Game Plan NSO Strategic Planning Guide Mental Health User Manual

: May 15, 2024
: Game Plan

Game Plan NSO Strategic Planning Guide Mental Health

USER MANUAL

NEEDS / GAP
ASSESSMENT TOOL

A guide to assist sport leaders in assessing organizational needs and gaps in the area of mental health.

PURPOSE

The purpose of the Needs / Gap As ses sment tool is to guide NSO leaders in identifying and addressing organizational needs and gaps in the area of mental health.
The tool was developed by Game Plan and is al igned with the priorities enumerated within the Mental Health Strategy for High Per formance Sport in Canada. Any NSOs that have questions or need suppor t in applying the tool may contact Game Plan’ s Mental Health Manager , Lee Clark.

DEFINITIONS

Mental Per formance

The capabi l i ty wi th which individual s use cogni t ive proces ses ( i .e. , at tent ion,
deci s ion-making, percept ion, memory, reasoning, coordinat ion) and mental / sel f –
regulat ion competencies ( i .e. , knowledge and ski l l s ) to per form in thei r changing
envi ronment . Examples of competencies include goal – set t ing, planning, mot ivat ion,
sel f -conf idence, arousal /emot ional /at tent ional cont rol , imagery, res i l ience, sel f –
talk, s t res s management , communicat ion, leader ship, and evaluat ion.

Mental Health
A s tate of psychological , emot ional , and social wel l -being in which individual s are
capable to feel , think, and act in ways that al low them to enjoy l i fe, real i ze thei r
potent ial , cope wi th the normal s t res ses of l i fe, work product ively, and cont r ibute
to thei r communi ty.

Mental Health Challenges
Symptoms of mental i l lnes s that fal l below cl inical level s . These symptoms are t roublesome to the individual , however , they manage them and do not exper ience di s t res s or impai red funct ioning in thei r per sonal and profes s ional act ivi t ies for an extended per iod of t ime.

Mental Illness
A heal th condi t ion character i zed by al terat ions in an individual ’ s feel ing, thinking, and behaving, leading to s igni f icant di s t res s and impai red funct ioning in thei r per sonal and profes s ional act ivi t ies . I t per tains to al l diagnosable mental heal th di sorder s such as depres s ion, anxiety di sorder s , schi zophrenia, eat ing di sorder s , and subs tance use di sorder s .

REFLECTION

1. Does supporting athletes, coaches, and support staff to thrive (i.e., achieve and maintain optimal emotional, social, and psychological well-being) align with your vision, mission, and / or core values as an organization? Use the table below to organize your thoughts.

2. Will integrating mental health initiatives into your Strategic Plan help your organization meet its goals?
If so, how? Use the table below to organize your thoughts:

HINT: ARE ANY OF THE FOLLOWING A PRIORITY?

Consider integrating these areas into your answers to question 2.

CURRENT STATE ASSESSMENT

3. Where is your organization with respect to mental health right now? What are some key indicators that let you know where you stand? Use the check list below to get started.

4. Are there any other ways that your organization addresses mental health (e.g., through an Employee Assistance Program, cultural audit, having a mental health strategy)? If so, list them below.

1 Mental Per formance Consul tant s (MPCs ) hold a mas ter s and/or doctoral degree in spor t psychology or a related f ield. Wi th foundat ional knowledge and ski l l s in spor t sciences , psychology, and counsel l ing, MPCs provide individual or group consul tat ions geared toward improving spor t per formance, team proces ses , and overal l funct ioning and wel l -being. MPCs working wi thin the HP sys tem should be profes s ional member s of the Canadian Spor t Psychology As sociat ion

DESIRED FUTURE STATE DEVELOPMENT

5. Ideally, where would your organization like to be in its address of mental health? The chart below suggests varying future targets NSOs might strive to meet, and the likely level of resource input required to achieve them. Make additions so that the targets are specific to your organization and measurable (e.g., add numeric / percentile targets).

6. Are there any other mental health targets you’d like to hit (e.g., increase support for psychological services offered through EAP, develop a mental health strategy specific to your sport)? Write them below:

BARRIERS TO DESIRED FUTURE STATE

7. Are there any barriers preventing your organization from reaching its desired future state when it comes to mental health?

