Philippa Vojnovic: Managing Mental Health and Suicide Risk among FIFO Workers in the Australian Resources Industry. Presented at the Safety Institute of Australia October 30, 2014 Page - 1 - of 20 Title: Managing Mental Health and Suicide Risk among FIFO Workers in the Australian Resources Industry Presenter: Philippa Vojnovic Philippa has worked in the mental health sector for 17 years and hold a Master’s degree in Psychotherapy and Counselling, a Graduate Certificate in Business, and a Bachelor’s degree in Psychology. She has written and presented numerous workshops on topics relating to mental health, including bullying and teen adolescent violence, and FIFO to professional audiences. Philippa has also published on the topics of mental health and suicide of FIFO workers. Her doctoral study investigates the well-being and help-seeking (accessing support) among Fly-In/Fly-Out (FIFO) employees in the resources industry. Presenter: Dr Susanne Bahn Dr Susanne Bahn has 11 years consultancy expertise, including 9 years of research at Edith Cowan University, in work health and safety practice and processes, risk management, supervision and leadership and vocational education in the construction and mining industries. Sue’s specific expertise focuses on induction deafness and risk blindness and strategies to improve the hazard awareness skills of workers in hazardous work environments. She has published her work extensively and is the author of two books “OHS Management: Contemporary Issues in Australia” and “OHS at Work”. She has over fifty journal articles published in Australian and international journals, many of which focus on work health and safety issues. In 2013, she was appointed a Member of the Safe Work Australia Expert Work Health and Safety Workers’ Compensation Panel. She has a PhD (Business – Health and Safety Management), a Masters in Human Resource Management, a Bachelor of Education and a Graduate Certificate in Higher Education. Presented to: the Safety Institute of Australia (SIA), October 30, 2014 at the Parmelia Hilton Perth. Philippa Vojnovic: Managing Mental Health and Suicide Risk among FIFO Workers in the Australian Resources Industry. Presented at the Safety Institute of Australia October 30, 2014 Page - 2 - of 20 Hello everyone, I’m Philippa and it’s a pleasure to speak to you about managing mental health and suicide risk. I’m researching well-being and help-seeking (or accessing support) among Fly-in/Fly-Out workers in the resources industry, to discover ways to encourage workers with mental health problems to access support. This is a topic which I’m really interested in, for a few reasons. My husband worked fly-in/fly-out, or FIFO as we all know it, for 4 years, and many of our friends do as well, so I understand the lifestyle and some of the issues which can arise. I have worked for seventeen years in the mental health field and, as a Psychotherapist and Counsellor, I’ve counselled many FIFO workers experiencing depression, anxiety and various issues associated with FIFO work. As indicated, I’m from Edith Cowan University in the School of Business conducting doctoral research. I’m a member of the Centre for Innovative Practice, as well as a founding committee member of a new organisation, the FIFO Australian Community of Excellence (or FACE). FACE is a non-profit multidisciplinary network interested all aspects of FIFO work, health and lifestyle and we are launching FACE in February. I hope that my research outcomes will lead to more effective interventions for FIFO workers mental health, and at the same time, benefit the mining companies. It’s a straight forward aurgument that a mentally healthy workforce will be safer, cause less problems for management, and be more productive. There are convincing economic and human reasons for promoting mental health at work and for reducing worker suicide. Philippa Vojnovic: Managing Mental Health and Suicide Risk among FIFO Workers in the Australian Resources Industry. Presented at the Safety Institute of Australia October 30, 2014 Page - 3 - of 20 Have any of you experienced issues around mental health in your workplace? Do you know what the costs to companies of mental health problems are? Mental health in the workplace is increasingly recognised as essential. This is partly because the benefits of good mental health, such as higher motivation and engagement, are important for achieving company goals. But it’s also because the costs of mental health problems are devastating. These costs are from reduced productivity, staff turnover, injury, job strain, bullying, sickness absence, and compensation claims for mental strain. There’s also an association between mental health problems and accidents at work. The financial cost of mental health problems to Australian businesses is around $10.9 billion each year. Workers with mild depression take double the amount of sick days as other workers. In fact depression alone costs around $8 billion due to sickness absence and presenteeism (where workers are present but not productive), as well as $693 million lost because of bullying and job strain. Businesses who implement strategies to improve and protect workers mental health could gain $2.30 for each $1 invested. If 25 per cent of the least mentally healthy Australian workers could be raised