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One in four adults will suffer from a diagnosable mental disorder that impairs their social, interpersonal or occupational functioning, and as a result, mental illness has become a leading global health concern. It is further estimated that the percentage of the population with an undiagnosed mental disorder is almost equivalent to those with diagnosed disorders, and that many of mental illness also have substance abuse problems. Given that these issues are so prevalent in the working population, managing employees with ongoing or episodic mental health conditions is a job demand that most managers are likely to face. The authors examine what is required to equip managers - and ultimately, organizations - to deal with these complex situations. They provide a four-step model that begins with 'Becoming aware of a mental health issue' and ends with 'Reflecting on the experience'.