PLAN OF ACTION

8. How will you close the gaps between your organization’s current and desired future states, and meet the targets related to mental health that you’ve identified?

When do you want to meet your targets? What resources are required? Who can help?

Do you need suppor t us ing thi s tool or implement ing your plan? Contact Game Plan’ s Mental Heal th Manager , Lee Clark

FACT SHEET: MENTAL HEALTH AND SPORT PERFORMANCE

Mental health is a key input of both mental and physical performance. Mentally healthy athletes, coaches, and support staff are more likely to achieve sustained optimal performance in the workplace, DTE, and competition.

MENTAL HEALTH

Mental heal th can be under s tood as the sum of an individual ’ s emot ional , social , and psychological wel l -being. More speci f ical ly, mental heal th i s character i zed by a s tate of wel l -being in which individual s are capable to think, feel , and behave in ways that al low them to enjoy l i fe, real i ze thei r potent ial , cope wi th the normal s t res ses of l i fe, work product ively, and cont r ibute to thei r communi ty.
Find out what mental heal th resources are avai lable to high-per formance athletes, coaches, and suppor t staf f through Game Plan, here.

Research shows that athletes wi th greater level s of wel l -being are more l ikely to thrive in their compet i t ive envi ronment
Flour i shing mental heal th i s foundat ional to pos i t ive mental per formance. High level s of mental heal th has been noted by Mental Per formance Consul tant s (MPC) as neces sary for the uptake, retent ion, and appl icat ion of mental ski l l s t raining
Level s of heal th (pos i t ive phys ical , mental , and social wel l -being) impact individual s ’ abi l i ty to adapt and respond to chal lenges and s t res sor s wi thin and out s ide of spor t Wi thin t raining and compet i t ion, per formance outcomes are determined by a number of cogni t ive, af fect ive, phys iological and behavioural proces ses that are impacted by both internal factor s (e.g. , level of mental heal th, mental ski l l s ) and external factor s (e.g. , compet i t ion envi ronment , weather )
Phys ical and psychological s t res s impact athlet ic per formance and can hinder t raining, t rans i t ions , team funct ioning, and rehabi l i tat ion fol lowing injury i f not adequately managed
Phys ical and mental heal th are inext r icably l inked. Phys ical chal lenges (e.g. , spor t injury, intense t raining loads ) impact athlete’ s mental heal th, and conver sely chal lenges to athletes ’ emot ional , social , and psychological wel l -being have repercus s ions in the phys ical domain
Sport psychology intervent ions (e.g. , mindfulnes s -based, res i l ience- focused) faci l i tated by an MPC can cont r ibute to or maintain athletes ’ mental heal th and act as a buf fer agains t di s t ress

Find out what mental heal th resources are avai lable to high-per formance athletes, coaches, and suppor t staf f through Game Plan, here.

FACT SHEET: MENTAL ILLNESS AND SPORT PERFORMANCE

Symptoms of mental illness can have a detrimental impact on cognitive and physical performance when individuals are not adequately supported.

MENTAL HEALTH CHALLENGES

Symptoms of mental i l lnes s that fal l below cl inical level s . These symptoms are t roublesome to the individual ; however , they manage them and do not exper ience di s t res s or impai red funct ioning in thei r per sonal and profes s ional act ivi t ies for an extended per iod of t ime.

MENTAL ILLNESS

A health condi t ion character i zed by al terat ions in an individual ’ s feel ing, thinking, and behaving, leading to s igni f icant di s t res s and impai red funct ioning in thei r per sonal and profes s ional activities . I t per tains to al l diagnosable mental heal th di sorder s such as depres s ion, anxiety di sorder s , schi zophrenia, eat ing di sorder s , and subs tance use disorders.