to the level of the 25 per cent most mentally healthy, then $17 billion in employer costs can be saved – that’s a worthwhile investment to me. If we talk about costs we also need to recognise the more hidden personal costs of mental health problems, such as poor relationships with co-workers, low self-esteem and loss of ambition. We must think about mental health at work in a similar way that we think of physical health and safety. You’ve probably all seen FIFO mental health in the headlines over the last few months. There have been 9 reported suicides of FIFO workers in the Pilbara area in the last year, as well as one linked to the Goldfields. There’s also been a few in Queensland. Philippa Vojnovic: Managing Mental Health and Suicide Risk among FIFO Workers in the Australian Resources Industry. Presented at the Safety Institute of Australia October 30, 2014 Page - 4 - of 20 There’s a lot of talk about high rates of mental health problems and suicide, and a political inquiry is underway. (in fact, I’ve spent a good part of the last month writing a submission for the inquiry). I liken these reports to ‘the miner’s canary’ - In the old days, coal miners took a caged canary with them underground. If the canary dropped dead the worker knew the mine was filling up with gas, and got out of there. So the canary acts as a warning of danger. In this way, the reports about high rates of mental health problems and suicide are the miner’s canary, - they are highlighting potential risk in the FIFO working arrangement. FIFO itself doesn’t cause mental health problems, but it does expose workers to risk factors. And the good news is, risk can be minimised and managed. As I’m sure you as safety professionals are all very aware of. So what do we know about the mental health of FIFO workers in the mining industry? Not all FIFO workers will experience mental health problems – about 70% don’t. Although this topic is all over the media, only about six studies have actually measured mental health among FIFO workers with proper diagnostic tests. They have found some mixed results. One study found no mental health problems, the others have found higher levels of mental health problems than the general population. The key mental health issues which have been identified across research studies are: Feelings of isolation and loneliness: this reported across research studies regardless of education level, profession, or roster duration. So that’s an important one. Stress, which gets worse for some people during the home to work transition periods. Philippa Vojnovic: Managing Mental Health and Suicide Risk among FIFO Workers in the Australian Resources Industry. Presented at the Safety Institute of Australia October 30, 2014 Page - 5 - of 20 Depression, which is likely to influence employment performance and increase risk of suicide. Anxiety, this this effects sleep, concentration, employment performance, and irritability. Substance misuse, while mining companies are excellent at testing workers for substances, some FIFO workers use substances on their R&R period. Amphetamines are particularly popular because they leave the body quickly and isn’t as likely to be detected by testing by the time they go back to site. And why they do this, to some extent doesn’t matter but there seems to be a sense of making up for lost time. What Drug use does, is it indicates that these guys have limited coping strategies. Drug use often increases in stressful situations, and can interfere with work tasks and, obviously, safety. Even if the drug has left the body, the after effects are still present, like a hangover. Sleep problems, most FIFO workers work 12 hour shifts – now the industry may not be any more dangerous than others, but it’s certainly less forgiving of mistakes, particularly if you are working with explosives and heavy machinery. Less than 6 hours sleep and our brains work like we’ve had a couple of drinks. It also effects our mood, coping ability and concentration. Limited social network, has been identified by research as a real issue with FIFO workers. Remember that they are in remote locations with often limited means and time for communication. Also, often when they go back home on their R&R, their Perth based friends are working, and there’s a sense of disconnection. Having limited social support is likely to impact on workers accessing support for mental health problems when they need it, and to intensify those feelings of isolation and loneliness. Over 2,000 people die by suicide each year in Australia which is twice the road toll! It’s the leading cause of death in men aged between 25-44 years. Risk factors increase suicidal behaviour while protective factors decrease suicidal behaviour as they improve our ability to cope with difficult circumstances. An example of a Philippa Vojnovic: Managing Mental Health and Suicide Risk among FIFO Workers in the Australian Resources Industry. Presented at the Safety Institute of Australia October 30, 2014 Page - 6 - of 20 risk factor is social isolation, and an example of a protective factor is social support. People who attempt suicide usually have many risk factors and few protective factors Why do people suicide? There are no easy answers and sometimes the reasons are never fully uncovered. It may be the only way someone can