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Michael Robertson - Recovre - Understanding workplace psychological injury from the perspective of occupational mental health

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Associate Professor Michael Robertson, Chief Medical Officer, The Recovre Group presented this at the National Workers' Compensation Summit 2014. The Summit focused on minimising workplace injury …

Associate Professor Michael Robertson, Chief Medical Officer, The Recovre Group presented this at the National Workers' Compensation Summit 2014. The Summit focused on minimising workplace injury claims through establishing a successful safety culture and embrace working towards successful outcomes should a workers compensation claim arise.

Find out more at http://www.informa.com.au/nwc14

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  • 1. Workplace Psychological Injury from the Perspective of Occupational Mental Health A/Prof Michael Robertson Chief Medical Officer – The Recovre Group
  • 2. Alec Miekle 1991-2008
  • 3. Recovre’s Occupational Mental Health Survey 2013-14 • 85% had experienced or knew someone with a “mental health issue” • 65% would not or were not sure if they would disclose a mental health problem
  • 4. • 75% believed that knowledge of an effective action from a manager was the most important factor in assisting psychologically injured workers • Most negative effect on workplace mental health – 70% job uncertainty – 14% social media
  • 5. • 80% believed mental health problems affect productivity • 80% believed workplaces should provide specialised mental health services
  • 6. Occupational Mental Health • The application of knowledge and expertise in the mental health disciplines to the workplace • Focused upon individuals, small aggregates and the whole “organism”
  • 7. • Prevention, post-vention and intervention • Not just forensic psychiatry, rehabilitation, vocational or organisational psychology but the synergies between these • Underlying assumption is systems theory
  • 8. Systems Theory
  • 9. The Workplace as a System Executive Management Employees
  • 10. Intervention in systems
  • 11. What makes a workplace poisonous? • Intrinsic occupational hazards • Bullying in all its forms • Uncertainty about tenure • Unclear job description • Isolation and alienation • Anomie
  • 12. Psychological Risk Assessment in the Workplace
  • 13. Risk • An evaluative concept that speaks of probability of a “negative” event • Risk = (probability) x (impact) • Estimation of risk affected by “bounded rationality” – i.e. the biases and limitations of our minds • Influence of context – e.g. risk averse culture
  • 14. Risk
  • 15. Gender Ethnicity Static Intellectual disability Social class Educational level Developmental trauma Criminal history History of previous dangerousness Treatment nonresponsiveness Dynamic Stable Age Personality Interpersonal support network Impulsivity Problem solving capacity Cognitive schema Attribution style Attachment style Immature or primitive psychological defenses Dynamic Changeable Clinical Risk Assessment Psychotic symptoms Mood or anxiety symptoms Substance use Acute crisis Social isolation Unsatisfactory living situation Treatment nonadherence
  • 16. Question • Can businesses or workplaces be thought of as akin to a person? 16
  • 17. Institutional culture The Broad culture Economic climate History of bullying/stress Static Global economy Dynamic Stable Nature of the business Legislative environment Local trading conditions Growth or evolution of business Extant risk of workplace Problematic personnel Dynamic Changeable Risk Assessment/Intervention in the Workplace Problematic interpersonal dynamics Ineffective management of conflict Poor management of acute change Problem person 1
  • 18. Summary & Questions