at decisionvision@bradyware.com and make sure to listen to every Thursday to the Decision Vision podcast.

Past episodes of Decision Vision can be found at decisionvisionpodcast.com. Decision Vision is produced and broadcast by the North Fulton studio of Business RadioX®.

Connect with Brady Ware & Company:

Website | LinkedIn | Facebook | Twitter | Instagram

TRANSCRIPT

Intro: [00:00:01] Welcome to Decision Vision, a podcast series focusing on critical business decisions. Brought to you by Brady Ware & Company. Brady Ware is a regional, full-service, accounting and advisory firm that helps businesses and entrepreneurs make visions a reality.

Mike Blake: [00:00:21] Welcome to Decision Vision, a podcast giving you, the listener, clear vision to make great decisions. In each episode, we discuss the process of decision making on a different topic from the business owners’ or executives’ perspective. We aren’t necessarily telling you what to do, but we can put you in a position to make an informed decision on your own and understand when you might need help along the way.

Mike Blake: [00:00:42] My name is Mike Blake, and I’m your host for today’s program. I’m a director at Brady Ware & Company, a full-service accounting firm based in Dayton, Ohio, with offices in Dayton; Columbus, Ohio; Richmond, Indiana; and Alpharetta, Georgia. My practice specializes in providing fact-based strategic and risk management advice to clients that are buying, selling, or growing the value of companies and intellectual property. Brady Ware is sponsoring this podcast, which is being recorded in Atlanta per social distancing protocols.

Mike Blake: [00:01:10] If you would like to engage with me on social media with my Chart of the Day and other content, I’m on LinkedIn as myself and @unblakeable on Facebook, Twitter, Clubhouse, and Instagram. I also recently launched a new LinkedIn Group called Unblakeabl’e Group that Doesn’t Suck, so please join that as well if you would like to engage. If you like this podcast, please subscribe on your favorite podcast aggregator and please consider leaving a review of the podcast as well.

Mike Blake: [00:01:37] Today’s topic is, Should I start a mental wellness program at my company? According to Cooleaf, in 2015, Aetna saw a 28 percent reduction in stress levels, 20 percent improvement in sleep quality, and a 19 percent reduction in pain as a result of its mindfulness programs. And that’s just an example of the benefits that, I think, we’re at least hoping to see with mental wellness.

Mike Blake: [00:02:04] And, of course, we’re in this trans-pandemic period here, but having been in it now for two years plus, we’ve found a couple of things that, I think, are silver linings. Yes, there’s been terrible suffering. At last count that I saw, nearly one million Americans dead from the coronavirus. But there are some silver linings, I think, that have occurred. And one of them is that I think this is the most seriously I can remember in my lifetime, that people are taking mental health and mental wellness. And not just as a response to somebody that appears to be, frankly, deeply disturbed, but rather as a maintenance priority.

Mike Blake: [00:02:58] Just as grown ups, we try to eat our vegetables, we try to exercise, we try to limit our sugar and high cholesterol kinds of foods. But you know, for the longest time, I think mental health always sort of lagged behind that. Mental health was always that thing that, for somebody else, that person really should see a psychologist, that person really needs therapy, or that person really needs help, but it’s not me.

Mike Blake: [00:03:26] And, now, I think because of the unprecedented pressures, and not just the pressures but just the stress of change, the amount of change we’ve had in our society, whether it’s simply our relationship with work and our careers, whether it’s having to confront life choices that we’ve frankly been trying to outwork, our inability to make those hard choices, different modes of communication.

Mike Blake: [00:03:59] The video phone calls are funny. You know, we’ve had voice telephones for over 140 years, we’ve had video calls available for 60, and we couldn’t give those away, but all of a sudden there’s a pandemic. And, now, the only thing anybody ever wants to do is jump on a video phone call. I’m not sure what changed. But before 2020, nobody wanted to do those and now we’re all about it. But that’s beside the point. But it’s not just about the pressure, but it’s about change.

Mike Blake: [00:04:31] And change, for most people, is something that creates a lot of stress and pressure. We, as people, like routines. It’s probably a an evolutionary maintenance mechanism to have a routine. They’ve been completely disrupted, and many of us still have not settled into a new routine because, still, we don’t have a new normal yet. We have things that we hope are going to be new normal, but lots of fits and starts.

Mike Blake: [00:04:57] And so, as a result, mental wellness and mental health, generally, are much more on the consciousness, I think of the average American, I think of at least the enlightened and most capable business leaders. And it’s no longer something that’s for the other guy, but it’s now something that I think has become a conversation for everybody. And the stigma around mental health struggles, I think, has been significantly reduced, not entirely gone. You still can make fun of people that we think are crazy. And that’s something, as a society, we have to reckon with. But it is a different conversation.

Mike Blake: [00:05:38] And so, I hope you’ll agree that this is a good topic. And this decision about starting wellness programs is one that will be useful to you and your own companies, your own professions.

Mike Blake: [00:05:50] And joining us today is Dr. George Vergolias, who is Medical Director of R3 Continuum, a global leader in protecting and cultivating workplace well-being in a complex world. He oversees and leads R3 Continuum’s clinical risk, threat of violence, and workplace violence programs. And has directly assessed or managed over 1,000 cases related to threat of violence, or self-harm, sexual assault, stalking, and communicated threats. He is also founder and president of TelePsych Supports, a tele-mental health company providing behavioral risk consultation, resilience development, and involuntary commitment evaluations for hospitals and emergency departments.

Mike Blake: [00:06:33] He brings over 20 years of experience as a forensic psychologist and certified threat manager to bear to help leaders, organizations, employees, and communities heal, optimize, and ultimately thrive before, during, and after disruption. For over 30 years, R3 Continuum has served as a pioneer and global leader in workplace behavioral health and security in an increasingly complex and dangerous world. They helped to foster employee psychological and physical safety to optimize people, culture, and performance. And continue to do so during continued disruption, uncertainty, and dramatic change.

Mike Blake: [00:07:09] Over 500 organizations worldwide trust R3 Continuum to build the tailored solutions they need to promote the workforce safety, security, and wellbeing required for success. Dr. Vergolias, welcome to the program.

George Vergolias: [00:07:23] Thank you, Mike. It is a pleasure to be here.

Mike Blake: [00:07:25] So, let’s start from the basics because I think people could define this differently depending on their context. How do you define mental wellness?

George Vergolias: [00:07:39] So, the World Health Organization has, I think, a very usable and approachable definition. They define it as a state of wellbeing in which the individual in his or her own abilities can cope with the normal stresses of life. They can work productively and fruitfully. And they can make a contribution to their society. I kind of simplified that a little bit, and I like talking about mental wellness as a synergy between emotional, psychological, physical, and spiritual ways of being in the world that allow us to thrive.

Mike Blake: [00:08:14] So, you’ve been doing this a long time, obviously, you have a lot of expertise in this field. When people think about or consider implementing a mental wellness program, what does that look like? Most of us know what a physical wellness program looks like. It could be gym memberships, and it could be walks, it could be stretching at your desk, not sitting for too long, all kinds of things of that nature, healthy snacks in the break room. But I’m not sure all that familiar with what a mental wellness program looks like. So, what, in your mind, does that look like? And maybe you can share some best practices with us?

George Vergolias: [00:08:55] Sure. Really, it is a program that is designed at the highest level around meeting the needs of people’s emotional and psychological health. I mean, that’s kind of built into the definition. So, what does that mean in terms of best practice or what should you consider if you’re a leader at an organization? There’s a number of things that I’d recommend.

George Vergolias: [00:09:17] And the first is, it has to be catered to your organization’s needs and to your organization’s culture. I’m not a fan of a one size fits all. There are different pain points. There are different needs, different industries, different companies, different cultures. And even in the same company, you might have different regions of the world or of the country in the U.S. that have different needs. So, it has to be catered to your needs and culture. It has to be collaborative both internally amongst various departments, as well as with outside vendors that can provide additional resources that you, as the organization, may not be an expert at.

George Vergolias: [00:09:55] Leaders and managers need to be invested, engaged, and accountable at the highest level. I think a good example of this, which also shows some vulnerability, is Sheryl Sandberg from Facebook. Strong advocate of a mental health program, came out with her book a number of years ago, Lean In, and really was very open about her own experiences and her own vulnerabilities.

George Vergolias: [00:10:19] That really sets a tone for employees. You want the employees to be engaged and you want their input to be part of the process of developing a program. You need to have a clear rollout and a communication plan. You need to leverage technology to support the initiative. On this front, remember, technology is a tool, it’s not the goal.

George Vergolias: [00:10:38] I think what has happened in recent years is there have been some technology driven giants that have come on the scene that have wonderful apps and they have wonderful engagement in terms of the technology side. But they don’t necessarily have the best throughput in terms of impacting functional or behavioral change.

George Vergolias: [00:10:57] And two more things I’d recommend. Consider a plan for anticipated barriers. Given your unique needs and culture, what are the things that you might hit roadblocks on and anticipate that ahead of time. And lastly, you want to address a menu of offerings in that service plan. Ideally, it shouldn’t be just psycho-educational trainings, or just peer support, or just access to the EAP, or access to mental health services. One size doesn’t fit all, and you really want a range of those things as you’re applying these programs.

Mike Blake: [00:11:33] So, an argument might be that employees have it pretty good right now. And I’m not saying I’m saying this, but I have heard this argument, and you probably have too. Employees have not had as much power as they have right now – in my lifetime, for sure – to kind of pick and choose where they want to work, how they want to work. Many of them are working home. And for baby boomers and some Gen Xers, that seems kind of cushy, frankly.

Mike Blake: [00:12:06] And so, that leads to the question, you know, is this question of a mental wellness program relevant to organizations that now have large numbers of people working from home? Can a company even put something in place to help them? Because with people working at home now that each have their own individual environments, now their each individual needs that are no longer kind of collectivized by an organization, they’re so diffused and so diverse now. Does that take a mental wellness program off the table? Are there things that companies can do to promote mental wellness, even if you have a largely remote workforce?

George Vergolias: [00:12:48] It’s a great question, Mike. And my answer is, it absolutely does not take it off the table. In an interesting way, it heightens the need. Let me throw out some details for you. In March of 2021, the Microsoft Work Trends report was published. And what they came out with is a number of interesting findings, and I’m just going to throw a few out just to anchor this discussion. Compared to 2020, as they went into 2021, they saw a 100 percent increase in the use of Microsoft Teams. The average meeting was extended by ten minutes.

George Vergolias: [00:13:26] There was an increase of 45 percent more chats being sent at random times of the day. And one of the difficulties we were finding is you always had to be on camera. So, if you were on camera, it’s really interesting that people don’t realize is if you’re in a board meeting or just a conference meeting at your workplace, you can see the speaker or your boss, and you can see if they’re paying attention to you. So, you can divert your gaze. You could take a sip of water. You can scratch your nose. You can do a million things.

George Vergolias: [00:13:56] What’s so odd is when you’re on a Zoom meeting with eight people, you don’t know who’s looking at you at that exact moment. And so, there’s this sense of you always need to be on. You always need to be completely focused. That’s mentally exhausting. And so, there’s these realities of working remote that has really been difficult.

George Vergolias: [00:14:15] What we’ve also seen is – this is really a fascinating study – the increased number of emails delivered in February of 2021 versus February of 2020 based on this same study, it increased in the U.S. 40.6 billion more emails were sent. So, what’s interesting is when you think of chat and you think of email, think of the disruptive nature. At any moment in the day, these things can come in and interfere with your work productivity, with your focus.

George Vergolias: [00:14:45] And it’s like the real exhaustion. Eighty percent of employees say that they’re more productive through 2020 and through 2021, but 60 percent feel they’re overworked, and 40 percent feel exhausted. And leaders tend to be out of touch. A study from about three or four months ago by Deloitte showed that 61 percent of leaders say that they’re thriving, but only 38 percent of employees say that they’re thriving.

George Vergolias: [00:15:09] So, the point with all of this is although that remote environment early on seemed really nice, “I could pick my kids up. I could eat lunch in my own, you know – I could wear my gym bottoms if I’m not showing, you know -” all of these things are wonderful. This sense of merging my home-personal life and my work life and not having clear boundaries with all the things I’ve already mentioned really resulted in a great deal of emotional exhaustion.

George Vergolias: [00:15:37] And so, now, more than ever, the creative but problematic issue is, how do we engage employees in a remote work environment in a way that still meets those needs, that meets those behavioral and cognitive and psychological needs. So, it’s definitely needed and it’s a big challenge.

Mike Blake: [00:15:59] The Zoom thing is interesting, and you’re right, it is exhausting. It is exhausting to be on camera. I think we all now have a greater appreciation for how hard it is for people who are on TV or the movies as a living. And I think, also, you become so aware because you see yourself often. If you haven’t turned off your own sort of picture that creates a self-consciousness that, I think, is also draining.

George Vergolias: [00:16:33] You know what’s interesting, Mike, if I could just interject. What we’ve done at R3 Continuum – which I love this idea. It wasn’t my idea. I think our ops director came up with this because she read an article – is we tacitly or explicitly gave permission for people to go off camera, whether it’s because their kids are screaming in the background, or their dogs barking, or maybe they didn’t clean up, some of our folks were doing these calls from their bedrooms. There’s a number of reasons why you would want to do that. But that really gave permission for people to say as long as you’re still focused within reason as you normally would be in the office, you can go off camera if you need a relief.

Mike Blake: [00:17:10] Yeah. And, also, I wonder, you know, I’ve heard that some people are more focused when they can be also a little distracted. You know what I mean? They’re doodling or something, right? But being on camera where you just sort of have to lock your eyes into the camera and you can’t do that, I think that’s also very stressful for people. And turning off the cameras is a really good idea.

George Vergolias: [00:17:37] Yeah. Absolutely. Absolutely.

Mike Blake: [00:17:42] So, speaking of boundaries, here’s a question I want to ask. Are there any limits or are there boundaries in terms of how realistic it is to expect a mental wellness program to perform in terms of addressing potential sources of mental unwellness? Are there certain things that a corporate mental wellness program can or can’t do despite your best of intentions throwing all the resources at it that you want? Or is anything on the table? Could a well-constructed, well-funded mental wellness program achieve almost anything you want?

George Vergolias: [00:18:24] I don’t think it can achieve anything you want. I think what it can do, it can really help prevent a host of developing issues, like anxiety, depression, substance abuse, even suicidal ideation. It can’t fully prevent those. But what it can do is help catch those upstream when they’re developing, and then get people to the proper resources, be they formal clinical treatments, or what we call more organic supportive resources, like peer support, mindfulness programs, psycho-educational training, things of that nature. That could be really helpful.

George Vergolias: [00:19:01] And by doing that, the upside is that can impact morale. It could impact productivity, which has a bottom line impact on businesses. And most importantly, it can impact cultural cohesion and cultural engagement. It impacts talent retention, all of those.

George Vergolias: [00:19:16] There are some limits, though. So, some things I think it cannot really do is, if somebody has a moderate to severe mental health problem, they probably need formal clinical treatment. They need to be referred to proper treatment providers that can address that either through psychotherapy and/or medications. It’s important to know that it can’t do all of that.

George Vergolias: [00:19:40] The other thing I don’t think it can do fully without a separate approach is we see that there’s a host. And we certainly have seen in ’20 and ’21 a host of cultural tensions that emerge at the workplace, be they related to political, ethnic, racial, gender, regional differences. The big two that we’ve been involved in a great deal are the collective response to the murder of George Floyd and the demonstrations, and those demonstrations that then turned into riots. And then, of course, mask mandates and vaccine mandates.

George Vergolias: [00:20:12] These are really tough hot points that all the way wellness program can raise the emotional IQ of your employees. And they can alleviate how that tension manifests. If you want to address those kind of cultural issues, you need to address them head on and in some different ways. A wellness program can complement that process very well. But it is not in in it of itself going to take those cultural issues away or off the table.

Mike Blake: [00:20:40] And I’m glad you brought that up because it leads into a question I wanted to make sure to cover, and I’ll bet you encountered this. What if the company itself is the source of the mental and wellness? The new word in everybody’s lexicon now is toxic. And there are toxic people, there are toxic workplaces. I think that social media has amplified toxicity in a profound and pervasive way. And as a company reflects on or considers putting in a mental wellness program, is it possible they’re going to find that they’ve seen the enemy, and it is us. That they may be actually self-defeating because they’re the cause of the mental unwellness to begin with?

George Vergolias: [00:21:37] One hundred percent, I agree with that. It can be very counterproductive. And I said this earlier, but it’s important to just say it again, it’s really important to know thyself as an organization, to know your culture, know your employees, know your leaders, know your pain points.

George Vergolias: [00:21:58] It’s interesting, Mike, the image that comes to mind is imagine you spend $10,000 to landscape your backyard. The landscaper comes in, does wonderful works for weeks and does great. It looks like a Zen garden when they leave. And then, for the next six months, you don’t do anything. You don’t water, you don’t mulch, you don’t weed. What happens? It falls in complete disarray.

George Vergolias: [00:22:18] We have seen some companies who do a pretty good launch of a wellness program, or they partner with groups like R3 or others, and we do a really good launch working in tandem with them, but they’re not dealing with their cultural toxicity. And that just undermines the foundation on which all of that is based. What’s really interesting when you think of a physical wellness, bring in massage therapists, have a dietician come in, there’s a number of other ways you can do that. In part, you need to be engaged in that process for it to be beneficial. But there’s physical benefits that one can get without necessarily voluntarily being engaged in the process.

George Vergolias: [00:23:00] When you think of mental wellness, the recipient has to have buy in. They have to believe in it and they have to do the work. And if you don’t have a culture of trust, if you have a culture of stigmatization against feeling vulnerable or admitting that you have mental health challenges, the best program in the world just isn’t going to take off. So, it’s a really poignant question that you raise.

Mike Blake: [00:23:24] So, in point of fact, this may be something that might be considered hand in hand with a leadership and cultural evaluation. Because it seems to me this is a real double-edged sword of a mental wellness program is that, if you put that in, you may find things out about your organization that you don’t necessarily love.

Mike Blake: [00:23:48] I can easily see a scenario in which you put in a mental wellness program, let’s say, you have a telemental health consultations. And then, an employee says, “Yeah. I’m not the underperformer. My boss is really toxic. I’m quitting.” I mean, that’s a very real possible outcome, right?

George Vergolias: [00:24:08] That’s absolutely right.

Mike Blake: [00:24:09] And I kind of even wonder if before you put in a mental wellness program, you may want to do some sort of self-evaluation to make sure that, again, you’re not the one causing the mental unwellness in the first place.

George Vergolias: [00:24:26] I think that’s very important. And that’s why that engagement, all the way from top to bottom, of getting input, certainly, from leadership – that’s important – middle management, all the way down to your frontline employees is critical, so you can understand what those insights are. And it’s critical to do it in a way, I recommend doing that in an anonymous way so that people can feel more comfortable being open and there won’t be backlash on their job. Because what you really want is you don’t necessarily want people to fall in line in that step of the process. You want really honest and candid, almost gut punch data so you can take a really good appraisal of where are we as a company, and what are the pain points that we need to solve along those lines? I totally agree with that.

Mike Blake: [00:25:13] So, you’ve done this for a long time and, of course, you’re right in the middle of it with coronavirus, are you able in any way to measure kind of the ROI of putting programs like this? And what have you seen in terms of improved company performance, bottom line-wise, for companies that have successfully implemented mental wellness programs?

George Vergolias: [00:25:37] Yes. Again, great question. And it’s something that if you go back five years and certainly ten years ago, there was some studies that showed ROI, but I don’t think they were nearly as well developed. What we’re seeing just in the last two years is what I’d refer to as an explosion of studies looking at what is the ROI, not only in terms of human impact, but also in terms of bottom line.

George Vergolias: [00:26:06] And the ultimate conclusion – I’ll give you a quick data point from a Canadian study that was done recently – you have to make a business case for the benefit as well at some point to get that buy in. So, what’s interesting is Deloitte did a study – now, this was November of 2019. So, what’s interesting here is that was actually at the frontend or just before the pandemic – and they were looking at a wellness program across ten different large companies in Canada.

George Vergolias: [00:26:39] And what they found going in, they estimated that ten percent of those employees across that sample size had depression. And the annual cost of depression – and this is in the U.S. – is $31 to 51 billion in terms of lost productivity, absenteeism, presenteeism, and so on.

George Vergolias: [00:26:56] And what we know is the World Economic Forum estimates that the cost globally is going to be six trillion and that’s for mental health problems globally, the business loss or the cost of decreased productivity. What’s interesting is when they did this study and they looked at productivity, they looked at engagement of employees, they looked at talent acquisition and overall throughput of work, they found that after three years, there was a 60 percent ROI on dollar spent. And after four plus years, four or five six years, that ROI went up 118 percent. And that’s based on the productivity, and the output, and the creative inventive-ism, if you will, or ingenuity that people were bringing to the table.

