Occ health: Psychosocial factors and fitness for work


Psychiatric disease is a major contributor to extended sick leave usage in a municipality. Disease such as major depression, generalised anxiety disorder, adaptation disorder and affective disorder are very common. Personality disorders of employees also affect the quality of work-life (QWL) of all employees in an organisation. Acute psychotic breaks also places strain on an organisation

Psychosocial factors such as drug and alcohol abuse is common. Problems of family life such as divorce, marital strife, sickness and death in the family, learning difficulties in the family also affect productivity and diminished overall diminished well-being of the employee

Workplace factors that affect mental health
– Chain and span of command
– Management style of the institution
– Access to basic resources and equipment in departments and units
– Sick absenteeism and presenteeism of fellow colleagues
– Non-optimal functioning labour relations departments, occupational health units, employee wellness units and safety units
– Lack of access to mental health facilities
– Sexual harassment and bullying
– Assault by public or colleagues
– Shift work
– Dangerous suburbs and services that have to be delivered at night
– Monotonous or repetitive work
– Isolated work
– High risk work