Disclosing a mental health condition in a new job: The critical role of the work environment.

Objective: This cross-sectional study aimed to identify personal, relational, and organizational factors associated with disclosing (or not) mental disorders to supervisors in a new job. Disclosing a mental health condition is often essential for obtaining work accommodations and enhancing job retention. Decision to not disclose is usually associated with fear of stigma and discrimination.

Methods: Participants from Quebec and Ontario (Canada) who had recently obtained employment in the competitive labor market after experiencing unemployment due to a mental disorder were recruited through online advertisements and supported employment services. Questionnaires were administered to assess personal, relational, and organizational factors. Logistic regression analyses were performed to examine associations between these factors and the decision to disclose a mental health condition.

Results: The sample consisted of 195 participants, 100 from Quebec and 95 from Ontario. Multivariate logistic regression analyses identified job-related decision latitude (OR = 2.08, 95% confidence interval [1.11, 3.93], p < .005) and coworker support (OR = 2.20, 95% confidence interval [1.01, 4.80], p < .001) as significant factors positively associated with disclosure of a mental health condition to immediate supervisors. These findings suggest that individuals with greater decision-making latitude in their jobs, and those who received support from their coworkers were more likely to disclose their mental health condition to their supervisor.

Conclusions and implications for practice: A supportive work environment plays a critical role in facilitating disclosure in the workplace. More longitudinal studies are needed to better understand the impact of these relationships on job tenure long term. (PsycInfo Database Record (c) 2025 APA, all rights reserved).