Workplace depression approaches are too narrow

Further to other SafetyAtWorkBlog posts concerning Ms Paula Wriedt’s sacking, Ms Wriedt has issued a statement expressing her disappointment at Premier David Bartlett’s decision.

One comment from a newspaper columnist struck me as odd but worthy of note.  The columnist said that Paula Wriedt’s public statements have followed the line pushed by beyondblue, a depression support and lobby group.  I have had no dealings with beyondblue but note that newspaper articles often end with “For further information on depression contact…..” similarly television news reports.

beyondblue has been a spectacular success in self-promotion and, hopefully, increasing awareness of depression.  In the context of the Premier’s decision on Paula Wriedt, David Bartlett contacted the chair of beyondblue (and former Victorian Premier) Jeff Kennett, prior to his decision.  The Weekend Australian newspaper reported

“I have not taken this decision lightly; in fact, decisions don’t come any tougher than this,” Mr Bartlett said. He received support from former Victorian Liberal premier Jeff Kennett, the chairman of depression support group Beyondblue.

After speaking to Mr Bartlett, Mr Kennett told The Weekend Australian he believed the decision was a very tough call for the Premier, but added: “When you balance up all his responsibilities, the correct one. It might just be what Paula needs to start rebuilding her health.  That is, she doesn’t have other ministerial responsibilities now and she can now focus more directly on her recovery.”

beyondblue does admirable work and has acheived much but it is dominating the discussions on psychosocial issues in the workplace.  It is difficult for other groups to raise matters that are just as relevant to the workplace, if not more so, such as occupational violence, stress, dignity at work, and so on.

We are not yet clear on all the circumstances of Paula Wriedt’s suicide attempt, and we may never know.  We do not know if work stresses or private stresses caused her self-harm but that is not necessarily the point.  Occupational health and safety long ago left the confines of the workplace and controlling workplace hazards, particularly psychosocial issues, needs a bigger canvas.  There must be an approach that assists the individual in work and non-work contexts. 

Some countries and States are trying this through work/life balance initiatives but the approaches are usually skewed to focus on interventions on the individual rather than looking at the social structures.  In OHS we look at the “system of work” to determine the most effective interventions.  To affect true and lasting change, we must apply the “system of living”.  We must be careful not to over-emphasise the individual and be distracted from the cultural initiatives.

Politician who attempted suicide is “sacked”

In early August 2008, Paula Wriedt, Tasmanian MP, tried to commit suicide.  Six weeks later the Tasmanian Premier has sacked her from Cabinet, according to an ABC report.

Premier David Bartlett denies this is a sacking, more a “withdrawal of commission”.  He says it is for the good of the government and for the good of Ms Wriedt.

Ms Wriedt was asked to resign her Cabinet position but the Premier says she was “not in a position to make such a decision”.

An audio interview with the Premier put to him that his decision was “despicable” and “reflects the way the state deals with people with mental health problems”.

Ms Wriedt’s suicide attempt had already raised discussion on the workplace issues of stress, compensation, workloads and mental health.  The listener’s question in the audio interview will reflect the majority of the community’s response to the Premier’s decision and Premier Bartlett will have a difficult time explaining how his decision was for Ms Wriedt’s benefit.

Ms Wriedt’s current situation and future career decisions will provide an interesting illustration on how the public service and Tasmanian politics manages an employee with mental health issues, particularly when, on OHS matters, the public service should be exemplars.

“National cuisine” threatens work health promotion

For many years, workplaces in Australia have been promoting healthy diets as a way of improving the general health of the workforce and hopefully reduce illness.  This strategy was easier to develop when there was large manufacturers who had in-house canteens but it was always a struggle.

In 2008, the Victorian Government launched WorkHealth, a program that it claimed was a world-first, and will focus on improving general health by targeting the workplace.  It is understood that the pilot program of worker health assessments begins on Monday, 1 September 2008.

