Category: Burnout

What does a psychological near miss look like?

This week a workplace mental conference has been running in Sydney with some excellent speakers. The theme is to improve integrated approaches to workplace mental health in the belief that progress can be most effective when workplace silos and professional disciplines share information and actively listen.

However, resistance to change continues and silos continue to exist even if the interconnecting bridges are half-formed. One half-formed bridge was illustrated when I put this question to a panel discussion:

“What does a psychological near-miss look like?”

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Government responds to the mental health risks of emergency service workers

In 2018/19 one of Australia’s Senate Committees looked at the mental health of emergency responders. The final report was handed down in February 2019 and the government’s response has been released today, twelve months later (?!). Lucky the government delayed as it allowed the Response to mention the 2019/20 bushfires even though this was outside the timeline of the Committee’s inquiry.

Emergency Responders, as do frontline soldiers, face unique psychological risks from their duties, so there are some recommendations that are difficult for those outside the sector to relate to but looking at the Response gives an insight into the thinking about occupational health and safety (OHS), and especially workplace mental health risks, of the Australian government. That thinking may be summarised by the Government supporting only one of the fourteen recommendations, noting five of them and supporting “in principle” the rest.

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We’ve had enough awareness, now act

Mental health and burnout are workplace hazards with which many companies and workers are struggling. No matter what international or national organisations say about the hazard, it remains difficult to implement positive change at the workplace level. It is not helped by mainstream media articles that claim to prevent burnout and then provide very little information about how to prevent it.

A recent article in The Times, and reproduced today in The Australian, written by John Naish, is an example. The original article was headlined “How to prevent burnout at work”. This was retitled “Workplace burnout can lead to numerous serious health issues — and even premature death” in The Australian” (both are paywalled).

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Australia flags more inclusive strategies for suicide prevention

In late January 2020, the Australian Health Minister, Greg Hunt, announced new funding for suicide prevention programs. As the announcement occurred during the increasing concerns over the coronavirus, media attention to the funding announcement was minimal and this overlooked an important shift in suicide prevention strategies.

Six months ago the Prime Minister appointed Christine Morgan as his Suicide Prevention Adviser. As part of the funding announcement, Morgan spoke about a major change to suicide prevention strategies that acknowledges that not all suicides result from mental illness – a reality that has been emphasised by some Australian researchers for over several years. Significantly Christine Morgan is reported in Newscorp media as saying:

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Worker exploitation may be cultural but is still harmful

The Australian Medical Association (AMA) has released a media statement based on new research into mental illness and suicidal ideation of junior doctors. Given that the relationship between excessive working hours and mental health is increasingly becoming an occupational health and safety (OHS) issue, SafetyAtWorkBlog sought some clarification to some of the quotes in the statement attributed to AMA President, Dr Tony Bartone.

The January 23 2020 media release quoted Bartone saying:

“A healthy medical profession is vital to patient safety and quality of care, and the sustainability of the medical workforce,… Significant evidence already exists to show that doctors are at greater risk of psychological distress and stress-related problems. This new research provides clear additional insight into how the workplace can affect the health and wellbeing of the medical profession. Long working hours, unpredictable rosters, overtime, being on-call, and night shifts are significant systemic barriers to the maintenance of physical and mental health and wellbeing. There is an established link between working more hours and having higher rates of anxiety, depression, and psychological distress.”

These are the questions put to the AMA:

  • The media release lists several “systemic barriers” that are generating poor psychological health. It seems that most of these barriers would be removed or weakened if hospitals had more staff. Is the psychological harm a result of insufficient staffing levels? And is this a result of underinvestment in hospitals?
  • Is the fatigue, psychological harm, etc. a result of trying to make do with the available resources? If so, what new income or labour sources are being sought?
  • Why do you think the trend towards safe working hours stalled?
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Take a good hard look at your business and do something about it

The Medical Journal of Australia (MJA) published an opinion piece on January 20, 2020 concerning working hours in the medical profession and the risk of mental health and suicide from working excessive hours. It uses the Japanese problem of “karoshi” to illustrate the severity of the workplace risks but it misses a couple of points.

It references the amendments to Victoria’s Occupational Health and Safety (OHS) legislation that introduced an offence of Industrial Manslaughter but implies that this amendment changes the duty of care expected of employers and changes a worker’s right to a safe and healthy workplace.

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Harm prevention gets short shrift from Aigroup report

The Australian Industry Group has released research into workplace mental health conducted by Griffith University. The AiGroup claims it is a

“… a landmark study into mental health initiatives taken in local workplaces”.

It is far from it. Workplace mental health will only become more important in 2020 with reports due from the Productivity Commission and the Australian Human Rights Commission. Sadly the AiGroup report gives inadequate attention to the prevention of work-related psychological harm even though this has been identified by some Australian mental health experts as the most cost-effective and sustainable business strategy.

The most obvious problem with the report is with this statement:

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