High per formance (HP) athletes exper ience mental i l lnes s at a s imi lar rate to the general populat ion (20% of Canadians annual ly)
HP athletes are par t icular ly suscept ible to cer tain mental i l lnes ses (e.g. , eat ing di sorder s ) due to thei r spor t par t icipat ion
Symptoms of mental i l lnes s (e.g. , Depres s ion, Anxiety, ADHD) can impai r the cogni t ive and phys iological proces ses that cont r ibute to athletes ’ per formance, increase the r i sk of injury ( including concus s ion) , and s low the proces s of recovery
Factor s speci f ic to HP spor t envi ronment s (e.g. , body compos i t ion norms , mal t reatment , injury, publ ic notor iety, pres sure to per form, lack of f inancial suppor t ,travel schedules that impair optimal s leep, t rans i t ions ) can increase athletes ’ r i sk of exper iencing mental heal th chal lenges and mental illness
With adequate suppor t , many athletes can safely remain in spor t and thr ive in t raining and compet i t ion whi le managing mental i l lnes s .
In some cases the safes t cour se of act ion may be to temporar i ly cease t raining and compet i t ion unt i l the athlete has adequately recovered – a deci s ion that should be made by the athlete in concer t wi th a qual i f ied heal th profes s ional .

FACT SHEET: MENTAL HEALTH AND MALTREATMENT IN SPORT

Athletes, coaches, and support staff who are involved in a Safe Sport issue are likely to experience mental health challenges as a result.

MALTREATMENT

Mal t reatment i s an umbrel la term that refer s to: al l types of phys ical and/or emotional ill treatment , sexual abuse, neglect , negl igence and commercial or other exploi tat ion, which resul t s in actual or potent ial harm to heal th, survival , development or digni ty in the context of a relat ionship of respons ibi l i ty, t rus t or power

A s igni f icant propor t ion of cur rent (67%) and former (76%) Nat ional Team athletes
repor ted exper iencing mal t reatment in spor t in a recent s tudy, mos t prevalent ly
psychological harm and neglect .
Coaches , peer s , HPDs and spor t admini s t rator s were the mos t of ten ci ted source of
mal t reatment
The exper ience of mal t reatment i s as sociated wi th las t ing negat ive mental heal th outcomes such as engaging in sel f harm, di sordered eat ing, and exper iencing eat ing di s order s , Pos t Traumat ic St res s Di sorder , and suicidal ideat ion
The mental heal th impact s of mal t reatment can las t long beyond the exper ience i t self , af fect ing qual i ty of l i fe and wel l -being for year s fol lowing the incident ( s )
Only 19% of cur rent Canadian Nat ional Team athletes and 9% of ret i red athletes felt supported by thei r spor t organi zat ion whi le receiving help for a mental heal th concern.
The fear of being accused of mal t reatment i s a s t res sor repor ted by coaches , adding to the myr iad of other factor s (e.g. , overwhelming coaching workload, tenuous job secur i ty, management of the Olympic / Paralympic cycle) ident i f ied as s igni f icant sources of s t res s by high-per formance coaches
Although the major i ty of mal t reatment research has focused on the exper iences of athletes , anecdotal evidence sugges t s that there are mental heal th impl icat ions for those who are, al leged or actual , perpet rator s of mal t reatment . These individual s may may al so requi re mental heal th suppor t

The Abuse-Free Spor t Helpl ine is avai lable to vict ims and wi tnesses of harassment , abuse or discr iminat ion in a spor t set t ing.
Phone or text mes sage: 1 888 83SPORT / 1 888 837-7678

FACT SHEET: MENTAL HEALTH AND RISK MANAGEMENT

Proactively addressing mental health, preventing distress, and planning for emergencies are strategies to mitigate organizational risk, promote engagement, performance, and sustainability through a focus on mental health.

MENTAL HEALTH PROMOTION

An ef fect ive pos i t ive approach involving pol icies and pract ices that enhance the capaci ty of individual s and sys tems to develop and sus tain pos i t ive mental heal th.

PSYCHOLOGICAL SAFETY

The extent to which member s of a team bel ieve that the team i s safe for interper sonal r i sk- taking (e.g. , asking for help, admi t t ing one’ s er ror s , seeking feedback) .

