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  1. Home
  2. …
  3. Research impact
  4. Research case studies
  5. Improving mental health in the workplace
Research impact
  • Research Excellence Framework
  • Research case studies
Illustration of head silhouette with workplace interior as brain
Research case study

Improving mental health in the workplace

A workplace training programme for improving employees' mental health and psychological wellbeing.

The researchers:

  • Paul Flaxman (Principal Investigator)

Research status:Completed

This is impact: Workplace psychological health acceptance and commitment therapy 1:5

In summary

Around one in six British workers struggle with a mental health problem such as anxiety or depression at any one time. Employers want to help, but they need effective training so they can show employees how to deal with the unrelenting pressures of the modern workplace.

Dr Paul Flaxman and his colleagues at City St George's, University of London created a training programme based on Acceptance and Commitment Therapy. They collected data from organisations that used the training. The data shows it leads to significant improvements in employees' mental health and psychological wellbeing.

Did you know?

Graphic: 1 in 6 featuring five people ocons with one coloured red

One in six British workersstruggle with a mental health problem.

Department for Work and Pensions Independent report - Mental health and work

What did we explore and how?

Many employees work at increasingly breakneck speeds and with fewer resources to help them. This can lead to poor mental health in the workplace. So there has been rising interest in using programmes to help workers deal with the pressures.

Dr Flaxman and his colleagues at City St George's developed a programme adapted from ACT. They shared it with two local authorities in London between 2002 and 2004, and with a central government department and four NHS trusts from 2008 to 2013.

They then taught the programme to support staff from interested organisations. This was so support staff could learn how to share the training without Dr Flaxman's intervention. They can train their own colleagues directly.

The training gives people a set of psychological behavioural skills to help them navigate through the challenges of the modern workplace. They've been able to use these skills in their home lives as well.

– Dr Flaxman

Benefits and influence of this research

Organisations have an evidence-based training programme they can share with their own workforce. Support staff can collect data from employees before and after the training using questionnaires. This measures how effective the training is.

Dr Flaxman now works closely with Ross McIntosh, a research associate at City St George's, to train support staff from interested organisations in delivering the programme. Since 2014, these organisations have used the training:

  • 25 NHS trusts
  • A central government department
  • Schools in London and Bristol
  • UK and Canadian ballet companies
  • Nuffield Health
  • The Welsh Government
  • Three UK police forces
  • Shoreditch Trust
  • Mind, the mental health charity
  • International workplace wellbeing practitioners in the US, Australia and Canada

Employees react well to the training and there have been significant benefits for their mental health and psychological wellbeing. There is proof of this in the letters, feedback and data that support staff have received from their colleagues.

Another sign of the training's success is its popularity. At Northumbria Healthcare NHS Foundation Trust, support staff have trained approximately 1500 senior nurses. The data collected indicated that the training has led to improvement in nurses' general mental health.

Share this case study

Details of this research

Principal Investigator:

  • Paul Flaxman

Research status: Completed

Topic: healthcare, mental health, psychological wellbeing, workforce management

Industry/sector: Healthcare

Project partners/stakeholders:

City, University of London

School of Health & Medical Sciences

Department of Psychology and Neuroscience

What's happening

  • Event

    Nov 04

    Postgraduate Open Evening (Clerkenwell Campus)

    Join us at our Postgraduate Open Evening to learn more about our postgraduate courses and discover all the benefits of studying at City St George's, University of London.

    Wednesday, 4th November 2026, 16:45 – 19:00

    Location: Clerkenwell campus

    Audience: Prospective students

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    Tuesday, 2nd June 2026

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    Wednesday, 8th April 2026

    Why measuring pain could reveal more about wellbeing than GDP

    Dr Lucía Macchia write in The Conversation about why supporting those in pain isn’t just a health issue, but a matter of social and economic importance

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