wellness – Page 61 – SafetyAtWorkBlog

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”

The risks in sedentary behaviour gain credence.

Further to the recent research and media blitz by Dr David Dunstan, the British Journal of Sports Medicine reports on some similarly themed research from Sweden.

According to the BJSM

“Doctors from the Karolinska Institute and the Swedish School of Sport and Health Sciences in Stockholm, Sweden, say that the term “sedentary behaviour” has come to mean taking no exercise.

But it should be more correctly used to describe “muscular inactivity,” they say.

This is because recent research points to prolonged bouts of sitting and lack of whole body muscular movement as being strongly associated with obesity, diabetes, heart disease, cancer, and an overall higher risk of death, irrespective of whether moderate to vigorous exercise is taken.”

The journal mentions the Dunstan research and calls, like always, for more research into the issues which they are categorising as “inactivity physiology”. Continue reading “The risks in sedentary behaviour gain credence.”

Move your way to better health

Further to the recent posting on cardiovascular disease research, Dr David Dunstan participated in an online media briefing on 12 January 2010. (Video and audio interviews have begun to appear on line)

It is often difficult to identify control measures for workplace hazards from the raw research data. Dr Dunstan, this morning elaborated on the possible workplace control measures that employers can design into workplaces in order to reduce the CVD risk from prolonged sedentary work. Continue reading “Move your way to better health”

Work/life balance needs to grow into sustainability

Just as government is reigning in the excesses of the financial sector over the last decade or so, there is a strong movement to pull back on the workload excesses. Some of this is through the work/life balance movement.

In terms of occupational health and safety, this movement has a strong base that is reflected in a lot of OHS legislation where individual employees have a responsibility to ensure they are working safely and not putting themselves at risk. This can be a very difficult obligation when one is working in an organisation that does not grant safety or mental health or its social obligations much weight.

Self development course contributes to a workplace suicide

What would you do if a work colleague strips, screams, acts “like a child having a tantrum”, starts to sing and then jumps out of a window to her death? That is the situation that was faced by staff at the Sydney office of the Royal Australasian College of Physicians in December 2005.

Only days earlier, 34-year-old Rebekah Lawrence, had participated in a self-development course called “The Turning Point” conducted by Zoeros P/L trading as People KnowHow. The course, according to one media report, the course included a session called “The Inner Child”

“in which those taking part were encouraged to develop a dialogue between their child and adult selves.”

Lawrence’s actions just before her death mirrored some of the course teaching.

PeopleKnowHow’s website has closed down with an announcement that all of its courses are under review. Other organisations that provide similar courses are running for cover. Transformational Learning Australia has said it

“…no longer has a professional relationship, affiliation or any other connection with People Knowhow.” [emphasis added]

TLA also says any relationship ended in 2005. That the company has felt it necessary to make a media statement about the end of the relationship shows the extent of the effect of Rebekah Lawrence’s death on this industry sector.

TLA goes on to say that

Our organisation does not accept participants who have a recent history of chronic mental illness, participants under the care of a treating professional who have not obtained that professional’s consent to participate, or people who demonstrate a propensity towards psychological fragility or a significant lack of cohesion during the introductory sessions of the program.”

The New South Wales Coroner found that in the absence of any history of psychosis in Rebekah Lawrence that,

The evidence is overwhelming that the act of stepping out of a window to her death was the tragic culmination of a developing psychosis that had its origins in a self-development course known as ‘The Turning Point’ conducted by Zoeros Pty. Ltd, trading under the name of ‘People Know-How” on the 14, 16, 17 and 18 December 2005.

The full coronial findings are difficult to read due to the personal details of Lawrence’s life, her relationship with her husband David and the general picture of her personality that comes through. An upsetting and enlightening interview with David Booth is available online from earlier in the investigation process.

The findings also provide considerable detail to the components of the course that Lawrence undertook. There is a greater level of detail than would be expected to be known by someone signing up for such a course and this is where the lessons can be learnt for the OHS professional and safety manager.

It has become common in many corporations who are trying to improve or introduce a positive workplace culture, to supplement their own efforts with “self-help” or “self-awareness” courses. Lawrence’s death has highlighted the lack of regulation or accountability in some sectors of this industry. This also highlights the need for people managers to thoroughly investigate such courses to ensure that good intentions are not likely to increase the risk of harm or damage to the employees who participate.

