psychiatric – Page 73 – SafetyAtWorkBlog

Cancer fears in Tasmanian school

Over recent years Australia has had its share of cancer cluster fears, most of which have not had a cause identified. Cancer clusters are one of the most difficult workplace hazards to manage for several reasons:

Worker’s fear for their health;
Management fears for its staff;
Some management worry about the related business costs;
Clusters can generate considerable media coverage; and
Noone knows what’s really going on.

An August 2008 case appeared in Tasmania and, therefore, got almost no coverage in other States, even though it occurred in a media-friendly venue, a school. The experts say that the incident is not technically a “cancer cluster” however semantics is the least of the worries for the participants and, in terms of safety management (and the management of any “outrage”), the differentiation is irrelevant.

In early March 2009, the investigation was completed and, sadly, no cause was identified. In 3 March, the Director of Public Health, Dr Roscoe Taylor, issued a media statement.

The investigation concerned the potential risks from electro-magnetic radiation from nearby power lines.

Dr Taylor found there was no statistical significance in the cancer rates of employees who had worked at the school

“Taking into account the lack of identifiable hazards, as well as the very small population we are dealing with, the most probable explanation for the numbers of cancers appears to be chance variation,” said Dr Taylor.

“This was a rigorous and thorough investigation and while we probably can’t provide staff with the absolute assurances and certainty they would have been looking for, I think the results of the analysis mean we can be fairly confident that there has been no serious threat to public or occupational health at the school.

More details and Frequently Asked Questions are available. A particularly useful factsheet on clusters is available HERE.

The Australian Broadcasting Corporation’s Health Report has an excellent podcast available in which cancer clusters in workplaces are discussed.

Kevin Jones

Is there a Mars safety and a Venus safety?

A research paper released last month in Germany caught my attention even though it does not relate directly to research undertaken in a work environment.

There seems to be an established train of thought that men and women choose to take risks based on some sort of gender criteria.

Alison L. Booth and Patrick J. Nolen have published “Gender Differences in Risk Behaviour: Does Nurture Matter?” They researched risk behaviour along gender lines in secondary education, a different sample choice to other researchers who mostly looked at their university students. Booth and Nolen found

“…gender differences in preferences for risk-taking are sensitive to the gender mix of the experimental group, with girls being more likely to choose risky outcomes when assigned to all-girl groups. This suggests that observed gender differences in behaviour under uncertainty found in previous studies might reflect social learning rather than inherent gender traits.”

Gender studies are fraught with ideological baggage and it is a brave person who chooses this line of study, as I learnt through studying sociology and Russian literature at university (but that’s another story).

The full report is heavy going for those with no sociology background but the research flags an issue that could be useful to pose to the growing band of workplace psychologists and culture gurus – what are the gender-based variations in unsafe behaviours in the workplace?

Could the available research mean different safety management approaches in workplaces with different gender mixes?

When people talk about workplace culture, could there be a male culture and a female culture? (We certainly refer to a macho culture in some industries) In other words, is there a Mars safety and a Venus safety?

Workplace safety tries hard to be generic but has variations based on industry types. Perhaps we should be looking more closely at the demographics of these types and varying our safety management approaches?

Kevin Jones

Happiness is a warm million

The Australian newspapers in late-February shared the “outrage” of politicians and then the community over training that was provided to public servants by the American “happiness guru” Professor Martin Seligman.

The cost to the taxpayer seems exorbitant but the psychologist was from the US and was training delegates for many days. It is not unusual for US experts to charge over $US600 per hour plus travel and accomm0dation.

The Community & Public Sector Union‘s Assistant National Secretary Paul Gepp noted in a media statement that news of the expensive conference, which paid an American psychologist’s team more than $440,000, came with news of more layoffs of public servants, as 100 lost their jobs in the Crime Commission.

“Public servants are working hard to keep essential services going, keep our communities safe and make the stimulus package work,” said Mr Gepp. “Million-dollar, feel-good conferences don’t help get these jobs done. If the Government is looking to cut, we suggest it starts with junkets like this.”

The OHS context of this furore comes from the reasons for the training and whether the same benefits could have been obtained at a reduced price.

