Mental Health Guidelines - 2 - Full Document - 2018

GUIDELINES
TO SHIPPING
COMPANIES ON
MENTAL HEALTH
AWARENESS
NATIONAL MARITIME OCCUPATIONAL
HEALTH AND SAFETY COMMITTEE
GUIDELINES TO SHIPPING COMPANIES ON MENTAL HEALTH AWARENESS | 1
1. 1.1 Mental illness is estimated to cost UK businesses £30billion

INTRODUCTION every year, through lost production, recruitment and absence.
The Office of National Statistics has reported that one in six
adults will be experiencing a mental health problem at any one
time. The chances of members of ships’ crews being affected are
therefore statistically high – and may be exacerbated by particular
aspects of seafaring, such as separation from family and isolation.
1.2 The terms “mental health” and “mental illness” refer to the
social, psychological and emotional well-being of individuals.
Mental illnesses, which include conditions such as depression,
bipolar disorder, anxiety disorder, anorexia nervosa, obsessive-
compulsive disorder, psychosis and schizophrenia, may be less
visible than many physical disabilities but their effects on affected
individuals can be very serious. Sometimes they manifest
themselves as alcohol or drug dependency – meaning that
employers and their advisers should seek to identify the root
causes of the more visible detrimental effects.
1.3 In some cases seafarers who suffer from mental illness may
be deemed unfit for work; in others, appropriate action by
employers may have beneficial effects on the seafarer’s well-
being and their work performance.
1.4 The UK Chamber of Shipping, Nautilus International and the
National Union of Rail, Maritime and Transport Workers (RMT)
have jointly agreed the following guidelines to shipping companies
on drawing up policies on mental health and mental illness.
Companies are recommended to adopt such policies; if they
already have policies in place, they are recommended to review
them in the light of these guidelines.
2. 2.1 The aims of shipping companies’ policies on mental health and

AIMS mental illness should include:
• To promote the health, safety and welfare of seafarers
• To foster a company culture that is conducive to improving
the mental health of seafarers
• To ensure awareness of the importance of good mental
health among company managers
• To provide support for staff who are identified as having
mental health problems, ensuring that they are treated with
sympathy and respect and in confidence
• To increase awareness among all staff of the potential signs
of mental health problems
• To provide training to staff in having conversations with
others about their mental health.
3. 3.1 The policy should be in writing and should:

THE POLICY • Designate a director as having overall responsibility for the
policy, whilst indicating the commitment from the full
management board to the policy
• Indicate concern for the health, safety and welfare of
seafarers and others in the company
• Promulgate positive messages to staff indicating that the
company promotes the good mental health of all staff, thereby
fostering a supportive company culture
• Provide literature via noticeboards and/or company intranet
to promote awareness of the benefits of personal interaction and
communication to good mental health
• Provide details of persons within and external to the company
who are trained in listening to persons wishing to discuss their
state of mental health.
3.2 The policy should make clear that the company recognises
that mental health problems may be short-term, long-term or
permanent. It should not focus solely on remedial measures for
seafarers suffering mental health problems, but on improving the
mental health of all its seafarers.
3.3 The policy should promote to a workplace environment that is
conducive to good mental health, including management styles
that treat seafarers with respect and value their opinions and
eliminating harassment and bullying.
3.4 The policy should promote the organisation of social and
team-building events that are inclusive and open to all and
encourage all employees to contribute ideas for these. It should
also encourage volunteering and other out-of-work activities that
can contribute to improving mental health.
3.5 The policy should also make clear the company’s commitment
to overcoming and eliminating any culture of silence or stigma
that might exist over mental health. This could be done by
discussing the subject openly in individual and staff meetings.
4. 4.1 The company should consider providing free access to

IMPLEMENTATION external sources of support for seafarers, whom they can contact
in confidence. These may include maritime trade unions, seafarer
welfare organisations or organisations specialising in the
provision of support to those with mental health problems.
4.2 The company should adopt procedures for making reasonable
adjustments to working arrangements for seafarers who are
identified as suffering from mental health problems or who are
returning to work after absence resulting from a mental health
problem. These may include:
• Ensuring that there is a colleague on board who is trained
and willing to act as the seafarer’s confidant
• Offering access to specialist external support
• Phasing a return to work
Where a seafarer has been declared temporarily unfit for sea
service by an approved doctor, actions to support the seafarer’s
return to work should take into account any information from the
certifying doctor.
4.3 The company should consult, where appropriate, the maritime
trade unions and obtain their support for the policy and the
company’s commitment to the promotion of good mental health.
5. 5.1 The following factors may indicate a mental health problem in

TRAINING a person:
• Changes in their behaviour or mood
• Changes in their effectiveness at work
• An inability to focus or make decisions
• Changes in eating habits
• Signs of excessive alcohol use or drug use (not limited to
illegal drugs).
5.2 The company should provide, or arrange, training for
management-level personnel onboard ships and ashore in
recognising signs of mental health problems, facilitating
discussions in staff meetings about mental health and having
sensitive and supportive conversations with sufferers of mental
health problems.
6. 6.1 Where a seafarer is suspected of having, or has been identified

ASSISTANCE AND as having, a mental health problem a member of the company’s
TREATMENT management who has been given appropriate training for the task
should arrange a meeting with the seafarer. The meeting should
take place in confidence and the seafarer should be encouraged
to talk, without time constraints. The manager should ask open
questions to allow the seafarer to express themselves as they
choose and to reveal as much – or as little – information as they
wish. Follow-up meeting may be necessary.
6.2 Should the manager believe that further support is needed,
the seafarer should be encouraged to make an appointment with
their General Practitioner. An appointment should also be made
with an Approved Doctor to determine whether the

seafarer’s medical status should be changed. In the event that
the seafarer is declared temporarily unfit for sea service, the
company should reassure the seafarer that their job will be kept
open for them to return once they are cleared to do so by an
approved Doctor. Should the seafarer be declared permanently
unfit for sea service, the company should use its best endeavours
to offer suitable alternative employment.
7. 7.1 The company should undertake regular consultations with and

MONITORING surveys of their seafarers to seek information on their mental
health and wellbeing. These should include questions as to their
working conditions, communications with colleagues, work life
balance, staff support and work-related or other causes of stress.
Where concerns are identified, the company should prepare and
implement action plans to address these.
7.2 The company should periodically evaluate its approach to
mental health and identify areas for further development,
reporting back on its progress to all seafarers.
7.3 The company should take suitable opportunities to share its
approaches with other companies, with the aim of sharing good
practice and acquiring new ideas.
Sources of further information

Health and Safety Executive (HSE) Management Standards
http://www.hse.gov.uk/stress/standards/
Business in the Community Mental Health Toolkit for Employers,
in association with Public Health England
https://wellbeing.bitc.org.uk/sites/default/files/mental_health_to
olkit_for_employers_-_small.pdf

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GUIDELINES

1. 1.1 Mental illness is estimated to cost UK businesses £30billion

2. 2.1 The aims of shipping companies’ policies on mental health and

3. 3.1 The policy should be in writing and should:

4. 4.1 The company should consider providing free access to

5. 5.1 The following factors may indicate a mental health problem in

6. 6.1 Where a seafarer is suspected of having, or has been identified

with an Approved Doctor to determine whether the

7. 7.1 The company should undertake regular consultations with and

Sources of further information

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