Mental Health Crisis? What Crisis?

On April 16 2021, the Guardian newspaper included letters from two clinical psychologists (paywalled) that contradict each other on the reality of COVID-19-related mental health. Dr Lucy Johnstone wrote that it was essential that society builds itself to be better post-COVID-19 and that:

“The “mental health pandemic” trope simply does not fit the evidence. Yes, some people have suffered greatly, but the overall picture is of a population that is largely resilient, although understandably bored, lonely and frustrated at times.”

and

“It should surprise no one that people with more to be depressed and anxious about are feeling more depressed and anxious. Reframing understandable responses to difficult life circumstances as “mental illness” plays into professional interests and political denial.”

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The economy is King

There has been discussion over many years about the business case for occupational health and safety (OHS). Several academics have attempted to quantify the financial benefits of good OHS management and systems. Business does not operate in a political or economic vacuum but it is possible to think it does when the OHS profession is so quiet on socioeconomic elements.

Australia and many other countries operate in a neoliberal economic and political system that provides OHS benefits and harms. The OHS context is touched on occasionally in public forums but the size of the challenge for structural and organisational change in Australia is perhaps best illustrated by an excerpt of Prime Minister Scott Morrison‘s presentation to the West Australian Chamber of Commerce and Industry on April 14, 2021. When asked about his priorities as Prime Minister he said:

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The hill that OHS needs to climb for respectability remains a mountain

The current Australian debate about sexual harassment at work illustrates the forces ranged against occupational health and safety (OHS) being seen as a legitimate approach to preventing psychological harm. Entrenched Industrial Relations perspectives appear to be the biggest barrier. Such barriers are not always intentional and have evolved over years and decades as cultures and ideologies do. Some of the recent media coverage on the release of the Federal Government’s response to the report of the 2020 National Inquiry into Sexual Harassment in Australian Workplaces illustrates the dominance of industrial relations thinking – part of the reason Sex Discrimination Commissioner Kate Jenkins has described elements of the government’s response as a missed opportunity.

The OHS profession must start to overtly tackle each of these dominant perspectives.

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Should we feel safe or be safe?

A major impediment to establishing safe and healthy workplaces is that there is a widespread expectation for everyone to feel safe at work. Yet, the legislative occupational health and safety (OHS) obligation on employers and workers is for them to be safe. It is a significant difference, for the former addresses perception, and the latter requires action.

Recently the Australian Government responded to a major inquiry into sexual harassment at work. Attorney-General Michaelia Cash, launching the official response with Prime Minister Scott Morrison, said:

“In terms of sexual harassment in the workplace, I think we’d all agree – in fact, it needs to be just a basic fundamental – everybody has the right to feel safe in the workplace.”

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A closer look at the positive duty to prevent sexual harassment

The big occupational health and safety (OHS) news in Australia has been the release of the federal government’s response to the Respect@Work report on sexual harassment in Australian workplaces. And the biggest issue in that response seems to be the government’s lack of enthusiasm for a major recommendation of Sex Discrimination Commissioner Kate Jenkins, the inclusion of a positive duty in the sexual discrimination legislation. Many lawyers have been asked for their opinions on the government’s response, but very few OHS professionals.

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OHS is “… more what you’d call ‘guidelines’ than actual rules.”

Occupational health and safety (OHS) may not be a common subject in the mainstream media but there is plenty of political discussion on the topic in Australia’s Parliament.

The current (conservative) federal government seems very slow to accept and respond to recommendations from official inquiries that it sees as a secondary political priority, such as sexual harassment and workplace health and safety. The hearings of the Senate’s Education and Employment Legislation Committee on March 24 2021, were, as usual, enlightening.

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The duty of care to “others”

In 2019 a man took his own life while being detained in the Villawood Immigration Detention Centre. At the time media reports said that the death was being referred to the appropriate authorities and the New South Wales Coroner.

On March 10, 2021, Comcare charged:

“The Department of Home Affairs and its healthcare provider (IHMS) ……with breaching Commonwealth work health and safety laws over the death of a man in immigration detention.”

Such an action against a government department under occupational health and safety (OHS) was always possible, as SafetyAtWorkBlog and others discussed in 2016.

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