Media reports say that in parliament on 26 February 2009

“[Deputy Prime Minister, Ms Julia] Gillard attacked Liberal frontbencher Andrew Southcott for attempting to “parody” Professor Seligman, who she described as a “noted educationalist”.
“He is the leader in the development of (a) resiliency program that has been shown to make a difference to mental health issues amongst young people, including issues like anorexia and depression. That is actually serious and ought not to be cat-called about.”

SafetyAtWorkBlog has written previously about the workloads of the public sector under the Rudd government and how the government has chosen not to set reasonable production targets. The Seligman seminars are an example of trying to treat the symptoms and not the cause. Seligman’s programs are not the issue here as the results claimed may be absolutely justified.

Part of the problem for the government is timing, and in this, it shares a lot with behavioural-based safety programs. Whenever a company introduces a wellbeing program, or a happiness seminar, or resilience training, or a team-building extreme sports excursion, it indicates to me that either the company is one that has already tried the traditional approaches to controlling workplace hazards, hasn’t the faintest ides what to do to improve the safety in their workplace , or has too much money in its human resources budget and needs to spend it by the end of the financial year.

Regrettably, the money spent on public service mental health has been poorly targeted and papers over the cracks whilst ignoring the structural instability of how it manages its people.

Kevin Jones

Chronic disease report

The Australian Institute of Health and Welfare has released a report on the labour force effects of chronic illnesses. The report, Chronic disease and participation in work,

shows that chronic diseases are associated with more days off work and/or being out of the workforce, and some of the biggest culprits are depression, arthritis and asthma.

The report focuses on chronic illnesses rather the workplace impacts of the illnesses themselves but there is information that is relevant to how we manage our employees and psychosocial hazards. For instance the report says

Arthritis, asthma and depression were associated with 76% of the total loss due to days away from work (29% associated with depression, 24% with arthritis and 23% with asthma).

For people participating full-time in the labour force, there was a loss of approximately 367,000 person-years associated with chronic disease, approximately 57,000 person-years in absenteeism associated with chronic disease and 113,000 person-years were lost due to death from chronic disease.

The report acknowledges that any estimates of loss are underestimated and also provides very useful data on chronic diseases and absenteeism

Loss due to absenteeism from full-time and part-time employment was calculated as the difference between the number of days off work for people with chronic disease, and the number expected if age and sex-specific rates of absenteeism among people without chronic disease applied.

The loss from absenteeism associated with chronic disease was approximately 500,000 days per fortnight. This was equivalent to approximately 13.2 million days per year or 57,000 person-years of full-time participation (assuming 48 working weeks of 5 days duration with 10 public holidays per year).

About two-thirds of this cost was carried by males, and people aged 35-44 and 45-54 years accounted for the majority (75%) of lost days.

Analysis of absenteeism by specific chronic disease showed that depression, arthritis and asthma were associated with around 76% of days away from work.

Workplace bullying – interview with Lawrence Lorber (2002)

In April 2002, I interviewed Lawrence Lorber of US law firm Proskauer Rose on workplace bullying. It was at the height of the Enron collapse and corporate behaviour towards staff was gaining a lot of attention. Over the last fortnight I have been researching some of the management books and concepts concerning leadership, emotional intelligence, modern expectations of managers – all of which could be thrown into “workplace culture.”

As I was reading back issue of the SafetyATWORK magazine, I used to published, there seemed to be valuable comments from Lawrence that remain relevant. Below is an extract of the interview. The full interview is available HERE

SAW: In Australia, the approach to workplace bullying seems to be coming from a systemic management system rather than one relying on psychological assessment.

LL: The highly competitive and highly contentious nature of what is coming out about Enron, the “up or out” atmosphere is one aspect of a system that can lead to managers or co-workers to engage in bullying. The characteristics of being tough or abrasive may be necessary to get ahead in the organisation. The environment can encourage or create bullying tendencies. However, not everybody turns into Attila the Hun in a highly competitive environment. Others survive without taking on the attributes of the bully.

Psychological testing is frequently applied in the States with regard to executive promotions. Dealing with bullying does require a combination of the systemic and individual approach. I work for some companies who are publicly perceived as fairly aggressive, there are tough people there who I might not want to work for but they are effective. They might be perceived as bullies. But looking at bullying as an environmental issue does mask the problem.

SAW: Managers sometimes need to motivate a staff member, perhaps, by rebuking them. The receiver of the rebuke may perceive that as bullying. How can we balance these perceptions?