see to escape a seemingly hopeless or painful situation. It can be an impulsive act, and it can happen with very little warning and sometimes no apparent signs. For example, who was here was shocked a few months ago when actor Robin Williams took his own life? 50% of suicides are by people with mental health problems, but it doesn’t have to be. Often it’s an impulsive act. 1 out of 3 suicides involve alcohol or drugs. What we don’t often hear about is suicide attempts, but they happen a lot more than you realise: for every suicide, there are at least 50 suicide attempts. People who have attempted suicide in the past are far more likely to die by suicide. They need immediate and appropriate professional care. They will also need ongoing support and follow-up. Suicide is mainly a male issue. In work-related suicide (where the coroner identifies work as a significant cause in the death), then men are 7 times more likely to die in this way than women. As you know, in Australia we have a work health & safety requirement to ensure the wellbeing of workers. My qualifications are in psychology, counselling and business, not WHS; However luckily, my supervisor, Dr Sue Bahn, is an expert in this field. She is the CEO of Tap into Safety, the author of over 50 published papers, the author of two books, as well as an adjunct senior lecturer at the School of Business at Edith Cowan Univsersity. Sue also designs some really innovative safety equipment for the mining industry. I will let Sue talk to you about safety requirements and regulations for a few minutes now, and then if you have any specific WHS questions at the end of the presentation you can direct them to Sue. Philippa Vojnovic: Managing Mental Health and Suicide Risk among FIFO Workers in the Australian Resources Industry. Presented at the Safety Institute of Australia October 30, 2014 Page - 7 - of 20 “I will only speak for a minute or so to situate this discussion in the work health and safety obligations. I will be arguing on the basis of the WHS Model Act and the Australian Work Health and Safety Strategy 2012-2022 because there is every indication that WA will be embracing the new Act next year. Section 19:3 (f) of the Model Act outlines the Primary Duty of Care requirements of employers in terms of monitoring the health of workers and this includes mental health and wellbeing. The AWHSS has identified mental disorders as a priority focus in organisations for the next 8 years. Safe Work Australia has produced a Fact Sheet that provides information on Preventing Psychological Injury under the WHS laws wherein psychological injury is viewed as a result of a failure to address psycological hazards. You have a clear and direct duty to provide support and assistance in this area with evidence that you are complying. This includes reviewing incident reports, workers compensation claims, patterns of absenteeism, sick leave, staff turnover, and staff complaints. One-on-one discussions, focus groups and observations are suggested as pro-active actions that help you to meet your requirements to consult with your workers. The key message here is you have a duty and you need to provide evidence that you are complying. I will now hand you back to Philippa who will discuss these obligations in the context of FIFO.” Doctor Susanne Bahn. Thank you Sue. As you can see, there are important organisational reasons for promoting mental health at work. So we know that mental health problems cost Australian Industry billions every year. These costs are from reduced productivity, absenteeism, and injury. There’s also an association between mental health problems and accidents at work. So we understand that there are significant organisational costs. Mining companies also lose out when a worker suicides. There are high financial costs, including closing the mine for a day (or longer) if the suicide occurs at work. Barrow Island operations have reportedly been halted on a number of occasions, according to my participants, due to worker suicide and suicide attempts. This costs millions each time, you can probably imagine. Other outcomes of worker suicide for the organisation are Work Health and Safety implications, liability claims, and an increase in insurance premiums. Worker suicide also does tremendous damage to the company reputation. For example, France Telecom got a lot of negative publicity after the suicide of 25 of their employees’ within two years. The exposure of the suicides led to an investigation, firing the CEO, and union action. The sign held by the protester in this picture says “there is no price on life”. Philippa Vojnovic: Managing Mental Health and Suicide Risk among FIFO Workers in the Australian Resources Industry. Presented at the Safety Institute of Australia October 30, 2014 Page - 8 - of 20 Let’s go on now to talk about my research. The broad questions I’m asking are: 1. To what extent are symptoms of depression, anxiety and stress experienced by FIFO workers? 2. To what extent is well-being mediated by employment conditions (such as rostering) and how well adjusted workers are? 3. What’s the influence of well-being, adjustment and individual differences on helpseeking? 