SEAFARERS’ MENTAL HEALTH: Learnings from walking a mile in their shoes June 11, 2020 Rebecca H. Mejia, RN, MPH Public Health Manager - Marine Benefits PhD candidate Faculty of Medicine Lund’s University Social Medicine and Global Health Information Classification: General
Seafarers are frontline workers COVID-19 Placing the seafarer in precarious Travel restrictions - impact on seafarers: • >150 000 seafarers prevented from crew change situations • Delay in urgent medical assistance • Prolonged time onboard • Quarantine & curfews • Termination and unemployment • Uncertainty • Stress • Isolation • Depression Time to be proactive! • Loneliness Information Classification: General
Get to know your crew Information Classification: General
2016 Philippines 2,405 seafarers >21,000 seafarers surveyed 2018 India > 15 different nationalities 3,712 seafarers 2019 Myanmar 1,565 seafarers 2019 Women in shipping 297 female seafarers 33 company studies Information Classification: General
Stress Depression Worries Information Classification: General
40 Stress High STRESS 20 Cohen’s perceived stress scale Moderate 19.1 All companies Mild to 15 Global average 13.0 No Stress All industries Consequences of stress: 0 Colds & flu, cancer, depression, PTSD, Eczema, stomach ulcers, heart disease, asthma, etc. Information Classification: General
DEPRESSION 88% All Well WHO-5 Wellbeing Index Mild Depression 12% Moderate Depression Severe Depression 1 depressed seafarer in every 2 ships Information Classification: General
Depression Months onboard Result: Depression is relatively stable from 0 to 9 months onboard, but is growing exponentially from 10 months. Information Classification: General
OTHER CONCERNS Feelings of loneliness, social relationships activities on board Information Classification: General
1. POLICY 2. FROM EXPEREINCE • Require a hobby • Social Sunday MAKING LIFE BETTER Reduce medical P&I Eliminate suicide ONBOARD OTHER GOOD EXAPMLES: • Regular & organized physical activivity • Music • Limit WiFi • Healthy food • Group activites • Create meaning • Be proud of job – abandon victim mentality Information Classification: General
THE EQUATION FOR A HEALTHIER LIFE “You can’t change the beginning, but you can start where you are and change the ending.” C.S Lewis Information Classification: General
Make a strategic plan Stress Level Health Promotion Disease Prevention Disease Treatment Outcome • Improve • Productivity • • Improve work content communication & Vocational rehab • Turnover • • Organization Fitness program decision making Out placement • Absenteeism • • Career development Conflict management • Financial claims • Job stressors • Time management • • • Peer support groups Post traumatic stress Demand control Individual & • Improve interpersonal • • Coaching assistance Support skills Organization • • • Career planning Group psychotherapy Role ambiguity • Work/home balance • Relationships PEME • Mood states • Psychosomatic complaints • Subjective experienced • • Cognitive/mental Rehab after sick leave • Pre-employment stress Individual • • Behavioral/social Disability management • medical exam Psychological • Techniques Individual • Stress management parameters • Relaxation psychotherapy • Sleep • Disturbances • Health balance ROI: Medium ROI: High ROI: Low to negative Cost : Minimize potetial COST Cost : Low Cost : High future cost YOUR MOST IMPORTANT ASSET Information Classification: General
An ounce of prevention is worth a pound of cure. Thomas Edison THANK YOU! www.marinebenefits.no Information Classification: General
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