Health and Safety Executive

Complex ambiguous occupational health problems

HSE statistics show ‘traditional’ health problems such as respiratory, hearing, and skin problems continue to decline, whilst occupational health problems with a less clear biological cause, such as stress and MSDs continue to rise. Projected changes in working patterns, working methods, and occupational sectors suggest that this trend is likely to continue.

A review by the British Occupational Health Research Foundation (BOHRF)* identified that for people already experiencing Common Mental Health Problems (CMHP) there is evidence for the efficacy of brief individual therapies, particularly cognitive behavioural therapy (CBT), even via electronic delivery. However, for those experiencing these problems at work there is little evidence as to efficacy and more research is needed. Less is known about the prevention of CMHP’s, or about the key components of CBT. It is unlikely, however that CBT will provide the panacea for such mental health problems.

Managerial and employer practices are key components relating to the onset and remediation of CMHP’s in the workplace. Manager/supervisor training on sickness/absence management should include elements on the identification and support of employers experiencing CMHP’s in the workplace. Especially on reducing the stigma attached to mental health.

Implications

  • As psychosocial risks vary according to individual perception, and the complexity of such problems, a different approach to addressing and managing risk needs to be considered.
  • A clear definition of psychosocial factors needs to be made.
  • Further research on the effects of managerial/employer practices on occupational health is needed.
  • Training and education of line managers/inspectors in order to facilitate identification of such risk factors is also advocated.

* Workplace interventions for people with common mental health problems: Evidence review and recommendations, BOHRF, September 2005.


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Updated 07.04.10