心理 Mind

For All Spaces: The following requirements are met: a. At least two of the following are available to all employees and students at no cost: 1. Education or awareness efforts on mental health and well-being, offered quarterly, either in-person or virtually (e.g., webcast on stress management, presentation on mindfulness, email on healthy sleep habits).14,15 2. Trainings or courses related to mental health and well-being, offered annually, either in-person or virtually (e.g., Mental Health First Aid, stress management training).14,15 3. Mindfulness or restorative programming, offered weekly, either in-person or virtually (e.g., ongoing access to guided mediation application, weekly yoga classes).7 4. Policy that establishes healthy working hours, outlining the maximum hours to be worked per 24-hour and seven-day period. 16 5. Dedicated space for restoration and relaxation, with an accompanying policy permitting breaks during work or school hours.16,17 b. Annual communication (e.g., email, online module, in-person training) is provided to all regular occupants, and onboarding communications are provided to all new employees, specifically addressing all mental health and well-being benefits, resources and programs available through the project or organization. Note: Projects may achieve points in optimizations that overlap with strategies listed in Part 1.a. WELL Core Guidance: Meet these requirements for direct staff. References 1. World Health Organization. Mental health: strengthening our response. WHO. http://www.who.int/mediacentre/factsheets/fs220/en/. Published 2016. Accessed January 11, 2018. 2. Vigo D, Thornicroft G, Atun R. Estimating the true global burden of mental illness. The Lancet Psychiatry. 2016;3(2):171-178. doi:10.1016/S2215-0366(15)00505-2 3. World Health Organization. Global Status Report on Alcohol and Health. Geneva, Switzerland; 2014. doi:/entity/substance_abuse/publications/global_alcohol_report/en/index.html 4. World Health Organization. Depression and Other Common Mental Disorders: Global Health Estimates. Geneva; 2017. doi:CC BY-NC-SA 3.0 IGO 5. World Health Organization. Mental Health Action Plan 2013-2020. Geneva, Switzerland; 2013. doi:ISBN 978 92 4 150602 1 6. Reisinger E, McGee R, Druss B. Mortality in Mental Disorders and Global Disease Burden Implications: A Systematic Review and Meta-analysis. JAMA Psychiatry. 2015;72(4):334-341. doi:10.1001/jamapsychiatry.2014.2502.Mortality 7. Steel Z, Marnane C, Iranpour C, et al. The global prevalence of common mental disorders: a systematic review and meta-analysis 1980-2013. Int J Epidemiol. 2014;43(2):476-493. doi:10.1093/ije/dyu038 8. Jarman L, Martin A, Venn A, et al. Workplace health promotion and mental health: Three-year findings from partnering Healthy@Work. PLoS One. 2016;11(8):1-14. doi:10.1371/journal.pone.0156791 9. World Health Organization. Mental health in the workplace. WHO. http://www.who.int/mental_health/in_the_workplac

For All Spaces: The project integrates the following throughout the space, including common circulation routes, shared seating areas and rooms (e.g., conference rooms, common spaces) and workstations (as applicable): a. Natural materials, patterns, shapes, colors, images or sounds.9,15 b. At least one of the following: 1. Plants (e.g., potted plants, plant beds, plant walls).9,15 2. Water (e.g., fountain).9,15 3. Nature views (e.g., outdoor views, simulated views).9,15 WELL Core Guidance: Meet these requirements in non-leased spaces.

For All Spaces: The project integrates design elements that address the following: a. Celebration of culture (e.g., culture of occupants, workplace, surrounding community).16 b. Celebration of place (e.g., local architecture, materials, flora, artists).16 c. Integration of art.16 d. Human delight.16 WELL Core Guidance: Meet these requirements in non-leased spaces. References 1. World Health Organization. Mental health: strengthening our response. WHO. http://www.who.int/mediacentre/factsheets/fs220/en/. Published 2016. Accessed January 11, 2018. 2. Vigo D, Thornicroft G, Atun R. Estimating the true global burden of mental illness. The Lancet Psychiatry. 2016;3(2):171-178. doi:10.1016/S2215-0366(15)00505-2 3. World Health Organization. Global Status Report on Alcohol and Health. Geneva, Switzerland; 2014. doi:/entity/substance_abuse/publications/global_alcohol_report/en/index.html 4. World Health Organization. Depression and Other Common Mental Disorders: Global Health Estimates. Geneva; 2017. doi:CC BY-NC-SA 3.0 IGO 5. World Health Organization. Mental Health Action Plan 2013-2020. Geneva, Switzerland; 2013. doi:ISBN 978 92 4 150602 1 6. Reisinger E, McGee R, Druss B. Mortality in Mental Disorders and Global Disease Burden Implications: A Systematic Review and Meta-analysis. JAMA Psychiatry. 2015;72(4):334-341. doi:10.1001/jamapsychiatry.2014.2502.Mortality 7. Steel Z, Marnane C, Iranpour C, et al. The global prevalence of common mental disorders: a systematic review and meta-analysis 1980-2013. Int J Epidemiol. 2014;43(2):476-493. doi:10.1093/ije/dyu038 8. Jarman L, Martin A, Venn A, et al. Workplace health promotion and mental health: Three-year findings from partnering Healthy@Work. PLoS One. 2016;11(8):1-14. doi:10.1371/journal.pone.0156791 9. World Health Organization. Mental health in the workplace. WHO. http://www.who.int/mental_health/in_the_workplace/en/. Published 2017. Accessed January 10, 2018. 10. Hanisch SE, Twomey CD, Szeto ACH, Birner UW, Nowak D, Sabariego C. The effectiveness of interventions targeting the stigma of mental illness at the workplace: a systematic review. BMC Psychiatry. 2016;16(1):1. doi:10.1186/s12888-015-0706-4 11. World Health Organization. Mental Health in the Workplace. https://www.who.int/mental_health/in_the_workplace/en/. Published 2019. Accessed October 1, 2020. 12. Goyal M, Singh S, Sibinga EMS, et al. Meditation programs for psychological stress and well-being: A systematic review and meta-analysis. JAMA Intern Med. 2014;174(3):357-368. doi:10.1001/jamainternmed.2013.13018.Meditation 13. Fritz C, Ellis AM, Demsky C a., Lin BC, Guros F. Embracing work breaks: Recovery from work stress. Organ Dyn. 2013;42(January):274-280. doi:10.1016/j.orgdyn.2013.07.005 14. Wolf K, Krueger S, Flora K. Work and Learning - A Literature Review. Green Cities Good Heal. 2014. www.greenhealth.washington.edu. Accessed January 12, 2018. 15. Larsen L, Adams J, Deal B, Kweon B-S, Tyler E. Plants in the workplace the effects of plant density on productivity, attitudes

