top of page
© 2025 ExecRN Integrative Health Solutio

Support Employee Mental Health — Without Losing Control, Consistency, or Confidence

Mental health now drives approximately 30–40% of disability claims in Canada — yet accounts for up to 70% of total disability costs.

Leaders need clear support, not guesswork — including a step-by-step approach and practical, tangible guidance they can implement immediately.

The ExecRN Mental Health Reintegration System™ delivers exactly that.

The Reality Facing Leaders Today

Leaders want to support mental health — but lack the structure to do so confidently​

  • Expectations drift without clear guardrails

  • Leaders struggle to determine appropriate accommodations

  • Support is rushed or prolonged without clear criteria

  • Regulation and pacing become difficult to manage

  • Performance conversations feel unsafe

  • HR and leaders remain reactive rather than proactive

​​​

Most leaders were never trained for this — yet they’re expected to get it right.

What's the Data?...

Mental health is now one of the largest drivers of workplace disability in Canada.


Across Canadian employer data, mental health conditions account for approximately 30–40% of disability claims, yet these claims are responsible for up to 70% of total disability costs.

​

Mental health–related disability claims are typically more complex, longer in duration, and more vulnerable to relapse when return-to-work is rushed, poorly structured, or inconsistently managed. Unlike physical injuries, recovery is often non-linear, functional capacity can fluctuate, and performance expectations must be carefully aligned with tolerance over time.

​

As a result, leaders are increasingly navigating high-stakes reintegration decisions — often without training, clear language, or consistent guardrails.

​

Leaders need more than good intentions.


They need a legally sound, function-based reintegration system that supports dignity, psychological safety, and sustainable performance — while protecting organizations from risk, inconsistency, and escalation.

Why Good Intentions Fail

Leaders want to do the right thing - but sometimes, it still breaks down. 

This is due to:

  • timeline-based thinking

  • diagnosis-driven decisions

  • inconsistent leader judgment

  • avoidance of hard conversations

The ExecRN Mental Health Reintegration System™

A structured, function-based system designed to help leaders support mental health returns safely, consistently, and defensibly — without acting as clinicians or sacrificing performance expectations.

System Includes

Screenshot 2025-12-22 132914.png

RTW Framework

✔ 6-phase model
✔ Function-based
✔ Non-clinical
✔ Flexible but structured

✔ Step-by-Step Guidance

Screenshot 2025-12-22 132710.png

Examples Toolkit

✔ Example Duties + accommodation by phase
✔ Regression guidance
✔ Leadership decision tree

Screenshot 2025-12-22 132939.png

Conversation Scripts

✔ Exact language for hard moments
✔ Boundaries around medical info
✔ Scripts for step-backs, slow progress, closure

Designed Specifically For

  • HR & Disability Management teams

  • Public sector & unionized workplaces

  • Education, healthcare, municipalities

  • Leaders managing repeated mental health leaves

 

This framework guides leaders through mental health return-to-work and stay-at-work situations with clarity and confidence. There’s no need to second-guess what to do, what to say, or worry about getting it wrong.

 

The ExecRN Mental Health Reintegration System™ provides a clear, step-by-step approach, along with real-world examples of mental health accommodations and explicit, professional language leaders can use when having sensitive conversations with employees.

ExecRN is led by Sarah Scahill, RN, CDMP — a public sector health and wellness leader, Registered Nurse, and disability management professional specializing in mental health reintegration, psychological safety, and sustainable workforce performance.

bottom of page