B8 Mental ill health Flashcards

1
Q

Stats ref mental ill health 2017/18

A

595000 suffering

15.4 million days lost

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2
Q

Causes of mental ill health

A

workload
lack of support
violence, threats, bullying
changes at work

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3
Q

Industries with mental ill health

A

education
health
public admin / defence

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4
Q

sources of info

A

HSE RIDDOR - over 7 days absence work related
Labour Force survey of 38000 workers
THOR - GP

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5
Q

depression symptoms

A
down
upset
tearful
restless
irritable
isolated
no self confidence / self esteem
suicidal
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6
Q

behaviours - depression

A
avoid social events
self harm
difficult to speak / think clearly
difficult to remember / concentrate
alcohol / drug use
difficult to sleep
under / over eat
aches & pains
move slowly
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7
Q

anxiety symptoms

A
nausea
tense muscles
dizzy
fast breathing
sweating
raised blood pressure
difficulty sleeping
increased need for toilet
feel tense
sense of dread
over busy mind
dwell on negative
restless 
unable to concentrate
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8
Q

work related stress definition

A

adverse reaction of people to excessive pressure or other demands placed on them

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9
Q

physical effects of stress

A
heart disease
back pain
headaches
repeat colds
weight gain / loss
tired
fainting
skin complaints
stomach complaints
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10
Q

emotional signs of stress

A
mood swing
cynical
anxiety
loss of confidence
lack of self esteem
lack of concentration
panic attacks
withdrawn
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11
Q

behavioural signs of stress

A
poor quality work
drug / alcohol use
insomnia
under / over eating
poor time management
accident prone
impaired speech
mood swings
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12
Q

post traumatic stress disorder

A

psychological reaction to highly stressing event, eg violence

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13
Q

PTSD symptoms

A

depression
sweating
flashbacks
nightmares

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14
Q

causes of work mental ill health

A

organisation of work
workplace culture
working environ

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15
Q

organisation of work factors

A
long hours
poor work / life balance
excessive workload / deadlines
anti social hours
unpredictable hours
changes to work hours
shift work
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16
Q

workplace culture factors

A
poor communication
organisation structure - insufficient staff
too many staff = boredom
inconsistency in approach by managers
bonus systems / piece work
lack of resources
lack of support
17
Q

working environ factors

A
lack of space / privacy
excessive noise
temperature
inadequate light / ventilation
dirty / untidy
hazardous conditions
poor welfare facilities
18
Q

job factors

A
work load
time pressure
boredom
lack of clarity ref expectations
conflict of interests
lack of control / supervision
19
Q

individual factors

A
bullying
harassment
verbal / physical abuse
bereavement
relationship problems
medical conditions
commuting
childcare issues
caring for others
relocation
divorce
20
Q

HSE sources of stress

A

demands - workload, work patterns, environ
control - in how they do their work
support - resources, encouragement
relationships - avoid conflict, unacceptable behaviour
role - understand role in the org, no conflicting roles
change - how changed managed and communicated

21
Q

how to manage mental ill health at work

A
work is good for the person
provide time / rest periods
co-worker to assist
workplace assessment to determine stressors
supportive managers
early intervention
temp modifications to work
supportive environ
counselling
late start / early finish
work from home option
match job to capability
contact during sickness absence
22
Q

organisational activities to

manage mental health

A

recruitment - culture, fair recruitment process
at work - commitment to mental well being, policies
distress - counselling, EAP, OH, HR
sickness absence - sickness absence policy, internal / external support
RTW - rehab policy, retirement policy

23
Q

individual activities to manage mental health

A

recruitment - job / person fit
at work - appraisal, training, development, assessment
distress - spot signs, discuss, monitor
sickness absence - active engagement, return plan
RTW - return plan, active monitoring / support

24
Q

sources of info ref mental ill health at work

A
sickness absence data
accident data - increased frequency
productivity data - reduced performance
staff turnover
staff surveys
informal discussions
appraisals
focus groups
RTW interviews
Occ Health
25
stress control measures - demand
balance work to hours regular breaks / rest periods match skills to job demands minimise environ factors (noise, temp etc)
26
stress control measures - control
provide workers with control over work pace and manner encourage use of initiative encourage personal development consultation ref work patterns
27
stress control measures - support
policies / procedure to provide support system for managers to identify where support needed encourage managers to provide support encourage workers to support each other ensure workers know what resources are available provide regular constructive feedback
28
stress control measures - relationships
promote positive behaviour that avoids conflict unacceptable behaviour policies encourage managers to deal with unacceptable behaviour encourage reporting of unacceptable behaviour ensure communication between managers & workers systems for consultation
29
stress control measures - role
ensure workers have required knowledge & skill ensure compatible goals in role ensure requirements are clear ensure roles & responsibilities are clear systems to raise concerns
30
stress control measures - change
timely info ref change consultation in proposed changes provide info on impact of change training & support during change
31
stress control - other measures
``` stress management policy general health awareness initiatives address work life balance - job share, part time, home working, flexi time stress awareness training Occ health / counselling ```
32
legal duty to manage stress
HSWA section 2 - sfarp ensure health, safety, welfare of all employess HSAW section 7 - employee take reasonable care (report stress, implies not to cause stress) MHSWR 1999 - Reg 3 - RA Reg 4 - principles of prevention Reg 13 - employer to take employee capability into account Reg 14 - employee to report H&S shortcomings Working Time Regs 1998 - cannot be forced to work > 48 hrs on avg regular rest breaks daily rest of min 11 hrs in each 24 hr period wkly rest of not less than 24 hrs 4 weeks paid holiday min per year
33
Common law stress
``` Negligence duty of care owed breach breach cause harm foreseeable ```
34
Sutherland v Hatton & Others 2002
Stress at work - reasonableness Court of Appeal heard 4 appeals by employers against awards to employees who suffered stress induced psychiatric illness Ruling - not liable unless illness was reasonably foreseeable No duty on employer to enquire about employee mental health Take what employee says at face value unless good reason not to believe Employer in breach if fails to take reasonable steps - look at size of riks, size of harm, cost to prevent harm. Not likely to be in breach if employer provides access to counselling
35
Walker v Northumberland county council 1995
stress at work - excessive workload Walker was social worker workload increased, suffered nervous breakdown promised more resources on RTW didn't happen 2nd breakdown and retired sued breach of duty to provide safe work environ not liable for 1st breakdown as not reasonably foreseeable liable for 2nd as caused by same means failed to provide effective support
36
Barber v Somerset county council 2004
stress at work - issue known or should have been known Barber was teacher, worked long hrs, complained of overload. Mental breakdown Originally awarded £100k SCC appealed on ground claimant had not told employer about his illness Appeal to H of L - had informed each of SMT separately, not acted on. Awarded £72k
37
Intel Corp v Daw 2007
stress at work - counselling does not discharge duty Daw had chronic depression and breakdown claimed unreasonable job demands affecting health previously ill with post natal depression open about her depression employer provided counselling only, not other arrangements to address ill health providing counselling only was not enough to discharge their duty of care
38
Equality Act 2010
disability includes substantial & long term mental issue reasonable adjustments - alter job content, work hours, rehab, more holiday / leave, extra support redeployment