Serving as a Mental Health First Responder in the Gaming Industry

Warning: this text contains discussions of suicidal thoughts, overdoses, panic attacks, anxiety, depression, and other mental health concerns. The concept of first aid is widely recognized as providing care to an injured individual until professional help arrives. However, this typically does not include guidance on assisting someone experiencing a mental health crisis. Until mental health is universally acknowledged as an integral part of overall health and included in standard first aid courses, individuals can opt for specialized mental health first aid (MHFA) training. MHFA refers to the care provided to someone who may be developing a mental health issue or experiencing a mental health crisis. The application of MHFA can vary depending on the situation's severity but often involves noticing changes in a person's behavior, offering initial support through conversation, and guiding them toward professional help. In a professional setting, this may entail empowering individuals to take time off for their mental health, assisting them in navigating available public and private benefits, and following up to ensure they receive the necessary support. Crisis situations, such as substance overdoses, panic attacks, suicidal thoughts, or psychotic episodes, require immediate intervention, often involving basic steps to assess the situation and potentially contacting emergency services. Given the significant amount of time spent at work, it is likely that mental health first aid will be needed in the workplace. In Canada, approximately one in five people experience mental health issues annually, and this statistic may be even higher following the COVID-19 pandemic. Prolonged stress is linked to an increased risk of mental health problems, and the gaming industry is known for its high-stress environment, characterized by tight deadlines, long working hours, and pressure from various stakeholders. In my experience, game developers are often passionate about their work and may put in extra hours, which can lead to negative mental health outcomes due to increased stress, lack of social connections outside of work, and limited time for personal activities. Organizations and leaders can positively impact their employees' mental health by creating a safe and welcoming environment that minimizes stress and anxiety. While different studios and teams have unique needs, the following factors have been observed to have a significant positive impact on employee mental health and well-being: - Training: Invest in MHFA training for a diverse group of employees, ideally with representatives from each department who can recognize behavioral changes and provide support when needed. Formalizing this role and providing the necessary tools and information can help these individuals succeed. It is essential to acknowledge and appreciate their work, as MHFA responsibilities are often taken on in addition to regular duties. Leaders should also receive training to recognize early signs of mental health issues, discuss these concerns with their team members, and guide them toward professional help when necessary. Unconscious bias training can also be beneficial in promoting awareness of how biases affect daily interactions, particularly with individuals living with mental illness. - Benefits: Ensure all employees have access to mental health-related insurance coverage. Removing financial barriers to treatment can go a long way in encouraging employees to seek help. In Alberta, a 50-minute session with a private psychologist can cost around $220, and waiting times for public providers can be several weeks or months. Benefits should include prescription drug coverage for mental health disorders like anxiety, depression, and ADHD, allowing employees to focus on their recovery without financial concerns. Including coverage for overall health and wellness services, such as massage or acupuncture, can also help employees manage stress and improve their mental health. Providing coverage for other health areas, like vision, dental care, and prescription drugs, can reduce stress related to making health-related decisions. For physical office spaces, designating private areas where employees can step away when needed can be helpful. These spaces can serve as a quiet area for mental health first aiders to support colleagues. - Planning: Leaders should push back against unrealistic expectations and deadlines that may require employees to work overtime. This involves understanding the team's capabilities and capacity, as well as accounting for vacation time, sick leave, and other responsibilities during planning. If sensitive or potentially traumatic topics are addressed in a game, it is crucial to engage with experts and incorporate time for self-care into planning for the teams involved. - Policies: Include mental health-related issues in sick leave policies, allowing employees to take time off for mental health concerns just as they would for physical health issues. Avoid enforcing or allowing crunch, as it can lead to stress, burnout, and mental health problems. Provide clarity and certainty regarding job security, contract renewals, compensation, and promotions to reduce uncertainty and allow employees to focus on their work. Establish a minimum vacation policy to ensure employees take time off to rest and recharge. Having coordinated studio breaks can help passionate game developers disconnect from work and recover. Develop clear communication guidelines on discussing mental health, including the use of trigger warnings and safe discussion topics. If employees must engage with the community, allow them to do so anonymously and provide guidance on safe community interaction. If employees are made to feel unsafe by community members, have a clear plan in place for support. Consider taking mental health first aid training, as it can be incredibly useful in having difficult conversations about mental health. If your company or manager is not implementing these strategies, try to convince them of their value. If unsuccessful, discuss your concerns with colleagues and consider seeking advice from leaders in your network or union organizers. Take advantage of available mental health coverage, especially during high-stress periods. Review your coverage and utilize components that can help you disconnect from work, reduce stress, and improve your overall health and well-being. Find a therapist before you urgently need one, as having an established relationship can make it easier to discuss difficult topics. Keep local crisis lines handy, as they can provide advice, help de-escalate situations, or offer emergency services. However, if you or someone you know is in immediate danger, contact local emergency services directly. Studios and their leadership can positively impact employees' mental health by engaging with them to find solutions and investing in support. Every studio has unique needs, and employees should feel empowered to demand support for their mental health and well-being.