George Vergolias: [00:27:40] Because the hard reality is, if you have a burned out, exhausted, anxious, depressed core group in your workforce, they’re not being innovative, they’re not being collaborative. They are getting by day-by-day and they’re not pushing the envelope from a business perspective. That’s not the talent you want. Well, you want that talent, but you want that talent to be more at a place of wellness and thriving is what I meant by that.

Mike Blake: [00:28:07] So, one question that comes to mind and probably may come to mind with some of our listeners is that, we’re reading all over the place that this is a great time to be a therapist or a psychologist or psychiatrist. You know, most doctors, they’re not even taking new patients right now. You can’t get a consult. How do companies kind of address that or not let that stand in the way of providing resources to their employees?

George Vergolias: [00:28:44] So, first, that’s an absolute harsh reality right now. And what’s interesting as a side note, in my work with my Telepsych company, we’ve been doing telehealth for almost 19 years. And up until the pandemic, we struggled with a lot of hospitals getting them to really adopt a telemental health approach. As you said earlier, Mike, as soon as COVID hit, it was like overnight that acceleration adoption just accelerated.

George Vergolias: [00:29:20] So, an upside is that there are a lot more options of access to therapists, psychiatrists, social workers, psychologists, and so on via telemental health. And those definitely should be explored. If you are a company, or an HR director, or a company leader, and you are not open to telemental health options, you are really missing out on a wonderful opportunity to expand the reach of resources to your employees. And very soon you’re really falling behind. So, that’s one point.

George Vergolias: [00:29:51] The difficulty, though, is I would say that corporations, companies, particularly HR directors, I think they really need to demand and expect their EAPs to continue to build those networks in a way that can meet their client’s needs. They’re paying for services, and it’s important that those networks be developed, be they incite or onsite evaluations and treatment or telemental health services.

George Vergolias: [00:30:22] So, that’s one thing I would recommend that if you have an EAP in place, really have dialogue with them about what are the options that you’re offering and how are you shoring up those service gaps. I think that’s really important.

Mike Blake: [00:30:36] Now, aside from direct consultations with therapists, what are some other examples of features of wellness programs that companies can put in place, or offerings, if you will?

George Vergolias: [00:30:54] Yeah. Certainly. Certainly. So, what we tend to see in those that are most successful is we tend to see an array of offerings. So, these can include psycho-educational resources. Many of those are online trainings, various videos, how to manage conflict at home, how to handle marital conflict, how to handle conflict with your teenage child, managing anxiety, navigating through a panic attack. Again, I could go on. There could be hundreds of topics.

George Vergolias: [00:31:25] We actually have a software program that we’ve developed that has well over 100 different modules on mental health and mental wellness that people can choose. And get a quick three to five minute kind of video on either educating them on the nature of the condition of the symptoms or helping them navigate and understand how to navigate those symptoms. There’s a lot of programs out there that do that.

George Vergolias: [00:31:50] Another would be, these programs really should also have a factor of peer support and empowering a culture of support and, what I call, empowering a culture of vulnerability, where it destigmatizes mental health, it allows people to feel like they have support, and it allows people to feel safe to reach out and say I need some help. It’s important to have a clear communication plan and roll out the program. We see good programs where half the employees don’t even understand the program exists or understand how the program can benefit them.

George Vergolias: [00:32:24] Beyond that, emotional and physical health education, adoption, and integration into the culture, self-help or mindfulness initiatives, peer support, disruptive event management is something R3 does a great deal of across the U.S. and globally. Helping people adjust to traumatic or disruptive events that occur at the workplace. Early intervention support, whether it’s destigmatizing campaigns, mental health first aid, all of these other things that we provide.

George Vergolias: [00:32:53] And then, at some point, helping people identify when do you need more formal clinical treatment, mental health treatment, and then linking people to resources so they can access that.

George Vergolias: [00:33:04] One last thing I’ll add that I don’t think is explored enough is developing access to what I call organic community resources. I mean, it used to be, and for some of us it still is. It used to be where you can go to your church, you can go to your local clubs, you can go to your local neighborhood groups, ethnic groups, whatever it may be, and you can still get a lot of support. Now, we have a culture by which many of us move around state by state. We are more disjointed than we were pre-COVID. And it’s harder to access some of those more natural supports or organic supports. So, I think that’s another thing that programs should consider as well.

Mike Blake: [00:33:49] Now, what about things that are really sort of – I want to get a little bit granular with you if that’s okay – like encouraging meditation or meditation training, breathing exercises. A big one might be, for example, trying to organize some kind of group events, whether in-person or remotely. Because, you know, one of the downsides for many people for remote working is loneliness and isolation.

George Vergolias: [00:34:22] Now, not for me, I’m an extreme introvert. So, you know, my wife is not concerned about me cheating on her. Her biggest concern is that I’m going to be picked for the Mars mission because I’m like, “You’re going to put me in a tin can by myself for three years? I’m in.” But, unfortunately, they don’t want fat old people on the mission, so there’s no danger of that. But the point is that sort of these other programs that just try to be a little bit kind of interventional. I guess my question is, are they used with any effectiveness in the workplace alongside the other things that you’re describing?

George Vergolias: [00:34:58] I think they are. I think what’s really interesting is mindfulness and meditation programs, including just apps. There’s a proliferation of apps that talk about this as well. The value that they have shown over time, over the last five plus years, has really been astounding in terms of people just being more mindful, more aware of what they’re feeling, more aware of developing conflicts or symptoms over time.

George Vergolias: [00:35:30] And I think that has been a huge development forward. Now, this is hard to measure, but I believe anecdotally and based on 20-some years of experience, it has been a huge benefit in helping people stem off more severe development of, not only interpersonal conflict, but other symptoms, developing more severe symptoms of depression or anxiety.

George Vergolias: [00:35:56] I also feel it has a counter. These things not only prevent things from getting bad. They help us do better. They help us perform better. They help us have more meaningful relationships. They help us have more happiness and moments of gratitude in our life. So, I think that those are very powerful aspects to a program without doubt.

Mike Blake: [00:36:21] So, how expensive are these programs? I understand that it depends on how kind of deep you want to go. I’m sure there are Cadillac programs and there are cheaper programs. But let’s say relative to a conventional healthcare physical health program, are mental wellness programs or should companies expect to spend roughly as much, or more than, or less than whatever they’re spending on their physical health programs?

George Vergolias: [00:36:56] That’s a tough one to answer. I’ve got some insights that I’ll offer. Please take these with a certain degree of flexibility. I have to say that, of course, it’ll vary by scope and size. We work with companies that want to roll out a mindfulness meditation program that can be really focused and relatively inexpensive, depending on the nature of what they want to do. We’ve had companies that want to roll out an app that’s already well developed on the App Store or on the Android Store, and they just want some communication around benefits of using it. That can be really kind of low budget, relatively speaking, and still can have some value.

George Vergolias: [00:37:40] And then, there’s companies that want to offer a full menu of all the things I already talked about in terms of the full comprehensive menu. So, that will depend a great deal. The key, I think, is identifying the needs and the pain points of your organization and then prioritizing what is it that you want to impact first. And realize that even the biggest, best programs out there with the most resource laden companies that make billions of dollars a year, none of them do all of this that we’re talking about today, Mike. None of them do all of it.

George Vergolias: [00:38:12] You know the the old saying, “How do you eat an elephant? One bite at a time.” So, start with where do you think your biggest pain points are? What do you think you’re going to get the best buy in from employees all the way up to leadership? And start with that. It might be a psycho-educational training library. It might be a mindfulness program. It might be just offering peer support groups so people can talk about what they’re struggling with pertinent to remote work or work from home.

George Vergolias: [00:38:44] Interestingly, at R3, we offered a parenting support interface, kind of a peer support for parents, including some resources. And what we did is we actually sent those parents a three month subscription to Tinker Crate. And I don’t know if you know what Tinker Crate is, but it’s like a little kit developmentally appropriate for different ages. They could put together different types of little engines or little mechanized things, and it’s kind of a nice, scientific-based project that they can do.

George Vergolias: [00:39:16] Well, what we had is we had a whole bunch of our single workers say, “What about us? We’re still struggling. And in a way, we’re struggling more because I’m home alone in an apartment. I don’t have a wife, a husband, or two kids.” And so, it made us really think, “Darn. We really missed that.” And so, we pivoted and we offered other support resources.

George Vergolias: [00:39:37] But that’s what I would say, it’s really hard to come up with a price tag because the scope could vary greatly. What I will say, I would not expect it to cost as much as the physical wellness.

Mike Blake: [00:39:50] So, I have a view – and you tell me if I’m full of it or not – but I think one thing that mental and physical wellness programs have in common is that, in the right circumstance, you can get a lot of bang for the buck with a very minimal investment. Those Tinker Crates, I think, is a great example. It might cost you $20 per month per employee, maybe. But that can make a huge difference. If that keeps an employee happier, more stable, more actualized for a couple of weeks after that, boy, what a great investment.

George Vergolias: [00:40:32] I can’t agree more. You know what’s it’s interesting, Mike? I think of those times in my life where I’m having a really rough day and I’m checking out at the grocery store. And the person at the register clerk or the cash register says, “Boy, I really like your haircut,” or, “I love that shirt”. I’m not feeling like the Dalai Lama. Like, I’m not absolutely at the zenith of my happiness as a result. But it just lifts me enough to feel like, “Well, that was kind of nice.” And that then sets in motion a trajectory of incremental steps throughout the rest of the day or the night where I keep improving on that.

George Vergolias: [00:41:15] I call those emotional strokes. Small emotional scopes that give you that uplift, that just give you that feeling of I’m not alone, these other people or these leaders get it, they understand what I’m dealing with. And this was just a nice little small blessing for me today. Those make a big difference. They really do.

Mike Blake: [00:41:37] I’m talking with Dr. George Vergolias. And the topic is, Should I start a mental wellness program at my company? We’re running out of time, unfortunately, so I only have time for a couple more questions. But what I do want to make sure we get out there is, what are best practices for companies to measure whether their wellness programs are working or doing the job they’re being asked to do?

George Vergolias: [00:42:04] So, certainly, what I would say is, you have to start by being very clear on what are you trying to achieve. Absolutely. You need to know that. What are you trying to achieve? What are the goals? And then, operationalizing those in a way that you can measure them. And what I tend to do is I tend to put it into two buckets.

George Vergolias: [00:42:22] One is satisfaction, because you want your employees and your leaders to have engagement in the program. And often, in its highest form, it’s a satisfaction type question or a series of questions. How’s the program working? Do you feel you’re getting better? Do you feel it meets your needs and so on?

George Vergolias: [00:42:41] By the way, a lot of companies stop there. And some people may not agree with me, but I’m a big fan that satisfaction doesn’t always indicate outcome or functional benefit. I could be very happy with a therapist and I’m still not getting better. And one of the reasons I’m happy with a therapist is they’re not challenging me to get better. Think of a physical therapist or think of a personal trainer that doesn’t piss you off occasionally or get you angry, that’s not a very good physical therapist and that’s not a very good personal trainer.

George Vergolias: [00:43:12] So, what you also need to measure is what are the behavioral functional changes that are occurring over time? And from a business perspective, what is the productivity or the impact on the business that is promoting the business forward? It could be increased team collaboration. It could be a measure of increased innovative ideas. It could be increased operational efficiency.

George Vergolias: [00:43:37] There’s a number of ways companies can define that. But that’s what I would say that you need to answer both of those buckets, satisfaction and then – what I call – functional outcome. And that has two types, the behavioral and kind of functional aspect of the individual and then the business functional improvement that you’re seeing as a result. That’s how I would structure that.

Mike Blake: [00:43:59] Yeah. And it occurs to me, I’ll bet you there are KPIs that can be structured around this. You know, for example, it could be productivity, it could be turnover, it could be tenure, in some cases, even your pay scale. You have to pay people more to work for you just because you’re not all that pleasant to work with.

George Vergolias: [00:44:20] Absolutely.

Mike Blake: [00:44:23] George, this has been a great conversation. I’ve got about ten more questions I love to ask, but we’re running out of time.

George Vergolias: [00:44:28] I understand.

Mike Blake: [00:44:29] I’m sure that there are questions that our listeners would have liked me to cover that we didn’t or would have liked us to cover in more depth. If they’d like to follow up with you on some of these issues, can they do so? And if so, what’s the best way to do that?

George Vergolias: [00:44:42] Absolutely. So, you can do so by emailing me at George, G-E-O-R-G-E, .vergolias, V as in Victor-E-R-G-O-L-I-A-S, @r3c.com. Or my office line, feel free to give me a call, area code 952-641-0645, and I’d be happy to engage.

Mike Blake: [00:45:11] That’s going to wrap it up for today’s program. I’d like to thank Dr. George Vergolias so much for sharing his expertise with us.

Mike Blake: [00:45:18] We’ll be exploring a new topic each week, so please tune in so that when you’re faced with your next business decision, you have clear vision when making it. If you enjoy these podcasts, please consider leaving a review with your favorite podcast aggregator. It helps people find us that we can help them.

George Vergolias: [00:45:35] If you would like to engage with me on social media with my Chart of the Day and other content, I’m on LinkedIn as myself and @unblakeable on Facebook, Twitter, Clubhouse, and Instagram. Also, check out my new LinkedIn group called Unblakeable’s Group That Doesn’t Suck. Once again, this is Mike Blake. Our sponsor is Brady Ware & Company. And this has been the Decision Vision podcast.

 

Tagged With: Brady Ware & Company, Decision Vision podcast, Dr. George Vergolias, employee mental health, mental health, Mental Wellness Program, Mike Blake, R3 Continuum, workplace behavioral health

The R3 Continuum Playbook: Employee Wellbeing in 2021 and What to Expect in 2022

January 6, 2022 by John Ray

Employee wellbeing
Minneapolis St. Paul Studio
The R3 Continuum Playbook: Employee Wellbeing in 2021 and What to Expect in 2022
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Employee wellbeing

The R3 Continuum Playbook: Employee Wellbeing in 2021 and What to Expect in 2022

In this excerpt from a webinar conducted in December 2021, Dr. George Vergolias, Medical Director at R3 Continuum, covered issues and pain points of employee wellbeing in 2021 and looked ahead at workplace trends to expect in 2022. He discussed the disruptive factor of hybrid work and how it will evolve, the challenges of staffing and labor, the growing disconnect between leadership and employees, the toll of virtual work and how it may impact creativity, and much more. The R3 Continuum Playbook is presented by R3 Continuum and is produced by the Minneapolis-St.Paul Studio of Business RadioX®. R3 Continuum is the underwriter of Workplace MVP, the show which celebrates heroes in the workplace.

Other R3 Continuum webinars can be found here.

TRANSCRIPT

Intro: [00:00:00] Broadcasting from the Business RadioX studios, here is your R3 Continuum Playbook. Brought to you by Workplace MVP sponsor, R3 Continuum, a global leader in workplace behavioral health, crisis and security solutions.

Shane McNally: [00:00:14] Hi, there. My name is Shane McNally, Marketing Specialist for R3 Continuum. As 2022 begins, it’s important to look ahead and recognize the trends that may be seen throughout the year regarding employee wellbeing. This information is provided by Dr. George Vergolias, Medical Director at R3 Continuum. Reflecting on 2021, there has been a shift between different priorities, work environments, mental health and overall wellbeing importance and more. Dr. George Vergolias is going to dive in and offer eight things that he foresees will be trending in 2022. This information is gathered from various reports and trends we’ve seen in years past.

Shane McNally: [00:00:50] Dr. George Vergolias oversees and leads R3C’s clinical risk, threat of violence and workplace violence programs. He’s directly assessed or manage over 1000 cases related to threat of violence or self harm, sexual assault, stalking and communicated threats. He brings over 20 years of experience as a forensic psychologist and certified threat manager to bear in an effort to help leaders, organizations, employees and communities heal, optimize and ultimately thrive during and after disruption. Thank you for being with us, Dr. Vergolias. So, let’s start off today’s webinar by asking a question, what drives human thriving?

Dr. George Vergolias: [00:01:29] Okay. Thank you, Shane, for that warm introduction. And what’s interesting is, so you heard a little bit about my bio, forensic psychologist, I’ve done a ton of threat work, a ton of hostility management work and so on. But a big part of that is also understanding resilience and understanding the flip side of wellbeing because wellbeing, when you are functioning well emotionally, intellectually, when you’re living your best life, you’re really functioning in a way and at a level that is diametrically opposed to being violent.

Dr. George Vergolias: [00:02:03] So, I’ve had to be forced to become an expert in understanding resilience and wellbeing, and what is it that allows people to pull through hard times; whereas, other people decide to go on a violent trajectory? So, my larger role is Medical Director for R3. I oversee all of our services. And a big part of that is understanding the wellbeing and resilience aspect.

Dr. George Vergolias: [00:02:25] And so, back to Shane’s question, what drives human thriving? And what I want to do is I want to talk about one of my favorite stories of all time. And it’s a true story about Margaret Mead. Margaret Mead, arguably one of the best most famous anthropologists, at least in the United States. She was giving a lecture in Oxford 70 some years ago, and a student in the lecture hall had raised – I’m assuming it’s a he but these are her hand. I believe it was a young man, and he asked Margaret Mead, when does she think civilization began? What were the first signs of civilization?

Dr. George Vergolias: [00:03:01] And the students and the other faculty that were there, they expected an answer around something like the first time we carbon dated finding pottery, or weapons, or an arrowhead or some kind of structure that was built, or a vase or some kind of structure that carried water, whatever it would be. Cooking tools, eating tools, whatever it may be. And that’s not what she said at all. She said, “We know civilization began around the time that we were able to backdate, carbon back date, a broken femur bone, a human leg bone that had healed.” And a lot of people in the auditorium looked puzzled.

Dr. George Vergolias: [00:03:41] And she went on to explain that in the animal kingdom, when you break your leg, you’re done. It’s game over. There’s no other animal that sits and stays with you. And if you have a broken leg, it doesn’t naturally heal on itself by the time that you either starve or you die of dehydration or some other predator takes you. But once they found that femur bone that had healed, they knew that somebody, some other creature, arguably another human, had stayed there and protected that person, and brought them sustenance, and kind of nursed them through the healing process till they at least can get up and get moving.

Dr. George Vergolias: [00:04:17] So, the point is that we are best, we are most human and we are at our best when we are assisting and helping one another. And that’s what we’re going to talk about in terms of trends through 2021 and into 2022. But I want that story to anchor us.

Dr. George Vergolias: [00:04:33] So, let’s first look backwards. It’s always a good time to kind of take stock and look back at the past year. What impacted employee wellbeing the most in 2021? And what we saw at the end of 2020, going into 2021, is we saw some trends that did indeed pan out. And one of them was from the Fortune Deloitte 2021 CEO Survey. This was done at the back end of 2020, looking forward into 2021. And what they found is 98% of CEOs reported that mental health was a priority for them going into this current year, 2021.

Dr. George Vergolias: [00:05:10] They also find that the pandemic had significantly accelerated various types of digital transformation, most notably what we’re doing now. Quite often, even though we did webinars through telepresence before, that has markedly accelerated through the pandemic and over this past year as well. And then, the pandemic was fostering information around or formation of new partnerships, new alliances and new creative ways of doing business and working together over remote distances.

Dr. George Vergolias: [00:05:43] And what we saw in this past year is many companies, not all, but many companies made good on those promises, and many CEOs made good on those promises, and we saw an acceleration of that going through the year. And that’s been largely a good thing. There have been a few things that have created some pain points, and I’m going to get at that in just a second.

Dr. George Vergolias: [00:06:06] We saw a few other things. One is that COVID 19, COVID, the epidemic or pandemic, rather, it created tensions, and it tested the limits of the worker-employer relationship. And early on, we saw certain pain points around concerns of safety. Later on, we saw pain points around mask mandates. And then, we saw and are still seeing pain points around vaccination requirements, and we’re seeing different businesses handle that differently. But what that is doing is it really is testing those boundaries of where does an employer’s reach and where does their due diligence then begin in terms of creating safe environments for their workforce?

Dr. George Vergolias: [00:06:54] And from a legal perspective – and again, full disclaimer, I’m not a lawyer, I work a lot in conjunction with the legal world as a forensic psychologist – what we’re seeing is there really isn’t still any court or legal precedent around handling COVID risk as an employer, as well as COVID restrictions. So, all of this is still at play, and I think we’re all still trying to figure out what is that balance. And what makes it even more confusing is that balance is going to be different for different industries and different employers. And in some cases, across the same employer, it might be different at different locations. So, that’s one thing.

Dr. George Vergolias: [00:07:34] The second thing we saw is the adoption of what I’m calling telepresence everything. So, another kind of disclaimer here, for 19 years, I’ve had a private practice that is focused on doing telemedicine for emergency departments in North Carolina. Just the practice I’ve had on the side, it keeps me vibrant, keeps me accessible and it keeps me sharp clinically. I’ve spent the last 10 years trying to get hospitals, and clinicians and outpatient clinics to adopt telepresence and telehealth. COVID changed all that almost overnight in terms of the forced and accelerated adoption of going to telehealth, and both providers and recipients – patients – being those on the receiving side, being open to it and being flexible with it, including boards, changing licensure requirements, payers and insurance, changing their payment requirements to allow this.

