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  • International Workplace
  • 18 December 2018
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Research exposes “significant issues” with workplace mental health first aid implementation

Earlier in November a call was made to Theresa May by some of Britain’s leading business leaders to act on a pledge to make mental health first aid mandatory in all workplaces.

More than 50 chief executives, from banking, retail, education and utility sectors, signed an open letter to the Prime Minister, warning that every year, workplace mental health issues cost the UK economy almost £35bn, with 15.4m working days lost to work-related stress, depression or anxiety.

They highlight a petition signed by more than 200,000 people, calling for a change in the law to give mental health first aid equal status to physical first aid.

However, just days after the plea was issued to government, new research highlighted “significant issues around the lack of clarity with boundaries and potential safety concerns”.

A feasibility study, published by professional body for occupational safety and health IOSH, sheds fresh light on widespread use by companies of employee training to address workplace mental health issues, such as depression, anxiety, self-harm and substance misuse.

University of Nottingham researchers funded by IOSH found both positives and areas for concern, including inadequate boundaries for employees and a lack of proof that MHFA is effective.

Principal investigator Professor Avril Drummond, from the School of Health Sciences at The University of Nottingham, said:

“We found examples of excellent practice in rolling out the mental health first aid training where there were clearly strategies in place to support staff who felt confident in their role.

“However, we also found examples where staff felt unsupported and where, for example, they had co-workers contacting them outside working hours: there were significant issues around lack of clarity with boundaries and potential safety concerns for the trained person.”

 

Duncan Spencer, Head of Advice and Practice at IOSH, said:

“Mental Health First Aid has become a prominent way of training individuals to recognise signs and symptoms of mental health problems and to select appropriate responses. But how successful is it in the workplace? What impact does it have?

“IOSH calls for a ‘prevention first’ approach incorporating MHFA as part of an organisation’s overall efforts to protect their workforce from mental health problems.

“Appointing staff in a volunteer capacity to support colleagues with mental health problems must be part of a bigger management system including preventative controls to remove or reduce risks.” 

 

The research team investigated the implementation, use and utility of MHFA in workplaces, surveying people from 81 UK organisations, 89.9% of whom had taken part in MHFA training and conducted interviews with key workplace representatives. 

“We became interested in this topic as we were aware of the amount of publicity and resources being put into Mental Health First Aid training despite very little research to support it,” added Professor Drummond.

“Our research found that, while MHFA appeared to be a useful “vehicle” for raising awareness around mental health issues, we do not know whether it is the best or only means of doing so or indeed whether it is cost-effective.

“There were wide variations in expectations of the responsibilities of the trained person within different workplaces.”

One respondent described how there had been ”a few situations where people have given personal contact details, and somebody’s phoning them in the middle of the night and it’s got completely out of hand.”

Where MHFA is used well in workplaces, the researchers identified several ‘active ingredients’ for success. These include:

  • clear vision and rationale for introducing the course and managerial support;
  • enthusiastic coordinators who encourage support, champion the programme within the organisation and post-training, deal with issues and concerns, and lead a network;
  • mandatory recording of formal interactions; and
  • a community or network of active trained members. 

 

The Nottingham team recommends further research and evaluation into the effectiveness and cost-effectiveness of MHFA training, and a clear definition of the trained person’s role within the organisation, with guidelines for roles, boundaries and safeguarding procedures.

They suggest MHFA training should incorporate more evaluation opportunities at different times after training has been given; a review of the standard adult MHFA two-day course, its length, format and content; and the provision of refresher training to trained members, to give them the opportunity to refresh skills, knowledge and awareness.

The full report and new resources are available here.