depression – Page 31 – SafetyAtWorkBlog

Work harder? You must be mad

On 24 January 2010, the Australian Prime Minister, Kevin Rudd, encouraged all Australians to increase their “productivity growth“. But what if increased productivity could result in developing a mental disorder?

The February 2010 edition of the Harvard Mental Health Letter includes a report that lists the following key points:

“Symptoms of mental health disorders may be different at work than in other situations.

Although these disorders may cause absenteeism, the biggest impact is in lost productivity.

Studies suggest that treatment improves work performance, but is not a quick fix.”

Will the Australian Government review its policy on mental health? Will the Prime Minister accept that productivity and mental health are both long term problems that need strategies that extend beyond his next term in office? Continue reading “Work harder? You must be mad”

Internet addiction in the workplace

If the prevention of depression is better than trying to treat it, how should a safety manager proceed when permissible work practices may be contributing to mental health problems in some workers?

A new UK study announced today says “that excessive internet use is associated with depression”. The researchers say that

“…some users have developed a compulsive internet habit, whereby they replace real-life social interaction with online chat rooms and social networking sites. The results suggest that this type of addictive surfing can have a serious impact on mental health.” Continue reading “Internet addiction in the workplace”

Dipping into workplace violence

Jeff Sparrow recently gained considerable media attention with his book that reflected on violence in society. Yossi Berger once described occupational health and safety as a “kind of violence” in his book of that title. There is a lot of research into occupational violence, much of it from the United States which, to some extent, has an unrepresentative view of this hazard.

An interesting, and brief, discussion on the matter is a chapter in the book “Perspectives on Violent and Violent Death” published by Baywood Publishing. The existential perspective of one particular chapter may make it impractical for safety management purposes but as a background article for provoking thought, it is very good.

Without this chapter I would not have found the work of C E Newhill* into client violence in social work or that of C L Charles. Charles identified some factors that have contributed to the “anger epidemic” which may provide some clues on understanding occupational violence. These are listed below:

Compressed time
Communication overload
Disconnectedness Continue reading “Dipping into workplace violence”

Prevention of depression is better than treatment

Depression as an occupational illness is one of the most difficult hazards faced by managers and safety professionals. Depression is hard to understand and it is often difficult to recognise an employee who suffers from the condition, let alone, figuring out how the workplace may contribute to the illness.

[Mental health issues are going to receive increased attention in Australia following the naming of the Australian of the Year, Professor Patrick McGorry.]

A recent article in Journal of Occupational & Environmental Medicine reports on a study that looked at “the relationship between antidepressant treatment and productivity costs”. Continue reading “Prevention of depression is better than treatment”

Work-related suicides in Europe

The Irish Times has reported on a speech made by Dr Jukka Takala, Director of EU-OSHA, in Spain in November 2009.

“[Dr Takala] said since the publication of a recent study showing a very high level of work-related suicides by French Telecom workers, there was an urgency about getting this information. “Personally, I favour a system such as they have in Japan where the families are compensated for the suicide of a relative, and the debate has already started in this organisation and in the commission and some of the member states,…”

It is not uncommon in OHS to hear calls for further research and more research on work-related suicide is definitely needed. (Australia has some very good work in this area.)

Caution has to be voiced on the risk that suicides be seen as the mental health version of workplace fatalities. Research and OHS statistics often focuses on fatalities for various reasons including that the statistics are easy to quantify. If a worker dies from being crushed by a machine, its a workplace fatality. There is a trap in terms of suicides where the cause and effect is not so clear, or mechanical.

Only recently have workplace fatalities begun to be investigated with consideration of the social or non-work contributing factors. If the machine operator was pulled into the machine because they were inattentive, why were they inattentive? In terms of suicides, the agency of injury will be fairly obvious but the contributory factors could be far more complex. And if the suicide victim has not left a note explaining the reasons for their action, it is even harder to determine “cause”.

Looking at suicides runs the risk of not paying enough attention to the mental health issues that have not reached the suicide level. The focus should not be researching suicides but researching the combination of issues leading to suicide. It is a much greater challenge but is likely to have more long term benefits.

Takala’s comments about family compensation and the need to acknowledge the reality of work-related suicides gained the attention of The Irish Times because they meet the imperatives for a newsworthy angle. Takal’s speeches at the Healthy Workplaces European Summit 2009 covered much greater territory than the Irish Times article and should be read to better understand the comment’s context.

There are hundreds of work risks that require assessment and psychosocial hazards is one of those areas. A full list of speakers at the conference is available by looking at the program. Abstracts of most presentations are available for download.

Kevin Jones

Global OHS statistics and trends

It is very easy to forget that workplace health and safety is a global issue. The pressures of work and the daily OHS issues can constrict our perspective for so long that we are surprised when we are reminded that people work everywhere and are therefore in danger in some way.

An article (citation below) from the Scandinavian Journal of Work, Environment & Health released online on 12 November 2009 is just one of those reminders that we need every so often. The article is called “The global and European work environment – numbers, trends, and strategies” and says

“We have estimated that globally there are 2.3 million deaths annually for reasons attributed to work.”

