ASSESSING THE ECONOMIC IMPACT OF CORPORATE MENTAL HEALTH PROGRAMS

  • T.A. Subbotina Yaroslav-the-Wise Novgorod State University, Veliky Novgorod, Russia

Abstract

The article presents an economic assessment of the implementation of the corporate mental health program using the example of three Russian LLCs of various sizes. The purpose of the study is to quantify the impact of the program on two key channels of economic losses: days of temporary disability (absenteeism) and reduced productivity at work (presenteeism), as well as to assess the monetary equivalence of the detected effects and the return on investment over the horizon of up to three years. Methodologically, the study relies on quasi-experimental design using Difference-in-Differences (DID), propensity score matching (PSM), and fixed-effects panel models to provide causal identification. To translate changes into cash equivalent, the standard cost-benefit model was used: calculating the cost of a working day taking into account overhead costs, estimating the costs associated with absenteeism and presenteeism, and subsequent discounting of flows. The results were checked through scenario analysis and Monte-Carlo simulations to take into account the uncertainty of key parameters. As illustrative initial assumptions are taken: 10 days of sick leave and 4 equivalent days of presenteeism per employee per year, the expected reduction in losses after implementation is 20%, the employer's overhead multiplier is 1.3. Calculations showed annual savings of about 1.85 million rubles for a Moscow LLC with ~ 68 employees, about 0.20 million rubles for a regional IT company (~ 20 employees) and about 6.4 thousand rubles for a micro-enterprise (2 employees). The estimates obtained confirm the managerial value of comprehensive mental health programs for medium and large organizations and indicate the need for piloting followed by quasi-experimental monitoring to clarify the real ROI and minimize methodological risks. Methodological limitations are discussed separately in the work: possible self-reporting when measuring presenteeism, spillovers between units and limited duration of observation, which requires careful interpretation of long-term effects. It is proposed to include additional indicators in subsequent studies - turnover, product quality and customer satisfaction indicators, as well as take into account specific costs for EAP service providers and manager training programs when calculating payback. The study is useful for HR practice and decision-making in Russian companies.

Keywords: corporate mental health program, absence from work, cost-benefit assessment, decreased productivity, staff retention, human capital, economic efficiency, NPV, ROI

Funding: the research had no sponsorship (own resources).