Dr. George Vergolias: [00:08:30] And we are not going back. I’m not saying we won’t begin to go back to more clinic-based therapy in some ways, but there is a large swath of the population that has found that telepresence or telehealth has been functional, it has been helpful, it has been effective, and useful and has broken down regional barriers to proper care.

Dr. George Vergolias: [00:08:52] So, we’re seeing that, but we’re also seeing, again, what we’re doing right now, and I imagine if we were in a room and I did a show of hands of how many of us have been on a Microsoft Teams or Zoom call this week for business, almost everybody would raise their hand in terms of being involved in that in the last week or two. So, we’ve seen a huge adoption of that. And I’m going to talk about the pros and cons of that as well.

Dr. George Vergolias: [00:09:15] The other thing that we’ve seen is that wellbeing, although, as I said in the last slide, has been a huge initiative, there are some barriers and pain points in terms of the impact of that. What we’re seeing now based on the Harvard Business Review study that was done just a couple of months back, 89, almost 90% percent of employees are saying that their work/life balance is getting worse – I’ll talk a little bit about that in a minute – 85% are reporting well-being has worsened in general; 56% indicated that their job demands have increased since the onset of the pandemic, and particularly over the past year; and 19% of women – so, we’re seeing some specific population issues – are reporting that they felt their job was at risk. And a lot of this was particularly around many of them being in a position where they can’t stop also being kind of a primary caretaker at home. Whether they’re a single mother or even if they’re in a married relationship, some of those older traditional gender roles, none of that has stopped, while they also have an accelerated adoption of being on conference calls and continuing to have increased productivity.

Dr. George Vergolias: [00:10:24] What’s really interesting is another pain point I’m going to get into. I’m just laying out the metrics. 40% – and this is at a global level – of the workforce is considering a change going in to the back end of 2021 and into 2022. A change in jobs, basically. So, talent acquisition is an issue, and I’ll be talking more about that in a second. So, as a segue, so that’s kind of the landscape that we’re now just emerging out of. 2019 or 2020 had its challenges with the onset of the COVID pandemic. 2021 was okay, we’re getting our legs under us, but still trying to figure out a lot of these issues with all their attendant pain points. Now ,the question is, what does 2022 have in store? So, these are predictions, these are speculations, but they’re based on trends and they’re based on what we kind of know in terms of not only our own experience consulting with those in the C-suite and upper management, but looking at the trends across a number of reports and where the workforce is going around issues of wellbeing and thriving.

Dr. George Vergolias: [00:11:32] So, let’s start with what our leaders concerned about, because I think that’s a good barometer, at least, of understanding that at the top. In the beginning of this past year, many CEOs, many leaders, especially in the Deloitte survey, which is a kind of an industry standard, were talking about this as the year of hope. As we started entering into mid-2021 with the Delta variant beginning — well, not beginning but when it was beginning in the mid part of the year to kind of start raging and a few other supply chains still not back online, there were other pain points going on, they moved to have more bold plans about growth, innovation and digital transformation all based out of necessity. All of that was needed.

Dr. George Vergolias: [00:12:16] Another big key component, there was there was a lot of initiatives around, how do we transform our talent networks? How do we recruit, and develop and train people differently? Good news is over 75% of CEOs still remain bullish on 2022. They still are looking at positive growth, they’re looking at innovation, and they’re really thinking the business community is going to continue to thrive and adapt to the changes ahead. That all is good. That’s a positive message. But we also are seeing is what we saw a year ago, mental health and wellbeing remain prominent as focused areas for leaders and CEOs in particular. So, there’s a lot of focus on that, and there’s a lot of resources and initiative being put in that direction. Again, different companies will differ on this dimension, but as a whole, there’s a big momentum in place that continues to ride us into 2022.

Dr. George Vergolias: [00:13:08] Well, we’re also seeing is D&I issues. Diversity, inclusion, these are rapidly accelerating in focus. In January of 2021, so just a little under a year ago, 94% of CEOs said D&I issues and initiatives was a strategic priority. By June, by midyear, 50% were actually making good on those promises. They were prioritizing those initiatives for inclusion and talent adoption strategy or talent attraction; they were setting clear goals to measure the impact of their D&I initiatives and priorities; and they were communicating those metrics back to their employees in a way that there could be a feedback loop about what is working and what isn’t working. So, again, another positive change that we’re starting to see develop through 2021, and we’re expecting that to continue in 2022.

Dr. George Vergolias: [00:14:08] And by the way, these initiatives are not just for marginalized groups. There’s a large — I don’t want to say majority, but there’s a large swath of people that are not in disenfranchised groups but strongly identifying in an ally shift way with those groups who are supporting those initiatives. And in the end, those are tending. The research is showing those are tending to make more cohesive and innovative work groups across a number of different sectors.

Dr. George Vergolias: [00:14:42] So, now, what I want to do is take those high level metrics. Again, we talked about 2021, talked about 2022, and I want to go in just seven specific trends that I think we can expect going into this new year. Again, these are born out of various data points, various reports, we make reference to these in the slide if you want to go do a deeper dive. And they are a little bit — I mean, these are predictive trends. These are things that we’re looking towards based on where we’ve just come out of, but they wouldn’t be in this presentation if I didn’t feel quite confident that we’re going to see some of these or each of these in some capacity as we navigate forward.

Dr. George Vergolias: [00:15:25] So, the first is that the biggest disruption that we can expect this next year is hybrid work and trying to figure out, what does that mean? What does that mean for us? What we’re seeing – now, this is based off the Microsoft Work Trends report from March, and they did a little bit of a follow-up just recently; I believe it was in November. But what they were saying is 66% of leaders of their company, they’re considering redesigning their office space for hybrid work. Almost three-quarters of employees want flexible remote work options, and over over two-thirds of employees want more in-person work or collaboration post-pandemic. So, what’s interesting — I’m sorry, employers. I mean employees want more in-person work.

Dr. George Vergolias: [00:16:14] So, what do we see here? What we’re seeing is kind of a split in both directions, right? Leaders are definitely responding and trying to create workspaces that can adapt to more remote and hybrid work environments; three-quarters of workers want flexibility to work from home and from the office; and yet, two-thirds are also saying we still want that in-person engagement for collaboration post-pandemic. And again, different companies are going to adopt this at different levels based on their financial tolerance, their risk tolerance and other issues, but this is going to be a disruptive factor as we move forward, and companies are going to have to figure out a plan to navigate that in a way that works for their culture, their industry, and at some level, their bottom line as well. That all has to be factored in.

Dr. George Vergolias: [00:17:05] Second big issue is talent acquisition. This is going to rapidly change. We’ve already seen it, but we’re seeing more. Questions of attracting talent, retaining talent and then developing internal talent will continue to be massively disrupted as we go forward. There’s a quote on your screen there, I’m not going to read the whole thing, but I’m going to highlight a few points, and this comes from the Deloitte — I’m sorry, the Deloitte Insights report from July. What we saw in 2020 is 80% of job losses were among the lowest quarter of wage earners, and many of them were working in the service sector. A new study shows that 100 million global low-wage workers will need to find a different occupation by 2030. That is a massive shift in the job market.

Dr. George Vergolias: [00:17:50] In addition to that, we are continuing to see acceleration of robotic impact in the workforce, which disproportionately affects lower wage or labor-based type occupations or jobs. And we’re seeing that the demand for skilled workers at the same time that this is happening, skilled workers is also growing, with 7 in 10 employers globally saying they’re struggling to find workers. For any of us that are interested in selling a home, buying a home, building a home, or even just trying to get some remodeling done, we know the labor shortage in the skilled labor and construction and remodeling world. So, we’re already seeing that. So, there’s going to be massive impact.

Dr. George Vergolias: [00:18:34] What’s also interesting with this is at the same time that all of these data points are happening out of necessity, you might say, and I’m not saying — what I mean by necessity is the job market is moving, so people or the labor force is moving and evolving, we also have a disproportionate number of white-collar workers. So, people with higher degrees working more white collar jobs, who are just fed up with their current arrangement of working in corporate America. They want to live remotely, they want flexible hours, they want to be their own boss. So, we’re seeing a higher proliferation of people leaving traditional jobs where they have good positions. They’ve been at a firm, a law firm or one of the big four accounting firms for a number of years and moved up, and they’ve just decided — to put it in my terms, they’re kind of done with the rat race, and they just want to get out.

Dr. George Vergolias: [00:19:29] We’re also seeing younger workers from Gen Z and millennials who are developing a whole new — well, not new because these have been around for a while, but they’re developing a deeper sense of what they want out of a job. It’s no longer advancement and a good paying salary. I want to feel rewarded, I want to feel supported, I want to feel like I’m making a difference, I want to be part of a company that’s making a difference in the world. All of these are different things that are occurring that’s forcing us as business leaders and talent acquisition leaders to rethink, how do we attract, retain and develop people in our companies and in our organizations? So, it’s going to be a challenge as we navigate forward.

Dr. George Vergolias: [00:20:17] So, sadly, I talked earlier about a lot of the CEOs talking about it’s the year of hope this past year and remaining bullish on 2020, and wellbeing, and D&Y, initiatives all being part of the priority. And that’s all wonderful news. There’s still a disconnect. Leaders are still generally out of touch. This is also coming from the Microsoft Trends report. It, also, is backed up by some of the findings from the Deloitte Insights report as well. But from the Microsoft report, 61% of leaders are reporting themselves as thriving and accelerating their thriving through 2021 versus only 38% of their employees are reporting that. That is a disconnect.

Dr. George Vergolias: [00:21:01] Now, some of the best organizations are kind of evolving and thriving together from top to bottom, but the norm is that leaders increasingly think that they’re doing well, and thriving and growing; employees are not. And so, there is a disconnect. Unfortunately, I don’t know exactly what that disconnect is. There’s a number of factors that I think are related. The next bullet point captures one of them. We’re exhausted. When I say we, I mean the workforce in general. And it’s masked by high productivity.

Dr. George Vergolias: [00:21:33] So, here’s an interesting finding we’re seeing not only at the beginning of 2021, but growing through the year, and we’re actually expecting this to continue to grow into 2022, and there’s a blessing and a curse here. 85% of employees report the same or higher productivity from the prior year. So, 2021 was just as productive or more productive than 2020, except 53% more feel overworked, and 39% more feel exhausted from the prior year. So, yes, we’re doing more, but we’re paying a high, high toll on employees’ wellbeing.

Dr. George Vergolias: [00:22:13] And when you marry that or abridge that into the talent dilemma, that is a real concern. It’s a real recipe for disaster because if we have a core constituency, you might say, of the workforce that either they’re forced to move on because they’re semi-skilled role is being outsourced or not available or higher skilled workers or more educated workers are just deciding, “I’ve had it with the rat race,” and they’re feeling “I’m more productive than eve, and yet I’m more exhausted, and I’m not doing well, and I’m overworked,” that creates an environment that more people want to leave and more people want to start jumping to other opportunities around them. So, it’s going to be a really interesting year to see how we, as a business community and in roles of leadership and management, and HR, navigate that going forward.

Dr. George Vergolias: [00:23:07] Another consideration is that the digital intensity of our engagement and life balance, there’s been a creep. There’s been an increased impact of that over time. So, a few bullet points there. Microsoft Teams, just the occurrence of the number of teams that the average person sits in – meaning conference call teams or meetings – is up two times than it was a year ago. The average meeting is up 10 minutes longer than it was a year ago. The average user is sending 45% more chats through Microsoft Teams.

Dr. George Vergolias: [00:23:41] And the problem that — well, actually, I’m going to jump ahead real quick because there’s one more visual I want to share with you, and then I’ll get to not my final slide, but a conclusion point there. What we’re also seeing – and again, all of this is from the Microsoft Work Trend report, which is really interesting because they could call all of this anonymized data from MS teams, particularly if your organization opts in for that data sharing.

Dr. George Vergolias: [00:24:07] So, meetings, weekly meeting time has more than doubled for team users and is still rising all through 2020, but also continuing to go into 2021. This trend hasn’t gone away. Again, this study was from March of 2021, but this trend continues. There’s been an increase in the number of emails delivered in February of 2021 versus February of 2020, and there’s indications that this has continued to increase. I already mentioned that 45% more chat is occurring. And this is interesting, the number of people working on office documents is up 66% over the same year.

Dr. George Vergolias: [00:24:46] Now, on the one hand, if we’re all going remote, we would expect some of this to increase. And that all makes some sense because we’re not — I’m going to hop back here. Because we’re not together, we don’t have the ability to go have lunch together downstairs at the little café, or talk in the break room, or even just meet at the watercooler. Those opportunities are not there, so we have to chat more, we have to email more. And all of that makes a little bit of sense organically. Here’s the trouble is what we’re finding is we’re getting huge digital fatigue. It is just draining to feel like we are constantly on.

Dr. George Vergolias: [00:25:25] What’s interesting is there was a study done, and I wish I would have added it to the slide, but I’ll just comment on it real quickly. I believe I saw it in Inc Magazine, but prior to that, I believe it was in Forbes. And what they looked at is, what is the kind of the lit reality of being in meetings in lived time, in-face, or in-person, and being on a screen? Well, the oddity is right now, of this multiple hundred, three or four hundred people watching this right now, I don’t know how many are looking at me right now. So, if I want to stop and take a glass drink of water, and I’m going to do that because I’m thirsty, it’s kind of a bit of an awkward moment, right? It’s a pause, it’s silent. Even if I’m not talking – of course, I’m presenting, so I have to be talking now – I’m not sure who’s looking at me.

Dr. George Vergolias: [00:26:17] But when you’re in a room with people, and you can see that 12 other people or 15 other people are looking at the speaker, you could kind of turn off for a second. And I don’t mean you turn your attention away, but you can relax, you can scratch your nose, you can fix your hairline, you can adjust in your seat, you could quickly check a text if you are afraid your kids are texting you that they got off the bus, whatever the issue is. When we have this platform, there is this kind of subtle paranoia that forms of feeling like we always have to be on, and engaged, and focused. And it’s tremendously draining to have that. And we don’t have that in our normal face-to-face meetings because we get numerous micro breaks when we notice everyone else is focusing on the screen, or this talker, or that talker.

Dr. George Vergolias: [00:27:08] So, again, that — and then, you’re in my home. So, I have to constantly worry about, are people judging my background? Is my office clean? The kids are off right now, they’re going to come in, and I’ve had to warn them not to bother me because I’m giving a presentation right now. This has an emotional and psychological drain, and it’s kind of a cognitive load over time. So, it’s something else we’re going to have to be mindful of as we go forward.

Dr. George Vergolias: [00:27:35] What I’ve heard about and what we’ve implemented at R3 to some good effect is leaders, we’ve encouraged leaders to empower and encourage people to fade their background if they want. We literally have some workers that for any number of reasons, take calls from their bedroom. They don’t want you in their bedroom. Even if you went over to their house for a barbecue, they wouldn’t invite you into their bedroom. And yet you’re in their bedroom during an account meeting or a sales meeting or whatever. So, we encourage them, use the muted background, so no one can see where you are in your home or use one of the other template backgrounds.

Dr. George Vergolias: [00:28:11] We also encourage people, if you need to go off camera for a little bit, go off camera. There’s no judgment there. Everyone may need to do that. If you need to mute, go ahead and do that. Because where we are in our lives, our work life and our personal life, are now a little more blended. And we have to be more mindful about where those boundaries land and empowering people to use those boundaries and set those up, so they can still promote a sense of wellbeing, and no one to emotionally and psychologically turn off. So, we want to keep that in mind as we navigate forward.

Dr. George Vergolias: [00:28:49] Okay. You know what, I lied to you guys, and I didn’t mean to. There’s actually eight trends. So, let me get through those. And then, it might be a good time to pause and see if we have a few other additional questions.

Dr. George Vergolias: [00:29:02] So, trend number six, collaboration and productivity, they might be harmed by shrinking social networks. The jury is a little bit out here, and we’re still trying to figure this out. So, on the one hand, we are more — I’ve already made the case, the data doesn’t lie, we are much more interactive than we’ve ever been. And that has been very, very useful in terms of — well, it’s been out of necessity, but we are communicating. We’re communicating more. We’re using more tools, chat, email, again, telepresence or teleconferencing. And in one way, that has kept us connected, which has been useful because if we didn’t have any of that in 2020 and 2021, that would have been big trouble for business productivity and innovation.

Dr. George Vergolias: [00:29:50] Here’s the problem. Because of that, we are continuing to lack the lived social experience of being in presence with somebody. And I call that magic of innovation that happens when you’re interacting with somebody in a room. I had the pleasure of having a very good friend, still do, who was a really good jazz musician. He’s not famous, but he plays with a lot of famous jazz musicians. I mean, he’s just amazing in terms of his talent. And what’s funny is when COVID started, a lot of jazz musicians, among other artists, had to move into the studio, and they were doing studio work remotely. It was all digitized. The problem with jazz, just like the problem with most good music, there’s an innovative back and forth. There’s a dance, there’s a flow that people get into. And what we are finding is even on the business side, the innovative side, sales, marketing, developing new products, bringing them to the market, all of that has been stifled a bit by that lack of innovative magic of being reasonably in the presence of one another.

Dr. George Vergolias: [00:31:02] So, again, don’t know what the answer is to there. Hopefully, the answer is we get a handle on things. Hopefully, Omicron isn’t — we certainly know it’s more contagious than Delta. Hopefully, it’s not as severe in its symptomatology. And hopefully, we can get a handle on it in a way that maybe we can start getting back into face-to-face interactives. Many of us, maybe all of us have been to virtual conferences in the last year, I can’t speak for everybody, but I can tell you I’ve been to some good ones, and I’ve been to many where it’s not even close to the lived experience of being in-person with somebody. So, these are things that we’re going to have to adapt to.

Dr. George Vergolias: [00:31:42] Now, there’s a paradox here. And the paradox is at the same time that that has increased our interaction but decrease that kind of magical innovation that gone on and on for five minutes about that, there is at the same time what we’re seeing an increase in authentic engagement. And the authentic engagement is if we were in a conference call, some people would be asking me turning to the wrong direction about my boxing gloves. Those are my dad’s boxing gloves. He fought Golden Gloves when he was a young man in Chicago. That would never come up if we were in the office. And then, “Oh, you’re from Chicago,” or “Oh, your dad boxed. Did you learn to box?” These are little moments where we kind of — whether we mean to or not, we let people into our lives and we become a little more engaging. It’s a little more of an authentic interaction. And the paradox is we’re not doing this in person.

Dr. George Vergolias: [00:32:32] So, the time we’ll be able to tell or only time can tell, I should say, of how is that going to play out. On the one hand, there’s something kind of artificial about this digital interaction. On the other hand, over time, you’re getting to see my — I mean, again, if these were regular calls, eventually you’d meet my dog. Shane has heard my dog bark so many times, he probably can recognize the bark. Shane has met my kids – he never would have probably met my kids – because they burst in when they get home from school, even though I tell them not to sometimes. That creates an authentic engagement where our humanness is shown and it comes through.

Dr. George Vergolias: [00:33:13] So, it’s going to be really interesting to see how six and seven bounce off each other as we continue to navigate forward in 2022, particularly around issues of humor, and vulnerability and so on.

Dr. George Vergolias: [00:33:27] All right. Number eight, and you might have already suspected this when I was talking quite a bit about the talent dilemma, but in a suddenly remote hybrid world – and when I say sudden, yes, it evolved over a year, 12 months, 18 months, but if you look at the history of any of our organizations, like go back 20, 30, 50, 60 years, some of us maybe are in organizations that go back a hundred years, you go back and look at the history of modern work since the industrial age began, 18 months is a blip. It is a blip on the map. That is a very rapid change. So, in a suddenly remote hybrid world, the talent pool is going to be global. We’re already seeing that. We already were trending that way, but now that so many of us have adapted to remote hybrid work, we’ve now eliminated that barrier.

Dr. George Vergolias: [00:34:24] Now, some employers, some leaders are saying, “I want people back in the office and I want to hire people that live — I’m in Raleigh, North Carolina, so I want people that live around here, so they can come in the office.” That’s a choice. But what most organizations have, at least, been able to say or prove is that some of what we do can be not outsourced, but it can be off-sourced, it can be off the site, it could be at home, or remote or hybrid. And what that means is, now, when I’m looking for that account manager, or sales exec, or that head clinician, or that clinical program manager, I can now look in California, or Arizona, or New England. I don’t only have to look in Raleigh. So, that expands the talent pool.

Dr. George Vergolias: [00:35:07] But what it also does to the talent, it means their options are expanding as well. So, if they join my group and they find after a year, “I don’t like the fit. I don’t like the mission. I don’t like the support I’m getting. I don’t like the level of development and mentoring I’m getting. I don’t like the company’s approach to D&I and inclusion-based issues or wellbeing, I now can look for a job in California, and Arizona and New England.” So, again, this is a dilemma that we all are going to have to navigate as we continue to move forward.