WELL Certification: 1 Pt | WELL Core: 0.5 Pt For All Spaces: A clinical screening or self-assessment screening tool for common mental health conditions is made available to all employees and students at no cost and meets the following requirements: a. Addresses, at minimum, stress, depression, anxiety and substance use. b. Provided confidentially, either in-person or virtually, through a licensed mental health professional, third party organization, online screening or health insurance offering. c. Includes directed feedback and/or guidance on interpretation of results and provides next steps for those who screen positive or at-risk.6,15 WELL Core Guidance: Meet these requirements for direct staff.

WELL Certification: 1 Pt | WELL Core: 0.5 Pt For All Spaces: The following requirements are met for all eligible employees: a. Mental health services are available at no cost or subsidized and include the following at a minimum: 1. Clinical screening and referral to licensed mental health professionals and support resources.6 2. Inpatient treatment (e.g., residential programs, hospitalization).6 3. Outpatient treatment, including telemental health services (e.g., in-person therapy, online therapy).6,16 4. Prescription medication coverage that allows for proper use of prescribed medications.6 b. Organizational commitment to mental health parity in health service coverage.6 c. Information on benefits coverage and how to access mental health services and community resources is easily and confidentially available (e.g., via a health portal or employee website).6 d. Confidential benefits consultation is available with clearly identified and qualified support staff (e.g., benefits counselor, human resources representative). WELL Core Guidance: Meet these requirements for direct staff.

WELL Certification: 1 Pt | WELL Core: 0.5 Pt For All Spaces: Supportive workplace accommodations are clearly described and available for all employees, without a need to disclose the underlying health reason, including the following: a. Sick leave may be used for mental health needs (e.g., appointments).12,17,18 b. Short- or long-term leave or disability for mental health needs, with the option of phased return to work after returning from leave.18,19 c. Increased interpersonal support (e.g., manager support with prioritizing and managing workloads, increased frequency of one-on-one check-ins).12 d. Adjustment of work schedule to support mental health needs (e.g., appointments, optimal productivity).12,17,18 e. Adjustment of the physical environment to support mental health needs (e.g., moving a workstation to a busier or a quieter area, providing a quiet space for breaks, providing earplugs or headphones, increasing personal space, providing the ability to work from home).12,17,18 WELL Core Guidance: Meet these requirements for direct staff.

