COSBOA is outraged over mental health and jail

On September 24 2019, the Council of Small Business Organisations Australia (COSBOA) called for the withdrawal of the Boland review into Australia’s work health and safety (WHS) laws.

In a media release COSBOA’s CEO, Peter Strong, states:

“The report solely focusses on workers, giving zero consideration to the mental health of employers and the self-employed….”

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New evidence of mental health effects on the relatives of deceased workers

Australian seems to be leading in the investigation of the (secondary) familial and social impacts of work-related death. New research from Lynda Matthews, Michael Quinlan and Philip Bohle to be publicly released soon focused on the mental health of bereaved families after a relative’s death. They found

“At a mean of 6.40 years post-death, 61 percent of participants had probable PTSD (Post Traumatic Stress Disorder), 44 percent had probable MDD (major depressive disorder), and 43 percent had probable PGD (prolonged grief disorder).”

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International healthy workplace conference

The wave of workplace wellness cannot be avoided but wellness is only part of achieving safe and healthy workplaces. At the end of October 2019 Melbourne is hosting the 7th Global Healthy Workplace Awards and Summit at Monash University.

Occupational health and safety (OHS) often accuses workplace wellness advocates of providing symptomatic relief instead of addressing issues that cause the un-wellness in the workplace. However the October summit seems to offer deeper analysis on both these perspectives and in the broader context of healthy workplaces.

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Interesting but not representative

The Australian Council of Trade Unions (ACTU) released the results of its latest occupational health and safety (OHS) survey. In past surveys respondents have been trade union members. This survey was opened to non-union members, but to what extent is unclear but this has not stopped the ACTU speaking of the respondents as workers rather than workers who are all union members.

This differentiation is important. In the 1990s when union membership was much larger, the argument that the survey results were representative of Australia’s workforce was stronger although still debatable. Representation is harder to claim now with union membership being well below 20% overall and below 10% in the private sector.

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Fence or Ambulance?

The other week Lucinda Brogden, one of Australia’s Mental Health Commissioners participated in a three day suicide prevention conference, concluding the week as a keynote speaker at an occupational health and safety (OHS) seminar. Her commitment to keep focusing on the prevention of harm made her a comfortable fit for the largely OHS audience. Hopefully her influence is big on the Australian mental health policy makers.

Brogden reminded the audience of an 1895 poem by Joseph Malins which discusses the prevention of harm through the analogy of putting a fence at the cliff edge to stop people falling rather than having an ambulance at the bottom of the cliff to collect the dead and injured. It is unlikely that Malins was thinking of workplace safety with this poem but, as a temperance activist, it is certain he was thinking about health. Regardless, the imagery is a useful and simple illustration of the advantages in the prevention of harm, and not just in relation to mental health.

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Suicide Differently

Former Australian Prime Minister Julia Gillard (with a signing interpreter) speaking at the National Suicide Prevention Conference

Over 600 delegates at the National Suicide Prevention conference in Melbourne in July 2019 heard one speaker almost invoke the “Safety Differently” concept to suicide prevention (Hands off, its ours, Ed.). This showed that suicide prevention approaches are maturing, but that advocates continue to operate in a public health/mental health silo.

Several speakers acknowledged that the suicide prevention strategies in Australia over the past few decades have failed to reduce the suicide rate. This has been known for some time as evident from this statement by Emeritus Professor Ian Webster in a 2017 publication “Postvention Australia Guidelines”:

“Prevention has always been part of the national suicide prevention strategy but its contribution is even more important now as some of the past initiatives have not been as effective in reducing suicide rates as we had hoped.”

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Suicide prevention at Victoria’s Royal Commission

The Royal Commission into Victoria’s Mental Health System began the first of a couple of days focusing on suicide prevention by reminding the audience that there are three kinds of interventions:

  • Universal – population level wellness
  • Selective – those who have suicidal thoughts and behaviours
  • Indicated – those who are engaging in suicidal behaviour

Occupational health and safety (OHS) concerns about harm prevention overlap with each of these to some extent, but the approach with the most opportunity for the prevention of harm is likely to be in Universal intervention. SafetyAtWorkBlog looked for discussion of work-related harm and interventions in yesterday’s Public Hearings.

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