Workplace Mental Health is Important

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Let’s talk about the silent boss in your head.

In today’s day and age, mental illness is the leading cause of long-term absence at the workplace in most developed countries. Poor mental health causes over 70 million working days to be lost every year (UK Chief Medical Officer, 2013). This ranges from the most commonly experienced symptoms of stress and anxiety, to the more complex mental health conditions such as depression, bipolar disorder and obsessive-compulsive disorder. Mental illness is also associated with high levels of presenteeism, where an employee remains at work despite the symptoms that contribute to lower productivity. This makes the issue of workplace mental health a major personal, health and economic matter.

Every year, 1 in 5 people suffer from a mental illness. Most commonly, it is depression or anxiety, but it could also include bipolar disorder and other psychotic disorders. Given that most adults spend a good amount of their time at work, it should come as no surprise that the work environment plays a significant role in their psychological health and well-being. Not only does poor mental health affect the employee, it also affects the employers — including increased staff turnover, absence in sickness, burnout and exhaustion, decreased motivation and less productivity.

The stigma attached to having a psychiatric disorder is such that employees may be reluctant to seek treatment, especially in the current economic climate, out of fear that they might jeopardise their jobs. At the same time, managers may want to help but aren’t sure how to do so. Clinicians may find themselves in unfamiliar territories, as they would be simultaneously trying to treat a patient while providing advice about dealing with the illness at work. As a result, mental health disorders often go unrecognised and untreated, not only damaging an individual’s health and career, but also reducing productivity at work.

There are many risk factors present in a workplace environment. Risks to mental health include — inadequate health and safety policies, poor communication and management practices, low control over one’s area of work, inflexible working hours, harassment, discrimination at the workplace and lack of resources to do the job efficiently. Bullying and psychological harassment are the commonly reported causes of work-related stress by workers and these present risks to the health of workers. They are associated with both psychological and physical problems.

An important element of achieving a healthy workplace is the development of governmental legislation, strategies and policies in this area. A healthy workplace is defined as one where the workers and the management actively contribute to the work environment by promoting and protecting the health, safety and well-being of all employees and co-workers. Organisations can also help to create a healthy workplace by following some steps. These include creating awareness to promote better mental health and understanding the opportunities and needs of the employees, in order to help develop better policies for workplace mental health.

Employers too can support and protect their employees’ well-being by considering the following measures — flexible work hours, effective managers trained in mental health, raising awareness and creating an open culture to discuss mental health, involvement of employees in decision making, introducing stress risk management procedures, providing access to employee assistance programmes and occupational health, introduction of performance management process and conducting return to work interviews.

Interventions and good practices that protect and promote mental health in the workplace can be used as well. Mental health interventions should be delivered as part of an integrated health and well-being strategy that covers prevention, early identification, support and rehabilitation. Occupational health services or professionals may support organisations in implementing these interventions where they are available, but even when they are not, a number of changes can be made that may protect and promote mental health.

Organisations have a responsibility to support individuals with mental disorders in either continuing or returning to work. Research shows that unemployment, particularly long-term unemployment, can have a detrimental impact on mental health. Many of the initiatives outlined above may help individuals with mental disorders. In particular, flexible hours, job-redesign, addressal of negative workplace dynamics, and supportive and confidential communication with management can help people with mental disorders to continue or return to work. Access to evidence-based treatments has been shown to be beneficial for depression and other mental disorders. Because of the stigma associated with mental disorders, employers need to ensure that individuals feel supported and able to ask for support in continuing with or returning to work, and are provided with the necessary resources to do their job.

Let’s counter the silent boss.

 

Feature Image Credit: rawpixel.com on Unsplash

 

Anoushka Thakkar is a Research Associate (Mental Health) at One Future Collective.

 

References:

Mental Health in the Workplace, World Health Organisation. 8 Feb 2018. <http://www.who.int/mental_health/in_the_workplace/en/>

 

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The Future of Mental Well-being for Trans Persons in India

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The role of society and healthcare professionals.

The first official count of the third gender in India in 2014 was 4.9 lakh. While transgender activists estimate the numbers to be six to seven times higher, such a large number of people identified themselves as belonging to the third gender, despite the fact that the census counting happened well before the Supreme Court order gave legal recognition to the third gender. Of the total number of transgenders identified by the census, almost 55,000 are between the ages of 0 to 6 years. Over 66% of the population that identified as the third gender lived in rural areas. The proportion of those working in the transgender community is also low (38%) compared to 46% in the general population. Only 65% of the total working population are main workers who find work for more than six months in a year compared to 75% in the general population. This census established that the transgender community in India continues to lack equality in terms of educational and employment opportunities.

The main problems that are being faced by the transgender community today are discrimination, unemployment, lack of educational facilities, homelessness, lack of medical facilities: like HIV care and hygiene, depression, hormone pill abuse, tobacco and alcohol abuse, penectomy, and problems related to marriage and adoption. Many of them are pushed to the periphery as social outcasts and are forced to earn their living by methods like begging or becoming sex workers. Trans persons have very limited employment opportunities. Their lack of access to bathrooms and public spaces is illustrative of the discrimination faced by trans persons in availing all facilities and amenities. They face similar problems in prisons, hospitals and schools. This constant discrimination creates an environment that is not conducive to their personal development or mental well being.