WELL Certification: 1 Pt | WELL Core: 0.5 Pt For All Spaces: Projects offer mental health services and resources to support recovery from a traumatic event to all employees at no cost or subsidized, on-site, in-person within 0.25 mi(400 m) of the project boundary or virtually, including at least three of the following: a. Crisis counseling or trauma-focused psychotherapy with qualified mental health professionals. b. Psychological first aid (PFA) training offered to all employees and/or required for manager-level employees.20 c. Bereavement counseling and materials on coping with grief, including resources for returning to work after a loss. d. Information on benefits coverage and how to access additional mental health services, made conveniently and confidentially accessible to employees. Note: All projects are required to submit the WELL beta feature implementation feedback form for every WELL beta feature pursued during documentation review. More information on WELL v2 beta features can be found at https://resources.wellcertified.com/articles/introducing-well-beta-features/. WELL Core Guidance: Meet these requirements for direct staff. References 1. World Health Organization. Mental health: strengthening our response. WHO. http://www.who.int/mediacentre/factsheets/fs220/en/. Published 2016. Accessed January 11, 2018. 2. Vigo D, Thornicroft G, Atun R. Estimating the true global burden of mental illness. The Lancet Psychiatry. 2016;3(2):171-178. doi:10.1016/S2215-0366(15)00505-2 3. World Health Organization. Global Status Report on Alcohol and Health. Geneva, Switzerland; 2014. doi:/entity/substance_abuse/publications/global_alcohol_report/en/index.html 4. World Health Organization. Depression and Other Common Mental Disorders: Global Health Estimates. Geneva; 2017. doi:CC BY-NC-SA 3.0 IGO 5. World Health Organization. Mental Health Action Plan 2013-2020. Geneva, Switzerland; 2013. doi:ISBN 978 92 4 150602 1 6. Reisinger E, McGee R, Druss B. Mortality in Mental Disorders and Global Disease Burden Implications: A Systematic Review and Meta-analysis. JAMA Psychiatry. 2015;72(4):334-341. doi:10.1001/jamapsychiatry.2014.2502.Mortality 7. Steel Z, Marnane C, Iranpour C, et al. The global prevalence of common mental disorders: a systematic review and meta-analysis 1980-2013. Int J Epidemiol. 2014;43(2):476-493. doi:10.1093/ije/dyu038 8. Jarman L, Martin A, Venn A, et al. Workplace health promotion and mental health: Three-year findings from partnering Healthy@Work. PLoS One. 2016;11(8):1-14. doi:10.1371/journal.pone.0156791 9. World Health Organization. Mental health in the workplace. WHO. http://www.who.int/mental_health/in_the_workplace/en/. Published 2017. Accessed January 10, 2018. 10. Hanisch SE, Twomey CD, Szeto ACH, Birner UW, Nowak D, Sabariego C. The effectiveness of interventions targeting the stigma of mental illness at the workplace: a systematic review. BMC Psychiatry. 2016;16(1):1. doi:10.1186/s12888-015-0706-4 11. World Health Organization. Mental Health in the Workplace. https://www.who.int/me

WELL Certification: 1 Pt | WELL Core: 0.5 Pt For All Spaces: Trainings (in the form of education seminars, workshops or classes) are offered at least twice per year to regular occupants and meet the following requirements: a. Address at least two of the following topics: 1. Managing personal mental health and well-being, covering topics such as developing mentally healthy habits and self-care practices, fostering relationships and social connections and managing mental health at work.6 2. Common mental health conditions or concerns, covering, at minimum, depression, anxiety, substance use, stress, and burnout, and loneliness and social isolation. 3. Signs and symptoms of mental health distress, including how to identify emotional distress and appropriately respond (e.g., Mental Health First Aid).6 b. Provided in-person or virtually, in group or individual settings, and through vendors, on-site staff, health insurance plans, community groups or other qualified programs (e.g., Mental Health First Aid).7 WELL Core Guidance: Meet these requirements for direct staff.

WELL Certification: 1 Pt | WELL Core: 0.5 Pt For All Spaces: All managers undergo annual mental health training (in the form of education seminars, workshops or classes) that meets the following requirements: a. Addresses at least three of the following topics: 1. Identifying and reducing workplace stress–related issues (e.g., conducting performance reviews, effective communication skills, personnel management, conflict resolution).7 2. Recognizing common mental health conditions or concerns, covering, at a minimum, depression, anxiety, substance use, stress and burnout, and loneliness and social isolation.7 3. Supporting employee mental well-being using strategies to prevent burnout, low motivation, fatigue, poor work-life balance and other work-related stress issues.8 4. Recognizing employee mental health concerns or crises, including increasing awareness of workplace and community resources available to employees.7 b. Provided in-person or virtually, in group or individual settings, and through vendors, on-site staff, health insurance plans, community groups or other qualified programs (e.g., Mental Health First Aid).7 WELL Core Guidance: Meet these requirements for direct staff. References 1. World Health Organization. Mental health: strengthening our response. WHO. http://www.who.int/mediacentre/factsheets/fs220/en/. Published 2016. Accessed January 11, 2018. 2. Vigo D, Thornicroft G, Atun R. Estimating the true global burden of mental illness. The Lancet Psychiatry. 2016;3(2):171-178. doi:10.1016/S2215-0366(15)00505-2 3. World Health Organization. Global Status Report on Alcohol and Health. Geneva, Switzerland; 2014. doi:/entity/substance_abuse/publications/global_alcohol_report/en/index.html 4. World Health Organization. Depression and Other Common Mental Disorders: Global Health Estimates. Geneva; 2017. doi:CC BY-NC-SA 3.0 IGO 5. World Health Organization. Mental Health Action Plan 2013-2020. Geneva, Switzerland; 2013. doi:ISBN 978 92 4 150602 1 6. Reisinger E, McGee R, Druss B. Mortality in Mental Disorders and Global Disease Burden Implications: A Systematic Review and Meta-analysis. JAMA Psychiatry. 2015;72(4):334-341. doi:10.1001/jamapsychiatry.2014.2502.Mortality 7. Steel Z, Marnane C, Iranpour C, et al. The global prevalence of common mental disorders: a systematic review and meta-analysis 1980-2013. Int J Epidemiol. 2014;43(2):476-493. doi:10.1093/ije/dyu038 8. Jarman L, Martin A, Venn A, et al. Workplace health promotion and mental health: Three-year findings from partnering Healthy@Work. PLoS One. 2016;11(8):1-14. doi:10.1371/journal.pone.0156791 9. World Health Organization. Mental health in the workplace. WHO. http://www.who.int/mental_health/in_the_workplace/en/. Published 2017. Accessed January 10, 2018. 10. Hanisch SE, Twomey CD, Szeto ACH, Birner UW, Nowak D, Sabariego C. The effectiveness of interventions targeting the stigma of mental illness at the workplace: a systematic review. BMC Psychiatry. 2016;16(1):1. doi:

