Advice on how organisations can discuss mental health issues with employees issued by IOSH

Research conducted by the Health and Safety Executive (HSE) suggests that one-in-four people in the UK will have mental ill-health at some point and that prolonged work-related stress can lead to both physical and psychological damage, including anxiety and depression.

Whether work is causing the health issue or otherwise aggravating it, organisations in many countries have a legal responsibility to help their workers. However, talking about mental health with colleagues can be challenging. Many people with mental ill-health can face stigma and prejudice, and so fear the consequences of talking about it. As a result, workers may not seek or receive the support they need.

It’s important to know that people with mental ill-health can and do work. Most are in employment, but the organisation employing them will not necessarily be aware of any mental ill-health symptoms or experiences.

The Institution of Occupational Safety and Health’s (IOSH) Managing Occupational Health and Well-Being course, which is designed to create healthier and more productive places of work, recommends that one way of improving mental ill-health within the workplace can come from managers having a conversation with a team member on a one-to-one basis.

Talking about mental health

Some key ways in which organisations can talk about mental health with their workers on a one-to-one basis include the following:

*Choosing an appropriate place. This should be somewhere private and quiet. The person needs to be in an environment that will put them at ease. This could be somewhere at work or a neutral place outside of work

*Encourage people to talk. It can be difficult to talk about mental health. Asking simple open questions and letting people speak about their issues in their own words will help. Ask what they think may be causing their feelings, how it affects their life and their ability to work and what support they are receiving or need

*Don’t make assumptions. The person may not need help or may feel they are able to manage the mental ill-health symptoms themselves. They may just need support every now and again when going through a difficult period

*Listen to workers and respond flexibly. Make sure that the person, and not their problem, is the focus. Adapt the support to suit them and make sure that they’re involved in finding solutions to any work-related difficulties they have. Being aware of different types of workplace adjustments that you could offer before you have conversations will enable you to offer suggestions

*Be honest and clear. If there are concerns about high absence levels or low performance, these need to be addressed at an early stage

*Ensure confidentiality. Workers need to feel that anything they say will be kept as confidential as possible and in accordance with any data protection laws. Ask them if you can share the information with specific people (eg those in the Human Resources Department), and make sure you attain their agreement to do so

*Develop an Action Plan. An individual Action Plan can help to identify a worker’s mental ill-health, what their triggers are, possible impacts on work, who to contact in a crisis and what support they need. The Action Plan also needs to specify review dates so that any support measures put in place can be monitored to see if they are working

*Encourage workers to seek advice and support. A person should be encouraged to seek help themselves if they haven’t already. Many organisations have employee/worker assistance programmes that can offer counselling or a Helpline service

*Seek advice and support yourself. If you feel unable to support the employee or need advice on how to help, seek advice from HR or occupational health

*Reassure workers. Remember that people may not want to talk immediately. If they don’t, it’s important to let them know what support is available and that whenever they feel able to talk, you will make sure that they receive the support they need

Improved commitment

The benefits of promoting a mental well-being strategy at work are improved commitment to the organisation and improved work performance, as well as reduced sickness absence and presenteeism

IOSH’s Managing Occupational Health and Well-Being course recently received high praise from business leaders after being delivered by an award-winning health and training provider. The course provides practical advice and tools for managers, helping them understand why it’s important to manage fluctuations in workers’ health, what the causes of ill-health can be and how to recognise when employees may be unwell.

*HSE advice for managers on mental ill-health conditions

About the Author
Brian Sims BA (Hons) Hon FSyI, Editor, Risk UK (Pro-Activ Publications) Beginning his career in professional journalism at The Builder Group in March 1992, Brian was appointed Editor of Security Management Today in November 2000 having spent eight years in engineering journalism across two titles: Building Services Journal and Light & Lighting. In 2005, Brian received the BSIA Chairman’s Award for Promoting The Security Industry and, a year later, the Skills for Security Special Award for an Outstanding Contribution to the Security Business Sector. In 2008, Brian was The Security Institute’s nomination for the Association of Security Consultants’ highly prestigious Imbert Prize and, in 2013, was a nominated finalist for the Institute's George van Schalkwyk Award. An Honorary Fellow of The Security Institute, Brian serves as a Judge for the BSIA’s Security Personnel of the Year Awards and the Securitas Good Customer Award. Between 2008 and 2014, Brian pioneered the use of digital media across the security sector, including webinars and Audio Shows. Brian’s actively involved in 50-plus security groups on LinkedIn and hosts the popular Risk UK Twitter site. Brian is a frequent speaker on the conference circuit. He has organised and chaired conference programmes for both IFSEC International and ASIS International and has been published in the national media. Brian was appointed Editor of Risk UK at Pro-Activ Publications in July 2014 and as Editor of The Paper (Pro-Activ Publications' dedicated business newspaper for security professionals) in September 2015. Brian was appointed Editor of Risk Xtra at Pro-Activ Publications in May 2018.

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