LL: There were management books in the States in the 1980s, which encouraged management by intimidation. At one point that was the vogue. After the movie PATTON came out, everyone wanted to be General Patton.

If you look at a harsh manager who is demanding in an abrasive manner, that could be bullying.

How do you define bullying? Do you define it by your own reaction? A very US example is sex harassment. Is harassment in the eyes of the beholder? Does it have to be a reasonable woman who believes she is being harassed? In the circumstance where the bully is a male and the recipient is a female, frequently that becomes harassment.

SAW: That is a problem for the managers where for the last 30 years, harassment, bullying and discrimination has been handled outside the OHS field, in Human Resources. Now there are national and international moves to combat bullying because of the stress at work issues. I haven’t seen that approach in the United States.

LL: Here it’s not health and safety. Our definition of harassment is an “intimidating atmosphere”. That can also be a definition of bullying.

I don’t think it will be considered as a health and safety issue because workplace stress is not a field that is devoid of regulation. It is simply being regulated in a different context-employment discrimination and to a lesser extent under the disability laws.

SafetyATWORK magazine April 2002 cover image

New research on behavioral safety

The New York Times (and other newspapers) reported on an article in the latest edition of the NSC Journal of Safety Research. It is worth considering when the behavioural-based safety advocates come a-knocking.

According the media reports the article reports on “knowledge gaps” in research into behavioural safety. It summarises the discipline, or alchemy depending on your experience with the advocates, very well.

“Behavioral safety” is becoming more popular as safety practitioners seek to better understand and develop strategies to prevent workplace injuries. Behavioral safety is the science of observing workers’ behaviors to determine where a different behavior or set of behaviors may have prevented or lessened the severity of injury. The study defines behavioral safety as an approach to improve safety performance through peer observations, goal setting, feedback, and celebrations or incentives for reaching safety goals.”

Thankfully it sensibly recommends that behavioural safety be applied as part of a broader safety management system. In fact broader than many others suggest. The study says that “psychological, social, engineering and organizational factors” should be considered and it acknowledges that how these factors affect behavioural safety is still poorly understood. It suggests these areas for further research attention:

“Impact of behavioral safety interventions on rates of injury, illness and fatalities.
Appropriateness of the basic elements of behavioral safety across different industry sectors.
Relationship between behavioral safety and a greater safety culture.
Role of performance feedback in creating behavioral change.
Effectiveness of tangible and non tangible rewards on behavioral change.”

Some of these factors would best apply through research by the OHS regulators – a rare commodity – but they indicate some of the areas which OHS professionals should consider more carefully.

Clearly behavioural safety is still a developing area of study and application. It reinforces the position that behavioural safety is still not a panacea, regardless of the claims of spruikers. Behavioural safety is one of the tools available to OHS professional and perhaps one that should not distract us from more effective and practical safety initiatives.

Kevin Jones

A sort-of resolution for Paula Wriedt

Paula Wriedt, a Tasmanian Member of Parliament who attempted suicide in August 2008, resigned on 18 January 2009. According to her media statement

“I have made a significant recovery since my hospitalisation in August, but I believe it is in my best interests, and the interests of my family, to concentrate on improving my health away from the daily pressures of being a member of Parliament.

“This illness has had a significant impact on my life.

“The many demands I faced last year, on both a professional and personal level, meant I neglected to take stock of my health until it was too late.

“During this time, I made a mistake by forming an inappropriate relationship with a member of my staff. This had significant implications for the families involved, and I am not proud of my actions.

“I deeply regret the hurt that has been caused by this.”

She goes on to speak positively of undertaking meaningful work outside of politics. It is hoped that Paula does not feel obliged to follow other politicians into promoting depression support services. For most Australians Paula Wriedt will be associated with her affair and suicide attempt. Tasmanians should remember her as a good parliamentarian, as mentioned by the current Premier David Bartlett (who is only slightly older than Paula at 41), and for her achievements in the education portfolio.

Kevin Jones

Other post concerning Paula’s situation are available by searching for “Wriedt” in the field below.

Category: psychiatric

Cancer fears in Tasmanian school

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Is there a Mars safety and a Venus safety?

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Happiness is a warm million

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Chronic disease report

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Workplace bullying – interview with Lawrence Lorber (2002)

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New research on behavioral safety

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A sort-of resolution for Paula Wriedt

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