The Supreme Court’s judgement on transgender rights covers persons who want to identify with the third gender as well as persons who want to transition from one identity to another, i.e. from male to female or vice versa. The Court has directed Centre and State Governments to grant legal recognition of gender identity whether it be male, female or third gender. In recognising the third gender category, the Court ruled that fundamental rights are available to the third gender in the same manner as they are to males and females. Further, non-recognition of the third gender in both criminal and civil statutes such as those relating to marriage, adoption, divorce, etc is discriminatory to the third gender. Centre and State Governments have been directed to take proper measures to provide medical care to Transgender people in the hospitals and to also provide them separate public toilets and other facilities. Further, they have been directed to operate separate HIV/ Sero-surveillance measures for Transgenders. Unsurprisingly, no clear directions have been given for the mental well being of trans persons.

What can healthcare professionals do?

There has been no detailed study yet on the prevalence of mental illnesses among trans persons in India and their experiences with Mental Health Professionals (MHPs). But agencies which have worked with the community have pointed to the high prevalence and lack of a holistic approach towards mental health. Psychiatric disorders ranging from alcohol abuse and dependence to depressive spectrum disorders are some of the common disorders seen in the trans population in India. Trans persons face additional problems when, in some cases, they are able to access MHPs, owing to the lack of gender awareness and sensitisation of these professionals. Mental health professionals can play a supporting role as educators or advocates in the client’s school or workplace. They can provide resources and counselling to families and help them understand and accept transgenders.

How can civic society play a role?

As long as the society remains the same, government initiatives will do little towards the upliftment of transgenders. As long as the narrow-mindedness of persons and a lack of acceptance persists, inequality will exist and people will continue to be ostracised. A complete mental revolution is, therefore, the key to a better society. As in the case with other areas of social progress, change begins at the grassroots level. Awareness programs are the need of the hour. These will help progressive ideas to percolate into the community and reduce adverse life outcomes for trans persons. The Indian LGBTQ community has always had to live under tense conditions, without access to many basic rights. The trend has been changing lately, with the constant awareness and empowerment of the trans community in India. With hundreds of trans activists from across India participating in the event, this year’s Hijra Habba discussed strategies to strengthen transgender empowerment and tackle key issues specifically related to barriers to their access of health services and legal recognition. One of the biggest achievements of the event was building an understanding on the Transgender Persons (Protection of Rights) Bill 2016, which was recently approved by the Union Cabinet under the Chairmanship of Prime Minister Narendra Modi. India is one of the countries that recognises trans persons as the third gender, and if the government and society continue to take positive steps for the community, it can create support systems that provide for the better mental well being of trans persons.

 

Feature Image Credit: H Heyerlein on Unsplash

 

Anoushka Thakkar is a Research Associate (Mental Health) at One Future Collective.

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The Science of Mental Health

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Mental health is a level of well-being or the absence of a mental illness in an individual. It constitutes for our emotional, psychological and social well-being. It also determines and affects how we handle stress, relate to others and make choices. It is important at every stage of our lives, from childhood to adolescence, to adulthood and beyond.

If one experiences mental health problems at any stage in life, it can significantly affect their thinking, mood and behaviour. The many factors that contribute to mental health problems include biological factors (one’s genes or brain chemistry), life experiences (such as trauma or abuse) and a family history of mental health problems.

Mental health problems are common around the world and each and every one of us has the potential to develop mental health problems, irrespective of our differences. 1 in 4 people worldwide will be affected by a mental or neurological disorder at some point in their lives. Around 450 million people are currently suffering from such conditions which places mental disorders among the leading causes of disability and ill-health worldwide. The burden of mental disorders continues to grow with significant impacts on health, and major social, human rights and economic consequences in countries all over the world. The most common mental disorders are anxiety disorders, mood disorders and schizophrenia.

Anxiety disorders are the most common type of mental illness, affecting 1 in every 13 people (as of 2012). People with anxiety disorders respond to certain objects or situations with irrational fear and dread, as well as physical symptoms like palpitations and sweating. Anxiety disorders include generalised anxiety disorder, panic disorder, OCD (Obsessive Compulsive Disorder), PTSD (Post-Traumatic Stress Disorder), social anxiety disorder and specific phobia.

Mood disorders are also known as Affective Disorders or Depressive Disorders. Nearly 1 in 10 people aged 18 and older have mood disorders. Patients with these conditions experience significant changes in mood, generally involving either mania (elation) or depression. Mood disorders include major depression, bipolar disorder, persistent depressive disorder and SAD (Seasonal Affective Disorder).

Schizophrenia is a highly complex condition affecting approximately 1.1% of the population over the age of 18. In other words, as many as 51 million people worldwide suffer from schizophrenia. Schizophrenia normally begins between the ages of 15 and 25. It has negative and positive symptoms. These symptoms are categorised on whether they reflect diminished or excess function. Negative symptoms refer to a decrease or absence of normal functioning, whereas positive symptoms refer to an excess or distorted or normal functioning. Positive symptoms include delusions, thought disorders and hallucinations. Negative symptoms include withdrawal, lack of motivation and a flat or inappropriate mood.

There are various modes through which people with mental health problems might receive treatment. It is important to know that what works for one person may not work for another, this is especially the case with mental health. Some strategies or treatments are more successful when combined with others. Treatments include psychotherapy (talking therapies), medication and self-help.

Research shows that high levels of mental health are associated with increased learning, creativity and productivity, more pro-social behaviour and positive social relationships, and with improved physical health and life expectancy. Ways to create positive mental health include getting professional help if needed, staying positive, getting physically active and eating well, getting enough sleep and developing coping skills.

Ultimately, mental health is about being cognitively, emotionally and socially healthy — the way we think, feel and develop relationships — and not merely the absence of a mental health condition.

Anoushka Thakkar is a Research Associate (Mental Health) at One Future Collective.

Featured image: rawpixel

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Uncuff India Episode 10: Dimensions of conflict and peace: visioning a utopian world

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