The Bottom Line Conference Vancouver 12 March 2019 Turning Things Upside Down to Save Lives in Australia Jorgen Gullestrup CEO MATES in Construction Qld/NT
TURNING THINGS UPSIDE DOWN FOR MENTAL HEALTH 1. A little about me 2. Why and how we developed a program 3. What the program involves 4. Some of the evidence behind the program
AISRAP STUDY - QUEENSLAND CONSTRUCTION SUICIDE 1. Construction suicide significantly higher than Australian men (1:1.46) 2. 15-24 Year old more than twice other young men (1:2.54) 3. 41% more likely to have consumed alcohol (59.4%) 4. 80% more likely to have a relationship problem (53.1%) 5. 175% young workers with relationship problems (75%) 6. 55% less likely to have sought professional MH help (7.8%) Heller, Hawgood & De Leo (2007); Correlates Of Suicide In Building Industry Workers, Archives Of Suicide Research, 11:1, 105-117
PSYCHOLOGICAL AUTOPSIES FOCUS GROUPS Relationship problems Long working hours Pending legal matters A culture of heavy alcohol use Financial problems Bullying behaviors Conflict A culture of not allowing discussion of problems with mates Recent/pending unemployment Work problems A male dominated industry Grief Financial management issues Child custody disputes Lack of job security Other life events
1. We spoke to workers – Lack of job security 2. We spoke to business – Competitive Environment 3. We spoke to unions and employer associations – Conflictual Relationships 4. We spoke to mental health and suicide prevention experts – Men not seeking help
1. A peer support based program 2. Industry Based but workplace focused 3. Independent of both Unions and Employers but respecting both 4. Focused on Help Offering – Not Help Seeking
HOW DOES IT WORK?
HOW DOES IT WORK?
HOW DOES IT WORK?
HOW DOES IT WORK?
Support on Site • Postvention • Critical Incidence Support
Supporting Individuals
Industry Leadership https://www.constructionblueprint.com.au/
Maheen H & Milner, A (2017) Suicide in the construction Industry: Report by Deakin University for MATES in Construction. Volume 2, 15 July 2017
1. Significant improvement in Suicide Literacy, Stigma Reduction and help offering intention (Gullestrup, Lequertier, Martin 2011 and King et al 2018) 2. Particular impact on Young Workers (King et al 2019) 3. A ROI of $4.60 per $1 Invested (Doran, Ling, Gullestrup & Milner 2015) 4. Program Feasible for Coal Mining Industry (Tynan et al 2018) 5. Significant improvement on Suicide Literacy, Stigma Reduction, Help Seeking in Mining Industry - Yet to be published
Published Evidence Heller, T. S., Hawgood, J. L., & De Leo, D. (2007). Correlates of Suicide in Building Industry Workers. Archives of Suicide Research, 11 (1), 105-117. Gullestrup, J., Lequertier, B., & Martin, G. (2011). MATES in Construction: Impact of a Multimodal Community-Based Program for Suicide Prevention in the Construction Industry. International Journal of Environmental Research and Public Health, 8 , 4180-4196. Doran, C., Ling, R., Gullestrup, J., Swannell, S., & Milner, A. (2016). The economic cost of suicide in the New South Wales Construction Industry and the potential impact o a suicide prevention strategy in reducing this cost. Crisis 2016 Mar 3 (2): 121-9. Martin G, Swannell S, Milne A & Gullestrup J (2016) Mates in Construction Suicide Prevention Program: A Five Year Review Journal of Community Medicine and Health Education 2016 Vol 6 issue 4 Pg 1000465 Tynan R, James C, Considine R, Skehan J, Gullestrup J, Lewin T, Wiggers J & Kelly B 2018 Feasibility and acceptability of strategies to address mental health and mental ill-health in the Australian coal mining industry International Journal of Mental Health Systems 2018 Vol 12 Issue 66 King T, Gullestrup J, Batterham P, Kelly B, Lockwood C, Lindgard H, Harvey S, LaMontagne A & Milner A 2018 Shifting Beliefs about Suicide: Pre-Post Evaluation of the Effectiveness of a Program for Workers in the Construction Industry International Journal of Environmental Research and Public Health 2018 Vol 15 Pg 2016 King T, Batterham P, Lindgard H, Gullestrup J, Lockwood C, Harvey S, Kelly B, LaMontagne A & Milner A 2019 Are Young Men Getting the Message? Age Differences in Suicide Prevention Literacy among Male Construction Workers International Journal of Environmental Research and Public Health Vol 16 Pg 475 Maheen H & Milner, A (2017) Suicide in the construction Industry: Report by Deakin University for MATES in Construction. Volume 2, 15 July 2017 Footprints Market Research. (2012). MATES in Construction Program Evaluation: Report of Findings. Milton, Qld: Footprints Market Research. Banks, C. (2013). MATES in Construction: ASIST Workers Survey Report. Brisbane: Cate Banks Consulting. Martin G & Gullestrup J 2015 Help-Seeking and Men: An Innovative Suicide Prevention Program from the Construction Industry in “Suicide in Men; How Men Differ from Women in Expressing Their Distress. Eds Lester D, Gunn J & Quinnett P Charles Thomas All documents available at: http://matesinconstruction.org.au/commitment-to-evidence-base-practice/evidence/
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