My Choice: Developing a Workplace Disclosure Decision Aid and Resources for Working Parents of Children with Mental Health Disabilities

项目总结/摘要 有精神健康障碍（MHD）儿童的工作父母经历与不可预测的 与照顾残疾儿童有关的任务和工作场所灵活性做法。这些上下文非工作 一些因素导致这一弱势工人群体失业人数增加。出于礼貌的羞辱， 被定义为消极的看法，以及对家庭的相关歧视态度和行为 有精神健康障碍的儿童的成员导致父母仔细控制他们的孩子的传播 健康信息信息披露会对隐私和保密性造成威胁，并可能导致歧视和 报复患有MHD的孩子的父母在工作中确实经历过歧视和报复，例如被拒绝 晋升和职业机会，或被解雇，因为公众的误解， 儿童心理健康的病因学1，2.这可能导致MHD儿童的父母在以下方面的决策冲突： 是否向同事和主管透露孩子的心理健康状况。向主管披露 可能为MHD儿童的父母提供所需的灵活性和社会支持，但也可能导致 歧视、报复和解雇。决策冲突可能会加剧这一群体的压力， 弱势工人，这可能导致较低的工作保留率和慢性健康问题。的目的 一项建议是开发一个基于网络的工作场所互动决策辅助工具，重点是为就业的父母提供 具有MHD知识的儿童，以及通过以下方式减少由背景因素引起的决策冲突的过程：（a） 就是否、如何以及何时向其主管披露其与残疾有关的护理需求提供结构化反馈 基于对风险、收益和优先事项设定活动的了解，提供关于披露的个性化反馈 优先级，以及（B）支持最高等级优先级的资源。目标1将确定4-5个相关的背景因素 决策冲突。目标2开发了一个基于网络的工作场所员工披露决策辅助原型， 将组织和管理因素纳入设计中。Aim 3将试点基于Web的工作场所员工 在一项前后研究中披露决策援助和资源，该研究将评估是否使用援助和资源 减少员工之间的决策冲突和压力。完成拟议的 目标是开发一个框架，原型，个人层面的干预工人，将配对 通过组织层面的干预，以领导支持为目标，促进健康和福祉， 弱势工人。这个项目是创新的，因为开发和测试工作场所的Web应用程序决策辅助， 并为患有MHD的儿童的父母提供教育资源，这是一群工作者，他们的需求没有得到满足， 目前的职业安全和健康计划。该项目符合《国家职业教育法》的目标7。 研究议程，因为它旨在通过进行高影响力的工作场所干预措施来促进工人的健康和安全 通过促进可持续的工作-非工作界面，减少工人的疾病，提高健康和福祉。

Project Summary/Abstract Working parents of children with mental health disabilities (MHD) experience chronic stress linked to the unpredictable tasks associated with caring for a child with a disability and workplace flexibility practices. These contextual non-work factors contribute to increased loss of employment among this group of vulnerable workers. Courtesy stigmatization, defined as negative perceptions, and associated discriminating attitudes and behaviors projected towards family members of children with mental health disorders leads parents to carefully control the dissemination of their child's health information. Disclosure comes with threats to privacy and confidentiality, and the potential for discrimination and retaliation. Parents of children with MHD do experience discrimination and retaliation at work, such as being denied promotions and career opportunities or getting fired from their jobs because of public misperceptions related to the etiology of children's mental health1, 2. This can result in decisional conflict for parents of children with MHD regarding whether or not to disclose their child's mental health status to coworkers and supervisors. Disclosure to supervisors may provide parents of children with MHD access to needed flexibility and social support but it can also lead to discrimination, retaliation and job termination. Decisional conflict can exacerbate stress among this group of vulnerable workers, which can lead to lower job retention rates and chronic health issues. The objective of this proposal is to develop a workplace web-based, interactive decision aid, focused on giving employed parents of children with MHD knowledge and a process to reduce decisional conflict caused by contextual factors through (a) structured feedback on whether, what and when to disclose their disability-related care demands to their supervisor based on knowledge of risks, benefits and priority-setting activities that provides individualized feedback on disclosure preferences, and (b) resources supporting the highest ranked priority. Aim 1 will identify 4-5 contextual factors related to decisional conflict. Aim 2 develops a workplace web-based employee disclosure decision aid prototype, resources that incorporate organizational and managerial factors in the design. Aim 3 will pilot a web-based workplace employee disclosure decision aid and resources in a before-after study that will assess whether using the aid and resources reduces decisional conflict and stress among employees. The expected outcome of accomplishing the proposed objective is to develop a framework for, and prototype of, an individual level intervention for workers that will be paired with an organizational level intervention that targets leadership support to promote the health and well-being of vulnerable workers. This project is innovative, because develops and tests a workplace web application decision aid, and provides educational resources to parents of children with MHD, a group of workers whose needs are unmet by current occupational safety and health programs. The project aligns with Objective 7 of the National Occupational Research Agenda as it seeks to promote worker health and safety by conducting high impact workplace interventions that reduce worker illness and increase health and well-being by promoting a sustainable work-nonwork interface.