WELL Certification: 2 Pt | WELL Core: 1 Pt For All Spaces: The project develops a stress management plan through completion of the following: a. Assess at least three of the organization- or project-wide metrics below: 1. Frequency of employees working more than 48 hours per seven-day period.8 2. Frequency of absenteeism, use of sick days and personal days or leave due to disability or illness. 3. Frequency of employees not using allocated paid time off. 4. Frequency of performance issues. 5. Employee retention and turnover rates. 6. Employee survey responses. b. Identify opportunities to address employee stress, covering the topics below: 1. Opportunities for organizational change to address employee stress (e.g., adjustments to work environment, shifts in work processes, workload, management or staffing).9 2. Opportunities for employee participation in organizational decisions regarding workplace issues that may affect job stress (e.g., work environment, processes, scheduling).9 c. Outline a plan for implementation, including: 1. Who is leading the initiative.10 2. What is to be completed.10 3. Where in the organization it will occur and who will be impacted.10 4. When and how it will be implemented.10 5. Availability of support from key management or leadership.4 WELL Core Guidance: Meet these requirements for direct staff. References 1. World Health Organization. Mental health: strengthening our response. WHO. http://www.who.int/mediacentre/factsheets/fs220/en/. Published 2016. Accessed January 11, 2018. 2. Vigo D, Thornicroft G, Atun R. Estimating the true global burden of mental illness. The Lancet Psychiatry. 2016;3(2):171-178. doi:10.1016/S2215-0366(15)00505-2 3. World Health Organization. Global Status Report on Alcohol and Health. Geneva, Switzerland; 2014. doi:/entity/substance_abuse/publications/global_alcohol_report/en/index.html 4. World Health Organization. Depression and Other Common Mental Disorders: Global Health Estimates. Geneva; 2017. doi:CC BY-NC-SA 3.0 IGO 5. World Health Organization. Mental Health Action Plan 2013-2020. Geneva, Switzerland; 2013. doi:ISBN 978 92 4 150602 1 6. Reisinger E, McGee R, Druss B. Mortality in Mental Disorders and Global Disease Burden Implications: A Systematic Review and Meta-analysis. JAMA Psychiatry. 2015;72(4):334-341. doi:10.1001/jamapsychiatry.2014.2502.Mortality 7. Steel Z, Marnane C, Iranpour C, et al. The global prevalence of common mental disorders: a systematic review and meta-analysis 1980-2013. Int J Epidemiol. 2014;43(2):476-493. doi:10.1093/ije/dyu038 8. Jarman L, Martin A, Venn A, et al. Workplace health promotion and mental health: Three-year findings from partnering Healthy@Work. PLoS One. 2016;11(8):1-14. doi:10.1371/journal.pone.0156791 9. World Health Organization. Mental health in the workplace. WHO. http://www.who.int/mental_health/in_the_workplace/en/. Published 2017. Accessed January 10, 2018. 10. Hanisch SE, Twomey

WELL Certification: 1 Pt | WELL Core: 0.5 Pt For All Spaces: Option 1: Working hours The following requirements are met for all employees: a. A minimum of 11 consecutive hours off from work per 24-hour period.13,14 b. A minimum of 24 consecutive hours off from work per 7-day period.14 c. For employees who engage in shift work: 1. Work and communications are expected only for the duration of the employee's shift.13 2. Employees are provided a minimum 48-hour advance notice of shift changes.15 d. For employees who do not engage in shift work, work and communications are expected only during the organization’s business hours in the local time zone.13,16 Option 2: Paid time off The following requirements are met for all eligible employees: a. Paid time off with a minimum of 20 days per calendar year (not including designated sick days or standard paid holidays).14 b. Work and communications are not required and are discouraged during paid time off.5 c. Sick, vacation, floating holiday, personal, rollover and all other employer-provided days off from work are clearly defined, addressing accrual policy, cap on rollover days allowed and date by when rollover days must be used. Option 3: Student start times The following requirement is met for students in secondary schools: a. The school day starts no earlier than 8:30 a.m.17 WELL Core Guidance: Meet these requirements for direct staff.

