Preliminary outcomes of a democratic intervention

program for psychosocial risk at the workplaceat the workplace

Ghent, September 19th-20th 2013

Juan Pérez-FrancoDepartment of Psychiatry and Mental Health

University of Chile

Copsoq in Chile

• Validated in 2008-2009 (Alvarado et al. 2012)

• Designing an intervention method on the work place, based on a participative -democratic approachdemocratic approach

• Spreading the idea of psychosocial risk instead of stress

• A turning point: Enactment of a decree making mandatory the use of COPSOQ for

epidemiological surveillance (2013)

Department of Psychiatry and Mental Health – University of Chile

Once we have measured, can we change risk in the

workplace? Do we have a useful method

of intervention? of intervention?

• We don’t know it for sure, but there are hints that we have one.

Department of Psychiatry and Mental Health – University of Chile

Core ideas of an intervention method

• Participatory

• Democratic

• Consensual• Consensual

• Compromised

• Confidential

• The Working Committee is key: all

decisions go through this.

Department of Psychiatry and Mental Health – University of Chile

Steps of an intervention method

• Motivation

• Consensus

• Creation of the Working Committee

• Sensitization of all staff

• Identification of units of analysis• Identification of units of analysis

• Application of the questionnaire

• Analysis of results

• Presentation of a public report

• Hierarchy ranking of problems and job units

• Coping with the identified problems

• Follow up the changes in time

• Reassessment (maybe two years)

Department of Psychiatry and Mental Health – University of Chile

1. Personnel rotation (staff for users attention).

2. Setting two different procedures (short and normal)

(Staff has now clear timing response).

3. Management of speed up requests.

4. Common criteria for approval or denial of personal

permissions.

Measures suggested by workers

permissions.

5. Software use training.

6. e-learning courses.

7. Re-launching of an institutional magazine.

8. Supervisors training.

9. Accurate job description.

10. Making ‘replicas’ for all workers of resolutions passed at

monthly meetings of supervisors with authority.

Department of Psychiatry and Mental Health – University of Chile

*60

70

80

90

100

Contrast of means (t-test) between 2009-2013 measurements (n=198/218)

*

***

*

0

10

20

30

40

50

CU CO EM EE ES IN CT PD ST IE RL CR CL RS RC ET IC IT DP DC

2009

2013

* p < 0,05 ** p < 0,01Department of Psychiatry and Mental Health – University of Chile

100

120

140

160

Fre

qu

en

cy

Frequency of number of days

Frequency of days of sick leaves 2009-2013 (workers n= 198/218)

0

20

40

60

80

0 1 2 3 4 5 6 7 8 9 10 11 12 13 15 16 18 20 21 24 25 27 28 30 37 39 40 50 60 65 79 84 100270

Fre

qu

en

cy

yr09

yr13

Department of Psychiatry and Mental Health – University of Chile

days

Sick leave days. Difference 2009-2013 Means contrast analysis

t test Mann-Whitney

Mean

2009

Mean

2013t p-value W p-value

Sick leave days 6.89 4.74 1.209 0.2276 23986 0.01222

0,3

0,4

0,5

0,6

Correlation between psychosocial dimensions (COPSOQ) and mental

symptoms (SF-36; Setterlin)

CU CO EM EE ES IN CT PD ST IE RL CR CL RS RC ET IC IT DP DC

estrés 0,43 0 0,49 0,3 0 0,34 0,23 0,18 0,24 0,23 0,33 0,4 0,28 0,27 0,22 0,43 0,43 0,49 0,54 0,13

depresión 0,44 0 0,5 0,37 -0,02 0,34 0,22 0,18 0,29 0,32 0,38 0,39 0,33 0,31 0,28 0,44 0,36 0,43 0,52 0,15

-0,1

0

0,1

0,2

0,3

Summary

• We have a validated an reliable tool

• A mandatory law for using it

• A participatory-democratic • A participatory-democratic

intervention method we have to

validate

• There are hints that it works

Department of Psychiatry and Mental Health – University of Chile

Thank you!!

Department of Psychiatry and Mental Health – University of Chile