4. How do FIFO workers experience help-seeking, particularly in terms of where they would go for help, the stigma about doing that, and the likeness of them actually accessing that support. I’m surveying FIFO workers and then I’ll do follow-up interviews to explore some topics in death. Dr Sue Bahn and I (along with Professor Michelson and Dr Jackson) have designed a model which you can see here, and this is being published by a journal later in the year. We will test this model through statistical techniques to determine the strength of relationships between FIFO employment conditions, adjustment, individual differences, well-being and help-seeking. These variables, and their relationships, have implications for organisational and individual health outcomes. I could really use your help to get my survey out there because the more responses I have, the more useful the results will be. Philippa Vojnovic: Managing Mental Health and Suicide Risk among FIFO Workers in the Australian Resources Industry. Presented at the Safety Institute of Australia October 30, 2014 Page - 9 - of 20 We know that there is a big variety of FIFO work, between the type of job, roster, and location. The map on the slide is all the FIFO destinations in WA – the red lines are airports, and the blue lines are airstrips. In WA most workers fly out from Perth, but they also fly from regional centres like Albany and Bunbury. Mainly they fly to the Pilbara and Goldfields. The majority of FIFO workers are employed as (32%) are machinery operators and drivers, (27%) technicians and trades workers and (14%); professional roles. There are also support service roles, such as cleaners. The vast majority of these employees work full-time hours, with 54 per cent working over 60 hours per week. Often it’s hot and often it’s noisy. FIFO work is well paid. So most FIFO jobs can be considered intensive, pressured, and yet financially rewarding all at the same time Some extraction work occurs in open pits, some underground. Who here has been underground? I was lucky enough to be invited to visit an underground mine last week which was amazing – here’s a photo of me more than a kilometre below ground on a site visit. I was really impressed by the levels of safety, and blown away by what it felt like. It was really hot and humid and the extractor fans made a huge noise. I was really glad that I had that opportunity because now I understand more about what it may be like to work there for 12 hours at a time. Philippa Vojnovic: Managing Mental Health and Suicide Risk among FIFO Workers in the Australian Resources Industry. Presented at the Safety Institute of Australia October 30, 2014 Page - 10 - of 20 The employment conditions of FIFO work has been likened to the military, or a prison by some people, and some workers really like the regimentation. As you can see by this quote from one of my participants he says “I thrive on a regimented lifestyle, so the FIFO lifestyle is a good fit for me”. So this style suits some workers well. The issue of rosters effecting mental health has been discussed quite a bit. Compressed rosters, like those in construction, have been linked to mental health problems, and further research by my colleague Libby Brooks at Murdoch has found it’s mainly the roster balance, or evenness, that’s important. So a 4 weeks on/4 off is probably no worse than 8 days on/6 days off. The family however usually prefer the shorter swings. What we see here is also a trade-off between higher pay on longer swings to a lower pay for the shorter swings, and some workers would prefer to take the higher pay. In August there were worker strikes at Curtis island because the workers were on 4/1 rosters and wanted to go to the shorter rosters. What ended up happening is they kept the longer rosters and accepted higher wages. The Australian mining industry is very male dominated, with about 88% men, and with a ‘macho’ workplace culture. This is not a problem in itself; however it can make it difficult for women to ‘fit in’ and it can also be difficult for migrant workers. Here’s a question for you? Shall we hire more females’ worker? BHP (Through one of their subsidiary companies) are hiring more females due to their safer work behaviours. The Australian Mines and Metal Association set a goal to increase women in the sector to 20 per cent by 2020. Given that men are at a higher risk of suicide, do you think we ought to hire more women? This may become a popular choice over the next few years. Philippa Vojnovic: Managing Mental Health and Suicide Risk among FIFO Workers in the Australian Resources Industry. Presented at the Safety Institute of Australia October 30, 2014 Page - 11 - of 20 Part of what I’m looking at is the role of adjusting to the FIFO working arrangement. Fitting in socially is really important when the workers live and work together for long periods. What other research shows is that how well a worker adjusts to the actual work role is not that important. Sounds funny, doesn’t it: However how well workers adjust socially and to the general conditions, like the food, is really crucial to whether they will stay or leave that job. In my survey, there’s room for people to leave comments. I’m surprised at how many are about food! For example, this quote by my participant: “The thing I mostly find is the food is not really up to home standard,” the second part of that quote is important too “a lot of the people