WELL Certification: 1 Pt | WELL Core: 0.5 Pt For All Spaces: Option 1: Nap policy The following requirement is met for all eligible employees: a. Employees are allowed to engage in at least one nap or rest break of at least 30 minutes during the workday (not to be combined with designated time for meal breaks).13,18 Option 2: Nap space The following requirements are met for all eligible employees: a. Access to at least one acoustically and visually separated environment located in a designated quiet zone. b. At least one fully reclining furniture option (e.g., bed, daybed, couch, chair, cushioned roll-out mat, nap pod) for every 100 eligible employees.13,18 Note: Projects should refer to feature S01 Sound Mapping, Part 1: Label Acoustical Zones for all designated quiet zones. Projects can utilize one room as a combined nap space (M06) and restorative space (M07). Projects will only receive points for both features, if all requirements for M06 Part 2 and M07 Part 1 have been met. WELL Core Guidance: Meet these requirements for direct staff References 1. World Health Organization. Mental health: strengthening our response. WHO. http://www.who.int/mediacentre/factsheets/fs220/en/. Published 2016. Accessed January 11, 2018. 2. Vigo D, Thornicroft G, Atun R. Estimating the true global burden of mental illness. The Lancet Psychiatry. 2016;3(2):171-178. doi:10.1016/S2215-0366(15)00505-2 3. World Health Organization. Global Status Report on Alcohol and Health. Geneva, Switzerland; 2014. doi:/entity/substance_abuse/publications/global_alcohol_report/en/index.html 4. World Health Organization. Depression and Other Common Mental Disorders: Global Health Estimates. Geneva; 2017. doi:CC BY-NC-SA 3.0 IGO 5. World Health Organization. Mental Health Action Plan 2013-2020. Geneva, Switzerland; 2013. doi:ISBN 978 92 4 150602 1 6. Reisinger E, McGee R, Druss B. Mortality in Mental Disorders and Global Disease Burden Implications: A Systematic Review and Meta-analysis. JAMA Psychiatry. 2015;72(4):334-341. doi:10.1001/jamapsychiatry.2014.2502.Mortality 7. Steel Z, Marnane C, Iranpour C, et al. The global prevalence of common mental disorders: a systematic review and meta-analysis 1980-2013. Int J Epidemiol. 2014;43(2):476-493. doi:10.1093/ije/dyu038 8. Jarman L, Martin A, Venn A, et al. Workplace health promotion and mental health: Three-year findings from partnering Healthy@Work. PLoS One. 2016;11(8):1-14. doi:10.1371/journal.pone.0156791 9. World Health Organization. Mental health in the workplace. WHO. http://www.who.int/mental_health/in_the_workplace/en/. Published 2017. Accessed January 10, 2018. 10. Hanisch SE, Twomey CD, Szeto ACH, Birner UW, Nowak D, Sabariego C. The effectiveness of interventions targeting the stigma of mental illness at the workplace: a systematic review. BMC Psychiatry. 2016;16(1):1. doi:10.1186/s12888-015-0706-4 11. World Health Organization. Mental Health in the Workplace. https://www.who.int/mental_health/in_the_workplace/en/. Published 2019. Accessed October 1, 2020. 12. Goyal M, Singh S, S

WELL Certification: 1 Pt | WELL Core: 2 Pt For All Spaces: Option 1: Restorative space At least one designated restorative space is available to all regular occupants. The space may be indoor or outdoor and may be made up of a single space or multiple spaces that meet the following requirements: a. Is designated for relaxation and restoration. Space may be multi-purpose but is not to be used for work. b. Totals at least 75 ft²(7 m²) plus 1 ft²(0.1 m²) per regular occupant, up to a maximum of 2,000 ft²(186 m²). c. Provides a restorative environment that considers at least five of the following: 1. Lighting (e.g., dimmable light levels for indoor spaces). 2. Sound (e.g., water feature, natural sounds, sound masking).7 3. Thermal comfort (e.g., sun-exposed and shaded areas for outdoor spaces). 4. Seating arrangements that accommodate a range of user preferences and activities (e.g., movable lightweight chairs, cushions, mats).7 5. Nature incorporation. 8 6. Calming colors, textures and forms.7 7. Visual privacy.7 d. Includes signage, education materials or other resources explaining the purpose and intended use of the space. Note: If restorative space is provided only outdoors, it must be functional year-round. Option 2: Workday breaks The project encourages the use of restorative space(s) through the following: a. Paid breaks away from the workstation for all employees.9 WELL Core Guidance: Meet the Restorative space requirements for the whole building and the Workday breaks requirement for direct staff. References 1. World Health Organization. Mental health: strengthening our response. WHO. http://www.who.int/mediacentre/factsheets/fs220/en/. Published 2016. Accessed January 11, 2018. 2. Vigo D, Thornicroft G, Atun R. Estimating the true global burden of mental illness. The Lancet Psychiatry. 2016;3(2):171-178. doi:10.1016/S2215-0366(15)00505-2 3. World Health Organization. Global Status Report on Alcohol and Health. Geneva, Switzerland; 2014. doi:/entity/substance_abuse/publications/global_alcohol_report/en/index.html 4. World Health Organization. Depression and Other Common Mental Disorders: Global Health Estimates. Geneva; 2017. doi:CC BY-NC-SA 3.0 IGO 5. World Health Organization. Mental Health Action Plan 2013-2020. Geneva, Switzerland; 2013. doi:ISBN 978 92 4 150602 1 6. Reisinger E, McGee R, Druss B. Mortality in Mental Disorders and Global Disease Burden Implications: A Systematic Review and Meta-analysis. JAMA Psychiatry. 2015;72(4):334-341. doi:10.1001/jamapsychiatry.2014.2502.Mortality 7. Steel Z, Marnane C, Iranpour C, et al. The global prevalence of common mental disorders: a systematic review and meta-analysis 1980-2013. Int J Epidemiol. 2014;43(2):476-493. doi:10.1093/ije/dyu038 8. Jarman L, Martin A, Venn A, et al. Workplace health promotion and mental health: Three-year findings from partnering Healthy@Work. PLoS One. 2016;11(8):1-14. doi:10.1371/journal.pone.0156791 9. World Health Organization. Mental health in the workplace. WHO. http:/

