Companies are spending record amounts on wellness while leaves just keep climbing anyway. Two meQ experts explain why.
Featuring Andrew Shatté, Ph.D., Chief Knowledge Officer and Co-founder, meQ, and Jennifer Limon, Solutions Strategy Lead, meQ
Performance at WorkWell-being Support
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Building workforce resilience lowers both the frequency and duration of employee leave. Organizations with more resilient workforces see 25% fewer disability leave events, and their employees return from leave sooner and more engaged. The reason most wellness spending doesn’t move those numbers is that it treats symptoms instead of the deeper beliefs and skills that decide who reaches the point of leave.
Why is leave rising?
Leave used to be treated as an administrative headache, shadowed by worries about abuse. The pandemic changed that, and mental health leave has climbed sharply since 2020, with roughly 30% of the increase coming in just the last couple of years.
Some of that rise is healthy. As the stigma around mental health has faded, employees feel more able to take leave they genuinely need.
What is resilience?
Resilience is not a personality trait you either have or don't have. meQ’s research distilled sustainable resilience into seven learnable factors: calm under pressure, impulse control, problem solving, self-efficacy, realistic optimism, empathy, and growth mindset.
Because those factors can be measured, they can be strengthened. As Andrew Shatté puts it, resilience works at any point on the continuum: it can bring a struggling employee back to steady, and it can take a healthy one into high performance.
Why doesn’t more wellness spend reduce leave?
Companies are spending record sums. Shatté cites Harvard Business Review reporting that global corporate wellness spending is set to top $94.6 billion by 2026, yet the return varies widely.
It comes down to root cause. Jennifer Limon compares it to teaching someone to recover from a broken leg without teaching them how to avoid breaking it. A program aimed at symptoms doesn't solve for an employee whose stress is driven by something deeper.
What are iceberg beliefs, and how do they drive people toward leave?
That deeper something is often what meQ calls an iceberg belief. Only the tip sits in conscious awareness, while the rules underneath run automatically, and they usually take the form of "shoulds": I should be able to do it all, I should be all things to all people.
Most people hold them, and about 97% carry them in at least two of three spaces: achievement, social duty, and control. Stacked together, these beliefs push people to give so much that burnout, and the leave that can follow, becomes almost inevitable.
The point isn’t to erase these beliefs but to help people recognize them and build better ones. When they do, the benefits show up across sleep, nutrition, exercise, and work-life balance, without those things being targeted directly.
How does psychological safety change leave outcomes?
A team where people feel safe to share ideas, take risks, and admit mistakes is not a soft nicety. It lowers the chronic stress that feeds burnout, and it is the ground that growth mindset needs.
Shatté makes it concrete with a family habit: Friday “mistake night,” where he and his wife would name their own mistakes first and talk about how they bounced back, modeling that errors are part of being human. On a team, that same permission is what lets people keep learning instead of burning out.
What are employees actually deciding while they’re on leave?
This was the part Limon says reframed the whole question for her. Leave is often a crossroads, not just a pause. While an employee is out, they are asking whether they feel valued, whether their manager cares, and whether the place is worth returning to.
The answers decide whether they come back at all, and how they come back. An employee returning to a manager who seems not to care is far more likely to extend leave or resign than one returning to a team that showed integrity while they were gone.
Where do managers fit, without becoming diagnosticians?
The strongest lever most organizations overlook is the manager, and the fix is coaching skill, not surveillance. Managers are not asked to spot who is struggling or to play counselor; they are given the skills to lead in ways that lower pressure and build a steadier team.
meQ’s aggregate view supports this at the organizational level. A heat map of resilience factors by job function or region shows leaders where risk is concentrating, so support can be aimed at a group, never at a named individual.
Does meaning and purpose really affect leave?
Employees who feel their work contributes to something larger are measurably more resilient, yet only about 30% of people ever reach that level of meaning, mission, and purpose. Those who do score better on stress, focus, sleep, and the likelihood of staying.
When a stress-related leave of absence does occur, resilience also shortens the duration. More resilient employees take about 25% fewer leave-duration days, and they come back more engaged and ready to contribute.
meQ is the world's leading workforce resilience expert and the first to offer an AI-driven, predictive workforce risk solution. meQ identifies, addresses, and measures the root cause of risks to workforce performance at an individual and organizational level, delivering personalized solutions at global scale.