Identifying work-related mental health

Recently the Medical Journal of Australia published new guidelines for general practitioners (GPs) on how to identify work-related mental health conditions (MHC). This is vital information as GPs are often the first opportunity where mental health conditions can be identified or confirmed. It also assists occupational health and safety (OHS) professionals by acknowledging the role of work in the positive and negative mental health of workers.

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Medical and OHS sectors must start speaking the same language on mental health

For many years, the Australian medical has been supportive of a “Health Benefits of Good Work” (HBGW) initiative. This initiative, started in 2010, is directly relevant to how Australia is determining its mental health policy and strategies especially as they relate to workplaces. The initiative was developed by:

“…. the Australasian Faculty of Occupational and Environmental Medicine (AFOEM) of The Royal Australasian College of Physicians (RACP). This initiative is based on compelling Australasian and international evidence that good work is beneficial to people’s health and wellbeing and that long term work absence, work disability and unemployment generally have a negative impact on health and wellbeing.”

This initiative can be seen behind many of the public statements about the mental health status of the unemployed as this sits within the public health and the social welfare sectors, but it is rarely mentioned by those providing occupational health and safety (OHS) advice.

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Burnout, self-advocacy and more

SafetyAtWorkBlog’s initial approach to Justine Alter, Psychologist and co-director of Transitioning Well. on the prevention of Burnout illicited the following response. It deserved further exploration so Alter was sent a further set of questions leading to useful answers.

“Prevention strategies are considered to be the most effective approach for addressing workplace burnout, and there are a number of things that workers can do to minimise the risk:   

– Recognise the importance of a work-life balance ensuring that you get some recovery time
– Prioritise your time. Identify what is important, what can wait, and what can be delegated to others
– Self-advocacy. This can be difficult, however thinking about the importance of your mental and emotional health may help you advocate better for yourself
– Lead by example: utilise any flexible leave policies and opportunities that your company may provide
– Remain aware of resources that are available through your workplace – EAP, counselling, etc.  Consider making these resources available if they aren’t already.”

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The need for evidence in mental health inquiry

Workplaces and employers have not been totally absent from Victoria’s Royal Commission into Mental Health SystemsPublic Hearings and the Commissioners have asked about the workplace context several times but it sounds like they are asking the wrong people or not challenging enough. For instance, on Day One when Stigma was a theme, the Commission asked Dr Michelle Blanchard of SANE Australia:

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“They did not know what to say, so they stop saying anything at all”

Behind every call for Industrial Manslaughter laws in Australia over the last twenty years has been is a deeply grieving family. We often see relatives on the TV News, standing outside of Courts, or at memorial sites. SafetyAtWorkBlog fears for the mental health of these people who have usually been traumatised by the death and whose experiences in the immediate aftermath and the months afterwards often exacerbates that trauma.

But people have been killed at work for centuries and often the current pain and anger is so raw that we fail to remember those who have already gone through this process because their voices have often been used and discarded.

SafetyAtWorkBlog spoke with several bereaved relatives who have experienced the loss of a relative at work. The focus was on those whose relatives died over a decade ago, to gain a more measured and reflective perspective and in order to understand what may be in the future for all of us who have workers in our families. I responded more emotionally to these stories than I expected and have found it difficult to write about the issues I intended to address, so I have decided to let these interviews and stories stand pretty much by themselves.

The first of these responses is from Jan Carrick. Her 18-year-old son Anthony died in 1998 on his first day at work. One article written in 2003 about Anthony’s death and that of other young workers said this:

Continue reading ““They did not know what to say, so they stop saying anything at all””

Make sure you are serious about deeper and better thinking on workplace mental health

In October 2018, the Australian Financial Review (AFR) reported (paywalled) on an occupational health and safety (OHS) investigation into overwork and staff fatigue being conducted by WorkSafe Victoria. The AFR has followed this with a report on June 6 2019 (paywalled) by its Legal Affairs Editor, Michael Pelly. It is a positive article about how the law firm, King, Wood & Mallesons (KWM) has improved its OHS performance since October last year. However there is much between the lines that hints at the OHS approach used and how limited it is.

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Good, but very limited, advice on workplace mental health

Member magazines, those magazines included in a professional’s membership, are an important source of information. Members of the Royal Automobile Club of Victoria, for instance, receive the RoyalAuto magazine which is really the primary source of information on changes to road rules. Most occupational health and safety (OHS) associations have internal magazines for a similarly targeted audience. Australian accountants have the In The Black magazine.

Recently In The Black published an article about mental health at work titled “Get smart with mental health”. No background to the author, Helen Hawkes, was provided and no references were included for the data used to support statements about the importance of the mental health. Context and sources are important to all articles but arguably moreso for member magazines and, especially, for professionals like accountants who can have a major impact on how OHS is managed.

Much of the information in the article would be familiar to OHS professionals – Return on Investment, the cost of Presenteeism as a percentage of payroll…. What is almost entirely missing is advice on how to prevent mental ill-health from occurring in the first place, and there is no mention of any of the OHS guidance in this area published by Safe Work Australia.

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