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Thank you for supporting the behavioral health and mental well-being of your employees

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Creating safe and healthy workplaces is not just a fundamental right—it’s also key to reducing tension, minimizing conflict, and boosting employee retention, performance, and productivity. Without adequate support, employees may experience poor mental health and heightened stress, which can negatively impact their productivity, job performance, engagement, communication, physical health, and daily functioning.

As an employer, you have a unique opportunity—and responsibility—to support your employees’ behavioral health. A workplace that prioritizes positive mental health can profoundly enhance employees’ overall well-being.

This toolkit is designed to help you foster a supportive environment for your workforce.

12 BILLION WORKDAYS ARE LOST

each year due to depression and anxiety.

 

15% OF WORKING-AGE ADULTS

live with a mental health condition.

 

Source: World Health Organization

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TIPS FOR EMPLOYERS

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Signs & Symptoms of Employee Stress

Signs and Symptoms of Employee Stress

  • Taking more time off work than usual
  • Increased use of alcohol, tobacco
  • Increased use of prescription or illegal drugs
  • Increased moodiness or emotional reactions
  • Physical changes (rapid weight loss/gain)
  • Physical reactions (sweating, headaches, stomach pain)
  • Increased irritability, negativity, or frustration
  • Decreased concentration or productivity
  • Deteriorating personal or work relationships
  • Bullying behavior
  • Increased fidgeting (bouncing, tapping, rubbing, biting nails)
  • Becoming more talkative or more withdrawn

Sometimes the best indicator that someone is dealing with a lot of stress is simply behavior outside their norm– get to know your employees

Supporting Remote Workers

Supporting Remote Workers

The shift to hybrid and fully remote work can create a physical distance between employees, their colleagues, and managers, making it harder to spot signs of behavioral health concerns. To bridge this gap, it's essential to stay approachable and available, encouraging employees to reach out if they’re facing challenges. Remember, you won’t be able to identify when something feels off unless you have a clear understanding of what’s “normal” for them.

Each remote worker has unique preferences when it comes to communication. Take the time to understand their needs and adapt accordingly. For example, some employees may prefer phone calls, while others may be more comfortable with video meetings or email.

Unlike on-site workers, remote employees don’t have the opportunity for casual, in-person interactions throughout the day. To create a sense of connection, make space for small talk during virtual meetings. Ask about their pets, hobbies, or activities outside of work to build rapport and show genuine interest.

Regular check-ins with remote workers are key to supporting their well-being and ensuring they have what they need to succeed. During these check-ins, ask about:

  • Well-being: How are they feeling, and how is their work-life balance?
  • Workload: Is their work going well, or do they need additional support?
  • Tools and resources: Do they have the necessary tools and equipment to perform their job effectively?
Start the Conversation

Start the Conversation

You don’t need to be a mental health expert to support your team. The workplace is often where mental health challenges are first noticed, as employees spend much of their time with colleagues and managers. By fostering a culture of open communication, you create a supportive environment where employees feel valued and empowered to seek help.

Addressing mental health concerns early allows employers to connect team members with the resources they need to succeed. If you notice an employee struggling, don’t wait—reach out. A compassionate conversation can make all the difference.

Manager Tips for Productive Conversations
  • Ensure privacy. Choose a quiet, private space for the discussion.
  • Be flexible. Consider the timing and location to accommodate the employee’s comfort.
  • Maintain a supportive tone. Approach the conversation positively and without judgment.
  • Use thoughtful language. Avoid sounding accusatory. For example, instead of asking, “Are you suffering from a mental health issue?” say, “I’ve noticed some things that make me wonder if you’re facing challenges related to your mental health.”
  • Protect confidentiality. Reassure the employee that their privacy will be respected.
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RESOURCES & INFORMATION BY CATEGORY

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Speak Volumes: Know the Alcohol in Your Drinks

Not all drinks are created equal. Did you know one craft beer can equal two regular beers? A margarita equals three drinks, and a long island iced tea equals four.

The Key to Safer Drinking

If you're unsure how much alcohol is in your drink, ask your server or bartender. Awareness helps you make informed choices and plan for a safer night out.

The Impact of Excessive Drinking

Heavy alcohol use can lead to:

  • Chronic diseases such as high blood pressure, stroke, and heart or liver disease.
  • Increased risk of cancer.
  • Challenges in relationships and alcohol dependency.
  • Mental health issues.

