The Cost of Unmanaged Mental Health, in Your Workforce

Most employers don’t see the problem until it appears in their claims report or turnover metrics. By then, it’s too late. The MiSalud mental health program intervenes before everyday anxiety turns into a crisis — and before burnout turns into costly resignation.

15.9%

Cite stress & anxiety as #1 health worry

Jan 2026

7%

Would feel comfortable telling HR they're stressed

Jan 2026

89%

Jump in Hispanic Mental Health emergency department visits 2017–2022

Visits 2017–2022

35%

Of workers' comp costs from <3% of claims with behavioral health involvement

$20,105

Annual cost per employee with diabetes + depression vs. $10,016 with diabetes alone

3.5x+

Longer workers' comp claim duration when behavioral health is involved

What Employers and their Workers Say

Actual results from participants in the MiSalud Mental Health program and from employers who offered it.

"

I came in for my blood pressure and ended up talking about everything that was going on at home. My coach didn't make me feel broken — she just listened and helped me find a way through it. I didn't know that was something I could have at work.

👩

José M. Mental Health program participant · Construction worker

Referred from physical health consult. PHQ-9 score improved 58% over 12 weeks.

Four Ways We Support Mental Health

Workers enroll in a structured program with regular check-ins via video, phone or SMS. A bilingual Health Coach and an integrated Mental Health Coach guide the entire journey.

Same-Day Consults

Immediate virtual access for acute stress, no appointment, available via app/phone/SMS, English or Spanish

Stress & Burnout

Weekly or biweekly coaching, CBT-based techniques, breathing and relaxation tools, personalized self-care plans

Resilience & Crisis

Evidence-based coping, grief support (including migratory grief), psychological first aid, substance abuse support

Physical-Mental Link

Integrated across all clinical programs: Session 4 of Chronic Conditions, 3 of 12 Nutrition sessions, warm handoff from health coach

What Each Session Includes

No employer disclosure — 100% confidential
Bilingual: Spanish or English at member's choice
‍
Culturally adapted: migratory grief, family dynamics, stigma around mental health
Licensed mental health professional (LPC, LCSW, or psychologist)

Somatically Aware: connecting physical symptoms—like chronic pain and fatigue—to underlying mental health triggers for faster recovery.
CBT, ACT, motivational interviewing, solution-focused and self-compassion techniques
Physician referral for medication if clinically appropriate

4-Step Program Journey

1 10-min Assessment

Screening of symptoms, motivation, and health literacy to ensure connection to the right resource at the exact right time

2 45-min Introductory Consult

Review of results to recommend a program and personalized pathway

3 High-Touch Coaching

Personalized weekly/biweekly sessions with licensed coaches, paired with proactive digital resources and video content to maintain recovery momentum between visits

4 Data Driven Progress

Coaches utilize real-time dashboards and continuous assessments to track progress both during and between sessions

📹 Video Consults

📞 Phone Calls

💬 Chat / SMS

🌐 Spanish & English

⏱ 24-min avg · vs. 13–15 min industry

🧠 Nutrition integrated

Measurable Outcomes

Results of the MiSalud Mental Health Program consulted among participants in 2025 and 2026

90%

Symptom De-escalation: 9 of 10 sessions result in a "Decreased" distress trend, proving immediate relief for acute stressors.

SUDS Tracking (Q1 & Q2 2026)

-3 points

Average Distress Drop: Data shows an average in-session distress drop from 7/10 to 4/10 within just 30 minutes of coaching.

SUDS Tracking (Q1 & Q2 2026)

67%

Clinical Improvement: Percentage of users with follow-up assessments who showed an increase in their total Mental Health functioning score.

Mental Health Q1 -Q2 2026

78% in Progress

Percentage of users with follow-up assessments that showed improvements in at least one area of life (relationships, work, leisure, health or stress).

Why MiSalud?

45%

ongoing consultation rate vs. 3–10% EAP industry average

Embedded Care Delivery

Coaches identify mental health needs during physical health consults for a seamless "warm handoff"; employees don’t need to self-refer

Fully Confidential

No employer disclosure; employees who would never tell HR will open up to a trusted bilingual coach

Culturally Adapted

Migratory grief, family separation anxiety, stigma around mental health in Hispanic households — content EAPs don't address

Frequently Asked Questions

Questions that HR managers and benefit brokers ask before recommending the MiSalud program.

How is Mental Health different from an EAP?

3–10% EAP utilization vs. 45% Mental Health ongoing consultations. Difference: Mental Health finds employees through physical care; EAPs wait for self-referral.

Is participation confidential?

100% confidential. No HR, supervisor, or employer notification. Only 7% of Hispanic workers would disclose Mental Health concerns to HR — our program removes that barrier.

What's the workers' comp connection?

<3% of claims with behavioral health involvement = 35% of total workers' comp costs (Sentry 2024). These claims last 3x longer. Mental Health is the upstream intervention.

Does an employee need a prior Mental Health diagnosis?

No. Open to any employee experiencing stress, anxiety, burnout, or mood concerns. 10-min intake assessment determines the right track.

What Mental Health conditions are addressed?

Stress, anxiety, burnout, depression, migratory grief, family separation anxiety, psychological first aid (accidents, crises), substance use support.

Nutrition

Chronic Conditions

Mental Health

Travel

Employers

ROICalculator

Brokers

Insurancecarriers

The Mental Health Benefit Workers Will Actually Use

45%

90%

$20,125