Dr. George Vergolias: [00:35:41] Okay. All right. This might be a good time to take a quick pause. Shane, are there any questions that came through?

Shane McNally: [00:35:50] Yeah. We have one here that I think was pretty relevant. We had it in one of the first slides. So, with the move to more hybrid and work-from-home situations, do you forecast a rise in domestic violence? And what are companies doing to ensure they meet the duty of care obligations to provide a safe work environment in a remote world?

Dr. George Vergolias: [00:36:10] Wow, that is a great question. And it’s a hard one to absolutely answer, but I’m gonna do my best. And it’s one I kind of know the area of. So, we’ve already seen an uptick in domestic violence already in 2021. I would expect that to be the same, maybe a slight uptick into 2022. And some of these issues can get very complex, but just because for sake of time, I won’t go into all the variables from a risk angle, but it really comes down to when you are in an environment of hostility, where there’s an abuser and a victim, leaving for eight hours a day and separating isn’t a bad thing. The first thing most of us will do when we see a fight brewing, whether it’s at the Thanksgiving table or, unfortunately, if it’s at a Little Little League game, or if you’re a police officer responding to a situation, you separate. Leaving the house every day and going into work is, at least, a forced separation. Now, that’s all at home. That separation isn’t occurring. So, it doesn’t have to be a hotbed, but it increases the risk of flashpoints, of volatile flashpoints that can emerge into violence. So, I do think there’s a significant risk there.

Dr. George Vergolias: [00:37:27] In terms of what are people doing, this is varied significantly, greatly. The best companies are really trying to do a job of reaching out, letting their employees know that they have domestic violence support resources, they’ve got mental health support resources, they have counseling, anonymous counseling resources, they have threat of violence services available to help people navigate a potentially violent or hostile situation. The best ones are doing that.

Dr. George Vergolias: [00:37:57] What they’re also doing is trying to create cultures by which employees feel comfortable coming forward and sharing concerns about another employee, even if it’s anonymous, such that at least we can try to get people delivered or connected rather to the help that they may need. In terms of due diligence or duty, that gets tough now. And again, I think an employment lawyer would be better to ask in terms of where does the employer’s reach end. Yes, you’re working from home now, and yes, there is some kind of responsibility, but to what degree, as your employer, am I responsible for keeping your home environment safe? And at what point am I infringing on your personal life and your personal rights if I go too far with that?

Dr. George Vergolias: [00:38:51] I can say because I deal a lot with domestic violence, I deal a lot of threat of violence, and that intersects with legal and law enforcement, the jury is out on where those boundaries are. Again, this is a very new arena for us in terms of trying to figure out due diligence, duty to warn. And then, the question of how do courts, how does litigation in courts view that? So, it’s a really good question. I would say continue just to monitor how HR groups, security groups and certainly legal groups are talking about this issue, and particularly employment lawyers as we evolve through 2022. 2022, I think, is going to be a seminal year to determine how do we figure out or how do we manage these? And then, what are the courts say about it in terms of our responsibilities as leaders, managers and employers? Great question. Shane, do you want me to continue here, or do you want to do another question? What do you think?

Shane McNally: [00:39:48] Yeah, I think let’s keep it rolling because I think one of the questions may actually be answered in the next coming slides. So, I think let’s keep rolling with it. And if we have some more time, we’ll answer some more at the end.

Dr. George Vergolias: [00:39:59] Perfect. And my goal is to get through these next slides in about eight minutes. I’m not going to do a deep dive because again, all of you are probably from different backgrounds, you might be from different industries, you might have different resources available or not available, different size organizations. So, we’re kind of hitting this with a broad brush stroke.

Dr. George Vergolias: [00:40:18] So, we talked about trends, 2021 and 2022. We talked about eight specific trends, both positive things but also some pain points. So, this is where I get into, okay, what do we do about it? What do we do? How do we support mental health and wellbeing in a way that’s effective and with accessible resources. I’m going to say it again, in this next year, it’s all about people. They are our greatest asset. They certainly should be considered your greatest asset. And the CEOs in the Deloitte study, and even the Microsoft study, have both talked about that. It’s talent in every form. That is the goal. For those of us that remember, I think it was the Bill Clinton, Ross Perot, even before Ross Perot and George H. Bush, the old saying, “It’s taxes, stupid” or “It’s about taxes,” well, my mantra this year is, “It’s about the people, stupid.” Not that people are stupid, but it’s all about the people. It’s about your talent – attracting them, hiring them, developing them, retaining them and so on. It’s key.

Dr. George Vergolias: [00:41:24] One thing we’re all going to have to do better is we’re going to have to expand our toolbox in terms of resources, and we’re going to have to get out of siloed thinking in terms of how we handle problems. Historically, a lot of this has been dumped on HR. Maybe some of it’s been dumped on security if it’s a threat or risk issue. And then, in some cases, it might be dumped on legal if you have a legal team internally or maybe you have an ad hoc external legal team. The problem is, is we need to expand the dilemma. Most companies, if you go back pre-COVID, they basically had a hammer in the toolbox. And if you had a nail, great; they had a hammer. And if you had a screw, they had a hammer. And if you had something else, if you needed to glue something, they had a hammer. We need to expand the toolbox in terms of the resources that we have available to us.

Dr. George Vergolias: [00:42:21] Part of that process is — sorry, I missed. I didn’t forward some of the slides. That’s the CEO slide. That’s a toolbox slide. Now, I’m caught up. I’m sorry about that.

Dr. George Vergolias: [00:42:32] We need to also, I believe, strongly have a conceptual shift from looking at dealing with the behaviors of concern from a perspective of adversarial and contentious to collaborative and supportive. Now, that doesn’t mean there are times that we don’t need to exit somebody from our organization. That happens. But we can do it in a way that we still are trying to maximize a supportive engagement with that person. So, we want to engage people from end to end. A lot of times, people – I do a lot of hostile terminations. I don’t personally, but I help navigate them, I should say. People ask me after the termination, when do you start mitigating a hostile termination? When does it begin? When do you really start doing it?

Dr. George Vergolias: [00:43:20] And I always say, managing a hostile termination begins the day you hire that person. I don’t care if it’s 10 years ago. The day you hire them, the way you want to award them, the way you try to be supportive, and fair and equitable, the way you engage them with respect and dignity, and how you’ve done that, whether it’s three months or three years or 30 years, sets the tone for how you’re going to deal with that when things get ugly at the back end. So, it’s an engagement process end to end. We want to educate people on that process, each step, what resources do we have available, how do we help them. We want to have a general message of support to people all through the process. And we want to align what resources we do have beyond the intervention is a singular event. View it as a process of intervening.

Dr. George Vergolias: [00:44:09] Now, none of this means that if somebody does something egregious at your workplace that they don’t need to be exited. Not at all. Sometimes, people need to be exited. But can we do it in a way that maximizes support, in a way that they can look forward in their life and not look backward with a sense of anger and resentment, and in some cases, vengeance? So, that’s one of the keys.

Dr. George Vergolias: [00:44:30] Again, I talked about the singular event. Get away from that and move it into an engaged process. And that process begins with the first time I sit you down and say, “I’m going to give you an informal, non-official verbal coaching session. That’s where it starts. And I’m doing it because I want to help you get better and I want you to develop. But it’s your choice to develop. Are you going to take the help or not? And then, over time, it could escalate to the point that I have to let you go. But that process is going to be a process. It’s not going to be a singular event.”

Dr. George Vergolias: [00:45:03] Another thing to consider, one of the dilemmas is that all the old behaviors of concern haven’t gone away. Many of these have even exacerbated if you look over the past year or two. Various levels of emotional crisis, we know depression is up threefold. Anxiety is up fourfold. And this is across the general population. Suicide threats, anger, hostility, inclusion, diversity and inclusion issues, violence threats, domestic violence, all of these issues are not — some are growing, some are neutral or the same that they were a couple of years ago, but here’s what’s different, the average worker is more aware of these issues, and they’re more aware of when they’re struggling. That doesn’t mean they’re coming forward. They may not feel safe coming forward, but they’re more aware of that, which means, as leaders, we are kind of beholden to try to do something about these. We can’t put our heads in the sand and just play like it’s an ostrich. So, we have to be aware of what these issues are as much, if not more than ever, and still try to navigate them with all the pain points I’ve also talked about.

Dr. George Vergolias: [00:46:12] So, how do we do this? Well, we move towards a continuum of service support. And there’s a number of key offerings. And what we want to do here is we want to do these, not — I’ll say it better. We don’t want to be siloed in how we handle these. By the way, this is not exhaustive. Human resources, management, meaning just management at all levels, evaluation options. Does somebody need fitness for duty? Do we need to employ pre-employment screens on the front end? Do people need substance abuse support, or counseling, or evaluations? Do people need performance coaching or other types of performance coaching or enhancement? Mentoring? EDP support services, engagement and treatment providers for those individuals that need that, whether temporary or long-term. And obviously, we need to engage legal because there’s risk involved from the business perspective. Vocational services in some cases. Benefit and leave options, which is kind of a wing, if you will, of HR. All of these are key offerings, and it’s important because when all of these are working together, and they’re not siloed, that creates an environment in which the person, the employee, feels engaged, they feel supported. And again, supported doesn’t mean I’m going to stay here forever, but it means we’re maximizing the chance that I can get back to thriving and get my life back in a way that it’s a win/win.

Dr. George Vergolias: [00:47:40] I often will say to my personal team at R3, my ultimate goal as a manager, as a leader is to help you thrive, whatever that may be, bring mentoring, bring guidance, bring support. I do not hit that goal every day. I have stressful days. I have busy days given the nature of my role as medical director that I do not live up to that promise. That’s my goal. But here’s the other part of the goal is I want to maximize that I can do all of that while you’re still with R3. If I can’t, and you go on, and you thrive somewhere else, great, I’m going to be happy for you as a colleague, and a friend, and a professional. But my goal is to try to maximize that internally. And that’s part of that engagement process as we navigate through this.

Dr. George Vergolias: [00:48:29] So, I’m going to talk briefly here about leadership strategies. And then, we’re going to wrap up with probably about 10 minutes worth of questions if we have them. So, as leaders — and by the way, when I say leaders, you could be leader of a three-person team or you could be the CEO of a Fortune 500 company. These apply. These apply to your Little League team, frankly, both on the parents and on the kids. First is champion and behavioral health at the top. If we are not modeling – and when I say modeling behavioral health, I don’t mean I am perfect and I’m living my best life every day. I’m not talking about living in an Instagram kind of visual life, which is often fake. I’m talking about champion support for behavioral health. And as leaders, sometimes, that means even admitting our own vulnerabilities or our own need to pursue our own resources. Now, self-disclosure is something that can be tricky. I’m not saying everyone should do that, but however you need to champion it, please do so as a leader.

Dr. George Vergolias: [00:49:26] Foster open and clear communication. I often say this fear and anxiety level a vacuum, it’s important that we fill that vacuum to understand what is our company’s mission, what is our value towards behavioral health, and how are we going to support people? Engage your employees. Get to know them. Reach out to them. Don’t be distant as best you can. Model strength and vulnerability. How do you do that? Well, bottling strength isn’t just about being strong all the time. The problem, if you’re strong all the time as a leader, you give the impression, even if you don’t mean to, that your workers should be strong all the time. There’s something okay about stumbling because every time we stumble, we have to get back up. And to me, that’s the true modeling of the vulnerability from which strength comes from. It’s that “Yes, I had struggles.”

Dr. George Vergolias: [00:50:15] Someone said to me recently, and I love this quote, “You’re having a bad day. You’re not having a bad life.” So, there’s times that I will tell my folks, “I’m in a really crappy place today, but I’m going to get through it, and this is what I’m doing to get through it.” I am modeling the getting back up; I am not modeling being perfect all the time because none of us are.

Dr. George Vergolias: [00:50:36] Know thyself and assess thyself. Again, this goes for organizations, it goes for teams, and it goes for individuals. Constantly looking at ourselves of how do we better ourselves, how do we improve? Know you’re lane. Now, this is organizationally. So, when outside of your lane, consultant an expert. If you don’t have internal legal, and you get up to a point where you need legal consultation, know who to go to. If you’re dealing with a threat mitigation situation, and you don’t deal with that regularly, reach out. I mean, a huge part of what I do as I sit on threat teams as an external ad hoc member and help them navigate hostility issues at their workplace because they’re not big enough or for many reasons, they don’t have an internal expert. That’s fine. Whatever the issue may be, is know your expertise, shine in that, and then know what are the other things you want to pursue.

Dr. George Vergolias: [00:51:29] And be bold. If you look at the pain points that I talked about this this past hour, and if you look at what those are, and the challenges ahead, and in many ways, I’m going to say organizations have never been through this kind of accelerated revolutionary change, probably since early in the industrial revolution. We have to be bold. We have to be, to come up with solutions that are going to push us through into whatever the next normal is going to be on the back end of this, whether it’s a year, or two, or three years from now.

Dr. George Vergolias: [00:52:10] So, in closing, and then we’ll get to some questions, one of my favorites, Brene Brown, I imagine many of you have seen or know of her, there’s a lot of research and thought leadership on vulnerability, and growth, and intimacy and so on, this quote sums it for me – and I’m adding employees to the mix because I think there’s accountability on all sides here – “Leaders and employees must either invest a reasonable amount of time trying to manage fears and feelings now or squander an unreasonable amount of time trying to manage ineffective and unproductive behavior later.” So, we are going to pay now or later in terms of time, and change, and effort. I think it’s better to do that on the front end and help develop people, especially given the trends that I’ve talked about today and then pain points. Doing that now versus doing that later in a crisis mode and a purely reactive mode.

Dr. George Vergolias: [00:53:06] So, with that, I want to thank you for your time and I want to open it up for questions. For the last — I’ve got about six or seven minutes here.

Shane McNally: [00:53:14] Yeah, yeah, perfect. So, we do have a few minutes. We do have a quite a few questions that have come in as well. So, this is great. Before we hop into the questions, I just want to invite everybody to our next webinar, it’ll be our first one of 2022, and it’ll be on January 18th. This webinar will be taking a look at personal stress, and how it can affect our business life, and figuring out ways to mitigate that disruption. So, that webinar is also pending approval for one PDC credit through that SHRM recertification program we mentioned earlier, and more information is to come on that in the future.

Shane McNally: [00:53:48] So, with the few minutes we have remaining, let’s get started with a few questions, Dr. Vergolias. The first one here, there seems to be a lot of people celebrating remote work, but do you think they are underestimating the negative impact being remote has on their mental health and social health?

Dr. George Vergolias: [00:54:07] That’s a great — that’s an astute question, and I do. I do. I think — let me give you a quick example. I’ve been working remote with R3 for 10 years, and I did fine. And when the pandemic hit, everything changed, and it changed because everyone else was working remote. And when everyone else shifted, what I found is that my day didn’t end cleanly anymore. It’s just kind of evolved. There was never an off. And what’s odd is I should have been a master at this. But the environment, the context shifted, and I needed to shift with it.

Dr. George Vergolias: [00:54:43] So, I do think there’s a lot of people that are either not aware or they’re aware and they’re struggling. One of the biggest things I do is that — so, I’m going to wrap this up in a few minutes. I got about another hour and a half or so. And every day, I change what I’m wearing. I get out of whatever — because whatever I’m wearing to during the day is my work clothes, and I change. And I literally consciously make a transition. I also try not to do a lot of non-business work in this room. This is my work office. Don’t always hit that goal. So, those are the kind of things that I think are important. And I think that’s a really, really astute question. Thank you.

Shane McNally: [00:55:24] Perfect. The next one here, you mentioned that leaders were still looking forward to 2022, but a large margin of employees may not feel that way. How can you tell if your employees are feeling unhappy in their position?

Dr. George Vergolias: [00:55:39] So, two things. One, and this is going to sound really like sophomoric, so excuse me, but ask them. Ask them. Do it in an anonymous way, so they don’t feel threatened. And then, listen to the input. And then, reflect it back, whether it’s a town hall, whether it’s a one-on-one discussion, a team discussion. And whatever leadership you are — I mean, a CEO can’t have discussions with everybody in the company, typically, but whatever level of leadership you might be showing, ask them what those concerns are, really convey you’ve heard them, share them back in a way that conveys you’ve heard them, and then try to come up with some solutions that can attest or, I’m sorry, that can attend to what those needs might be. Start with that. And if you start with that alone, you’re going to be ahead, I think, of 75% of the organizations out there.

Shane McNally: [00:56:37] All right, the next one here. How important is it for employers to have a 24-hour employee assistance program?

Dr. George Vergolias: [00:56:49] You know, I think it’s important to have, at least, access to resources. It really depends on your organizational culture, the size, and to what degree you feel your organization needs that level of support. And I know that is a very murky statement, but this is where the type of intervention and the scope really depends on the kind of organization that you have. What I will say is emotional crises do not happen 9:00 to 5:00. And anyone that’s in HR listening today is probably nodding your head. And they tend to happen at 4:30 on a Friday, but they don’t happen 9:00 to 5:00. And so, if we’re going to model and convey a true sense of support and wellbeing, it’s important, at least, to have available resources.

Dr. George Vergolias: [00:57:42] Now, that doesn’t mean you’re spending $3 million a year for a 24/7, 365 EAP response. It might be that you’re simply letting people know in their given work area, what are the local resources for mental health? Can we engage with those resources in other ways. Can we can we ally in some way, make allies or make connections with them? There’s some creative ways to do this, but I do think it’s important to convey that degree of support.

Shane McNally: [00:58:14] All right. And I think we have time for just one more question here, and this one came in right near the beginning. Other than the healthcare industry, what industry do you think has been hit the hardest over the last two years?

Dr. George Vergolias: [00:58:27] That’s a good question. I’d have to say the service sector industry just because of forced closures, reduction in patrons, just general service. It could be restaurants, it could be bars, it could be food, various types of food, hotels, they’ve just been so impacted. But what’s hard is that there’s a ripple effect. The other flip side is all the people that are stocking shelves and the trucker industry, and those that run trains and work at the port authorities on the supply chain, they’ve had the opposite effect of needing to do triple, quadruple time. So, it’s tough, but there’s been a number of those sectors. Those are the two that come to mind, one with no business, and one with an insane amount of over business, if you will. Amazon, those types of roles.

Shane McNally: [00:59:26] Yeah, absolutely. Well, so that will be the top of the hour for this webinar today. So, as a reminder to everyone, you can find more resources under our resource tab. You’ll be able to find our upcoming webinars, our recent webinars that you can watch on demand, which will shortly include today’s webinar as well.

Shane McNally: [00:59:45] As we’ve heard from Dr. Vergolias, 2022 is going to be a year that we’ll see some changes going forward and the importance of employee wellbeing. R3 Continuum can help to ensure your employee wellbeing program is offering the right level of behavioral health support by tailoring solutions to fit the unique challenges of your workplace. Learn more about R3 Continuum services and contact us at www.r3c.com or email us directly at info@r3c.com.

 

Show Underwriter

R3 Continuum (R3c) is a global leader in workplace behavioral health and security solutions. R3c helps ensure the psychological and physical safety of organizations and their people in today’s ever-changing and often unpredictable world. Through their continuum of tailored solutions, including evaluations, crisis response, executive optimization, protective services, and more, they help organizations maintain and cultivate a workplace of wellbeing so that their people can thrive. Learn more about R3c at www.r3c.com.

R3 Continuum is the underwriter of Workplace MVP, a show which celebrates the everyday heroes–Workplace Most Valuable Professionals–in human resources, risk management, security, business continuity, and the C-suite who resolutely labor for the well-being of employees in their care, readying the workplace for and planning responses to disruption.

Connect with R3 Continuum:  Website | LinkedIn | Facebook | Twitter

Tagged With: Dr. George Vergolias, employee mental health, employee well-being, employee wellness, hybrid work, labor shortage, R3 Continuum, teleHealth, wellness in the workplace, Workplace MVP

Choosing Resources to Support Employee Behavioral Health, with Dr. Thomas Young, nView, Robyn Hussa Farrell, Sharpen, and Dr. George Vergolias, R3 Continuum

August 12, 2021 by John Ray

Nview
Minneapolis St. Paul Studio
Choosing Resources to Support Employee Behavioral Health, with Dr. Thomas Young, nView, Robyn Hussa Farrell, Sharpen, and Dr. George Vergolias, R3 Continuum
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Nview

Workplace MVP:  Choosing Resources to Support Employee Behavioral Health, with Dr. Thomas Young, nView, Robyn Hussa Farrell, Sharpen, and Dr. George Vergolias, R3 Continuum

With all the newly developed approaches, resources, and tools that employers can access to support employee behavioral health, how does one decide on which to use? It’s a high stakes question which many employers are struggling to solve. Host Jamie Gassmann explores answers with three outstanding professionals:  Dr. Thomas Young of nView, Robyn Hussa Farrell with Sharpen Minds, and Dr. George Vergolias, R3 Continuum. Workplace MVP is underwritten and presented by R3 Continuum and produced by the Minneapolis-St.Paul Studio of Business RadioX®.

nView

nView is a team of doctors, scientists, authors, technologists, parents, families, survivors – passionately focused on mental illness and how it’s perceived, assessed, diagnosed, and treated.  They are activists, advocates, business leaders, and disruptors who are determined to alter a status quo that is failing by any statistical measure.

