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Keeping well in the workplace If employees are free from illness and anxiety they feel good Nottingham, England 6 September 2017 Apheideo Associates A life-time of caring in different contexts ...a practice understanding


  1. Keeping well in the workplace… If employees are free from illness and anxiety they feel good … Nottingham, England 6 September 2017 Apheideo Associates

  2. A life-time of caring in different contexts…

  3. ...a practice understanding Objectifying the Subjective… …meaning making ….telling the story ….creating a new language. Apheideo Associates

  4. Goals of …coping …developing therapy with self - change awareness Apheideo Associates

  5. Prevalence of work-related stress • Nationally, stress is the second most prevalent cause of sick absence • 18% – 25% increase in stress sickness absence in one organisation in past year • A more common GP’s diagnosis – placing onus on organisations to address stress/stressors • “A sign of the times” – employers less tolerance; employees have less flexibility ; both have higher expectations Apheideo Associates

  6. Responses to work-related stress • Positive – people driven by positivity bias  …‘stuck in story?’ • Proactive – early intervention  … within 2 days • Preventative – mental health awareness training  … highest evaluated courses Apheideo Associates

  7. Intervention... good Employee Counselling • Triadic relationship … Who owns the problem? • Impartial and independent … moves seamlessly • Effective recovery takes place in relationships • The best sessions are short … SFBT … not CBT or virtual sessions Apheideo Associates

  8. Demonstrating (cost) effectiveness … • Scale 3 salary • Sick absence stress …. 2 weeks • With contributions ….. £1000 • Budget.... £12,000 • How many do we need to keep in work to demonstrate cost effectiveness? • How many clients did we see last month? The ‘5th Principle’ • Monthly date to organisations Apheideo Associates

  9. Fringe benefits …. • Mediation, coaching, mentoring … • At least 30% below market rate • Successful mediations …. 85% • Stress / Well-being Audits • Conflict resolution and bespoke interventions • Psychological First-aid Apheideo Associates

  10. HAPPY, HEALTHY AND HERE Dr W R Jenkinson

  11. HAPPY , HEALTHY AND HERE “ The ultimate source of any society’s wealth is its people. Investing in their health is a wise choice in the best of time and an urgent necessity in the worst of times”. David Stuckler “Why austerity kills”.The health foundation 11 (Shared drive/Human Development/Training presentations/Happy, Healthy and Here)

  12. HAPPY , HEALTHY AND HERE Change perspective from illness as a burden to health as an asset Factors that influence an individual’s health and wellbeing. • Age gender and cultural factors • Behavioural factors, tobacco, alcohol and exercise • Social and community networks. (support) • Living and working conditions. (food, water, unemployment, health services and housing). • General socio-economic factors. War peace recession growth. • Environment and safety. 12 (Shared drive/Human Development/Training presentations/Happy, Healthy and Here)

  13. HAPPY , HEALTHY AND HERE “Why treat people when they are ill and send them back to the same circumstances that made them ill?” “Most of the determinants of health have little to do with health services and everything to do with broader public services, the environment we live in and people’s opportunities to lead healthy lives.” 2010 Marmot Review. (Shared drive/Human Development/Training presentations/Happy, Healthy and Here) 13

  14. HAPPY , HEALTHY AND HERE WHAT MAKES US HEALTHY? • Good work • Our surroundings • Money and resources • Housing • Quality of food and drink • Education and skills • Transport • Family friends and community. (Shared drive/Human Development/Training presentations/Happy, Healthy and Here) 14

  15. HAPPY , HEALTHY AND HERE WHAT DO WE MEAN BY GOOD WORK? • Safety • Leadership • A clear vision for the future • Management communication • Social support • Treated fairly • Job Control • Accountability • Opportunities to grow and develop • Family involvement in workplace 15 (Shared drive/Human Development/Training presentations/Happy, Healthy and Here)

  16. HAPPY , HEALTHY AND HERE What can a Health Professional bring to the workplace? Sickness absence management service? 1. Professional skills and knowledge 2. Leadership 3. A vision 4. Communicating that vision 5. Caring and supporting (Shared drive/Human Development/Training presentations/Happy, Healthy and Here) 16

  17. HAPPY, HEALTHY AND HERE “HAPPY”? • Increase in mental health problems in young people • Increase in use of chemicals and alcohol • Increase in family breakdown, less family support • Living with a relative with mental health problems • Is modern life a more stressful? • Workplace support • Presenteeism 17 (Shared drive/Human Development/Training presentations/Happy, Healthy and Here)

  18. HAPPY , HEALTHY AND HERE HEALTHY? • Increasing life expectancy • Older workers – ageing workforce • More treatments for cancer and circulatory disease • More cancer survivors • Obesity and diet 18 (Shared drive/Human Development/Training presentations/Happy, Healthy and Here)

  19. HAPPY , HEALTHY AND HERE 20% 80% Medical Behavioural HERE? Operations Manager OHD HR • Absenteeism versus presenteeism GP • What gets measured gets done • Targets of a high performance organisation • Flow of information really important • Modified work for the partially fit 19 (Shared drive/Human Development/Training presentations/Happy, Healthy and Here)

  20. HAPPY , HEALTHY AND HERE WELLBEING PROGRAMMES Communicating the message • Diet • Exercise • Alcohol and drugs • Stress • Prevention check ups 20 (Shared drive/Human Development/Training presentations/Happy, Healthy and Here)

  21. HSE Management Standards vs. Psychological Needs Demands of jobs… Safety • Control over work … Control • Adequate Support … Trust • Positive Relationships … Intimacy • Compatible Roles … Self Worth • Change … every issue! • Apheideo Associates

  22. Encouraging resilience … .how?  Coping style … most cope well! (80%)  Identity affirmation … beliefs about self and key social factors Apheideo Associates

  23. 1. Safety… Apheideo Associates

  24. Safe place… Apheideo Associates

  25. Safe person… Apheideo Associates

  26. 2. Trust… Apheideo Associates

  27. 3. Control… Apheideo Associates

  28. In Control – of circumstances… Apheideo Associates

  29. In Control – of emotions… Apheideo Associates

  30. 4. Intimacy … Apheideo Associates

  31. 5. Self worth… Apheideo Associates

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