An audio report on the Coroner’s findings is available online.

Counselling Services

Many workplaces often provide access to counselling services through schemes such as Employment Assistance Programs. The Coroner’s recommendations have some direct bearing on the issue of “counsellors”.

“The Executive Director of the Australian Psychological Society, Professor Lynne Littlefield pointed out that there are no legal restrictions in Australia for practising under the title ‘psychotherapist’ or under the title ‘counsellor’ and therefore no public safeguards against untrained or incompetent practitioners in this field.

Professor Littlefield pointed out that although there were many skilled counsellors and psychotherapists, there were also many whose competence is questionable and without any regulating mechanisms to stipulate the required training and levels of competence, there was no way of protecting the public from these poorly trained practitioners.”

Rebekah Lawrence’s death is receiving considerable media coverage in Australia at the moment and the New South Wales Government is carefully considering the Coroner’s recommendations concerning the regulation of some areas of the self-development industry. Employers and safety professionals are going to have a very different set of criteria shortly from which such workplace-related courses need to be evaluated.

One media report has indicated the start of the ramifications of this unfortunate death:

“The NSW Health Minister, Carmel Tebbutt, said she had asked her department for ”urgent advice” on the case and would consider the coroner’s recommendations. A code of conduct for counsellors and psychologists had already been implemented and the Health Care Complaints Commission now monitored practitioners.

The Royal Australian and New Zealand College of Psychiatrists called for closer monitoring and accountability of self-help and psychotherapeutic courses.”

Kevin Jones

Leadership – research, mental health and what true leadership is.

Scandinavia produces some of the best research into OHS issues. However, due to the social structure of Scandinavian countries, the research has little direct and practical application outside the region. The research is best taken conceptually as it will need to be evaluated closely to determine local applicability.

(TIP: whenever an OHS researcher says “recent Scandinavian studies show….” remind the researcher which country they are in and ask them to explain the practical application in the local context)

In early 2009, there was a bit of media attention about research that found, according to researcher Anna Nyberg

“Enhancing managers’ skills – regarding providing employees with information, support, power in relation to responsibilities, clarity in expectations, and feedback – could have important stress-reducing effects on employees and enhance the health at workplaces.”

In October 2009 Anna Nyberg’s thesis on the issue was released. According to the abstract to her thesis

“The overall aim of this thesis was to explore the relationship between managerial leadership on the one hand and stress, health, and other health related outcomes among employees on the other.”

Nyberg’s thesis details the needs for some adjustments in the research to allow for “staff category, labour market sector, job insecurity, marital status, satisfaction with life in general, and biological risk factors for cardiovascular disease.” These adjustments are important to remember when reading any of the media statements about Nyberg’s research.

There were five studies within the thesis and, according to the abstract, they found the following:

“Attentive managerial leadership was found to be significantly related to the employees’ perceived stress, age-adjusted self-rated health and sickness absence due to overstrain or fatigue in a multi-national company.”

“Autocratic and Malevolent leadership [in Sweden, Poland, and Italy] aggregated to the organizational level were found to be related to poorer individual ratings of vitality…. Self-centred leadership … was related to poor employee mental health, vitality, and behavioural stress after these adjustments.”

“… significant associations in the expected directions between Inspirational leadership, Autocratic leadership, Integrity, and Team-integrating leadership on the one hand and self-reported sickness absence among employees on the other in SLOSH, a nationally representative sample of the Swedish working population.”

“… significant associations were found between Dictatorial leadership and lack of Positive leadership on the one hand, and long-lasting stress, emotional exhaustion, deteriorated SRH [self-reported general health], and the risk of leaving the workplace due to poor health or for unemployment on the other hand.”

“In the fifth study…a dose-response relationship between positive aspects of managerial leadership and a lower incidence of hard end-point ischemic heart disease among employees was observed.”

But what can be done about the negative affects of poor leadership on health, safety and wellbeing? The thesis is unclear on this, other than identifying pathways for further research in this area.

