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Table 4 The three challenges

From: Practical psychosocial care for providers of pre-hospital care: a summary of the report ‘valuing staff, valuing patients’

The wellbeing agenda

Assisting employees to thrive at work. Wellbeing is about feeling good and functioning well and is influenced by each person’s experience of life. In practical terms organisations should provide:

 

Interventions to sustain the wellbeing of members who are thriving and enable them to move on towards flourishing through engaging members in their own emotional and cognitive development

 

A programme of workplace development that:

 

 Is informed by awareness of the kinds of primary and secondary stressors that members face

 

 Endeavours to reduce the primary stressors to a minimum

 

 Responds to and remedies the secondary stressors that impact member

 

A plan for developing teams and teamwork and integrating personal, team and workplace support programmes

 

Recognition of the nature and impacts of secondary stressors and reducing their impacts on members

 

Ease of access for members who may have more serious and persistent problems to specialised mental healthcare

The psychosocial agenda

Supporting staff who are struggling

 

The distress that staff experience and the dysfunction and disorders they risk are similar to the conditions that affect survivors of significant and major incidents

 

Yet, staff may feel stigmatised by recognising or showing the emotions they experience and any problems they develop. Staff who experience distress that persists for more than two weeks after a significant event should receive assessments of their needs

 

Psychosocial care describes interventions for people who are distressed or struggling or have symptoms of mental health problems that do not reach a diagnosis whether or not they also suffer social or work dysfunction. This includes encouraging departments to create peer support programmes for members who are struggling

The mental health agenda

Enabling people whose needs appear to go beyond struggling to access mental healthcare, recover and return to work

 

Employers may need to negotiate service level agreements with mental health providers