They are realists who know change is difficult, and also dreamers who understand change is necessary.  They categorically refuse to go quietly into that good night, and they are hopeful for meaningful dialogue and change. They are committed to doing better, being better, driving big changes in the perceptions of and treatments for mental health.

Cited in thousands of FDA-approved studies and clinical trials, nView empowers healthcare professionals, educators and researchers with software solutions that allow them to more accurately and efficiently identify, diagnose, and monitor these individuals who need behavioral health assistance.

They uniquely do this through evidence-based solutions that have been referenced or validated in more than 17,000 studies and used by physicians all over the globe for the past 25+ years.

Thomas R. Young, MD is a board certified family physician with more than 35 years of medical experience. He is recognized as an innovator and thought leader in the fields of Consumer Directed Health Care and Population Healthcare Management.

Company website

Dr. Thomas Young, Chief Medical Officer & Founder, nView

nView
Dr. Thomas Young, Founder and CMO, nView

Dr. Young served for six years as the Medical Director of Idaho Medicaid and has remained active in the formation of medical and mental health policy for the state of Idaho. Dr. Young was also Chief Clinical / Medical Officer of Idaho Medicare QIO Qualis Health.

Previously, Dr. Young served as Executive Vice President and Chief Medical Officer at Connextions Health, a Florida-based healthcare technology company that was acquired by Optum Health, a division of United HealthGroup.

Dr. Young also served as President of Behavioral Imaging Solutions, a technology firm recognized for its application of video imaging for the treatment of children with autism. Most recently, he served as Chief Operating Officer at US Preventive Medicine, a health technology leader in Population Health Management.

He is also a successful entrepreneur. His businesses ventures include Diversified Franchises, LLC which owns a chain of specialty restaurants, a home health business, and Elite Sports Society, a successful sports marketing business where he serves as the business development officer.

LinkedIn

Robyn Hussa Farrell, MFA, E-RYT, Founder and CEO, Sharpen

Robyn Hussa Farrell, MFA, E-RYT, Founder and CEO, Sharpen

Robyn Hussa Farrell, MFA, E-RYT, Founder and Chief Executive Officer for Sharpen, extends knowledge in building large-scale initiatives to listen closely to the stakeholders, individuals with lived experience and clinicians to ensure all voices have been incorporated into prevention of mental illness and substance use disorders. For nearly two decades, Robyn has been building collaborative relationships between state agencies, educational systems, public health, and researchers across the U.S. to increase connectedness and primary prevention for communities.

Hussa’s tiered model for teaching mental health, population health, and prevention in schools has been published in peer-reviewed medical journals. She has built mindfulness-based stress reduction initiatives that incorporate trauma-informed Resilient Schools frameworks in the state of South Carolina. Robyn served as an advisory committee member for Way to Wellville/Rethink Health Community Engagement and Listening Campaign and served as SC Youth Suicide Prevention Spartanburg County coordinator through the SC Department of Mental Health Office of Suicide Prevention. She founded four companies, first an award-winning NYC theatre company, Transport Group, which earned the prestigious Drama Desk award its first 7 years of operation and celebrates its 20th anniversary.  Robyn and her husband Tim met as award-winning artists in NYC almost 30 years ago and have directed over 3,000 films, live events and educational programs through Sharpen and their production company, White Elephant Enterprises.

LinkedIn

Sharpen

Healthy communities are made up of healthy individuals. Sharpen provides a cost-effective and flexible platform that: Provides easy access to research-based, standards-aligned, and award-winning content for mental wellness, enhances, extends, and expands the reach of therapists or counselors. connects and coordinates local and regional community resources, provides data to improve resource utilization, and builds individual, family, and community capacity, competence, and confidence to navigate successfully in these uncertain times and in the future.

IMPACT:
– 15 years research
– Suicide prevention focus
– Trauma-informed
– Self-guided CBT available 24 hours a day
– Evidence-based
– Highly customizable
– 200+ experts in 450 modules

Company website| LinkedIn |Facebook | Twitter

Dr. George Vergolias, Vice President and Medical Director, R3 Continuum

Dr. George Vergolias, Medical Director, R3 Continuum

George Vergolias, PsyD, LP is a forensic psychologist and threat management expert serving as Vice President and Medical Director for the R3 Continuum. As part of his role of Vice President and Medical Director of R3 Continuum, he leads their Threat of violence and workplace violence programs. Dr. Vergolias is also the founder and President of TelePsych Supports, a tele-mental health company providing involuntary commitment and crisis risk evaluations for hospitals and emergency departments. He has over 20 years of forensic experience with expertise in the following areas: violence risk and threat management, psychological dynamics of stalking, sexual offending, emotional trauma, civil and involuntary commitment, suicide and self-harm, occupational disability, law enforcement consultation, expert witness testimony, and tele-mental health. Dr. Vergolias has directly assessed or managed over one thousand cases related to elevated risk for violence or self-harm, sexual assault, stalking, and communicated threats. He has consulted with regional, state, and federal law enforcement agencies, including the FBI, Secret Service, and Bureau of Prisons. He has worked for and consulted with Fortune 500 companies, major insurance carriers, government agencies, and large healthcare systems on issues related to work absence management, workplace violence, medical necessity reviews, and expert witness consultation.

LinkedIn

R3 Continuum

R3 Continuum is a global leader in workplace behavioral health and security solutions. R3c helps ensure the psychological and physical safety of organizations and their people in today’s ever-changing and often unpredictable world. Through their continuum of tailored solutions, including evaluations, crisis response, executive optimization, protective services, and more, they help organizations maintain and cultivate a workplace of wellbeing so that their people can thrive. Learn more about R3c at www.r3c.com.

Company website | LinkedIn | Facebook | Twitter

About Workplace MVP

Every day, around the world, organizations of all sizes face disruptive events and situations. Within those workplaces are everyday heroes in human resources, risk management, security, business continuity, and the C-suite. They don’t call themselves heroes though. On the contrary, they simply show up every day, laboring for the well-being of employees in their care, readying the workplace for and planning responses to disruption. This show, Workplace MVP, confers on these heroes the designation they deserve, Workplace MVP (Most Valuable Professionals), and gives them the forum to tell their story. As you hear their experiences, you will learn first-hand, real life approaches to readying the workplace, responses to crisis situations, and overcoming challenges of disruption. Visit our show archive here.

Workplace MVP Host Jamie Gassmann

In addition to serving as the host to the Workplace MVP podcast, Jamie Gassmann is the Director of Marketing at R3 Continuum (R3c). Collectively, she has more than fourteen years of marketing experience. Across her tenure, she has experience working in and with various industries including banking, real estate, retail, crisis management, insurance, business continuity, and more. She holds a Bachelor of Science Degree in Mass Communications with special interest in Advertising and Public Relations and a Master of Business Administration from Paseka School of Business, Minnesota State University.

TRANSCRIPT

Intro: [00:00:04] Broadcasting from the Business RadioX Studios, it’s time for Workplace MVP. Workplace MVP is brought to you by R3 Continuum, a global leader in workplace behavioral health and security solutions. Now, here’s your host, Jamie Gassmann.

Jamie Gassmann: [00:00:24] Hi, everyone. Your host, Jamie Gassmann here, and welcome to this episode of Workplace MVP. Employee behavioral health has been a growing focus for employers over the years. And looking at the last year-and-a-half with the global pandemic, this focus has become even clearer and the need to take action even more prominent. For years, employers have leaned on the support and resources made available through more traditional methods. Now, along with the increasing focus, comes a new set of approaches, resources, and tools that employers can leverage in expanding the support they offer to their employees.

Jamie Gassmann: [00:01:00] Knowing which to choose in offering additional support to employees can be overwhelming. Do I go with the new app? Do I go with the new service, resource? And the list goes on. How can one choose the most effective approach in offering support services for their employees?

Jamie Gassmann: [00:01:17] Well, today, to help shed some light on how employers can approach making a decision on choosing the most appropriate support tools and resources for their employee’s behavioral health are three amazing MVPs: Dr. Tom Young, Chief Medical Officer and Founder of nView; Robyn Hussa Farrell, CEO and Cofounder of SharpenMinds; and Dr. George Vergolias, Medical Director for R3 Continuum. Welcome, everyone, to the show. So, our first workplace MVP is Dr. Tom Young, Chief Medical Officer and Founder of nView. Welcome, Dr. Tom Young.

Tom Young: [00:01:55] Good morning. Glad to be here.

Jamie Gassmann: [00:01:58] So, let’s start off with you telling us a little bit about yourself and your company, nView.

Tom Young: [00:02:04] Sure. Thank you, Jamie. My background is in family medicine. I started out in family medicine many years ago. And have evolved my practice life over the years to behavioral health. The last 20 years, I’ve been in the behavioral health space seeing the need for improved tools and improved methodologies, particularly for primary care doctors. I practiced everywhere, from small rural towns where I was the only doctor for a thousand square miles, to city-based areas, and seeing the need.

Tom Young: [00:02:43] And so, that’s kind of how nView began to evolve, back in early 2016, running across some tools that were out there, but finding a better way to get those in the marketplace, to get those to primary care doctors. But, basically, to help and begin to help in the battle, if you will, that we have in this country and have had for years around mental health issues.

Jamie Gassmann: [00:03:12] So, your company, nView, has won several awards. Talk to me about how you’ve won those awards. What were some of them focused on?

Tom Young: [00:03:21] Yes, we have, and we’ve been very proud of that. We started out our sort of journey, if you will, in the mental health space, in the pure research space. Our tools have been used around the world over the past 25 plus years, particularly in pharmaceutical research trials, large clinical trials, multinational clinical trials. Our tools have become available in about 160 languages. So, from that pure research base, I started looking for more digitally acceptable ways to bring them into the common space, if you will, of health care. So, some of the awards have been just sort of about creativity and changing something that’s very staid and tried and true in the research space, and making it a little bit more usable in the digital health space for providers. Trying to take some of those things and then gradually move them into partnerships with other groups to be able to make them more patient friendly, if you will, more engaging.

Tom Young: [00:04:27] I think one of the keys for us in getting there is really finding a space in the world of behavioral health as it’s evolved to being the key to doing, what I call, opening the door. We’ve become the way you put your hand on the doorknob if you’re a patient, the way to open up something to begin to get some information, whether that’s information about children in your family. So, that’s some of the things that we’ve evolved to and that’s where some of the awards have come from is kind of fun ways to start to look at new ways to do things.

Jamie Gassmann: [00:05:05] And part of that is some of the screening and the assessment tools, you’ve mentioned them already, that your organization offers. Can you share with us a little bit information around what those assessment tools are that you have available and how are they different than other tools that might be out there?

Tom Young: [00:05:23] That’s a great question. Really, I think one of the things about our tools is the ease of use of most of them and the fact that they differ significantly. The big difference is, most screening tools that people are used to, both providers and patients, are tools that really screen for a specific set of symptoms. I’ll give you a tool that helps screen for depression. I’ll give you another tool that helps you screen if you’ve got anxiety. So, the trick is, if you’re the patient, all you have to know is what’s wrong with you and then you can pick the right screening tool, which is sort of a perverse way of getting in the system, if you will.

Tom Young: [00:06:02] So, our tools focus on generally helping people discover what type of disorder they might be involved with. If it’s your child, it’s the ability for a parent to understand is their son or daughter depressed or are they anxious. Are they showing tendencies towards bipolar disease? Do they have ADHD? Some of the things that concern parents. Rather than saying, “Okay. Yes. You have some of the symptoms of depression. Thank you.” So, our tools are based in that world, if you will, of being more specific. Providing the average physician, pediatrician, nurse practitioner, the ability to understand, not just that the patient has symptoms of depression, but that they may well have major depressive disorder or they may well be bipolar, and thereby speeding the process for getting the right diagnosis to people.

Jamie Gassmann: [00:06:59] Great. And so, talking about it from the hospital sense and maybe a practitioner using these tools, how would an employer be able to leverage these assessment tools in helping the overall wellbeing of their organization or their employees?

Tom Young: [00:07:13] Well, I think that’s where the employer uses my term called opening the door. If I’m an employer, what I want to offer my employees is the ability to get information, to get highly validated, quality information, to be able to make their own decisions. If I’m a parent – again, as a good example and I’m concerned about my child – and my employer has offered me some tools that I can go to, I can begin to understand where I need to go. And by offering a simple assessment tool, the employer is saying to the employee in one way, “I care about your mental health. Let’s talk about your mental health. Let’s get this on the table.” We, together, the employer and employee, understand that there are problems.

Tom Young: [00:08:05] So, it’s that door opening kind of technology, if you will. It doesn’t have to make all the diagnoses and do all the treatment. It has to get you started on that mental health journey, if you will, or behavioral health improvement journey. So, that’s, I think, what employers can do.

Jamie Gassmann: [00:08:23] It almost empowers their employee to be a little bit more kind of informed about what they might be feeling. Would that be a correct kind of assessment?

Tom Young: [00:08:33] Absolutely. I think that’s the key element, is, giving them opportunity to become more informed. And one of the terms I use, particularly with families, is that, often, a family will choose a child to be sort of the point person in the family. And so, one of the things I used when I was working actively in the pediatric space was telling parents that, “Well, children are very often explorers into the wonderful world of psychotherapy for their families.”

Tom Young: [00:09:05] So, very often, the first person through the door that brings the family with them is a child. So, employers then are empowering a family. And so, from the employer base, if I can make the family stronger, I have a stronger employee, I have a more valuable employee, I have a more focused employee. So, providing tools not just to the employee themselves, but to the family, I think, are really key items.

Jamie Gassmann: [00:09:35] And looking at society and you’ve mentioned this a couple of times already in some of your responses, there’s a lot of focus on depression and anxiety. But why is it important to screen employees for mental health disorders beyond depression and anxiety?

Tom Young: [00:09:49] Well, there are many other disorders which mimic anxiety and which mimic depression. But a perfect example if somebody is obsessed with a simple tool and says, “Well, you have depression, so let’s treat you for depression.” That’s fine if that’s what you have. But if what you have is bipolar disease, or what you have is PTSD with depressive symptomatology, or if you have some psychotic features to your depression, simple treatment is going to sometimes make it worse. So, the real key is getting a more specific diagnostic nomenclature to the discussion.

Tom Young: [00:10:27] So, if somebody, for example, an adolescent, may appear quite depressed, but the underlying disorder may be an eating disorder. A child or an adult may look anxious, but the underlying disorder may be a specific phobia. An adult may look anxious, but may have underlying OCD, which a certain portion of the population has. So, getting the correct diagnostic understanding at the beginning shortens the process and improves the outcome for the individual patient, as well as for the employer who gets back to their employee in a much more rapid fashion, if you will.

Jamie Gassmann: [00:11:14] Great. And I know we have more questions to kind of focus around this, but for right now, if somebody wanted to connect with you, how would they go about doing that?

Tom Young: [00:11:23] Well, nView has a website, nview.com, N-V-I-E-W.com, you can reach me that way. Through there, we have a phone number, you can call me. When the phone rings, I answer. I’m happy to talk to people. So, either by email or off the website is the phone number, and certainly happy to touch base with people at any point in time.

Jamie Gassmann: [00:11:48] Great. And so, we’ll be bringing you back in for the group conversation later. For right now, I want to move to our next Workplace MVP, who’s returning to our show for a second time, Robyn Hussa Farrell, CEO and Cofounder of SharpenMinds. Welcome back to the show, Robyn.

Robyn Hussa Farrell: [00:12:06] Thank you so much, Jamie. It’s great to be here.

Jamie Gassmann: [00:12:09] So, give our audience a quick refresher on your career journey and kind of some background around how you moved through your career and what led to creating SharpenMinds.

Robyn Hussa Farrell: [00:12:20] Yeah. My career began really bringing a live health education program into schools. So, I was really looking at disordered eating prevention and the comorbidities thereof. And the avenue into reaching a lot of individuals and families was through a high quality arts intervention. So, I looped all the clinicians and the researchers to that program and connected over 4,000 kids appropriately to care. During that process, we surveyed over 80,000 participants over the course of four years. And we kind of came up with 160 most commonly asked questions. So, that also led us to kind of developing the 50 risk factors that we’re seeing in schools.

Robyn Hussa Farrell: [00:13:10] And so, it was through that, a lot of learning, a lot of listening campaigns, that my husband and I picked up a camera and we started seeking out the answers to those questions. Really finding the top scientists around the country. And to date, we have captured over 3,000 videos and over 500 evidence based psycho educational modules that we deploy through Sharpen, which is our turnkey service.

Jamie Gassmann: [00:13:40] Great. And when you were on our show earlier this year, we discussed how things, like stress and anxiety, have been increasingly affecting employees mental health. So, since then, have you seen any major changes in overall employee mental health?

Robyn Hussa Farrell: [00:13:53] Oh, yeah, for sure. So, in fact, we have been doing a lot of listening with CHRO executives and what we know, they’ve said many different things to us that they’re seeing this year. But in particular, one quote that kind of stands out in my mind they’ve said, “If you’re just sending employees to a 1-800 number, that’s like Russian Roulette.” So, they’ve been requesting a lot of nonclinical on demand services. They’ve been telling us that employees need to be able to talk to someone immediately, and in a safe and identified environment. They’re desperate to learn how to normalize the conversation around mental health and decrease that stigma, like Dr. Young was just talking about. So, I think there’s a lot of worry in some that’s happening at the employee level and at the employer level. And we’re excited, actually, that we have all this research and data to be able to support them.

Jamie Gassmann: [00:14:53] And from your perspective, you know, I know you’ve kind of mentioned that they’re starting to look for more options to support those employees, but have you seen changes in how employers are responding to the growing need for behavioral health support?

Robyn Hussa Farrell: [00:15:12] Yeah, Jamie. So, I think what they’re finding, there’s a couple of things going on, and Dr. Young addressed it earlier. Number one, that traditional EAP model, they’re noticing that really isn’t working. It’s not enough. We know we need a comprehensive solution. They need more supplemental customizable services that sort of help with that destigmatization piece and normalizing the conversation around mental health.

Robyn Hussa Farrell: [00:15:39] I think, also, from what I’ve heard in the listening campaigns that CHROs really feel like they’re starting at the ground level having to figure out the mental health space. And so, what I always say is, there are so many experts who’ve been navigating this space for decades and established those best practices, like Dr. Vergolias and Dr. Young and the companies that they have founded, that it’s really essential that, I think, those employers and employer groups really start connecting with those best practice frameworks.

Jamie Gassmann: [00:16:15] And so, there’s many different ways to support the behavioral health of employees, from traditional methods to more nontraditional or even alternative approaches. In your opinion, how would you say they compare for an employer looking at all of these different approaches? What are the comparatives?

Robyn Hussa Farrell: [00:16:34] Yeah. So, what we know is the EAP service, I don’t think it was really designed as an ongoing feature. It was really kind of a supplement to the traditional health insurance model. So, I don’t think it was intended to have utilization on this large of a scale, which, of course, we’ve seen increase with COVID. Fewer than five percent of employees actually engage with their EAP service. What we learned through our listening campaigns is, often, employees don’t even know it exists or they don’t know what it is so why would I ever call it. So, I think that H.R. executives are finding that they are having to be that mental health navigator in the moment, either of a crisis or, like Dr. Young was talking about, when a family member is in crisis. And so, we just need to enhance the system pretty much all together.

Robyn Hussa Farrell: [00:17:25] And so, from my perspective, what is needed is ongoing mental health literacy training, the social emotional skills development, and the ongoing sort of resiliency builders, they meet every employee, every employer, but also every family member where they are. And it kind of helps normalize that conversation around mental health.

Jamie Gassmann: [00:17:47] So, can an employer have one versus the other? Or is there true power in more of a comprehensive, multifaceted offering to employees?

Robyn Hussa Farrell: [00:17:59] Yeah. I’m biased, obviously, because I offer a comprehensive solution with partners like nView and R3C. And so, why I say that is specifically because there are experts, specialists, and researchers who’ve been finding these outcomes over the course of four decades. What we want to do is plug in to those experts and make it a seamless one stop sort of experience. And so, that is what’s required right now. It’s fabulous to have a mindfulness app. It’s fabulous to just take a screening. It’s fabulous to have evidence-based crisis intervention or postvention. What you want is the whole wheel of support so that at any step along the way, you can identify someone who’s struggling, get them connected to care, help them in between visits, and keep that wheel going.