due to long hours don't mix or socialize”. Socializing is part of adjustment, and is important for a number of reasons: Interpersonal relationships help workers adjustment to the FIFO working arrangement, it helps them want to stay which is good for the organisation, and it means that there’s someone who’ll be around to talk with and provide a sense of mateship. This can help build a sense of community and connection, which is often missing for FIFO workers. Philippa Vojnovic: Managing Mental Health and Suicide Risk among FIFO Workers in the Australian Resources Industry. Presented at the Safety Institute of Australia October 30, 2014 Page - 12 - of 20 Let’s talk about support programs and barriers Receiving support for mental health problems and suicidal thoughts is essential to help people recover. There are two types of support: formal (doctor, counsellor), and informal (mates, parents). Workers can also use self-techniques (relaxation and coping strategies). This is Rhys Connor, a 25 year old FIFO worker, with his son. It’s been a year sice Rhys killed hiself in his work accomodation. Although he had seen the company psychologist, and had attempted suicide just nine days before his death, the company Rhys worked for was unaware of any risks. There is a fear about the confidentiality of Employee Assistance Programs (EAP). Most companies do offer support programs, but they’re underused because there’s stigma around getting help, and workers are afraid that they will lose their jobs. This stigma about mental health problems is unfortunately pervasive in our culture: Here’s a riddle for you: A man and his son are driving to watch the football. They have a car accident. His son survives but is in critical condition. His father rushes him to the hospital and he’s prepped for surgery. The surgeon enters the operating room, looks at the boy and says, “I can’t operate on this boy. Who is the Surgeon? Any ideas who the surgeon is? It’s his mother. Now this is an example of how gender stereotypes are so deeply ingrained in our culture that we automatically think of a surgeon, or a Doctor, as a man. If you didn’t get it, don’t worry: I’m doing my doctorate and I’m female and I still didn’t get it! I’m telling you this to show you that these stereotypes are hard to get rid of. The same is true for the stereotypes around mental health problems. Imagine that you have a colleague who has high blood pressure or diabetes. Getting them to a doctor for diagnosis and treatment would be promoted and it wouldn’t affect your relationships with them, would it? But now imagine that the guy you work with has bi-polar disorder and is taking prescribed medication. Do you feel the same way about him that you would if he had high blood pressure? There is an underlying stigma Philippa Vojnovic: Managing Mental Health and Suicide Risk among FIFO Workers in the Australian Resources Industry. Presented at the Safety Institute of Australia October 30, 2014 Page - 13 - of 20 about mental health problems which makes it harder for everyone to deal with it effectively. Here are two comments from my research participants about accessing support: “Although available, you are deemed a head case and people think different of you, in particular – management” 23 yr. old FIFO worker “honestly don’t trust management with personal issues” 31 yr. old FIFO worker There are a lot of myths about mental health problems. For example, “Myth: Mental health problems are caused by a personal weakness. Fact: It’s not a character flaw. It’s caused by genetic, biological, social and environmental factors. Seeking and accepting help is a sign of strength. Myth: People with a mental health problem never get better. Fact: With the right kind of help, most people do recover and lead healthy, productive and satisfying lives. Myth: People with a mental health problem can “pull themselves out of it”. Fact: It’s not caused by personal weakness and is not “cured” by personal strength” WA government, accessed from: www.mentalhealth.wa.gov.au Three out of four people with a mental health problem say that they have experienced stigma. Stigma sets someone apart from the group in a way that they are stereotyped, where people have negative attitudes to them, and they are discriminated against. Stigma causes: shame blame hopelessness reluctance to seek or accept help Philippa Vojnovic: Managing Mental Health and Suicide Risk among FIFO Workers in the Australian Resources Industry. Presented at the Safety Institute of Australia October 30, 2014 Page - 14 - of 20 Stigma can also mean that, by association, mental health professionals are seen as abnormal. I can’t tell you how many times when I‘ve told people that I’m a psychotherapist that they look at me funny and ask if I’m going to ready their mind we can’t really do that! A 2006 Australian study found that “nearly 1 in 4 of people would not employ a person with depression around a third would not vote for a politician with depression one in 5 said that if they had depression they would not tell anyone” How can we challenge stigma? We are all responsible for creating a mentally healthy workplace. Some strategies are: “learn and share the facts about mental health problems get to know people with personal experiences of mental health problems When people you know show