The Herald-Sun newspaper on 26 August 2008 illustrates a major cultural barrier that the workplace health initiative faces.  In an article entitled “Aussie blokes bite back with humble pie”, the marketing manager of Patties (Australia’s biggest pie manufacturer), Mark Connolly said 

“Blokes are sick of being told what they can and can’t eat. They’ve had a gutful of it and are going back to living by their own rules. If they feel like having a pie and a few beers, they’ll have a pie and a few beers.” 

In 2008, Patties has seen a 10% increase in pie sales and an 8.6% increase in profit. Patties has made available a nutritional comparison of their products.  Perhaps, WorkHealth can seek additional sponsorship support from a pie maker.

Latest Australian OHS statistics

On 22 August 2008, the Deputy Prime Minister and Industrial Relations Minister, Julia Gillard, released the Comparative Performance Monitoring Report (CPM) on Australia’s OHS and workers’ compensation outcomes for 2006-07.  The principal points, according to the report, are:

There were 236 compensated fatalities recorded in Australia for 2006-07, of which 177 were from injury and musculoskeletal disorders and 59 were from other diseases.

Body stressing continues to be the mechanism of injury/disease that accounts for the greatest proportion of claims (42 per cent).

The manufacturing industry recorded the highest incidence/claim rates per 1000 employees (27.5), followed by transport and storage (25.9), agriculture, forestry and fishing (25.3), and construction (22.1), however all these rates are down from 2005-06.

Over three quarters (77 per cent) of injured workers successfully returned to work within eight to ten months of sustaining their injury.

The CPM report is available for download at www.workplace.gov.au/cpm

Countering Customer Aggression

Other than drunken pub patrons, customer anger seems to be common in social security offices.  In Australia, until recently, there were few screens or barriers between staff and customers, perhaps an indication of Australia’s egalitarian culture, or perhaps, naiveté of current reality.  

Centrelink, Australia’s social security agency, responded to the workplace hazard by banning those customers from face-to-face contact.  Several people complained about this restriction and the complaints were investigated by the Commonwealth Ombudsman, whose report was released today, 25 August 2008.  The Ombudsman found

“that in most instances the decisions to withdraw face-to-face contact were not unreasonable, but highlighted the need for national procedural guidelines to be developed to assist staff when managing customers who exhibit abusive or threatening behaviour.”

This justifies the removal of face-to-face contact, or in OHS terms, the risk has been eliminated.

However, the safety of staff may have been guaranteed but the anger of the client might still remain.  It is in this context that the Ombudsman has recommended further changes to processes for the benefit of staff and clients.

Centrelink should be 

reviewing letter templates to ensure customers are properly notified of their review rights and the review process

implementing strategies to ensure relevant staff are aware of the review processes required by the guidelines, and providing further training where appropriate

introducing an appropriate internal monitoring/review mechanism to ensure quality and consistency in the application of alternative service arrangements

encouraging decision makers to explore the most appropriate alternative servicing arrangement for future contact before deciding to withdraw face-to-face contact

amending the guidelines to ensure staff record an appropriate level of detail to justify their actions and decisions following an instance of aggressive behaviour.

The Ombudsman’s report is available for download HERE

Politicians’ workplaces

Western Australian Premier, Alan Carpenter, is to be applauded for stating that the Parliament is a workplace.  This sounds like stating the bleeding obvious but Parliament has often turned a blind eye to this fact.

Certainly, the Premier is in election mode so there is an additional context in this period to everything he says. On 22 August 2008, he was talking about a working bar that exists in the State Parliament and how inappropriate it is. The media reported him saying:

“Parliament House is a work place, the members of parliament should not be able to drink freely during working hours,” Mr Carpenter said.  “Having a bar serving alcohol during working hours is completely out of step with community expectations. It is completely unacceptable that members of parliament are able to sit in a bar in their workplace and drink when they should be working on behalf of the community.”