WELL Certification: 1 Pt | WELL Core: 0.5 Pt For All Spaces: At least two of the following are offered to all eligible employees at no cost or subsidized by at least 50%: a. Mindfulness training course (e.g., eight-week mindfulness-based stress reduction course (MBSR)) offered live, either in-person or virtually, by a qualified mindfulness instructor at least twice a year, that meets the following: 1. Defines mindfulness and its component parts. 2. Covers relevant research on mindfulness. 3. Teaches both formal practices (e.g., mindfulness meditation, yoga postures) and informal practices (e.g., mindful eating, mindful listening) that can be applied during the workday. b. Mindfulness programming (e.g., guided mediation, yoga) offered live, either in-person or virtually, at least once a week in a designated quiet zone. c. Digital mindfulness offerings (e.g., guided meditation application). Employees have unlimited access to at least one digital offering and access to at least one designated quiet zone. Note: Refer to feature S01 Sound Mapping, Part 1: Label Acoustical Zones for all designated quiet zones. WELL Core Guidance: To earn this optimization, the requirements should be met for direct staff. References 1. World Health Organization. Mental health: strengthening our response. WHO. http://www.who.int/mediacentre/factsheets/fs220/en/. Published 2016. Accessed January 11, 2018. 2. Vigo D, Thornicroft G, Atun R. Estimating the true global burden of mental illness. The Lancet Psychiatry. 2016;3(2):171-178. doi:10.1016/S2215-0366(15)00505-2 3. World Health Organization. Global Status Report on Alcohol and Health. Geneva, Switzerland; 2014. doi:/entity/substance_abuse/publications/global_alcohol_report/en/index.html 4. World Health Organization. Depression and Other Common Mental Disorders: Global Health Estimates. Geneva; 2017. doi:CC BY-NC-SA 3.0 IGO 5. World Health Organization. Mental Health Action Plan 2013-2020. Geneva, Switzerland; 2013. doi:ISBN 978 92 4 150602 1 6. Reisinger E, McGee R, Druss B. Mortality in Mental Disorders and Global Disease Burden Implications: A Systematic Review and Meta-analysis. JAMA Psychiatry. 2015;72(4):334-341. doi:10.1001/jamapsychiatry.2014.2502.Mortality 7. Steel Z, Marnane C, Iranpour C, et al. The global prevalence of common mental disorders: a systematic review and meta-analysis 1980-2013. Int J Epidemiol. 2014;43(2):476-493. doi:10.1093/ije/dyu038 8. Jarman L, Martin A, Venn A, et al. Workplace health promotion and mental health: Three-year findings from partnering Healthy@Work. PLoS One. 2016;11(8):1-14. doi:10.1371/journal.pone.0156791 9. World Health Organization. Mental health in the workplace. WHO. http://www.who.int/mental_health/in_the_workplace/en/. Published 2017. Accessed January 10, 2018. 10. Hanisch SE, Twomey CD, Szeto ACH, Birner UW, Nowak D, Sabariego C. The effectiveness of interventions targeting the stigma of mental illness at the workplace: a systematic review. BMC Psychiatry. 2016;16(1):1. doi:10.1186/s12888-0

WELL Certification: 1 Pt | WELL Core: 2 Pt For All Spaces: The project provides a combination of indoor plants (e.g., potted plants, plant beds, plant walls), water feature(s) and/or view(s) comprising of natural areas, such as green spaces (e.g., park, forest) or blue spaces (e.g., ocean, lake) that meet a combination of the following requirements: a. Within direct line of sight of at least 75% of all workstations and seats within conference rooms, lecture halls or classrooms. b. Within 33 ft(10 m) of all workstations and seats within conference rooms, lecture halls or classrooms. Note: Water features that may produce water aerosols (e.g., decorative fountains) cannot be installed in hospitals, healthcare settings or senior living facilities.15 WELL Core Guidance: Meet these requirements in the whole building.