negative stereotypes, say something! offer the same support to people when they are physically or mentally unwell don't label or judge people with a mental health problems, treat them with respect and dignity as you would anyone else Sending staff to Mental Health First Aid training can help them to learn what to do in a mental health crisis, as well as appropriate ways to respond to mental health issues. Talk openly about it: The more hidden it remains, the more people believe that it is shameful”. Do you remember Geoff Gallop, the former WA premier, who resigned to tackle his depression? His bravery has done a lot to reduce mental health stigma in WA, but there is still some way to go, especially in the very male, very Aussie environment like FIFO work. You as safety professionals are ideally placed to have an important role in mental health because workers trust you and don't fear the same consequence as from their direct supervisors. Philippa Vojnovic: Managing Mental Health and Suicide Risk among FIFO Workers in the Australian Resources Industry. Presented at the Safety Institute of Australia October 30, 2014 Page - 15 - of 20 There are strategies we can all use to improve mental health and reduce suicidal tendencies. These include: • Look after relationships: Family and friends can listen, provide support, and may have helpful ideas or know where to go for help in all sorts of situations. For FIFO workers, it may be worth making friends on-site, and having regular contact with people back home. For FIFO parents, an idea I heard from a colleague Cath Ashton, is to write letters to your kids or in a diary when you’re on-site and then give it to read when you get back home. This can help you maintain those relationships. • Think well of yourself: Identify your strengths and what you are good at. Spend time and energy in developing new skills and planning new goals for the future. • Maintain health: Look after your physical health. Diet and exercise impact our thinking. Most camps have healthy alternatives, and sometimes people chose unhealthy alternatives as a way of coping. • Practice helpful ways of thinking: Challenge negative thoughts, look for alternative solutions to problems, and look at situations optimistically. • Develop connections: Get involved in community activities such as social or sporting activities, it will help to broaden social networks and reduce feelings of isolation. Many sporting teams now accommodate for FIFO workers, so they can play games on their R&R, or sub in with other FIFO workers. • Don’t tackle major problems alone: Ask for help and support when needed, don’t be afraid of expressing your emotions, and offer help to other workers around you. So we have talked a bit about why it’s important for organisations to protect worker mental health and risk manage. But how do organisations achieve this? Companies may feel powerless to act about these ‘personal’ issues; however worker mental health and suicidal behaviour is certainly an organisational issue too. And research shows us that organisational strategies can have a real impact on improving Philippa Vojnovic: Managing Mental Health and Suicide Risk among FIFO Workers in the Australian Resources Industry. Presented at the Safety Institute of Australia October 30, 2014 Page - 16 - of 20 worker mental health and actually reduce suicide rates. So that’s great news! And that’s what we all want, right?? First, company’s need to be clear about their responsibility to protect worker mental health, Which Dr Bahn has helpfully explained. Some resources companies in Australia have implemented good initiatives to promote mental health and these should be further encouraged. Workers on contracts, rather than ‘employees’, often have access to less support so it’s important that they be included too. As we discussed, interpersonal relationships are important. One of the other reasons FIFO workers don’t ask for help is because they’re men, and men have all kinds of barriers to asking for help (or reading maps if you’ve ever read the book ‘men are from mars, women are from venus’). The majority of FIFO workers are men, and men prefer to access support in different ways to women. For example, a man is often more likely to talk to his wife or mates than to formal support services. So what we have is a very male dominated workplace culture which can be negative (such as ignoring feelings, coping through self-medicating with alcohol and drugs) or positive (like mateship, mentoring). A strategy to improve FIFO worker mental health is to encourage men’s support groups on-site amongst themselves, so it’s more informal. Peer support and promotion of positive relationships with co-workers may reduce isolation and loneliness, as well as arguments/disagreements with co-workers, which are identified as risk factors of work-related suicide. This strategy has been successfully implemented in the Queensland construction industry in an effort to reduce high suicide rates, and is an approach which uses the existing work force. It’s also a good idea to regulate rostering and educate workers on the FIFO lifestyle and mental health issues during the on-boarding and exit stages. An idea I’m going to roll out is on-site mini mental health libraries with good books and handouts on mental health. This is