Take Action to Stay Safe

  • Track Your Drinks: Use the Speak Volumes Alculator app or website to learn more about the alcohol content in your beverages.
  • Plan Ahead: Never drink and drive. Arrange for a sober ride home and stop friends from driving if they’ve been drinking.

Avoid Alcohol During Pregnancy: Drinking while pregnant can cause serious health risks, including brain damage to the baby.

 

NDTip: Keep Your Community Safe

If you see something, say something! NDTip allows you to discreetly and anonymously report concerning situations to local law enforcement.

 

North Dakota Health and Human Services operates eight regional behavioral health clinics throughout the state that provide treatment and support services emphasizing recovery, wellness, trauma-informed care.

Northwest Human Service Center: Region 1

316 2nd Ave W

Williston, ND 58802

Phone: 701-744-4600

Toll Free: 800-231-7724

Email: dhsnwhsc@nd.gov

 

North Central Human Service Center: Region 2

1015 S. Broadway Ste 18

Minot, ND 58701

Phone: 701-857-8500 Toll Free: 888-470-6968

Email: dhsnchsc@nd.gov

 

Lake Region Human Service Center: Region 3

200 Hwy 2 W

Devils Lake, ND 58301

Phone: 701-665-2200 Toll-Free: 888-607-8610

Email: dhslrhsc@nd.gov

 

Northeast Human Service Center: Region 4

151 S 4th St Ste 401

Grand Forks, ND 58201

Phone: 701-795-3000 Toll Free: 888-256-6742

Email: dhsnehsc@nd.gov

 

Southeast Human Service Center: Region 5

2624 9th Ave S

Fargo, ND 58103

Phone: 701-298-4500 Toll Free: 888-342-4900

Email: dhssehsc@nd.gov

 

South Central Human Service Center: Region 6

520 3rd St NW

Jamestown, ND 58401

Phone: 701-253-6300 Toll Free: 800-260-1310

Email: dhsschsc@nd.gov

 

West Central Human Service Center: Region 7

520 3rd St NW

Jamestown, ND 58401

Phone: 701-253-6300 Toll Free: 800-260-1310

Email: dhsschsc@nd.gov

 

Badlands Human Service Center: Region 8

1463 1-94 Business Loop E

Dickinson, ND 58601

Phone: 701-227-7500 Toll Free: 888-227-7525

Email: dhsblhsc@nd.gov

North Dakota Brain Injury Network

Brain injuries can affect anyone, altering emotions, memory, movement, and problem-solving abilities. The North Dakota Brain Injury Network provides resources and support to individuals, families, and caregivers.

What’s Available:

  • Information on brain injuries and services.
  • A resource directory.
  • Events and training opportunities.
  • Caregiver-specific tools.

GamblerND: Help and Hope for Gambling Addiction

GamblerND raises awareness about problem gambling and provides resources to individuals and families impacted by gambling addiction.

What You’ll Find on GamblerND:

  • Help Services: Counseling, support groups, and online courses.
  • Professional Resources: Articles, online seminars, and speakers.
  • Educational Materials: Tips on financial health, harm reduction, and responsible gambling.

Mental Health Support - Find Services

Many individuals don’t seek the mental health support they need because they aren’t sure where to start. The North Dakota Mental Health Program Directory serves as a central resource to help you, your family, or your friends connect with the appropriate mental health services.

How the Directory Helps:

  • Searchable by Location and Service Details: Find programs based on your specific needs.
  • Program Information: Access details such as program names, addresses, phone numbers, insurance accepted, and areas of specialty.

Addressing the Opioid Crisis

North Dakota is confronting a deadly opioid epidemic. Addiction is a chronic, treatable medical condition—not a moral failing.

How You Can Help:

  • Dispose of Medications Safely: Find take-back locations 
  • Seek Help: Access resources 
  • Use Stigma-Free Language: Practice person-first phrasing, such as “person with a substance use disorder.”
  • Carry Narcan: Get a free box here or from your local public health unit.
  • Promote Healthy Choices: Encourage daily activity, substance-free enjoyment, and positive relationships.

Recovery Housing Assistance Program (RHAP)

The Recovery Housing Assistance Program (RHAP) supports individuals in initiating and maintaining recovery in a safe, stable living environment. Through RHAP, participants can receive up to 12 weeks of paid living expenses, directly covered by a participating provider.

How to Apply: Contact a participating provider to start your application.

Free Through Recovery

Free Through Recovery is a community-based program supporting individuals in the criminal justice system with behavioral health needs. Participants work with local providers referred by their ND State parole or probation officer.