For the statistics junkies, the article goes on to report that 1.95 million of the annual deaths are due to illness and

“The average rate of disability and absence from work can be some 25% of the workforce in Europe.”

“The biggest causes of work-related illness in Europe are musculoskeletal diseases and psychosocial disorders (mental health)….”

“Work-related stress….affect(ed) an estimated 22% of EU workers in 2005…”

By looking at a variety of statistical records, the authors conclude that

“In the present political situation and serious economic downturn, legal measures need to be supplemented with economic justification and convincing arguments to reduce corner-cutting and avoid long-term disabilities, premature retirement, and corporate closures due to a poor work environment.”

Global OHS pyramid — The relationship between fatalities and other outcomes of work injuries and illnesses

The researchers advocate an integrated approach to managing safety in a workplace and list a “toolbox” of suggested areas. Many of these are already in place in many management systems.

This sort of global data is not going to change the management or operational practices in individual workplaces. That change will mostly come in response to site-specific events or initiatives. Governments need to know these statistics and trends so that they may plan strategic programs or structure their legislation but it is equally important for citizens and OHS professionals to be aware of this data for it is the citizens who hold governments accountable.

Kevin Jones

Takala J, Urrutia M, Hämäläinen P, Saarela KL. The global and European work environment – numbers, trends, and strategies. SJWEH Suppl. 2009;(7):15–23.

HWCA could be influential in Australia’s workers’ compensation reforms

Australia and New Zealand have a small strategic organisation called the Heads of Workers’ Compensation Authorities (HWCA, pronounced “howca” by those in the know). It is a regular meeting (some say “love-in”, others say “coven”) of the CEOs of the various workers’ compensation bodies in Australia and New Zealand. Over the next five years, as the Australian Government begins to harmonise/reform the workers’ compensation system, HWCA will be important to watch.

In early October 2009, HWCA met and endorsed a coordination strategy, that has yet to be publicly released. The main objectives of the strategy were noted in a media release (also not yet publicly available) to mark the latest meeting.

“To deliver best practice services to injured workers and employers to assist recovery: and

to build sustainable workers’ compensation schemes.”

The terminology of the first objective may provide a good indication of the type of organisation HWCA seems to be. “Best practice services”??? “Best practice” is one of the worst corporate jargons being used at the moment. This article at Wikipedia outlines the context of the phrase well.

“As the term has become more popular, some organizations have begun using the term “best practices” to refer to what are in fact merely ‘rules’….”

In other words, HWCA has a strategy to do what its member organisations should have been doing all along – enforcing the rules of good customer service and providing the best level of service to injured workers.

Perhaps it is the second strategic objective that best illustrates the aims of HWCA – to make sure that the workers’ compensation schemes do not lose money.

According to the communique that is released after every meeting (top points for open communication)

“HWCA agreed the Bio-psychosocial Rehabilitation Working Group would develop a national action plan regarding prevention of long-term disability and work loss, which will support the strategy.”

Prevention is the role of the OHS authorities in Australia and the Department of Labour in New Zealand. Clearly HWCA will be discussing these strategic aims with those in charge of preventing injuries and illnesses. But can the various WorkCovers and WorkSafes cope with biopsychosocial hazards? Surely HWCA will also be talking with all the NGOs who lobby on depression, anxiety, fatigue, stress, wellness, happiness ………….. (Get ready for even more influence for BeyondBlue)

Consultation will also be needed with the various government departments involved with health promotion, public and occupational. Not to mention the unions, employer associations and health professional bodies.

A strategy of such magnitude would require considerable resources and horse-trading through government ranks in all jurisdictions. It is hard to see this being achieved through a meeting of Chief Executive Officers, and should such a strategy be pushed through individual workers’ compensation bodies anyway?

To achieve true reform of workers’ compensation and to resist the substantial pressure that is likely to come from the Australian and international insurance companies, the Australian government is going to need considerable negotiating skills. Because of the involvement with the financially influential insurance companies, it is doubtful the intended reforms will be achieved. (HWCA already has discussions with the “Heads of Compulsory Third Party Insurers” according to the communique)

Almost as a post-script, it is noted that Greg Tweedly, CEO of WorkSafe Victoria, takes over the chairmanship of HWCA from the CEO of WorkCover NSW, Jon Blackwell. Tweedly is a very busy CEO and will become more so, if the rumour proves true that he will be joining the National Board of the Safety Institute of Australia.

As the chairmanship moves from New South Wales, so will HWCA’s administrative support. The next HWCA meeting is scheduled for 5 February 2010 and will be coordinated through the Victorian Workcover Authority or Comcare.

Kevin Jones

Category: depression

Work harder? You must be mad

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Internet addiction in the workplace

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Dipping into workplace violence

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Prevention of depression is better than treatment

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Work-related suicides in Europe

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Global OHS statistics and trends

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HWCA could be influential in Australia’s workers’ compensation reforms

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