Jamie Gassmann: [00:18:56] Like, a full continuum of supports. Wonderful. If someone wanted to connect with you, how can they go about doing that?

Robyn Hussa Farrell: [00:19:04] Yeah. We’re sharpenminds.com. You can learn more all about our services and reach out to us directly there.

Jamie Gassmann: [00:19:10] Great. And so, moving to our next Workplace MVP, it’s another returning MVP to our show, is our guest, Dr. George Vergolias, Medical Director for our show sponsor, R3 Continuum. Good to have you back to the show, George.

George Vergolias: [00:19:26] Great to be here, Jamie. My pleasure.

Jamie Gassmann: [00:19:28] So, let’s start off with you giving our listeners a refresher on your career journey.

George Vergolias: [00:19:34] Certainly. So, I actually began in engineering in college, believe it or not. And then, went into philosophy and then realized I wouldn’t have a job other than working as a teacher. That led me into psychology. And then, I kind of pursued the ranks of clinical psychology and just kind of fell into a postdoc in forensic psychology. I won’t bore you with all the details there, but really just fell in love with it and fell in love with it after my doctoral degree. That’s when I kind of found my love for forensic work is after I got a concentration in neuropsychology. So, there’s hope for people that are in their doctoral programs and still don’t know what they want to be when they grow up. So, that’s good news for folks out there.

George Vergolias: [00:20:16] Early career, I did a lot of court based testimony, diminished capacity, not guilty, by reason of insanity. I did a lot of threat assessments for child and family services, the Department of Corrections, and so on. And that kind of led into kind of a general expertise in violence and violence risk assessment. And then, along the way, this was around just a year or two after Columbine, so I’m dating myself here. And what happened around that time is, if you were in forensic psychology and ever dealt with violence risk at all, you suddenly were the expert on school violence because there really wasn’t an expertise back then. And you just had to learn it quickly and dive in because there wasn’t anyone to fill that gap.

George Vergolias: [00:21:00] I happened to be working at a juvenile detention center and we did see a lot of would be school threateners and a lot of would be school shooters come through the system over a number of years. And so, I developed a proficiency and a specialty in that. And then, naturally, what happened a few years later is, local corporations – I live in Raleigh, North Carolina. We have a big kind of East Coast technology hub at Research Triangle Park – began to reach out to me and say, “Hey, we’ve got a guy or a woman -” usually, overwhelmingly men, but occasionally a woman “- who’s making a threat. And we don’t know what to do. And someone said to call you.”

George Vergolias: [00:21:36] And that kind of led me into the corporate space of understanding workplace violence and the impact of workplace culture and management and other variables that contribute to both effective workplace violence as well as, what we tend to hear about more often, predatory or targeted workplace violence. And I’ve been in that space now for 17 plus years.

George Vergolias: [00:22:00] In addition to that, I’ve continued to maintain a private practice going on 19 years now, where I have a group of doctors that work exclusively in emergency departments. And we do crisis evaluations and involuntary commitment evaluations that we deal with people at their most vulnerable coming into the emergency departments. And we try to figure out, do they need to be in the hospital? Can they be safely diverted home or to community resources?

George Vergolias: [00:22:26] So, those kind of bookended kind of my career in a way that provided me a really sound clinical basis around, not only the threat space and behaviors of concern, but the flip side of that – and this is relevant to what Tom and Robyn are talking about – resilience. Because what we know is people that are resilient and have high levels of emotional intelligence and are functioning well are almost immune – I’m never going to say it fully, 100 percent. I never say that in my field – but they’re almost fully immune to going on a shooting spree. The Dalai Lama is not going to go on a shooting spree. Why? Because he’s managing his emotional relationship life in a way that that is not a viable solution to his problems, among many other, more prosocial, proactive, appropriate ways of managing.

George Vergolias: [00:23:19] So, that led me into also needing to understand the world of resilience and the world of more adaptive functioning as a buffer to violence risk. And then, I joined R3 about ten years ago. And in that time, we have expanded our Disrupted Event Management program. We’ve expanded our Fitness for Duty program. I developed a specialized Fitness for Duty evaluation called the Fitness for Duty with the Violence Screen, which identifies people that are struggling at work with hostility and anger management issues. And that has kind of brought me to today.

Jamie Gassmann: [00:23:54] Great. And so, from the work that R3 Continuum does, and you mentioned a few of the different service outlets that they provide, I mean, you obviously see all varieties of workplace impact from either a death of a coworker, workplace violence, pandemic stress. Based on the cases that you’ve seen and worked, what is the common impact on employees that you’re seeing from the challenges and stressors faced over the last year-and-a-half?

George Vergolias: [00:24:22] Yeah. It’s a great question, Jamie. There’s a lot of individual variables, to be sure. But we’re clearly seeing patterns. And the patterns are consistent with what the data is coming out of CDC, Department of Health, Johns Hopkins, among other places. Clearly, we’re seeing an uptick in anxiety. We know that during the pandemic, anxiety has been up fourfold. We also know depression, depressive symptoms, has been up roughly threefold.

George Vergolias: [00:24:47] We are seeing an uptick in suicidal ideation. But, interestingly, we’re not necessarily seeing an uptick in suicide attempts. That’s kind of an interesting dynamic that I still think, across the field, we’re unpacking a little bit and trying to understand that. Typically, a suicidal ideation goes up, attempts go up. So, it’s kind of an interesting variable that we’re seeing there.

George Vergolias: [00:25:06] Stress in general is also going up. All of that, I think, is expected given the nature of the pandemic, how disruptive it has been in all of our lives. But there’s been this kind of bimodal or opposite effect I’ve seen where people are simultaneously – well, it’s changing a bit now. But you go back a year ago, many people, many workers were simultaneously disconnected and reconnected at the same time.

George Vergolias: [00:25:36] The disconnection was all the ancillary, more superficial, but still very meaningful connections we had in our day-to-day life. Bumping into that person at Starbucks every morning. Going to your kid’s little league and talking with the other parents. Bumping into people at the grocery store that you would actually stop and talk to you or give a hug to. Coworkers in the office, stopping at the water cooler, having a lunch at the breakroom, going out to lunch.

George Vergolias: [00:26:04] All of those things came to a pretty abrupt stop in early 2020. And we lost that immediately. And I think for most people, including myself, who’s been doing this almost all my adult life, I grossly underestimated the positive impact those small connections make. I call those emotional strokes. Those small emotional strokes every day when they’re ripped away from us.

Intro: [00:26:28] At the same time, for many of us – not all of us – what it did is, it forced us to go very, very local. So, after a couple of months of struggling in the soup, in the thickness of it, what started happening – at least in my neighborhood, and I heard this about others – as people started having fire pits, and they started getting together in the driveways, and they started reconnecting with neighbors in a way that the manic lifestyle previous to the pandemic just didn’t allow us to do. And so, it was kind of this weird thing of disconnecting with something that’s very powerful. But also for many – not all of us – reconnecting.

George Vergolias: [00:27:06] What we have found at R3, both internally and externally, with many workers is perhaps one of the hardest hit groups, were those groups that were typically younger, unmarried, and living in apartments. They didn’t have the neighborhoods necessarily where they could go to someone’s driveway and bring lawn chairs and socially distance. They were literally just stuck in their apartment and they didn’t necessarily have that kind of engagement. So, we saw it across the age span, but we tended to see that really negatively impacting those younger groups, the 20s and young 30s, a little more intensively. But I would say those were some of the big trends that we saw in our work and even internally amongst our own employees.

Jamie Gassmann: [00:27:53] So, for an employer, when they’re looking at supporting their employee mental health, particularly since there is so many different individual variables that can impact it, what is one thing that you would say they need to make sure they’re considering that someone might be missing right now as they’re looking at different programs or ways to support their employees?

George Vergolias: [00:28:14] So, there’s a lot of talk, Robyn made a great point, about understanding and awareness. There’s a lot of talk about communication. And these are the ones that are kind of out there. The one I don’t hear as much that I would pick – if you’re going to force me to be on an island, Jamie, and pick one, which is a great question. It really makes me think – I would say this, model strength in vulnerability. Everybody this last year has fallen.

George Vergolias: [00:28:41] And, again, get off social media, because, again, what we tend to do with social media is reviewing other people’s highlight reels when we have our behind the scenes reel that we’re comparing our behind the scenes reel to their highlight reel.

George Vergolias: [00:28:52] But model strength and vulnerability, as a leader do that as well. It doesn’t mean we break down totally. It doesn’t mean we lose control. But it does two things. It gives our people – I’m going to use that more generally term here – permission to feel whatever they need to feel during this process. And as we go into the upswing of the Delta variant and how they’re talking about a possible Lambda variant down the road, this continues to be a valid thing. But it gives people the permission, if you will, the validation to say, “Yeah. You can stumble. You could fall down. That’s okay.” Because we’re all going to do that at different times.

George Vergolias: [00:29:31] But what it also does by modeling that you have done that as a leader and then you’ve gotten back up, it also models what resilience is about. Resilience is about never faltering. Resilience is about when you falter, you’re able to work through that, learn from it, and grow better from it.

George Vergolias: [00:29:48] I always think of the image of a lobster. I saw a talk years ago where a rabbi was talking about how does a lobster grow. And a lobster grows by constantly pushing against its shell until it literally breaks out of its shell. And then, it grows bigger and it forms a new shell. And then, it grows bigger and breaks out of that shell. When you look at resilience through the lifespan – by the way, breaking of the shell isn’t easy. It’s a tough process. It’s painful. But when we do that through the life span, we’re not always getting better on a linear trajectory. But over the aggregate, we’re constantly improving and getting stronger in terms of our sense of emotional functioning and resilience. I would say model that in a way that gives your employees a sense of hope and motivation.

Jamie Gassmann: [00:30:35] So, are there support tools, or resources, or approaches aside from showing that vulnerability that they can use to help support their employees as they’re showing that vulnerability? Maybe it’s, “I use this service too.” Can they promote it? What are some approaches that they can use that help their employees to get that support that they need?

George Vergolias: [00:31:00] Sure. And I’m going to start with something that’s going to sound tremendously self-serving, but I mean it authentically, and that is, you need to understand the problem. If you don’t understand what’s going on with your people, you’re going to be just throwing things at the wall and some might stick, but many won’t. So, you need to screen the problem and understand the nature of it. And that’s where Tom and his group with nView are instrumental in terms of the kinds of surveys, and questionnaires, and tools that they have available to help understand that.

George Vergolias: [00:31:30] From there, you also need resources that can help deepen awareness, educate people, and guide them in the right direction towards either whatever self-help structures they need. Or, in some cases, if they need guidance to more formal clinical services. And, again, that’s where Robyn and SharpenMinds comes in. So, I know that sounds very self-serving, but again, we wouldn’t be partnering with these groups if we didn’t have that kind of fully-round full support that we all provide together in a way that enhances all that we’re bringing to the table.

George Vergolias: [00:32:02] In addition, I would say you need clear communication strategies. So, people feel able to come forward with the concerns that they have, but also feel able to give feedback to leadership about what’s working and what isn’t. And then, we all need a sense of humility. And leaders, it’s so hard when you roll out a big program. It’s really hard a year later to look in the mirror and say, “That isn’t working.” r “Parts of it aren’t working.” And we need to reshape it so that it works. And I think that’s where that humility comes in to constantly reassess our tools and redesign what is working and what isn’t working.

George Vergolias: [00:32:40] What I love about, in particular both these groups, SharpenMinds and nView, is – you know the old saying, if all you have is a hammer, every problem is a nail – both of these groups have a full toolbox of solutions that they bring to the table. I also think that – I think we’re going to get to this maybe later – leveraging apps in the right way can be very useful. I’ll leave that as a teaser because I think we might be touching on that later on.

Jamie Gassmann: [00:33:10] Awesome. And so, if somebody wanted to get in touch with you, how could they go about doing that?

George Vergolias: [00:33:15] The best way to reach me is if you go to our website, obviously, www.r3c -that’s the letter R-the number 3-the letter C.com, and you could just search under our profiles and about, George Vergolias, Medical Director. I’m quite easy to find. And both my number and my email are located in there.

Jamie Gassmann: [00:33:38] Perfect. So, now, we’re going to have a word from our sponsor. Workplace MVP is sponsored by R3 Continuum. R3 Continuum is a global leader in providing expert, reliable, responsive, and tailored behavioral health, crisis, and security solutions to promote workplace wellbeing and performance in the face of an ever changing and often unpredictable world. Learn more about how our R3 Continuum can tailor a solution for your organization’s unique challenges by visiting r3c.com today.

Jamie Gassmann: [00:34:10] So, now, we’re going to come to a group discussion and conversation. I have some questions here for our Workplace MVPs. The first one is, why should employers be concerned with the mental health of their employees today? And so, let’s start out with Dr. Young. From your perspective, why should employers be concerned?

Tom Young: [00:34:31] You need to understand your employees. You need to communicate with them. So, I think that’s the first thing. I think we just take the broader picture for just a moment. Healthy emotionally strong individuals also spend less money in the medical space. So, if you think about it from the employer’s standpoint, just a minute and step away from the behavioral health space and, say, talk about cost issues. If you’re self-employed, for example, you’re an employer who pays their own bills, healthy emotionally strong people don’t spend as much money on their health care. Their chronic diseases are not as bad, diabetes, hypertension, heart disease. So, from that standpoint, good mental health is associated with lower cost.

Tom Young: [00:35:23] And then, secondarily, we all know and I think it’s readily apparent, people who are resilient, as George and Robyn have talked about, as I often say to people, “Look, you know, there’s a choice between being happy and being right. Which one do you want?” So, those who choose happy often are more productive, they’re more creative. They’re less likely to be absent. They’re less likely to make mistakes. So, all of those things, I think, are reasons for employers to be involved in, and communicate with, and discuss, and make offerings into the wonderful world of wellbeing, if you will, on a mental health level.

Jamie Gassmann: [00:36:14] Robyn, do you want to add your thoughts around this conversation?

Robyn Hussa Farrell: [00:36:18] Sure. Of course, in addition to what Tom and George have shared, there’s a statistic that, I think as we all know, but the Kaiser Family Foundation found in particular 47 percent of women and 34 percent of men experienced increased anxiety or depression last year working remotely. So, as we’re looking at what could be, again, around the corner here in the pandemic, we want to just be really mindful of all of those resiliency builders that, both, George, Tom, and I have been kind of talking about. And know that the little steps that you take do matter.

Robyn Hussa Farrell: [00:37:00] And there’s been also an incredible impact on women in the workplace and in the workforce to be mindful of, in particular, what the sort of burden on women in the workspace has been like. We also know there’s just been a substantial increase. I know eating disorder treatment has increased almost double last year, the admissions. And we’re seeing that because of things like increased time on social media, lack of kind of that structured environment, irregular sleep schedules. So, all of these things speak to that loss in productivity that Tom was referencing. And it’s all a great reason to begin the conversation if you haven’t already.

Jamie Gassmann: [00:37:50] And, George, how about from your perspective?

George Vergolias: [00:37:54] Yeah. So, there’s two things I would highlight, and they’re not exactly related. I’m going to start by piggybacking off something that Robyn just said because I think it’s a great point. Related partly to the burden on women, but the impact of social media. And that is, as we re-enter the workforce, I think there’s going to be a tendency for leaders to be like, “All right, guys and women, we’re back.” And by the way, as a Chicago native, guys means all inclusive. “All right, guys, we’re back. Let’s make up ground. Everybody work, work, work, productive, productive, productive.” People need socialization. They need some water breaktime. They need that lunchbreak more than ever. They’ve been deprived of it for a-year-and-a-half plus.

George Vergolias: [00:38:38] And those emotional strokes are tremendously life affirming. We spend a third of our life at work, most of us that don’t work remotely. Even when we travel, a third of our life is spent with this cohort of peers. We’re going to need time to re-engage. So, keep that in mind as a leader.

George Vergolias: [00:38:57] So, another thing that I would highlight is, hostility is up. We have clearly seen an increase in incidents of mass attacks, which the FBI defines as four victims or more not including the assailant. What’s really interesting is, historically, for the past 30 years, those mass attacks have almost predominantly been targeted predatory violence, meaning non-emotional. An assailant would be attacking a group in a very cognitive, focused, predatory mindset. Most of the attacks we’ve seen throughout the pandemic, massive shootings, have been emotionally charged attacks, barbecues, parties, family get togethers where there’s an emotional dispute, neighbors, arguments at a grocery store over masks or whatever or vaccines or whatever. It’s a different dynamic than we’ve historically seen.

George Vergolias: [00:39:51] And what it clearly is telling us is, people are more and more on edge in general. We know this from depression and anxiety and stress levels. But they’re also on edge at a level where it’s boiling over more into emotional reactive anger and even violence. And so, I think companies have to be very mindful as they enter back that the role of workplace violence prevention and hostility management is going to be more important than ever. That’s an important thing to keep in mind.

Jamie Gassmann: [00:40:25] Great. And so, looking at mental health issues, the stigma, though, there’s been a lot of work to kind of break down the stigma of mental health, it’s still very real. So, when looking at an employer, what can be done, as Dr. Tom Young has mentioned, as open the door for employees to have a place to begin that journey easily? How can an employer create that comfortable environment where an employee knows what resources they have available to them and can feel comfortable to seek out those resources without that stigma being attached to it? And we’ll go ahead and start with you, Dr. Vergolias.

George Vergolias: [00:41:07] I heard something recently by a colleague that was quite brilliant. It was in response to the Olympics and it was in response to Simone Biles and Naomi Osaka pulling out of the games. And he said, “Wouldn’t it be interesting in a much better world if we were disappointed for them or with them versus in them for pulling out?” And that’s me kind of captured is, as we re-enter and if we want to destigmatize mental health – which I think is continually to be important – we have to change the dialogue from being disappointed in people and conveying messages both overt and covert, and understanding that we could still be disappointed for them.

George Vergolias: [00:41:48] When somebody that’s on a high career trajectory and skyrocketing in their career at a large firm suddenly has a mental health breakdown, and it kind of very well may derail that career trajectory, it’s not like they woke up one day and planned it and wrote out, “Dear Diary. I’m looking forward to my breakdown.” So, we could be disappointed for them and with them. And then, work on getting them the resources that are needed to help them get kind of back on track and reclaim their life. And I think just those subtle rewording kind of changes our orientation to the problem and it becomes less of a stigmatizing issue.

Jamie Gassmann: [00:42:24] How about you, Dr. Young?

Tom Young: [00:42:27] Well, interesting, I was saying the same thing George was, you know, how can we change the discussion, for example, around Simone and those folks. And so, I agree totally with George on that. I think the other thing is, I think, employers, leaders, and organizations need to be more humanized. I think one of the things that happens as we ascend to leadership, we tend to become a little bit less our own selves, our own humanness, if you will.

Tom Young: [00:42:59] And so, I think one of the things that is important is for leaders to understand and be able to voice their own personal struggles, not only with the pandemic, but to be able to own up to, if you will, their emotions, so that their employees understand, “Well, if he can talk about it or she can talk about it, then maybe I can talk about it. Then, maybe I can ask someone about it.” So, I think that process of self-humanization or re-humanizing, depending upon what the process has been, is critical at all stages of employee relationships. People need to understand that you have struggles, you’ve had problems.

Tom Young: [00:43:57] And I think, often, when employers can have those levels of discussions, when they can level the discussion playing field between the individuals in an organization, whether it’s a boss, an employee. But if everybody is on the same level emotional playing field, then good things happen.

Jamie Gassmann: [00:44:26] Robyn, do you have anything you want to add to that?

Robyn Hussa Farrell: [00:44:28] Yeah. I mean, I’m going to keep my talking points a little bit more examples of what I’ve seen deployed. Sharpen offers various components that are supportive to getting this conversation started. It’s kind of our specialty in terms of that pure engagement, that George is talking about, and the real focus on those human stories of not only the struggle piece, but the stories of strength. So, we know it’s extremely protective when we’re listening and hearing stories like Simone Biles and others who are coming out and talking about.

Robyn Hussa Farrell: [00:45:06] And it’s not just mental health disorders or substance use disorders. This is like life has been hard. We are talking real challenges. Like, how do I juggle all this? So, one of the things that I think has been really effective, we’ve seen a lot of employer groups and a lot of our clients leaning into kind of lunch and learns where, again, we have all of these video based stories that are resiliency focused. You can play those afterwards, sort of have a little dialogue, just literally leaning in and getting the conversation started right there in the workplace. People are very interested in that.

Robyn Hussa Farrell: [00:45:47] They’re also very interested, there’s really simple like poster campaigns, daily email, daily prompting that just, again, normalizes this conversation using content that is validated and has a strong evidence base. And then, through these CHRO groups, what we’ve heard – and I’ll tell you, it’s just so simple – they were like, wouldn’t it just be cool if we could have a place where different groups of employees and maybe the manager groups in a safe and identified way could just share with each other, either in text, maybe it’s just through another platform, conversations about, “Hey, how are you guys managing raising three kids and then getting to work on time?” Again, not necessarily about mental health disorders, but just life stress. So, those were some of the examples that we’ve heard, of course, especially in the last year.