Services Offered:

  • Care Coordination
  • Peer Support
  • Recovery Services

Recovery Talk: Support on Your Terms

Looking for support in your recovery from addiction? Call or text (701) 291-7901 anytime, day or night, to speak with someone who offers hope, understanding, and encouragement.

Why Choose Recovery Talk?

  • Recovery your way: Flexible and convenient for busy schedules.
  • Peer-to-peer support: Connect with a trained peer support specialist with lived experience.
  • Guidance and resources: Specialists can share treatment options and program information in North Dakota.

Community Connect

Community Connect tailors behavioral health services to meet each individual’s unique needs. Participants may self-refer by completing an online application.

Services Offered:

  • Care Coordination
  • Peer Support
  • Recovery Services

SUD Voucher

The Substance Use Disorder (SUD) Voucher program is designed to help remove barriers to treatment and increase access to essential services for individuals with Substance Use Disorders in North Dakota. State funding is provided to cover treatment-related costs for eligible individuals.

Available Services through SUD Voucher Providers:

Participating providers may offer one or more of the following services:

  • Screening
  • Assessment
  • Individual, Group, and Family Therapy
  • Room and Board
  • Peer Support
  • Urine Analysis
  • Transportation
  • Methadone Maintenance

About NDQuits

NDQuits serves more than 3,000 North Dakotans every year with a high success rate. We are the leading resource for North Dakotans seeking assistance to quit smoking or using smokeless tobacco products, including vapes or electronic cigarettes.

Over one third of former tobacco users we assist are still tobacco-free seven months after completing an NDQuits program. NDQuits employs specialized coaches who support individuals on their pathway to quitting. Learn about our coaches, a typical journey with NDQuits, and more on how to Quit Your Way.

With NDQuits, you can begin a free program that can help you quit your way.

PLUS: NDQuits provides educational palm cards for healthcare professionals to share with patients.

Suicide Prevention Resources

At some point in our lives, 51% of us will experience the death of someone we know by suicide. Whether it’s a co-worker, client, vendor, or a friend or family member, the impact of suicide extends deeply into the workplace.

A death by suicide presents unique challenges for employers, whether the individual lost is an employee or someone close to one. Grieving employees often want to return to work to restore a sense of normalcy, and having a supportive workplace is crucial, as grief can be complex and unique to each person. The sudden or traumatic nature of suicide can affect individuals in various ways.

Those affected by suicide may be at higher risk for behavioral health issues, including depression, anxiety, and even suicide themselves. While most employers are not equipped to address suicide prevention or postvention, providing tools and resources is a proactive way to support employees' mental health and reduce suicide risk.

Creating a Supportive Environment

To set a compassionate and supportive tone in the workplace following a suicide, consider the following guidelines:

  • Be compassionate: Approach grieving employees with empathy. Ensure all communication, both public and private, is respectful and approved by those most affected by the loss.
  • Listen and support: Recognize that each person’s grieving process is unique. Be open to hearing and responding to the specific needs of those affected.
  • Acknowledge the manager’s role: Managers may be personally impacted by the loss while also needing to support their team. Be mindful of this dual responsibility.
  • Be sensitive to anniversaries: Pay attention to dates or events that may trigger emotional reactions and acknowledge the loss in a supportive and appropriate way.

988 Suicide & Crisis Lifeline

A valuable resource for suicide prevention in your workplace is the 988 Suicide & Crisis Lifeline. This service provides 24/7 support via call, text, or chat for individuals experiencing suicidal thoughts, substance use crises, mental health distress, or any emotional hardship.

The 988 Lifeline is available nationwide and can be used by anyone, including those concerned about someone else. In North Dakota, when a call or text is made to 988, a trained counselor from the state’s Lifeline crisis center, FirstLink, will respond. FirstLink staff provide immediate support, resources, and, if necessary, connect individuals with a local Human Service Center’s mobile crisis team or emergency services. A chat option is also available at chat.988lifeline.org. 

Order free 988 resources like magnets, posters, and business cards for your workplace.

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Free Ready-Made Behavioral Health Resources Delivered to You

Access a variety of free Behavioral Health materials through with no shipping charges!

How to Order:

Visit our online catalog of resources.

Add your desired items to the cart.

Click “Order Materials” and fill out the order form.

You can order single items, multiple materials, or bulk quantities of specific resources.

Out of Stock?

If an item you want isn’t available, contact us directly at dhsbhd@nd.gov. Many resources are also available for download.

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