The economics, and politics, of prevention and the cost of doing nothing

LtoR: Terry Nolan, Rod Campbell, Tony Dudley, Rosemary Calder

On July 9 2019, the Committee for Economic Development of Australia (CEDA) conducted a lunchtime seminar in Melbourne about “the economics of prevention“. The event was supported by GlaxoSmithKline who launched a report about the value of vaccines so the lunch promised to be very medical but that quickly changed when Rod Campbell of The Australia Institute (a late replacement for Richard Denniss) spoke. On the issue of cost-benefit analysis, an important consideration in occupational health and safety (OHS) , Campbell was blunt:

“A huge amount of government decisions are not made by informed economic analysis. They’re made by political decisions.”

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The absurdity of Work

In early July 2019, my son and I braved a cold Melbourne Friday night to see our very first improvisational comedy show. The catalyst was a show called “F**k this, I Quit“, produced by the Improv Conspiracy, and which is based on the work experiences of the audience there on the night. I was one of around fifteen in the audience, in a room that only holds forty people, and so occupational health and safety (OHS) became a featured theme that night. I, and OHS, was roasted and it was definitely the funniest night of my professional life.

Several audience members were asked about their work experiences. I mentioned that I consulted in OHS, had provided advice to some of Victoria’s licenced brothels, had an uncomfortable conversation one time about discussing nipples while at work and that I thought the most dangerous workplace hazard was electricity as it was invisible and deadly.

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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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Two new workplace health and safety feature films

Every year the Melbourne International Film Festival seems to include a couple of new films related to workplace health and safety issues. This year’s festival opens in August 2019.

One film about slavery in the South East Asia fishing industry is Buoyancy, an Australian film having its world premier in Melbourne.

Another is the Ken Loach film “Sorry We Missed You” which provides an intense and personal look at what it means to be working in precarious jobs and the gig economy.

Kevin Jones

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 Systems’ Public 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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Hopefully prevention of mental injuries at work will emerge in this Royal Commission

LtoR: Professor Bernadette McSherry, Prof. Allan Fels, Penny Arnytage, Dr Alex Cockram

The first week of media coverage of Victoria’s Royal Commission into Mental Health is very thin on the roles and impacts of workplaces and work activities on people’s mental health, but it is part of the conversation.

The Public Hearings on July 4-5 had Prevention and Early Intervention as their theme. Prevention as occupational health and safety (OHS) people would apply was mostly absent. Prevention, in OHS terms, is usually about the elimination of a risk or hazard whereas the impression from the discussion in the Royal Commission over the last few days is that mental health is something that appears, strikes an individual (with ripples to relatives), is treated and a new psychological normal, a functional/social normal is established. Analysis of the social, occupational and environmental precursors, elements that OHS investigations are obliged to consider, seems missing, at the moment.

According to the Commission’s transcript Chair Penny Armytage said on July 2, 2019:

“We start these hearings with a wide lens. Not in hospitals or clinics, but in our homes, our sporting fields and our workplaces.”

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