Jamie Gassmann: [00:46:41] Great. So, looking at those various resources, apps is a big topic. So, there’s a lot of different consumer apps and business apps that are available to help people assess their own mental health and find a therapist to talk to, either online or in-person. So, how does what nView, Sharpen, and R3 Continuum offer differ from these other apps that are out in the space? And we’ll go ahead and start with you, Robyn, and get your perspective on that.

Robyn Hussa Farrell: [00:47:10] Yeah. So, aside from R3 and nView being, literally, the gold standard, so when you look under the hood of what’s there, the research validity, the number of clinically validated studies – I think Tom, nView, you guys are up to, what, 19,000 now? So, I mean, there’s nothing else like it. So, it’s truly the gold standard. And I think you want to know that when you are putting a mental health screening tool in front of an individual and also those best gold standard crisis response supports and intervention, that George has been discussing, I think, you want to make sure you’re obviously in the best care possible.

Robyn Hussa Farrell: [00:47:53] I think it’s the combination of the three with the high customization, the localization, so it’s really local when you’re talking about where do I go to get care, what kind of sliding scale, other supports are available for the family members that are involved. It’s that level of detail that I think, as a trio, we are laser focused on.

Jamie Gassmann: [00:48:17] Great. How about you, Dr. Tom Young?

Tom Young: [00:48:20] I agree with what Robyn said. I think it really is key. It’s hard for people, and always has been, to make decisions about quality in broad areas like health care. It is difficult. And I think the more straightforward and uncovered we can make that, we can make those statements with whatever we’re offering to people, I think that’s critical because people have a look into our world as much as others.

Tom Young: [00:48:54] And then, I think the other thing is the ability to respond to what they are asking. Here’s my product, respond to it. But that might not be what you’re asking and what your need is. So, helping people find the right spot, there’s sort of one I always use. There’s a old tribe of Apache Indians that used to live in the mountains of New Mexico. And their whole goal in life from a religious standpoint was to find the right spot. And that was the drive, that was the journey of life. And so, I think sometimes we need to help people find the right spot, even if it’s not our spot, it’s their spot.

Tom Young: [00:49:40] And so, I think having broad tools that are all quality allow people to have the right place to find themselves in that tool is the way to go. Not just, “You have to like my tool. You have to like what I’m saying. You have to believe what I’m saying.” But rather, “Here it is. Let us help you find your spot in this tool. Where does it fit for you?”

Jamie Gassmann: [00:50:04] Great. How about you, Dr. Vergolias?

George Vergolias: [00:50:07] Boy, you know, between Robyn and Dr. Young’s response, I don’t have a whole lot to add. Other than, I guess I’ll amplify that slightly by just saying, I remember one of the earliest things I learned in writing forensic reports. I had a mentor – it’s like my second mentor, actually. I wish my first told me this, it would have been better years earlier. But he said, “You know, the problem with your reports, George, is you’re writing for other psychologists. You’re not writing for your audience.” And at the time, my audience were lawyers and judges, and judges don’t think like psychologists.

George Vergolias: [00:50:37] And in this space – and this is what I love both what Dr. Young and Robyn are doing and our own app, R3 resiliency app, which is an app for employers and EAPs that give you a number of tools around stress management and so on – what I love about all of these is that they really are based on evidence-based approaches to these problems. That’s important. You can’t be making this stuff up. There needs to be an evidentiary base. But it’s written in a way that is very accessible. It’s written in a way that laypeople can understand the concepts and then apply them in a way that it quickly gets off psychobabble and gets on to what is the functional impact in your life. How is this going to help your life and help you help make your life better?

Jamie Gassmann: [00:51:24] Great. So, one last question for this group. You know, obviously, there is employers out there considering different resources, different tools. They’re making lots of decisions around how do they put that program together. If you could leave one advice or one thing that they should be considering or looking for when making these decisions for either the employees or supporting just the employment, the health, but also then expanding it to their families. From your experience, what would you advise employers to be thinking and doing as they’re making those important decisions for their employees? I’ll go ahead and start with you, George.

George Vergolias: [00:52:08] Again, these are good questions. It’s hard for me to pick one, but I will. You know, we all know the saying, hope floats, right? I love it. It’s a big saying that we’ve heard. It’s big in the south. But I like to say hope floats, but it don’t swim. Hope is great. And that elevates people. But they need tools. They need direction. And they need support to get from the middle of the river to the bank, if that’s the goal.

George Vergolias: [00:52:38] And related to that, I’ll just say that, one doesn’t drown by falling in the river. They drown by staying submerged in it. And so, if we keep these in mind as kind of our guiding mantra as leaders – I certainly try to, I don’t always succeed – I think we’re going to be in a really good place as we go forward. Because this next year – as we return, whatever that may mean for different organizations – as we return to work, it’s going to be different than what we’ve ever experienced. We’re not just going back to 2019. It’s not going to happen. So, we need to be thinking differently as we go forward.

Jamie Gassmann: [00:53:13] And how about you, Robyn?

Robyn Hussa Farrell: [00:53:15] Well, of course, I would agree with Dr. Vergolias and everything Dr. Young has conveyed thus far. I think I would encourage employers to have some self-compassion. This is big what you’re faced with, especially in the H.R. space. I’ve seen and I’ve heard directly the stress you guys are under. And so, just give yourself a little grace there and to know that there are really smart people who have got you and who can help you put this together. So, I would say don’t think you have to do this all on your own.

Jamie Gassmann: [00:54:01] How about you, Dr. Young?

Tom Young: [00:54:03] Well, I’m going to key on what George said about falling in the river and hope floats, being a guy from the south. I think, as an employer, what you have to understand is when your employee is in the river, what you need to throw them is what they need, which is a life vest, a lifebuoy, if you will. And not just any rock you pick up off the shore. And there’s an old Winnie the Pooh story about when Roo fell in the river. And everybody was standing on the bridge, so Eeyore decided that somebody had to do something. And what seemed like the most important thing at the time was he put his tail in the river so Roo would have something to grab on to.

Tom Young: [00:54:54] And I think there’s a certain truth to that, employers need to know that I’ve got to just be there to throw what I can that’s appropriate. And somebody may have had to tell me, “Here’s a lifebuoy.” But when they’re in that crisis, when they’re in that river, you have to do something. And, often, we need to just help employers understand what the most appropriate thing to do is at that moment. And the moments are always going to be different. They’re never going to be the same. No two people are the same. So, I think the real key for an employer is to be willing and open to themselves to ascertain the right thing to do at the moment and not be stuck in their own belief system.

Jamie Gassmann: [00:55:50] Great. Well, thank you all for letting us celebrate you and for sharing your expertise and advice with our listeners. We appreciate you and I’m sure your organizations and staff do as well. We also want to thank our show sponsor, R3 Continuum, for supporting the Workplace MVP podcast. And to our listeners, thank you for tuning in. If you have not already done so, make sure to subscribe so you get our most recent episodes and other resources. You can also follow our show on LinkedIn, Facebook, and Twitter at Workplace MVP. If you are a workplace MVP or know someone who is, we want to know. Email us at info@workplace-mvp.com. Thank you all for joining us and have a great rest of your day.

 

Tagged With: behavioral health, dr, Dr. George Vergolias, employee behavioral health, employee mental health, Jamie Gassmann, Nview, R3 Continuum, Robyn Hussa Farrell, Sharpen Minds, Thomas Young, workplace mental health, Workplace MVP

Workplace MVP: Dr. George Vergolias, R3 Continuum

June 10, 2021 by John Ray

Dr. George Vergolias
Minneapolis St. Paul Studio
Workplace MVP: Dr. George Vergolias, R3 Continuum
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Dr. George Vergolias

Workplace MVP: Dr. George Vergolias, Medical Director, R3 Continuum

Dr. George Vergolias joined host Jamie Gassmann on this edition of Workplace MVP to share his career journey, what he’s learned in working with hospital nurses, doctors, and other staff, pandemic-related behavioral shifts in other industries, the psychology of an active shooter, and much more. You’ll definitely want to listen to this episode if you’d like a better understanding of what healthcare professionals, especially those in emergency and urgent triage situations, have been dealing with over the past year and a half. Workplace MVP is underwritten and presented by R3 Continuum and produced by the Minneapolis-St.Paul Studio of Business RadioX®.

Dr. George Vergolias, Vice President and Medical Director, R3 Continuum

Dr. George Vergolias
Dr. George Vergolias, Medical Director, R3 Continuum

George Vergolias, PsyD, LP is a forensic psychologist and threat management expert serving as Vice President and Medical Director for the R3 Continuum. As part of his role of Vice President and Medical Director of R3 Continuum, he leads their Threat of violence and workplace violence programs. Dr. Vergolias is also the founder and President of TelePsych Supports, a tele-mental health company providing involuntary commitment and crisis risk evaluations for hospitals and emergency departments. He has over 20 years of forensic experience with expertise in the following areas: violence risk and threat management, psychological dynamics of stalking, sexual offending, emotional trauma, civil and involuntary commitment, suicide and self-harm, occupational disability, law enforcement consultation, expert witness testimony, and tele-mental health. Dr. Vergolias has directly assessed or managed over one thousand cases related to elevated risk for violence or self-harm, sexual assault, stalking, and communicated threats. He has consulted with regional, state, and federal law enforcement agencies, including the FBI, Secret Service, and Bureau of Prisons. He has worked for and consulted with Fortune 500 companies, major insurance carriers, government agencies, and large healthcare systems on issues related to work absence management, workplace violence, medical necessity reviews, and expert witness consultation.

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R3 Continuum

R3 Continuum is a global leader in workplace behavioral health and security solutions. R3c helps ensure the psychological and physical safety of organizations and their people in today’s ever-changing and often unpredictable world. Through their continuum of tailored solutions, including evaluations, crisis response, executive optimization, protective services, and more, they help organizations maintain and cultivate a workplace of wellbeing so that their people can thrive. Learn more about R3c at www.r3c.com.

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About Workplace MVP

Every day, around the world, organizations of all sizes face disruptive events and situations. Within those workplaces are everyday heroes in human resources, risk management, security, business continuity, and the C-suite. They don’t call themselves heroes though. On the contrary, they simply show up every day, laboring for the well-being of employees in their care, readying the workplace for and planning responses to disruption. This show, Workplace MVP, confers on these heroes the designation they deserve, Workplace MVP (Most Valuable Professionals), and gives them the forum to tell their story. As you hear their experiences, you will learn first-hand, real life approaches to readying the workplace, responses to crisis situations, and overcoming challenges of disruption. Visit our show archive here.

Workplace MVP Host Jamie Gassmann

In addition to serving as the host to the Workplace MVP podcast, Jamie Gassmann is the Director of Marketing at R3 Continuum (R3c). Collectively, she has more than fourteen years of marketing experience. Across her tenure, she has experience working in and with various industries including banking, real estate, retail, crisis management, insurance, business continuity, and more. She holds a Bachelor of Science Degree in Mass Communications with special interest in Advertising and Public Relations and a Master of Business Administration from Paseka School of Business, Minnesota State University.

 

TRANSCRIPT

Intro: [00:00:06] Broadcasting from the Business RadioX Studios, it’s time for Workplace MVP. Workplace MVP is brought to you by R3 Continuum, a global leader in workplace behavioral health, crisis, and security solutions. Now, here’s your host, Jamie Gassmann.

Jamie Gassmann: [00:00:27] Hello, everyone. Your host, Jamie Gassmann here. And welcome to this edition of Workplace MVP. Work environments are still experiencing residual shifts and turns as they continue to work towards the next normal. Some workplaces are in the process of bringing employees back to the office after a prolonged time working remote. Others are experiencing an increase in workplace violence. And, collectively, there is a heightened awareness and responsibility of employee mental health.

Jamie Gassmann: [00:00:59] There’s so much that organizational leadership needs to consider and be aware of in today’s current work environment. It begs the question, where do you begin with navigating this environment of constant change? And how do you make sure your people remain protected and supported through it all?

Jamie Gassmann: [00:01:16] With us today to help provide the answers to those questions and more is Workplace MVP, Dr. George Vergolias, Medical Director for our show sponsor, R3 Continuum, and Chief Clinical Officer for TelePsych Supports. Welcome to the show, Dr. Vergolias.

George Vergolias: [00:01:33] Thank you, Jamie. It’s a pleasure to be here.

Jamie Gassmann: [00:01:35] So, let’s just start off with you telling me a little bit about yourself and your career journey.

George Vergolias: [00:01:41] Certainly. My career journey was really a bit haphazard. I admire people that have a North Star in their career, and they pursue that, and they just hit those goals. Mine, I certainly had goals, but other opportunities came up that diverted. I actually went to undergrad at Marquette University for engineering. And about a year into it, I took a class called Differential Equations as well as Organic Chemistry, and it completely kicked my butt, and I decided that is not the route I wanted to go.

George Vergolias: [00:02:11] I then pivoted to philosophy for about a year, Eastern Philosophy, and then realized that I wouldn’t have a job when I get out of school. And that was a natural extension into psychology, understanding the human brain, what makes people think the way they do and act the way they do. And I continued on that trajectory, got into a doctoral program at the Chicago School, and actually had a neuropsych track, neuropsychology, and actually finished. And I did a neuropsychology and an inpatient rotation at Duke. And I graduated and I couldn’t find a job.

George Vergolias: [00:02:50] And I was a bit frustrated. And an old mentor of mine called and said, “Hey, would you be interested in doing a postdoc at Notre Dame in forensic psychology?” And I’ve taken one class before, but I was interested generally. And I jumped on it and I fell in love. I fell in love with it.

George Vergolias: [00:03:06] And so, what happened from there is I began working in the forensic field, both in a private practice setting, consulting with courts, jails, prisons, and working with county mental health systems. And I did that for about ten years. And in that process, I began consulting with law enforcement and emergency departments around imminent risk, suicide risk, homicide risk, people that were psychotic and paranoid. And that also, at one point, brought me into the workplace violence sector. Because when you’re a threat on violence in the community, you also have some expertise and a whole range of violence risks.

George Vergolias: [00:03:43] And so, at that point, my career took two trajectories. I started consulting with EAPs and, eventually, joined R3 Continuum about ten years ago. And at the same time, my work with the emergency departments as an individual ballooned into developing a practice and then a company that staffs emergency departments with doctoral psychologists and forensic psychologists to do imminent risk, involuntary commitment, and other types of crisis assessments. And some 20 years later, here I am. So, that’s a general view of that trajectory.

Jamie Gassmann: [00:04:17] Great. And so, through TelePsych Supports you work within regional emergency departments in hospitals. So, tell me what are some of the common challenges that you have seen surface over this last year?

George Vergolias: [00:04:31] That’s a great question, because there have been many. So, what happened is when COVID hit or the pandemic hit, and it really started gaining traction in terms of awareness of the seriousness of it, one of the biggest things that hospitals needed to do – and I live in Raleigh, North Carolina, so we were a little bit fortunate. And that New York State was well ahead, they were the early curve. So, we were able to learn for some of the difficulties that Europe and New York State encountered.

George Vergolias: [00:05:00] The biggest priority was we need to free up beds. And the way we needed to do that is that we needed to maximize getting every behavioral health patient out the door that was able to get out the door. So, unless they were absolutely needing to be in the hospital, we needed to get them out because we needed to free up hospital resources. And that put a lot of pressure on staff in the emergency department, on doctors, on nurses, on the psychologists to really tell a very fine line of deciding who stays and who do we think is safe enough to go out into the community.

George Vergolias: [00:05:34] And there were moments in many hospitals – for a short period of time in ours – where we had to go to what we almost called battle triage, where there would be – you know, in 2019 or in six months from now, even now, if you came into the hospital and said you were suicidal and you had some pretty severe intent and we believed you, there’s no way we would let you leave. There was some windows of time where we simply had nowhere to put you. So, unless you came in and you were literally having acted on it, or cut yourself, or made an attempt to hang yourself, or took pills, we couldn’t keep you.

George Vergolias: [00:06:12] And in a way, it’s analogous to what some of the Vegas hospitals dealt with after the Las Vegas mass shooting involving the Mandalay Bay. There were times where, normally, someone would easily be admitted and acted on quickly with a gunshot wound to the leg. That person became a third priority relative to all the other injuries. So, in behavioral healthy, we had to do that. We had to get into some of that very tough decision making.

George Vergolias: [00:06:41] The other thing that happened is, the community safety net for behavioral health – and what I mean by that is, public sector clinics that take Medicare and Medicaid, nonprofit organizations, both practices and clinics and even partial hospitalization programs, and even individual private practices that were seeing patients that were on the verge of breakdown, all of that markedly slowed down with COVID. People weren’t going into the office. We were all pivoting to telemental health, which for many was helpful. But that’s not helpful for the person that’s having rapid manic episodes every other day.

George Vergolias: [00:07:18] Going to their apartment, engaging them in person, talking them down is a critical component. And when that was all taken away in the early stages of the pandemic, that means that safety net eroded and more and more of those people were starting to come into the emergency departments because they were decompensating and they didn’t have anywhere else to go. So, those were the big things that kind of created a pressure vacuum in those settings.

Jamie Gassmann: [00:07:42] So, what kind of impact did that have on the staff? And has it lingered, you know, as we’ve come in 2021?

George Vergolias: [00:07:51] Yeah. I mean, it had a massive impact in that it was like a two-fold punch. On the one hand, you had medical staff in particular just dealing with COVID. And when you’re talking particularly about emergency department nurses and techs and physicians, that’s difficult because they live in the space where they save lives. That’s what they do for a living. They don’t necessarily bring somebody fully to recovery, but their goal is to stabilize the life, save it, and then move it upstairs to one of the other units.

George Vergolias: [00:08:27] And when COVID hit and they were overrun, and there were people literally sleeping in cots in the hallways – and in some hospital, sleeping on the floor and in the hallways – and putting people on ventilators, they reached the limit of what their medical expertise could do. And all you had to do is wait and see is their body able to fight through with the help of the ventilator, in many cases, and make it through.

George Vergolias: [00:08:51] So, what I found is a bit anecdotal, but what I found is there was a great deal of learned helplessness in emergency department staff, both nursing and physicians. Because they’re used to working in a high stress environment, but with a great deal of control and a great deal of ability within the limits of medical science and practice to save people. But COVID changed that. I mean, there were a lot of times where we’ve done what we can do. Now, we just got to wait for this person’s body to make it through the fight or not – make it through the fight. So, that was one thing that hit.

George Vergolias: [00:09:27] On top of that, what we saw is that influx of severe and persistent mentally ill people coming to the emergency department, which added another layer of difficulty. And it increased hostile interactions. Because you had patients – and I want to be clear, in general, people with mental illness are not more violent than the rest of the community. But people with severe and persistent mental illness, who have command hallucinations, who have paranoia, who have been living on the street, who have comorbid substance abuse disorders, they do have a tendency to be more violent, particularly amidst modes of crisis. And so, what we saw is a spike in those individuals coming in and being agitated, being hostile.

George Vergolias: [00:10:11] In fact, there’s a recent study of nurses and they reported a 20 percent increase of physical violence against them during the pandemic. And this is the group that was already at high risk for exposure to physical and verbal violence. So, those were some of the big things that we saw that was really tough to deal with when you’re working in those environments.

Jamie Gassmann: [00:10:34] Yeah. And looking at the different organizational levels within a hospital, doctors, nurses, maybe nurse managers, and there’s obviously the administration level, there’s this variance in how they handle and respond to certain things like compassion fatigue, burnout, or is there a variance in how they respond to those different areas? Because I can imagine after, you know, this full year of all the kind of emotional rollercoaster that health care staff has been on, you know, is there a variance in how they’re navigating compassion fatigue, burnout, stress, and overall PTSD?

George Vergolias: [00:11:08] I would say there is – I think some of the research supports this as well – certainly in my 20 years of experience in those settings. And what I’ve noticed – and, again, I’m speaking in generalities here because we’re talking in the aggregate. But what we have seen is, for those staff that work on the floors, internal medicine, post-surgery, cardiac, there’s a lot of stressors there, right? They see death. They see suffering. They see grief. For me, one of the toughest floors would be the NICU, the Neonatal Intensive Care Units.

George Vergolias: [00:11:45] But there is a certain amount of stability in those environments. People are admitted, they’re treated, the course of treatment is worked on, and then they’re discharged. The rapid turnaround you see in the ED, the function of an ED, is to get somebody in, stabilize them, and move them out because they need the next bed. Move them up to the floor or move them back into the community. And so, when COVID hit, people cannot easily be moved because there was nowhere to move them to.

George Vergolias: [00:12:14] On top of the fact that hospitals had to do their own self-quarantine. The ED was never a fully quarantined location. Many hospitals put up tents in the parking lot where they would screen people. But moving someone from the ED up to a floor that was COVID-safe or deemed, you know, not at risk, that was a big decision. So, there were often times when people just couldn’t be moved. And that was really tough for ED staff.