The SafetyAtWorkBlog recommendations, based on our experience, are below

Carefully assess any training provider or business adviser who offers leadership training.
Ask for evidence of successful results in the improvement of worker health and wellbeing, not just a list of client recommendations.
Look beyond the MBA in selecting senior executives. If you expect executives to establish and foster a positive workplace culture, they need to have to be able to understand people as well as balance sheets.
Remember that the issue of leadership as a management skill is still being investigated, researched and refined. It is not a mature science and may never be, so do not rely solely on these skills.
Some say that leadership cannot be taught and cannot be learned. Some say that leadership, as spruiked currently, is not leadership, only good management. Leadership only appears in times of crisis and manifests in response to critical need, not in response to day-to-day matters.

This last point needs a reference – page xiii of “Seventh Journey” by Earl de Blonville

“… leadership cannot be taught. If it is being taught, it may just be management, rebadged at a higher price. The second discovery was that leadership is not about the leader, which will confound those with a needy ego. There were two more things that revealed themselves to me: leadership is all about paradox, which is why it resists attempts to tame it into a curriculum, and at its core leadership is lonely, requiring the strength that could only come from a grasp of its intrinsic paradox.”

Kevin Jones

Annual holidays get a TV makeover

Regardless of concerns over the veracity of data, Tourism Australia’s “No Leave, No Life” campaign is continuing to develop its media presence.

The Seven Network announced this week that “No Leave, No Life” will form the basis of a television program to be broadcast from 5 December 2009. As is the nature of TV shows, when a new successful format is found, it can travel around the world. So, be warned.

The rationale of the “No Leave, No Life” tourism campaign is that employees hold on to their annual leave entitlements and amass many weeks’ leave. The employer groups have supported this campaign, principally, because this reduces the salary reserves each company must carry to cover the entitlements.Individually, employees can convince themselves that they are indispensable. The risk, from the workplace safety perspective, is that the individual is not accessing the mental health and stress relief that can come from being away from a workplace for several weeks.

Having no break from work mode can unbalance one’s life and put considerable strain on personal and family relationships. Just like adequate sleep can have productivity benefits, so can taking annual leave on a regular basis

There is also the organisational benefit that can come from breaking the routine. Just as individuals may come to believe they are indispensable, so an organisation can come to rely too heavily on individuals. A healthy corporate system should be able to cope with the absence of any staff member or executive for a short period of time (the period of annual leave).

Business continuity would dictate that a business can continue without key people permanently. Coping without these people for a short period each year can be considered a trial run of continuity.

In relation to the new television program the Seven Network advised SafetyAtWorkBlog that each episode is structured around the removal of a worker who has a large amount of annual leave from their workplace for a holiday within Australia (hence the Tourism Australia support). The viewer appeal, other than watching someone else have a good time, is that a comedian is used to fill the role of the holidaying staff members. The show is likely to illustrate several points – no one is indispensable, a regular holiday is an important individual activity, and, although not indispensable, the employee and their effort is valued by the organisation.

The show will follow people from these occupations:

a paediatric nurse in a cardiac ward;
a sales manager in a brewery
an ambulance paramedic; and
a charity events manager.

The OHS role and benefits of regular leave are not as overt in the program as they could be but that is not he purpose of the program. It is clearly a program that would not have existed without the Tourism Australia campaign. It has been designed to encourage Australians to take holidays and to holiday within Australia.

It is hoped that if and when people return to work refreshed they may realise how important regular leave is to their own wellbeing and mental health but having stress management or career burnout as a motivation for the employees themselves to take leave would have been more instructional.

Of course, it should be pointed out that businesses are doing themselves no good by allowing for the accumulation of excessive leave in the first place. In fact, it could be argued that by not enforcing the taking of leave the companies are increasing the stress of their employees and contributing to the social dysfunction that can result from such a work.life imbalance.

Kevin Jones

Category: wellness

Prevention of depression is better than treatment

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The risks in sedentary behaviour gain credence.

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Move your way to better health

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Work/life balance needs to grow into sustainability

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Self development course contributes to a workplace suicide

Counselling Services

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Leadership – research, mental health and what true leadership is.

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Annual holidays get a TV makeover

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Counselling Services

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