WELL Certification: 1 Pt | WELL Core: 2 Pt For All Spaces: Option 1: Outdoor nature One of the following requirements is met: a. Outdoor nature access facilitated by the conditions below: 1. Outdoor space of an area of at least 5% of the project interior area must be accessible to all regular occupants. 2. At least 70% of the accessible outdoor space as viewed from above must include plants or natural elements, including tree canopies. b. Nearby nature access facilitated by the conditions below: 1. At least one green space or blue space is within a 650 ft(200 m) walk distance from the project boundary and available to all regular occupants during open hours of the space(s). 16 2. Total combined green space must be at least 1.25 acre(0.5 hectare).16 Option 2: Outdoor nature access The following requirement is met: a. Occupants are encouraged to access outdoor nature (e.g., presence of signage or maps to outdoor nature, availability of breaks during the workday to go visit outdoor nature). Note: Interiors projects may count base building amenities towards feature requirements. WELL Core Guidance: Meet these requirements in the whole building. References 1. World Health Organization. Mental health: strengthening our response. WHO. http://www.who.int/mediacentre/factsheets/fs220/en/. Published 2016. Accessed January 11, 2018. 2. Vigo D, Thornicroft G, Atun R. Estimating the true global burden of mental illness. The Lancet Psychiatry. 2016;3(2):171-178. doi:10.1016/S2215-0366(15)00505-2 3. World Health Organization. Global Status Report on Alcohol and Health. Geneva, Switzerland; 2014. doi:/entity/substance_abuse/publications/global_alcohol_report/en/index.html 4. World Health Organization. Depression and Other Common Mental Disorders: Global Health Estimates. Geneva; 2017. doi:CC BY-NC-SA 3.0 IGO 5. World Health Organization. Mental Health Action Plan 2013-2020. Geneva, Switzerland; 2013. doi:ISBN 978 92 4 150602 1 6. Reisinger E, McGee R, Druss B. Mortality in Mental Disorders and Global Disease Burden Implications: A Systematic Review and Meta-analysis. JAMA Psychiatry. 2015;72(4):334-341. doi:10.1001/jamapsychiatry.2014.2502.Mortality 7. Steel Z, Marnane C, Iranpour C, et al. The global prevalence of common mental disorders: a systematic review and meta-analysis 1980-2013. Int J Epidemiol. 2014;43(2):476-493. doi:10.1093/ije/dyu038 8. Jarman L, Martin A, Venn A, et al. Workplace health promotion and mental health: Three-year findings from partnering Healthy@Work. PLoS One. 2016;11(8):1-14. doi:10.1371/journal.pone.0156791 9. World Health Organization. Mental health in the workplace. WHO. http://www.who.int/mental_health/in_the_workplace/en/. Published 2017. Accessed January 10, 2018. 10. Hanisch SE, Twomey CD, Szeto ACH, Birner UW, Nowak D, Sabariego C. The effectiveness of interventions targeting the stigma of mental illness at the workplace: a systematic review. BMC Psy

WELL Certification: 2 Pt | WELL Core: 1 Pt For All Spaces: Option 1: Incentive program The project implements a tobacco cessation program for all eligible employees that meets the following requirements: a. Focused on increasing or improving motivation or action to quit, or maintaining quit effort.8,11 b. Includes incentives or rewards (e.g., direct financial payments, lottery for prizes) provided for participation in quit effort or success in abstaining from tobacco use.8,11 Option 2: Individual cessation resources Tobacco cessation resources are available to all eligible employees at no cost or are subsidized and meet the following requirements: a. Resources referring tobacco users to tobacco cessation telephone quit lines or online quitting resources.11 b. Tobacco cessation counseling. Programs may be provided in-person or virtually; in group or individual settings; through vendors, on-site staff, health insurance plans or programs, community groups or other qualified professionals (e.g., tobacco cessation specialist).11 c. Prescription tobacco cessation medications and nicotine replacement products (e.g., inhalers, nasal sprays, bupropion, varenicline).11 d. Over-the-counter nicotine replacement products (e.g., gum, patches, lozenges).11 WELL Core Guidance: Meet these requirements for direct staff.

WELL Certification: 1 Pt | WELL Core: 1 Pt For Retail Spaces: The following requirements are met for projects where retail products are sold on a daily basis within the building site: a. Sale of tobacco products (including e-cigarettes) is prohibited within the building site.11 b. Tobacco products (including e-cigarettes) are not marketed or promoted.12 WELL Core Guidance: Meet these requirements in the whole building. References 1. World Health Organization. Mental health: strengthening our response. WHO. http://www.who.int/mediacentre/factsheets/fs220/en/. Published 2016. Accessed January 11, 2018. 2. Vigo D, Thornicroft G, Atun R. Estimating the true global burden of mental illness. The Lancet Psychiatry. 2016;3(2):171-178. doi:10.1016/S2215-0366(15)00505-2 3. World Health Organization. Global Status Report on Alcohol and Health. Geneva, Switzerland; 2014. doi:/entity/substance_abuse/publications/global_alcohol_report/en/index.html 4. World Health Organization. Depression and Other Common Mental Disorders: Global Health Estimates. Geneva; 2017. doi:CC BY-NC-SA 3.0 IGO 5. World Health Organization. Mental Health Action Plan 2013-2020. Geneva, Switzerland; 2013. doi:ISBN 978 92 4 150602 1 6. Reisinger E, McGee R, Druss B. Mortality in Mental Disorders and Global Disease Burden Implications: A Systematic Review and Meta-analysis. JAMA Psychiatry. 2015;72(4):334-341. doi:10.1001/jamapsychiatry.2014.2502.Mortality 7. Steel Z, Marnane C, Iranpour C, et al. The global prevalence of common mental disorders: a systematic review and meta-analysis 1980-2013. Int J Epidemiol. 2014;43(2):476-493. doi:10.1093/ije/dyu038 8. Jarman L, Martin A, Venn A, et al. Workplace health promotion and mental health: Three-year findings from partnering Healthy@Work. PLoS One. 2016;11(8):1-14. doi:10.1371/journal.pone.0156791 9. World Health Organization. Mental health in the workplace. WHO. http://www.who.int/mental_health/in_the_workplace/en/. Published 2017. Accessed January 10, 2018. 10. Hanisch SE, Twomey CD, Szeto ACH, Birner UW, Nowak D, Sabariego C. The effectiveness of interventions targeting the stigma of mental illness at the workplace: a systematic review. BMC Psychiatry. 2016;16(1):1. doi:10.1186/s12888-015-0706-4 11. World Health Organization. Mental Health in the Workplace. https://www.who.int/mental_health/in_the_workplace/en/. Published 2019. Accessed October 1, 2020. 12. Goyal M, Singh S, Sibinga EMS, et al. Meditation programs for psychological stress and well-being: A systematic review and meta-analysis. JAMA Intern Med. 2014;174(3):357-368. doi:10.1001/jamainternmed.2013.13018.Meditation 13. Fritz C, Ellis AM, Demsky C a., Lin BC, Guros F. Embracing work breaks: Recovery from work stress. Organ Dyn. 2013;42(January):274-280. doi:10.1016/j.orgdyn.2013.07.005 14. Wolf K, Krueger S, Flora K. Work and Learning - A Literature Review. Green Cities Good Heal. 2014. www.greenhealth.washington.edu. Accessed January 12, 2018. 15. Larsen L, Adams J, Deal B, Kweon B-S, Tyler E. Plants in the workplace the effects