References

  • Kelloway E.K., Dimoff J.K., Gilbert S. Mental Health in the Workplace // Annual Review of Organizational Psychology and Organizational Behavior. 2023. Vol. 10(1). Pp. 363-387. DOI: 10.1146/annurev-orgpsych-120920-050527
  • Peeters S.B., Hilgersom M., Van Krugten F.C.W. Economic Evaluations of eHealth Interventions Targeting Mental Health Problems in the Workplace: a Systematic Review // Journal of Mental Health. 2024. Vol. 34(5). Pp. 580-595. DOI: 10.1080/09638237.2024.2390371
  • Kontsevaya A.V., Antsiferova A.A., Kalinina A.M. Review of Domestic Experience in Implementing Corporate Health Promotion Programs aimed at Correcting Behavioral Risk Factors // Russian Journal of Preventive Medicine. 2021. Vol. 24(1). Pp. 109‑117. (In Russ.). DOI: 10.17116/profmed202124011109
  • Mazilov E.A., Davydova A.A. Problems of Small and Medium-Sized Business in the Volrc Ras Studies // Territorial Development Issues. 2021. Vol. 9(2). Pp. 1-15. (In Russ.). DOI: 10.15838/tdi.2021.2.57.1
  • Tepman L.N., Animitsa A.A. Malyi i srednii biznes. Gosudarstvennaya i institutsional'naya podderzhka [Small and medium business. State and institutional support]. Publisher: Ridero, 2022. 288 p. (In Russ.).
  • Korporativnye programmy, napravlennye na rabotnikov kompanii [Corporate programs aimed at company employees] (2025). Russian Union of Industrialists and Entrepreneurs. (In Russ.). URL: https://rspp.ru/tables/company-employees-programs/ (accessed on 18.11.2025).
  • García-Iglesias J.J., Gómez-Salgado Ju., Apostolo J. Presenteeism and Mental Health of Workers during the COVID-19 Pandemic: a Systematic Review // Frontiers in Public Health. 2023. Vol. 11. Pp. 1-15. DOI: 10.3389/fpubh.2023.1224332
  • Strudwick J., Gayed A., Deady M. Workplace Mental Health Screening: a Systematic Review and Meta-Analysis // Occupational and Environmental Medicine. 2023. Vol. 80(8). Pp. 469-484. DOI: 10.1136/oemed-2022-108608
  • Probst T.M., Lee H.J., Bazzoli A., Jenkins M.R., Bettac E.L. Work and Non-Work Sickness Presenteeism: The Role of Workplace COVID-19 Climate // Journal of Occupational and Environmental Medicine. 2021. Vol. 63(7). Pp. 713-718. DOI: 10.1097/JOM.0000000000002240
  • Sant’Anna P.H.C., Zhao J. Doubly Robust Difference-in-Differences Estimators // Journal of Econometrics. 2020. Vol. 219. Pp. 101-122. DOI: 10.1016/j.jeconom.2020.06.003
  • Allan V., Leyrat C., De Stavola B.L. Practical Guidance for Propensity Score Methods: an Overview for Applied Researchers // Journal of Comparative Effectiveness Research. 2020. Vol. 9(10). Pp. 641-656. DOI: 10.2217/cer-2020-0013
  • Callaway B., Sant’Anna P.H.C. Difference-in-Differences with Multiple Time Periods // Journal of Econometrics. 2021. Vol. 225. Pp. 200-230. DOI: 10.1016/j.jeconom.2020.12.001
  • Rojanasarot S., Bhattacharyya S.K., Edwards N. Productivity Loss and Productivity-Loss costs to United States employers Due to Priority Conditions: a Systematic Review // Journal of Medical Economics. 2023. Vol. 26(1). Pp. 1-11. DOI: 10.1080/13696998.2023.2172282
  • Yaesoubi R. How many Monte Carlo Samples are needed for Probabilistic Cost-Effectiveness Analyses? // Value in Health. 2024. Vol. 27(11). Pp. 1553-1563. DOI: 10.1016/j.jval.2024.06.016
  • Finnes A., Hoch J.S., Enebrink P. Economic evaluation of return-to-work interventions for common mental disorders: a systematic review and meta-analysis // Scandinavian Journal of Work, Environment & Health. 2022. Vol. 48(4). Pp. 264-272. DOI: 10.5271/sjweh.4012
  • Penev P., Zhao Sh., Lee J.L. The Impact of a Workforce Mental Health Program on Employer Medical Plan Spend: An Application of Cost Efficiency Measurement for Mental Health Care // Population Health Management. 2023. Vol. 26(1). Pp. 60-71. DOI: 10.1089/pop.2022.0240
  • Ward E.J., Fragala M.S., Birse C.E. Assessing the Impact of a Comprehensive Mental Health Program on Frontline Health Service Workers // PLOS ONE. 2023. Vol. 18(11). Pp. 1-15. DOI: 10.1371/journal.pone.0294414
  • Kählke F., Buntrock C., Smit F., Ebert D.D. Systematic Review of Economic Evaluations for Internet- and Mobile-based Interventions for Mental Health Problems // NPJ Digital Medicine. 2022. Vol. 5. Pp. 1-15. DOI: 10.1038/s41746-022-00702-w

About the Author

Tatiana A. Subbotina – Cand. Sci. (Economics), Docent; Associate Professor, Yaroslav-the-Wise Novgorod State University, Veliky Novgorod, Russia. E-mail: Tatyana.Subbotina@novsu.ru. SPIN РИНЦ 4181-7467. ORCID 0000-0003-3479-9722. ResearcherID F-1187-2019

For citation: Subbotina T.A. Assessing the Economic Impact of Corporate Mental Health Programs // BENEFICIUM. 2026. Vol. 1(58). Pp. 91-100. (In Russ.). DOI: 10.34680/BENEFICIUM.2026.1(58).91-100

Published
2026-03-10
Section
HUMAN RESOURCE MANAGEMENT IN A CHANGING ENVIRONMENT