Spor t organi zat ions have a duty of care to thei r athletes , coaches and suppor t s taf f to protect thei r mental heal th and psychological safety in the workplace (e.g. , of f ice, DTE, compet i t ion envi ronment )
Thi s organi zat ional duty of care can be met through mental heal th promot ion, di s t res s prevent ion, and emergency planning
Improving and protect ing psychological wel l -being and safety in the spor t workplace cont r ibutes to (a) r i sk mi t igat ion, (b) cos t ef fect ivenes s , (c) recrui tment and retent ion of athletes , coaches , and s taf f , and (d) per formance and sus tainabi l i ty
Psychological safety i s as sociated wi th team res i l ience, athlete sat i s fact ion, and team per formance, and protect s agains t burnout
Promote mental heal th: Take s teps to enhance the capaci ty of athletes , coaches , and suppor t s taf f to ef fect ively develop and maintain pos i t ive mental heal th (e.g. , of fer mental heal th l i teracy t raining, ins t i tute pol icies that promote work- l i fe balance, suppor t athletes ‘ hol i s t ic development )
Prevent di s t res s : Minimi ze general (e.g. , management pract ices character i zed by a lack of t ransparency, unsuppor t ive organi zat ional cul ture) and spor t – speci f ic (e.g. , potent ial ly harmful body norms and ideal s , harmful / maladapt ive coaching pract ices , unsuppor t ive team cul ture) factor s known to cont r ibute to compromi sed mental heal th
Emergency planning: Developing a plan in case of a mental heal th emergency (e.g. , suicidal ideat ion, mania) wi l l al low you to ef fect ively and compas s ionately react in the moment to keep your athlete, coach, or s taf f member safe

FACT SHEET: MENTAL HEALTH, DIVERSITY, EQUITY, AND INCLUSION

Recognizing the social determinants of health that may contribute to compromised well-being, promoting the inclusion and support of athletes, coaches, and support staff who may be struggling, and preventing bullying, harassment and discrimination are important steps towards meeting your organization’s commitment to equity, diversity, and inclusion

MENTAL HEALTH

Marginal i zed communi t ies exper ience greater mental heal th chal lenges compared to non-marginal i zed communi t ies due to the unique s t res sor s and chal lenges they face.
For example:
In addi t ion to spor t – speci f ic s t res sor s that have the potent ial to compromi se their well -being, Paralympic athletes can exper ience a range of di sabi l i ty- specific stress or s as wel l
Racial i zed athletes face a hos t of unique s t res sor s and chal lenges (e.g. , sys temic raci sm, micro-aggres s ions ) not exper ienced by thei r Whi te peer s that cont r ibute to an increased r i sk of depres s ion and suicidal ideat ion
Spor t envi ronment s / cul tures can be uniquely chal lenging to the mental heal th of LGBTQ2S+ and non-binary athletes and coaches , given that research shows they may di spropor t ionately face reject ion by peer s , haras sment , pres sure to drop out of spor t , and underper formance compared to heterosexual and ci sgender spor t par t icipant s .
Female athletes may face bar r ier s not exper ienced by thei r male peer s (e.g. , pay inequi ty, sexual i zat ion, returning to spor t fol lowing pregnancy) that can compromi se thei r wel l -being
Recogni z ing and addres s ing the bar r ier s and chal lenges faced by marginal i zed athletes , coaches , and suppor t s taf f wi l l cont r ibute to improved mental heal th outcomes for these groups
Mental i l lnes s i s a recogni zed di sabi l i ty under provincial Human Right s legi s lat ion; athletes coaches and suppor t s taf f exper iencing mental i l lnes s have the r ight to be f ree f rom abuse, haras sment , and di scr iminat ion

