Primary prevention in practice

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Primary prevention in practice Workplace
mental health promotion

• Professor Jadranka Mustajbegovic, MD, PhD
• Occupational health specialist
• University of Zagreb, School of Medicine, Andrija
  Stampar School of Public Health
• WHO CC Occupational Health
•  
• Bled
• EASOM SUMMER SCHOOL 2015 TEACHING PSYCHOSOCIAL
  RISK FACTORS AT WORK
• 28th August 2015

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Workplace

• as an influence on health in both its
  psychosocial and physical dimensions
• as a venue through which various programs can be
  delivered

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Workplace mental health promotion

• The enormous human and economic costs associated
  with mental health issue at the workplace
• high on the agenda of workplace health promotion
  programs
• initiatives designed to prevent and/or reduce
  employee mental health disorders

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A good national OHS system is critical

• it should include
• laws
• regulations
• collective agreements
• incorporating the prevention of work related
  mental health diseses/disorders
• cooperation between management and workers and
  their representatives in the implementation of
  OHS measures
• provision of occupational health services
• adequate mechanisms for the collection and
  analysis of data on work related mental health
  diseases/disorders
• OHS information and training
• collaboration between ministries of health,
  labour, and social security schemes covering
  occupational injuries and diseases.

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Mentalno zdravlje i radcilj i putMental
Health and WorkGoal and Road

• Prof.dr.sc. Jadranka Mustajbegovic
• Škola narodnog zdravlja Andrija Štampar
  Medicinski fakultet, Sveucilište u Zagrebu
• jmustajb_at_snz.hr

Mentalno zdravlje na radnom mjestu
Senj, 25. ožujka 2011.
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A good national OHS system is critical

• it should include
• laws
• regulations
• collective agreements
• incorporating the prevention of work related
  mental health diseses/disorders
• cooperation between management and workers and
  their representatives in the implementation of
  OHS measures
• provision of occupational health services
• adequate mechanisms for the collection and
  analysis of data on work related mental health
  diseases/disorders
• OHS information and training
• collaboration between ministries of health,
  labour, and social security schemes covering
  occupational injuries and diseases.

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The National Strategy for mental health in the
period 2011-2016

• in the Republic of Croatia has a purpose to
• comply with the already adopted complementary
  strategies in other areas,
• particularly those in the field of occupational
  health.
• According to
• the Croatian Occupational Health Insurance Act,
• the Occupational Health Protection Act and
  Pension Act (Official Gazette 71/14, 118/14,
  154/14)
• psychosocial risk factors and
• acute worksite stressful experience
• are considered as an occupational
  injury/disease.

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Mental disease/ disorder prevention

• aims to
• reducing
• the occurrence
• frequency and
• re-occurrence of mental disorders
• or the risk of a mental diseases
• preventing or delaying their occurrence
• decreasing their respective impact on
• the individual,
• their family and
• society-at-large
• (Jane-Llopis et al., 2007).

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A good national OHS system is critical

• it should include
• laws
• regulations
• collective agreements
• incorporating the prevention of work related
  mental health diseses/disorders
• cooperation between management and workers and
  their representatives in the implementation of
  OHS measures
• provision of occupational health services
• adequate mechanisms for the collection and
  analysis of data on work related mental health
  diseases/disorders
• OHS information and training
• collaboration between ministries of health,
  labour, and social security schemes covering
  occupational injuries and diseases.

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Principal role of OHs is

• Promote and maintain the highest degree of mental
  and social well-being of employees in all
  occupations
• Prevent mental diseases/disorders among workers
  caused by their working conditions
• Protect employees from psychosocial risk factors
  which could affect their health
• Place maintain of workers in an occupational
  environment adapted to their psychological
  physiological status.

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Principal role of primary prevention is

• the provision of health advice to
• organizations and
• individuals
• to ensure that the highest standards of health
  and safety at work can be achieved and
  maintained.

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A good national OHS system is critical

• it should include
• laws
• regulations
• collective agreements
• incorporating the prevention of work related
  mental health diseses/disorders
• cooperation between management and workers and
  their representatives in the implementation of
  OHS measures
• provision of occupational health services
• adequate mechanisms for the collection and
  analysis of data on work related mental health
  diseases/disorders
• OHS information and training
• collaboration between ministries of health,
  labour, and social security schemes covering
  occupational injuries and diseases.

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Psychosocial risk factors and acute worksite
stressful experience as an occupational
injury/disease

• They should be reported
• to the State inspectorate
• at the separate Report form for each case of
  occupational injury/disease
• that is harmonised with the ESAW report
  methodology and
• is applied for informing the Croatian Health
  Insurance Fund.

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Salutogenesis primary prevention

• mental health promotion
• mental disease/disorder prevention
• Primary prevention is realized mainly through
• the elimination of health hazards and
• the improvement of work conditions,
• both based on a comprehensive framework of
  legislation.

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A good national OHS system is critical

• it should include
• laws
• regulations
• collective agreements
• incorporating the prevention of work related
  mental health diseses/disorders
• cooperation between management and workers and
  their representatives in the implementation of
  OHS measures
• provision of occupational health services
• adequate mechanisms for the collection and
  analysis of data on work related mental health
  diseases/disorders
• OHS information and training
• collaboration between ministries of health,
  labour, and social security schemes covering
  occupational injuries and diseases.

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Following needs in practice

• teaching of psychosocial risk factors at work is
  organised at
• university level
• within the postgraduate specialist occupational
  health and
• continuous medical education programmes
• level of the Croatian Institute for Health
  Protection and Safety at Work
• as continuous medical development according to
  the national programme and
• as the member of the European Network Education
  and Training in Occupational Safety and Health
  (ENETOSH) and the European Network for Workplace
  Health Promotion (ENWHP) respective programmes,
• Level of the Croatian Society of Occupational
  Health operating under the wing of the Croatian
  Medical Association.

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Od Motovuna do SEEWA From Motovun till SEEWA
South East Europe Workplace Academy1993-2013
June 6-9, 2013

• Jadranka Mustajbegovic

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We have interacted, we comunicated with
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We have interacted, we comunicated with
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Algorithm and tools for occupational medicine
specialists in psychosocial risk assessments and
stress reduction
Symposium of the Croatian Sociatey on
Occupational Health 14 February 2015
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Psychosocial risk factors assessment as a WORK
ORGANIZATION POLICY? employers support ?
employees active participationMethods of
analyses for? identification, ? interventions
for psychosocial risk factors reduction?
evaluation.
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i.e. stress prevention/reduction in particular
firm broshure
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i.e. stress prevention/reduction -presentation