WELL Certification: 1 Pt | WELL Core: 0.5 Pt For All Spaces: Option 1: Substance use policy The following requirement is met: a. A policy is in place regarding the use of alcohol and legal, recreational drugs on-site and is clearly communicated to all regular occupants.7 Option 2: Substance use education Trainings (in the form of education seminars, workshops or classes) are offered at least once per year to regular occupants and meet the following requirements: a. Address the following topics: 1. Management of personal substance use, covering, at minimum, safe substance use habits, signs of dependency or addiction and short- and long-term health risks associated with substance misuse or addiction.8,9 2. Prescription opioid education, covering, at minimum, questions to ask at point of prescribing, safe use (e.g., storage, disposal, driving while using) and risks and signs of dependency or addiction.9 3. How to appropriately respond to a peer struggling with substance use, covering, at minimum, how to support a peer's recovery efforts and what to do in the case of relapse or a substance use emergency (e.g., withdrawal, overdose).8 b. Provided in-person or virtually; in group or individual settings; through vendors, on-site staff, health insurance plans or programs, community groups or other qualified practitioners or programs (e.g., Mental Health First Aid). 10 WELL Core Guidance: Meet these requirements for direct staff.

WELL Certification: 1 Pt | WELL Core: 0.5 Pt For All Spaces: The following requirements are met for all eligible employees: a. Substance use and addiction services are available at no cost or subsidized and include at a minimum: 1. Clinical screening and referral to licensed mental health professionals and support resources. 7 2. Counseling services, including telemental health services (e.g., online behavioral therapy).7 3. Outpatient treatment (e.g., day programs).7 4. Inpatient treatment (e.g., residential programs, hospitalization).7 5. Medication-assisted treatment (e.g., methadone treatment).7 b. Organizational commitment to mental health parity in health service coverage.8 c. Information on benefits coverage and how to access substance use and addiction services and community resources (e.g., peer support groups, online support groups) is easily and confidentially available (e.g., via a health portal or employee website).7,8 d. Confidential benefits consultation is available with clearly identified and qualified support staff (e.g., benefits counselor, human resources representative). WELL Core Guidance: Meet these requirements for direct staff. References 1. World Health Organization. Mental health: strengthening our response. WHO. http://www.who.int/mediacentre/factsheets/fs220/en/. Published 2016. Accessed January 11, 2018. 2. Vigo D, Thornicroft G, Atun R. Estimating the true global burden of mental illness. The Lancet Psychiatry. 2016;3(2):171-178. doi:10.1016/S2215-0366(15)00505-2 3. World Health Organization. Global Status Report on Alcohol and Health. Geneva, Switzerland; 2014. doi:/entity/substance_abuse/publications/global_alcohol_report/en/index.html 4. World Health Organization. Depression and Other Common Mental Disorders: Global Health Estimates. Geneva; 2017. doi:CC BY-NC-SA 3.0 IGO 5. World Health Organization. Mental Health Action Plan 2013-2020. Geneva, Switzerland; 2013. doi:ISBN 978 92 4 150602 1 6. Reisinger E, McGee R, Druss B. Mortality in Mental Disorders and Global Disease Burden Implications: A Systematic Review and Meta-analysis. JAMA Psychiatry. 2015;72(4):334-341. doi:10.1001/jamapsychiatry.2014.2502.Mortality 7. Steel Z, Marnane C, Iranpour C, et al. The global prevalence of common mental disorders: a systematic review and meta-analysis 1980-2013. Int J Epidemiol. 2014;43(2):476-493. doi:10.1093/ije/dyu038 8. Jarman L, Martin A, Venn A, et al. Workplace health promotion and mental health: Three-year findings from partnering Healthy@Work. PLoS One. 2016;11(8):1-14. doi:10.1371/journal.pone.0156791 9. World Health Organization. Mental health in the workplace. WHO. http://www.who.int/mental_health/in_the_workplace/en/. Published 2017. Accessed January 10, 2018. 10. Hanisch SE, Twomey CD, Szeto ACH, Birner UW, Nowak D, Sabariego C. The effectiveness of interventions targeting the stigma of mental illness at the workplace: a systematic review. BMC Psychiatry. 2016;16(1):1. doi:10.1186/s12888-015-0706-4 11. World Health Organizati