REFERENCES

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Spor t Scient i s t Canada. (2020) . Gold Medal Prof i le (GMP) for Psychology in Spor t . Not publ icly avai lable.
Schinke, R. J. , Stambulova, N. B. , Si , G. , & Moore, Z. (2018) . Internat ional society of spor t psychology pos i t ion s tand: Athletes ’ mental heal th, per formance, and development . Internat ional Journal of Spor t Psychology, 16(2) , 622-639.
ht tps ://doi .org/10. 1080/1612197X.2017. 1295557Gardner , F. L. , & Moore, Z. E. (2006) . Cl inical spor t psychology. Champaign, IL: Human Kinet ics
Wor ld Heal th Organi zat ion. (2010) . mhGAP intervent ion guide for mental , neurological and subs tance use di sorder s in non- special i zed heal th set t ings (ver s ion 2.0) .
https://www.who.int/mental_health/publications/mhGAP_intervent ion_guide/en/ Mood Di sorder s Society of Canada. (2019) . Quick fact s : Mental Heal th & Addict ions in Canada. ht tps : / /mdsc.ca/docs /MDSC_Quick_Fact s_4th_Edi t ion_EN.pdf
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Mount joy, M. , Sundgot -Borgwen, J. , Burke, L. , Ackerman, K. E. , Blauwet , C. , Cons tant ini , N. … Budget t , R. (2018) . Internat ional Olympic Commi t tee ( IOC) consensus s tatement on Relat ive Energy Def iciency in Spor t (RED-S) : 2018 update.
Internat ional Journal of Spor t Nut r i t ion and Exerci se Metabol i sm, 28, 316-331 .
Wolanin, A. , Gros s , M. , & Hong, E. (2015) . Depres s ion in athletes : Prevalence and r i sk factor s . Cur rent Spor t s Medicine Repor t , 14, 56-60.
Gul lén, F. , & Sánchez , R. (2009) . Compet i t ive anxiety in exper t female athletes :
Sources and intens i ty of anxiety in nat ional team and f i r s t divi s ion Spani sh basketbal l player s . Perceptual Motor Ski l l s , 109, 407-419
I Ing, C. , & Mi l l s , J. P. (2019) . ‘Hey, look at me’ : An {auto}ethnographic account of exper iencing ADHD symptoms wi thin spor t . Qual i tat ive Research in Spor t , Exerci se and Heal th, 1 1 (2) , 274-283
Nelson, L. D. , Guskiewicz , K. M. , Mar shal l , S. W. , Hammeke, T. , Bar r , W. , Randolph, C. , & McCrea, M. A. (2016) . Mul t iple sel f – repor ted concus s ions are more prevalent in athletes wi th
ADHD and learning di sabi l i ty. Cl inical Journal of Spor t Medicine, 26(2) , 120- 127. doi : 10. 1097/JSM.0000000000000207 Samuel , R. D. . , & Tenenbaum, G. (201 1 ) . The role of change in athletes ’ career s : A scheme of change for spor t psychology pract ice. The Spor t Psychologi s t , 25(2) , 233.
doi : 10. 1 123/ t sp.24.2.233
Arthur -Camasel le, J. , Sos s in, K. , & Quat romonin, P. (2017) . A qual i tat ive analys i s of factor s related to eat ing di sorder onset in female col legiate athletes and non-athletes .
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Ker r , G. , Wi l l son, E. , & St i r l ing, A. (2019) . Prevalence of mal t reatment among cur rent
and former Nat ional Team Athletes . Avai lable at :
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Hodgdon, H. B. , Spinaz zola, J. ,Br iggs , E. C. , Liang, L. -J. Steinberg, A. M. , & Layne, C. M. , (2018) . Mal t reatment type, exposure character i s t ics , and mental heal th outcomes among cl inic refer red t rauma-exposed youth. Chi ld Abuse & Neglect , 82, 12-22.
Ver tommen, T. , Kampen, J. , Schipper -van Veldhoven, N. , Uz ieblo, K. , & Van Den Eede, F. (2018) . Severe interper sonal violence agains t chi ldren in spor t : As sociated mental heal th problems and qual i ty of l i fe in adul thood. Chi ld Abuse & Neglect , 76, 459-468.
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Specifications

Product Name: NSO Strategic Planning Guide: Mental Health
Tool Type: Needs / Gap Assessment Tool
Purpose: Assist sport leaders in assessing organizational needs
and gaps in the area of mental health

FAQ

Q: What is the purpose of the Needs / Gap Assessment tool?

A: The purpose is to guide NSO leaders in identifying and addressing organizational needs and gaps in the area of mental health.

Q: How can NSOs get support in applying the tool?

A: NSOs can contact Game Plan’s Mental Health Manager, Lee Clark, for questions or support.

Contact :
Lee Clark
Mental Heal th Manager , Game Plan
647-326-9143
lclark@mygameplan.ca

Game Plan, which i s proudly powered by Deloi t te, was developed in col laborat ion wi th Spor t Par tner s at the Canadian Olympic Commi t tee, the Canadian Paralympic Commi t tee, Spor t Canada and Canadian Olympic and Paralympic Spor t Ins t i tute Network (COPSIN) . Game Plan’ s s takeholder s work together to provide athletes wi th the suppor t and resources they need to thr ive on and of f the f ield of play.

Headquar ters Mont réal
50 René-Levesque Blvd,
Mont réal , QC H2Z 1W7
Emai l : info@mygameplan.ca
www.mygameplan.ca