The 2026 State of Workforce Mental Health Report reveals a growing paradox: while organizations are increasing investment in mental health benefits, employees and their families continue to struggle at alarming rates. Based on a randomized, independent survey of more than 500 benefits leaders and 7,500 employees across six countries, the report exposes critical gaps between the support offered and the support actually needed. Serious mental health conditions are rising 7% year over year, with 1 in 3 employees reporting they are merely surviving rather than thriving. Traditional benefits were not designed to meet the right level of care for complex conditions, and caregiving pressures, neurodiversity demands, and family mental health needs are rewriting the rules for what meaningful workforce support must look like.