Eva Stergar, Tanja Urdih LazarEva Stergar, Tanja Urdih Lazar

EASOM SUMMER SCHOOL 2015EASOM SUMMER SCHOOL 2015

FIT FOR WORK FIT FOR WORK PROGRAMME – PROGRAMME –

an efficient way to promote an efficient way to promote mental health at workmental health at work

CENTRE CENTRE FORFOR WHP AT CIOTSM WHP AT CIOTSM

CLINICAL INSTITUTE OF CLINICAL INSTITUTE OF OCCUPATIONAL, TRAFFIC AND OCCUPATIONAL, TRAFFIC AND SPORTS SPORTS MEDICINEMEDICINE (CIOTSM) (CIOTSM)

ContentsContents

• Some definitionsSome definitions• Mental health in figuresMental health in figures• Fit for work programmeFit for work programme• Designing WMHP programmeDesigning WMHP programme

Some definitionsSome definitions

(Mental) health(Mental) health

• No health without mental health

• Health as bio-psycho-social balance

• Holistic approach – intersectoral, interdisciplinary

Continuum from mental Continuum from mental health to mental illnesshealth to mental illness

Health Health Problems DisordersProblems Disorders IllnessIllness

Understanding U, 2009

Health promotionHealth promotionOttawa charter for HPOttawa charter for HP

Health promotion in terms of Health promotion in terms of OttawaOttawa

charter charter ::• build healthy public build healthy public policypolicy; ; • create supportive create supportive environmentsenvironments; ; • strengthen strengthen communitycommunity actions; actions; • develop personal develop personal skillsskills; ; • reorient reorient health serviceshealth services..

Workplace health Workplace health promotionpromotion

WWHPHP is a combined effort is a combined effort of employers, employees of employers, employees and societyand society to improve to improve

(mental) health and well-(mental) health and well-being of people at work.being of people at work.

Luxemburg declaration, 1997, 2005

WHPWHP• A combination of:A combination of:

– Improving work organizationImproving work organization and and working environment,working environment,

– Promoting active participationPromoting active participation,, and and – Encouraging personal developmentEncouraging personal development..

• WHP programmesWHP programmes have to be have to be planned and implemented jointly planned and implemented jointly by employersby employers and and employees employees, , and and supported by supported by society.society.

Basic WHP principlesBasic WHP principles• Participation of Participation of allall employees employees• Health team - Health team - cooperationcooperation with the with the

occupational doctor and safety occupational doctor and safety engineer /community programmesengineer /community programmes

• WHP is integrated in all important WHP is integrated in all important decisionsdecisions / areas of an enterprize / areas of an enterprize

• Programme Programme planningplanning• Supportive work environment / training Supportive work environment / training

and educationand education• Positive approach / Positive approach / respectrespect / fairness / fairness• Risk factors Risk factors / / protective factorsprotective factors

Some figures on MHSome figures on MH

Sick leaveSick leave, number of cases of , number of cases of mental mental

and behavioural disorders, and behavioural disorders, 20002000--20120122

% of % of SLSL, mental and behavioural , mental and behavioural disorders by diagnoses, 2004-disorders by diagnoses, 2004-

20102010

0

0,01

0,02

0,03

0,04

0,05

0,06

0,07

0,08

0,09

0,1

F32 Depresivna

epizoda

F41 Drugeanksiozne

motnje

F43 Reakcijana hud stres in

prilagoditvenemotnje

F33 Ponavljajoča

se depresivnamotnja

F10 Duševnein

vedenjskemotnje zaradi

uživanjaalkohola

F20 Shizofrenija

F23 Akutnein prehodnepsihotične

motnje

F48 Drugenevrotske

motnje

Skupina bolezni (MKB)

% B

S

2004 2005 2006 2007 2008 2009 2010

Suicides in Slovenia, 2000-Suicides in Slovenia, 2000-20132013

Fit for work Fit for work programmeprogramme

The purposeThe purpose

– gain new knowledge gain new knowledge and skills for and skills for development of healthy development of healthy work- and life-style andwork- and life-style and

– introduce introduce changeschanges benefiting health in benefiting health in workworkinging environment environment..

• To achieve better health of employees To achieve better health of employees over the long-term by influencing over the long-term by influencing employers and employees to :employers and employees to :

Reaching the companiesReaching the companies

• Specially trained WHP advisors – HR specialists, safety engineers, psychologists etc.