George Vergolias: [00:12:41] And so, that rapid turnaround, I think, really impacted ED staff in a way because that’s what they’re used to. That was a little less impactful. I’m not saying impactful. But less impactful for people that were working on floors. That doesn’t mean there weren’t stressors. Because one of the things that people working on floors is they tended to see a lot of death related to COVID, especially at high volume hospitals during the pandemic.

George Vergolias: [00:13:08] The other thing I find is, these roles are self-selective. You know, if I was a counselor that works with – I’m a therapist doing marital therapy – which, by the way, to me is very difficult. I used to do consulting with divorce attorneys. And I quit after, like, two years because that was worse than all the forensic work I’ve done. It’s just tough some of those situations and how ugly people can be. What’s interesting, though, is these roles are self-selective. People pick emergency medicine, forensic psychology, emergency nursing because they have a drive. To me, it’s almost a certain adrenaline. It’s a certain interest. I actually think there’s a predisposition to ADHD because that attention span of moving from one patient to the next, to the next is very well suited.

George Vergolias: [00:14:02] And these are the same people that, to me, are very much like sharks. And I kind of fit this category. We just don’t slow down. We’re always looking for the next challenge. And the problem with not slowing down is, it’s hard to take emotional inventory to how am I doing? How am I coping? Let me do an emotional check in. And I think that’s difficult. Again, I’m not saying that other physicians and nurses don’t experience that, but they select other areas of expertise that doesn’t demand that kind of mindset.

George Vergolias: [00:14:33] And so, when you enter kind of that heightened battle zone, if you will, it’s very hard for emergency physicians, EMS, other types of doctors and nurses in that setting to slow down and do a self-check in. Because there really is a sense of, “I don’t have time for this. Somebody is coding in the next bay, I got to get over there. And when I go home after a 12, or 16, or 20 hour shift, I just want to eat a quick meal and go to sleep, or watch Netflix for an hour and hug my kids. I don’t have time to emotionally process.” So, that is something I’ve noticed that was always there in medicine and psychology, but exacerbated by those stressors I already talked about that impact, particularly that point – what I call the point of the spear – that emergency department setting.

Jamie Gassmann: [00:15:20] Interesting. And you shared when we talked before the show about a scenario that kind of demonstrates that in a way, you know, with an active shooter training drill that you did at a hospital in terms of how the different, you know, maybe roles within the organization responded to that scenario. Can you share a little bit about that? Because it was just so interesting to really kind of have a demonstration of how their thinking is very much reactive. It’s just kind of staying in kind of that mode versus protecting themselves or taking care of themselves. Can you share a little bit about that scenario?

George Vergolias: [00:15:59] Yeah. I’m happy too. And this was fascinating for me as well because I didn’t expect it. I was at least 15 years into my career as a forensic psychologist, and this really surprised me, which it was a pleasant surprise, but very interesting. So, what we did is, we did a full simulation active shooter exercise for a hospital setting. This was about five, six years ago. And we were fortunate that the hospital had just built a new wing that was finished, but they had not moved in yet. So, we were able to run this simulation in a full hospital environment.

George Vergolias: [00:16:33] And we had law enforcement involved. They were using blanks. We did a pre-briefing and a debriefing with all the staff. We had a number of actors acting like assailants and we had a few other actors acting as victims. And then, we had the hospital staff in their normal roles. So, we had a small section of internal medicine, a small section of OBGYN delivering births. And then, certainly, we had an emergency department section and a few other makeshift units.

George Vergolias: [00:17:02] And what was fascinating is, once the exercise took off – by the way, and everyone was educated on the general protocol of the hospital, which was pull people into a room, barricade the room, and then treat them as best you can, or just barricade. Run, hide, fight, run if you can, hide if you can. We really didn’t talk much about fight for this particular organization. And what happened is, where the people came through, the assailants, is we found on all the medical units, that’s exactly what they did. They pulled people in, they barricaded rooms, they hid. And even if there were victims out in the hallway, they would try to triage them until the assailants came nearby, and then they would go hide as they were directed to do.

George Vergolias: [00:17:48] What’s interesting is what we found in the emergency department is those staff never hid. They stayed triaging people out in the open in harm’s way. Now, I’m not judging one physician or nurse against another. No one did. It wasn’t a judgment call. Because the truth is, if you are able to hide, you’re actually probably saving more lives because there’s some evidence to show that the more an assailant can find victims, the more they’re going to keep looking as opposed to turning the gun finally on himself or exiting. So, there is some real logic to run, then hide, then fight.

George Vergolias: [00:18:24] But what’s interesting is what we simply found was the emergency personnel, it just wasn’t in their DNA. It just wasn’t in their DNA to let somebody lie there and not try to treat them. And so, what that did is it allowed the hospital to have insights that, you know, it’s like you can’t teach a dog to meow and you can’t teach a cat to bark. So, what they actually did is, they had slightly different protocols and they actually rearranged some of the design of the emergency department unit that allowed them to shut down corridors in a way that you can still triage people out in the hallway, but you could actually shut down the corridor so an assailant can’t get through with barricaded kind of moving walls and shut down doors.

George Vergolias: [00:19:09] But it was a really interesting insight that allowed us to to get a better understanding of the behavioral side of how people respond. And that’s exactly why we go through these exercises, especially live simulations. So, it really was interesting.

Jamie Gassmann: [00:19:24] Yeah. What an interesting learning just to see how the variance in your staff is thinking and reacting. I’m sure military probably has similar – you know, when you talk about Medals of Valor and all of those where somebody has stepped in to help their fellow soldier even though there is active, you know, bullets or anything coming at them. So, very interesting. So, in talking workplace violence in the hospital setting, do you think that it has changed, or increased, or has it shown up in different ways over this last year? Or is it about the same but maybe just increased? What are your thoughts on that?

George Vergolias: [00:20:01] I think it has increased. In fact, again, I mentioned that one study, 20 percent of nurses reported an increase in physical violence during the pandemic. And, again, this is an already at risk workplace group, significantly at risk. In fact, what’s interesting, I saw another study from Forbes, I think, about two or three years ago, nursing is one of the most admired professions and it’s also one of the single biggest risk of workplace violence professions.

George Vergolias: [00:20:32] What I think based on some of the factors we’ve already discussed is that, yes, workplace violence risk has increased. I think it’s increased across the board in health care settings. But in particular, at that tip of the spear, at that emergency department, EMS, first contact kind of role, I think we’ve clearly seen an uptick. And most of that violence – and it might be helpful for me to go into just a couple of minutes describing this – is what we call effective or reactive violence.

George Vergolias: [00:21:03] So, a little quick primer on that. What we know from studies that go back now almost 80 years is that, there’s basically two biological modes or physiobiological modes of violence in the human brain. And, sadly, we know this because we used to study cats 90 years ago. They put electrodes inside cats and they expose them to different scenarios. And what they found is a cornered cat versus a cat who’s stalking maybe a bird in the backyard, they have very different neurochemical and neuroanatomical processes in the brain.

George Vergolias: [00:21:34] The corner cat, of course, is in a fight or flight environment. They’re hissing. Their claws are out. They’re showing their teeth. Their back is arched. And if you went to pick up a cornered cat, you’re probably going to get scratched or bit. And I would not recommend that.

George Vergolias: [00:21:50] A cat that stalking is the opposite. It’s very subdued. It’s very focused. It’s claws and its teeth are not out because it’s not ready to pounce yet. It’s in a very covert mode. And what’s interesting is, you could pick up a stalking cat and you could walk five feet before the cat even realizes it’s been picked up because it’s locked on that prey.

George Vergolias: [00:22:11] Well, they have since study that in humans. And what they have found is very similar correlates. So, effective reactive violence is emotional, it’s reactive, it’s often spurred on by substance abuse or intoxication. Most violence is effective. It’s emotional. It’s relationship-based. It’s crimes of passion or violence of passion.

George Vergolias: [00:22:32] And then, of course, you have predatory violence, which is your mass shooter, cold, calculated. When you hear about cases just like San Jose recently, Columbine, the Vegas shooter, these people aren’t agitated. They’re not worked up emotionally. They’re cold and calculated.

George Vergolias: [00:22:49] What’s interesting is we’ve seen a market uptick in emotional reactive or effective violence in workplace. People are coming in more agitated, more hostile. From a mental health perspective, they’re more decompensated. And just average normative people that don’t have mental illness are frustrated because they’re waiting much longer than they ever used to. And they’re waiting because of conditions that, a year prior, they would have been seen within 30 minutes or less. And, now, they’re waiting six hours. And on top of it, they’re stressed about the pandemic.

George Vergolias: [00:23:25] Just now we’re starting to reclaim our lives. Things are opening up. People are going out to dinner. There’s a little uptick in people returning back to work. So, hopefully, that emotionality will be alleviated a bit. But, certainly, up until a month or two ago, that was all heightened by all of those factors. That’s a great question.

Jamie Gassmann: [00:23:44] Interesting. So, looking at those factors, looking at the increase in workplace violence, obviously you’ve heard from other conversations, burnout and mental health concerns within that hospital industry. What are some of the suggestions that you have for a hospital administration and helping their people to continue with remaining resilient and start to thrive again?

George Vergolias: [00:24:10] One of the key things is, I think, it’s important to be aware of the problem. It starts with awareness, right? I think another key issue is communicate clearly with teams around what is the administration’s perspective of the problem, understanding of the problem, and what are they doing. I say this a lot in trainings and webinars, it’s important for leaders to know that employees and other stakeholders don’t expect us to all have the answers or to have all the answers. People are really gracious to knowing no one alive has been through this before. Or if they were alive, they’re 100 and some years old and they don’t remember it. Certainly, they weren’t leaders in any organization.

George Vergolias: [00:24:59] But what is important is that we are asking the right questions. And we’re conveying to our stakeholders and our employees that we’re asking the right questions. And we’re trying to get the right answers. So, I think that’s important as well. Back to my active shooter exercise example, understand that different groups within your organization may respond differently to different stress points.

George Vergolias: [00:25:25] If you go to the neonatal wellness group, or in some cases the post-operative group or the post-cardiac group or the recovery group, and you talk about meditation, and wellbeing, and the importance of eating well, and massage, that’s probably going to hit home. You talk about that to a group of hardened emergency department physicians, good luck. Now, I’m not saying that physicians aren’t going to meditate in the ED or who work in the ED. But this is more of a hardened group, so you need your metaphors, your images of growth to be different.

George Vergolias: [00:26:04] Almost, to me, what has worked well is I use the analogy of them being athletes. As an emergency physician, most of them would understand that Tiger Woods or Serena Williams or Lionel Messi, they don’t get a massage for wellbeing. They get a massage so they can perform at their peak. Physicians get those metaphors in those settings. And so, it’s important to understand what is going to work for these different groups in terms of getting buy-in to the programs and the resources that they’re trying to promote. So, I would say off the top of my head, those are the big things that are important to keep in mind.

Jamie Gassmann: [00:26:39] Right. Great. So, right now, we’re going to get a word from our sponsor. So, Workplace MVP is sponsored by R3 Continuum. R3 Continuum is a global leader in providing expert, reliable, responsive, and tailored behavioral health, crisis, and security solutions to promote workplace wellbeing and performance in the face of an ever changing and often unpredictable world. Learn more about how R3 Continuum can tailor a solution for your organization’s unique challenges by visiting www.r3c.com today.

Jamie Gassmann: [00:27:15] So, now, we’ve been discussing the health care industry and the work environment within that quite a bit in the first half of the show. So, I’m just curious, are there other industry work environments seeing some of the same challenges that the hospital industry has been seeing?

George Vergolias: [00:27:33] Yeah. Certainly. Now, they have different pain points from what we’ve been talking about, but certainly they’re seeing increased pressures to perform, reduced resources, and other kind of exacerbating stressors going on. A few is the trucking industry has been significantly impacted in terms of – I mean, as if Amazon and other shipping wasn’t big enough – we all went to that in a massive way. And for many of us, we’re not going back.

George Vergolias: [00:28:08] I was a big fan of going into grocery stores before the pandemic. I like to walk around. I like to pick my produce. Once we started using Instacart – which is not exactly trucking – but once we started moving to using Instacart, now we’re stuck – it’s not we’re stuck. We have a habit now and it’s convenient and now we use Instacart to deliver our groceries. I still will go in and pick certain things out if we’re having a big event.

George Vergolias: [00:28:33] So, there’s been a behavioral shift where trucking and shipping delivery services – again, like Amazon, FedEx, UPS – they’ve been significantly impacted. Railyards, again, we saw shooting at the San Jose railyard. And there’s a lot of indication that this individual, the assailant, had long standing anger and resentment and felt untreated fairly and whatnot. But, to me, there’s no doubt that the pandemic and the additional stressors that were probably on those staff further exacerbated him to a tipping point.

George Vergolias: [00:29:11] Now, I’m not blaming the workplace, I want to be clear here. But in that Psychgeist of stressors, those are the kind of things that move people from a pre-contemplative stage, to a stage of maybe I can do this, to a stage of I’m going to do this, I’m going to take a severe action like this.

George Vergolias: [00:29:29] Manufacturing is another one. A lot of pressure in that environment. First responders, police, EMS, even firefighters, all of these are situations that have increased stress. So, I think all of those are kind of heightened industries off the top of my head. But what I think we’re going to see as well is return to work is going to also heighten that for many people who are just going back to the workplace, and have various questions around safety related to COVID or second variance and so on.

Jamie Gassmann: [00:30:06] Definitely. And then, looking at those various environments and the organizational leadership trying to support the people within it, are there similar recommendations you would make for them that you did for the hospital industry or does it change based on that industry?

George Vergolias: [00:30:25] Yeah. Great question. I would say they are similar recommendations. I remember an old – I can’t remember the movie. It was a movie where Nick Nolte was a basketball coach and he was kind of a Bobby Knight type style, yelling at his players. And he basically said at halftime that he’s going to take their plan for the second half and he’s going to give it to the other team because it’s not what you do, it’s how you do it. You know, the movie was interesting, but I always love that statement.

George Vergolias: [00:30:55] Because in this case, what I’ve already said are the things that I would recommend. So, what you do are going to be pretty similar. Start with those high points that we’ve talked about. But the way in which you do it, you’ve got to cater the messaging to your culture and to your people. And that’s going to be very different for a trucking company as opposed to a yoga studio, as opposed to an Amazon warehouse, or some other location. So, it’s important as leaders to know what is kind of the culture that we’re working with, and what is the messaging, and the resources that are going to hit home to that culture.

Jamie Gassmann: [00:31:35] Great. So, with workplaces that have employees who have been in a remote environment that are now returning to the workplace, do you feel there will be an increase in these challenges that they need to consider?

George Vergolias: [00:31:48] I do. I do. Now, I’m not sure there will be an uptick in violence from the perspective of an average workplace. But I think there will be an uptick in emotionality. And with that comes an uptick in hostility. Hopefully, a lot of that will be on the verbal side and it will be able to be mitigated fairly quickly with good leadership. Some may, though, trip over into violence.

George Vergolias: [00:32:10] But I think what we’re going to see is a lot of people still have anxiety around return to work. Is it safe? The variance that we’re seeing in other countries such as India or other areas, certainly, eventually those will get here. They’re starting to get here. How is that going to impact us? How good are the current vaccines going to be? What’s the workplace policy in allowing non-vaccinated people to come back into the workplace?

George Vergolias: [00:32:38] Interestingly enough, my 13 year old just got her first shot for vaccination. My 11 year old isn’t eligible. So, it’s interesting, my wife is working at a hotel, she has some concern. She’s vaccinated. She’s probably very limited risk for getting sick. What if she brings it back to my son who can’t be vaccinated yet, because that hasn’t rolled out for the under 12 or 13 year olds.

George Vergolias: [00:32:59] These are all going to be concerns that different people will have to different degrees. And they’ll be exacerbated by the way different workplaces are laid out. Are you all going back to individual offices or are you all going back to cubicles or open floor planning type of workplaces? So, these are things that I think leaders have to be very proactive about and on top of ahead of time.

George Vergolias: [00:33:21] And, again, the goal isn’t to have all the answers. But to convey we’re asking the right questions and we’re open to your questions as employees. And we’re going to work with you to find the right solutions that help you feel safe and secure. So, I think that would be kind of the single biggest concern for us as we return to work.

Jamie Gassmann: [00:33:41] Right. So, thinking over some of the things you’ve discussed today and then just things from your expertise and trainings if you were going to be consulting with an employer, if there were three things that you wanted our listeners to be aware of and take away from this episode for how they should be supporting their work environment with these challenges, what would they be?

George Vergolias: [00:34:04] I’m going to answer this at a high level, because we talked about some details. And I think sometimes the high level can be useful. The first is, awareness and understanding are key. I mean, many of us probably have heard the saying, “Everyone is fighting a battle you know nothing about.” I think it’s important to understand that even the people that look strongest in our work forces may be struggling with things that they’re adjusting to, whether it’s home schooling, nervous about acclimating, maybe they feel safe coming back to work but they have a spouse that has an entirely different workplace scenario and they’re freaking out about it understandably. So, that’s the first.

George Vergolias: [00:34:46] The other is a saying I heard that I love and that is, “You don’t drown by falling in the river. You drown by staying submerged under the water.” And I love that saying because I use it to say, leadership needs to model strength through vulnerability. As leaders, if all we ever do is act strong and put a strong face up, we have two messages to our constituents, to our stakeholders, and to our employees. One is, it’s not okay to not be okay. And that’s not a good message. And two is, we don’t model for them the ability to say, you might fall down, but you have the ability to get back up. And when you get back up, you’re going to be stronger. So, yeah, things are tough, but you’re getting tougher. So, that’s another key message that I think is important.

George Vergolias: [00:35:36] Now, that doesn’t mean leaders need to be crying on a town hall meeting for an hour. But the ability to be a little vulnerable and demonstrate that as a leader, I can show vulnerability and I can still tap into my resilience, that is a very powerful message for employees to have.

George Vergolias: [00:35:54] And then, I would say the third is communication. I mentioned this before, communicating to them often, proactively, frequently, and bidirectionally. Don’t just communicate to them, but have a channel by which employees can communicate back and share what is working, what isn’t working, what concerns and anxieties do they have. And then, respond quickly back to them on those. And, again, with the idea that we may not have all the answers, but we’re asking the right questions. And we’re open to them bringing the questions to the table. So, those are the three things that I would say at a pretty high level, really, are going to drive effective leadership as we return to work.

Jamie Gassmann: [00:36:35] Great. So, now, back to you. Looking over your career, if you were going to pick one thing that you’re most proud of, what would that be?

George Vergolias: [00:36:48] That’s tough. It’s tough for two reasons, because I’m proud of a lot of things. But, again, back to that shark analogy, I don’t dwell on what I’ve accomplished. I finish it. And I go, “What’s my next challenge?” And this is going to sound self-serving. But my tenure with R3, you know, when we started, we were doing 800 or 900 crisis responses a month. We are now responding to 2,000 plus crises a month in the workplace across a range of industries and a range of problems. And each of those isn’t just an individual contact. That’s a life you’re helping. You’re contacting. You’re helping make better. You’re helping make more resilient.

George Vergolias: [00:37:35] Who then makes their coworkers, and their children, and their spouses, and their neighbors more resilient. And when you do the math, we have helped millions and millions of lives deepen their sense of resilience in the world. And that is a force multiplier that is absolutely amazing. So, I would say it’s that work that we do at R3 every day, every month, week in, week out, that probably is what I’m most proud of. Being at the clinical helm, if you will, of that is amazing.

Jamie Gassmann: [00:38:07] Great. And if our listeners wanted to get a hold of you, how can they do that?

George Vergolias: [00:38:12] So, the best way to contact me is through, probably, email at my R3. And that is george – G-E-O-R-G-E- -.vergolias – V as in Victor-E-R-G-O-L-I-A-S as in Sam – @R – capital R – the number 3C – as in cat or Charlie – .com would be the best way to reach me.

Jamie Gassmann: [00:38:37] Wonderful. Well, thank you so much for being on our show today, Dr. Vergolias, and for letting us celebrate you, for sharing your stories, and the wonderful advice that you have provided to our listeners. There’s no doubt that they were able to get something from your information and expertise today. We appreciate you. And I’m sure your organizations and staff that you work with do as well.

Jamie Gassmann: [00:39:00] And we also want to thank our show sponsor, R3 Continuum, for supporting the Workplace MVP podcast. And to our listeners, thank you for tuning in. If you have not already done so, make sure to subscribe so you get our most recent episodes and other resources. You can also follow our show on LinkedIn, Facebook, and Twitter @workplacemvp. If you are a workplace MVP or know someone who is, we want to know. Email us at info@workplace-mvp.com. And thank you all for joining us and have a great rest of your day.

 

 

Tagged With: Dr. George Vergolias, Jamie Gassmann, R3 Continuum, Workplace MVP

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