There may be good reasons for having a bar in a workplace, but it may be inappropriate for workers to use the facility during business hours.  For years, many workplaces have introduced policies concerning drugs and alcohol to, in my opinion primarily, to cover themselves against legal action.  Thankfully such policies can also have a workplace safety role in the reduction of impairment.

Impairment relates to one’s fitness for work and is easiest to understand in the transport industries where one person is responsible for the safety of many members of the public.  But I have never understood why the logical extension of impairment to decision making in other workplaces has not be made.

In a workplace, such as a Parliament, or a goverment building, where decisions are made that will affect the safety and welfare of the public, decisions should be made with no impairment,  Policies should not be decided over a couple of bottles of scotch which was reported to be done by an education minister in Victoria several years ago.  Another politician was “under-the-weather” in Federal parliament some years ago, even though the current Federal Parliament has no bar onthe premises.

Considering that Parliaments are workplaces, the governments should review other hazards that are being addressed in other Australian workplaces.  The top of the list would be reasonable working hours, fatigue and stress.  In most Parliaments, the security issue is being dealt with but workplace bullying could be applicable.

Alan Carpenter’s comments were political statements in an election campaign so they have a dubious weight but let’s start thinking of Parliaments as workplaces and start seeing our politicians as exemplars in OHS.  If safety culture starts with leaders and safety champions, then can we blame workers and business operators who follow our leaders’ examples?

New work accommodation for Torres Strait nurses

In February 2008, a nurse was raped in her remote house on Mabuiag Island.  The accommodation was provided as part of her occupation and risk assessments have identified that the house was not secure, poorly maintained and, in my opinion, unsafe. Previous SafetyAtWorkBlog posts on this issue are available HERE.

Stephen Robertson, Minister for Health
Stephen Robertson, Minister for Health

On 19 August 2008, the Queensland Minister for Health, Stephen Robertson, officially opened primary health centres on both Warraber and Erub Islands.

The Warraber Island facility cost $A4.45 million and includes:

  • two, two-bedroom staff accommodation units
  • expanded clinical areas
  • a dental chair
  • a conference room.

The $6.84 million Erub Island facility includes:

  • a three-bedroom doctor’s residence
  • two, two-bedroom staff accommodation units
  • expanded clinical areas, including a dental chair, a morgue, and a conference room for video conferencing.

The media release emphasizes a feature rarely mentioned:

“Both centres have secure accommodation units to ensure the safety of local health staff.”

Theses costs are for upgraded clinics with very good facilities and housing is only part of the projects.

Beth Mohle, Assistant Secretary with the Queensland Nurses Union, told me today that the official opening of these facilities had been delayed for several months due to the difficult of providing a reliable electricity supply to the clinics.  These facilities had been planned for a considerable time, well before the February 2008 attack.  In fact the previous facilities on Erub Island had been so bad that the facility was condemned.

Beth said that the new clinics had been assessed by the union’s OHS officer in March 2008 and found to be very suitable.  There were several minor security issues but the union was generally happy with the clinics.

A formal maintenance schedule for the facilities has been committed to be the government.

Beth said that the remaining outstanding issue for negotiation with Queensland Health is the operation of duress buttons for its members. However a trial of a satellite-based system through Skynet Mobile Communications is under way where the community police will be informed immediately of any problems.  

The underlying challenge for all OHS issues in Torres Strait seems to be the remoteness.  Many of the islands have no mobile phone communication coverage and nursing staff have only recently received automobiles.  Previously wheelbarrows were used for transporting equipment on the islands.

To update readers about the circumstances of the nurse who was attacked on Mabuig Island, the case against the attackers is still before the Courts.  The nurse is no longer working in that profession and she has a WorkCover claim relating specifically to the effects of the attack.  

Beth Mohle spoke optimistically about the progress made on the campaign to improve housing and facilities in these remote communities but we must remember the unnecessarily unsafe conditions that workers were expected to operate in.  The future may be hopeful but much of this hope is built on pain and trauma.

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