• In the company: – set up a health group– health analysis the main health problem– development of a WHP programme – implementation – evalution

• Network (knowledge, good practice, ENWHP)

Content – 10 areas / Content – 10 areas / modulesmodules

• Analysis of health and safety at work• Prevention of injuries at work• Ergonomic measures in the workplace• Prevention of workplace chemical pollution• Organizational measures • Stress coping and prevention• Prevention of the use of psychoactive

substances• Workplace bullying prevention• Healthy nutrition • Physical activity at work

ResultsResults

• More than 200 participants from 120 companies

• 85 % use new knowledge at their work

• Areas mostly covered:

– Ergonomics– Injury prevention– Prevention of the use of psychoactive

substances– Stress coping and prevention– Bullying prevention...

Planning W(M)HP Planning W(M)HP programmesprogrammes

4 4 stepssteps of planning of planning W(M)HP programmesW(M)HP programmes

1.1.PreparationPreparation

2.2.Health analysisHealth analysis

3.3.PlanningPlanning

4.4.ImplementationImplementation

1st step1st step

Preparation Preparation • Establishing Establishing health teamhealth team• Raising Raising awarenessawareness about about health / gaining health / gaining supportsupport for the for the programme among employeesprogramme among employees• ResourcesResources (human, material, (human, material, technical...) technical...)

2nd step2nd step

From health analysis to From health analysis to health problems health problems

•Looking for health / illness Looking for health / illness datadata from different sources from different sources

•Data Data analysisanalysis•Decisions: health Decisions: health problem problem

areaarea, priorities; arguments., priorities; arguments.

3rd step3rd step

Programme planning 1./2Programme planning 1./2• Health Health strategy strategy within companywithin company• Programme Programme contentcontent

• Objectives Objectives • MeasuresMeasures

– Supportive environmentSupportive environment– Training and education Training and education

• MethodsMethods• Cooperation with Cooperation with occupational occupational doctor and doctor and safetysafety engineerengineer

sodelovanje s timom izvajalca MDPŠ in strokovnim delavcem sodelovanje s timom izvajalca MDPŠ in strokovnim delavcem za varnost pri delu, za varnost pri delu,

– roki (časovnica),roki (časovnica),– spremljanje in evalvacija. spremljanje in evalvacija.

3rd step3rd step

Programme planning 2./2Programme planning 2./2

• Timelines (deadlines / Timelines (deadlines / responsible persons / providers)responsible persons / providers)

• Monitoring and evaluationMonitoring and evaluation

4th step4th step

ImplementationImplementation

• Placing the programme in Placing the programme in timetime and and spacespace

• ResponsibleResponsible person/s person/s• Resolving Resolving problems on timeproblems on time

Three levels of WMHPThree levels of WMHP

• Improving MH and prevention of Improving MH and prevention of MH problems,MH problems,

• Early detection and treatment of Early detection and treatment of mental and behavioural mental and behavioural disorders,disorders,

• Return to work programmes.Return to work programmes.

WMHPWMHP

• Expected benefits,Expected benefits,• Programme philosophy, Programme philosophy, • Programme aim and objectives,Programme aim and objectives,• Target group/s and implementators,Target group/s and implementators,• Supportive environment measures, Supportive environment measures, • Trainig content,Trainig content,• Programme duration,Programme duration,• Evaluation and documentationEvaluation and documentation

Possible actions on the Possible actions on the organizational levelorganizational level

• Work organizationWork organization• Ecological actionsEcological actions• Technological actionsTechnological actions• Information and communication Information and communication

systemsystem• Education systemEducation system• MHMH education and training education and training• Organization of supportive actionsOrganization of supportive actions

Possible actions on the Possible actions on the individual levelindividual level

• MH education• Strengthening of internal power • Values, objectives and priorities reflection• Effective time management• Positive approach to problem solving• Seeking and accepting support and help • Correct relationships and effective

communication• Fitness and healthy lifestyle• Relaxation – efforts balance• Lifelong education in order to work

effectively• Career planning

Some Some considerationsconsiderations

ChallengesChallenges• Stigma related to people with MH problemsStigma related to people with MH problems

– Difficulties with employment, risk to Difficulties with employment, risk to become unemployedbecome unemployed

– victims (bullying, aggressive actions)victims (bullying, aggressive actions)• Lack of professional support for employersLack of professional support for employers• Parcial WMHP measures – individually Parcial WMHP measures – individually

directed, no measures for supportive directed, no measures for supportive environmentenvironment

• Occupational health specialists’ roleOccupational health specialists’ role• Scarce possibilities for employers training in Scarce possibilities for employers training in

WMHPWMHP

Thank you for your Thank you for your attentionattention

Everyone Everyone countscounts