really cheap, and easy to do, and if any of you are interested in this feel free to contact me and I can recommend some good resources for you. Improved employee mental health screening is another option to help reduce risk: A careful employer will exercise some degree of caution when choosing someone for a Philippa Vojnovic: Managing Mental Health and Suicide Risk among FIFO Workers in the Australian Resources Industry. Presented at the Safety Institute of Australia October 30, 2014 Page - 17 - of 20 position. To make a proper and careful judgement requires an assessment of a prospective employee's personal stability. Among other matters for consideration is the possibility that the health and safety of co-employees are at risk if a person of evident mental instability is taken on. So this is a balance between not discriminating against people with mental health problems and being careful about the level and type of mental health problems and consequences. For example, someone with mild depression who is receiving treatment, compared to someone with untreated suicidal behaviour. As I said, a certain amount of this is good risk management (hence the safety hats on the slide). Some companies do conduct employee psychological screening which can help to identify suitability for FIFO work but it may also be beneficial if mental health is then monitored, for example as part of an annual review. This can be viewed as part of building a mentally healthy aware workplace, which can also reduce the stigma around mental health problems. Another strategy is to encourage workers to use anonymous on-line tool kits (such as from R U Ok?) which can help to check their mental health and work out if they may need some additional or professional support. We need to aim to have zero suicide deaths just as we aim for zero accidental deaths, because suicide is preventable. I know that some resources companies are working closely with the families of FIFO workers who have died through suicide in an effort to educate FIFO workers and managers, and I think that this is a helpful approach because it uses the voices of lived experience which is much more impactful than reading it from a book. Workers with mental health problems may be perfectly well supported by their mates but If you have a worker with suicidal thoughts and behaviours, they need professional support – they really will need the supervision of a GP or a pschologist, because they need to have safety plans put in place, they may need medication, and this is where you really must have a mental health professional. Philippa Vojnovic: Managing Mental Health and Suicide Risk among FIFO Workers in the Australian Resources Industry. Presented at the Safety Institute of Australia October 30, 2014 Page - 18 - of 20 There are other barriers to workers accessing the support that management may provide: Some of the things that get in the way are: • EAP access hours are usefully open business hours and are in Perth. • Skype counselling sounds like a good idea, but workers report that it’s difficult to use, especially with limited reception at some sites. • Phone counselling – which is most often promoted for suicidal people – is being shown by my early data trends as an unfavorable option for workers. The majority are saying that they are very unlikely to access phone counselling. • There’s been a lot of promotion of on-site Chaplains – however my research shows that most FIFO workers are really reluctant to engage with them. Here is a quote from one of my participants: “Most sites have posters about seeking help. But site services are a chaplain, should be a psychologist due to being trained for mental health issues”. 39 year old FIFO worker. So there’s a sense of not trusting that a chaplain will know how to handle mental health issues. There may also be a sense that if you’re not religious, then you don’t visit the chaplain. I've only touched on the organisational strategies that you can use to manage mental health and suicide risk - if you are interested in knowing more, you are welcome to contact me for more in depth information. Despite the devastating impacts of FIFO worker suicide on the family, co-workers, and companies there are limited studies; mine is one of the first. My research is discovering ways to encourage workers with mental health problems and suicidal thoughts to access support, which will benefit both the workers and the resources companies. Philippa Vojnovic: Managing Mental Health and Suicide Risk among FIFO Workers in the Australian Resources Industry. Presented at the Safety Institute of Australia October 30, 2014 Page - 19 - of 20 At this stage of the presentation, Philippa discussed early data trends in her current research. For up to date information on the study, please contact Philippa on the details displayed below. References are available upon request. Philippa Vojnovic PhD Candidate Centre for Innovative Practice School of Business Edith Cowan University 270 Joondalup Drive Joondalup, WA 6027 Phone: +61 410 152 992 Email: [email protected] Philippa Vojnovic: Managing Mental Health and Suicide Risk among FIFO Workers in the Australian Resources Industry. Presented at the Safety Institute of Australia October 30, 2014 Page - 20 - of 20
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