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SVLFGAccident InsuranceOld-age Insurance
Health InsuranceLong-term Care Insurance
Mental Health Morbidity and Well-Being
in Aging Agricultural Populations
safe & healthy from a single source
Social Insurance for Agriculture, Forestry and Horticulture
Mental Health and Well-Being (at Work)
Stress = Entirety of all comprehensible outside influences that affect the individual psychologically(by definition DIN EN ISO 10075-1 (1a))
e. g.Burnout
State of International Research
Scientific evidence for mental strain representing a strong risk factor for chronic diseases, disabilities and occupational safety
Higher perceived stress often precedes greater depressive symptoms
Farmers experience high rates of psychological distress and (occupational) suicide around the globe (suicide rates increase with age)
Strongest stressors in farming: overwork, generational conflicts, disorders and the financial situation
State of International Research
(Older) farmers define health as the ability to work
Limited ability to acknowledge or talk about mental health problems and seek help among farmers
Mental health in agricultural population is an under-researched issue (in Germany)
State of International Research
Structural Characteristics
Frequent family farming based structures (private/family life and working life unified in one location)
Limited accessibility to and stigmatisation of mental health care; greater concerns about confidentiality
Institutional mental health care programmes are not readily compatible with the profession
Prevalence of Mental Disorders
We face a trend of an ever-rising number of cases reported (mental health problems)
conservative estimates put the prevalence down to 38.2 % of EU 27 population suffering from mental disorders (at any point in time)
No substantial cultural or country variations
Most people affected don’t receive any treatment
One of the most frequent mental health disorders in the EU is the major depression
Mental Disorders – A Growing Challenge
Mental Disorders
Cardio-vascular
Disorders
AirwayDisorders
DigestiveDisorders
Musculo-skeletal
DisordersInjuries
Disability (sick leave) in percentage terms
Source: Fehlzeitenreport 2012
The Economic Impact is Immense
One third of all new disability benefit claims in OECD countries is linked to mental health problems
Projections put the total costs of depression alone to an amount of 600+ billion Euro p. a. Employers: €272bn
Economy: €242bn
Health system: 63bn
Social welfare system: €39bn
The Economic Impact is Immense
Severe mental disorders (e. g. Alzheimer’s disease, schizophrenia and depression) have a high prevalence-cost ratio
Costs are expected to increase sharply
Mental disorders as the core health challenge of the 21st century
Prevention Works
Studies show well-elaborated interventions to be effective in improving mental health
Above all: gains in health and quality of life
Also: very significant economic benefits
Prevention is Good Value
Many interventions are very low cost Small shift in expenditure generates efficiency gains
Most interventions are outstandingly good value for money ROI can be as high as €13.62
Broad range of payoffs: within public sector and beyond
Well-designed interventions towards mental health can tip the balance for a healthier and longer life
Need of Innovation Research and Action – Horizon 2020
Mental Health Study fostering methodological innovations such as new/improved test instruments
Mental health promotion and disorder prevention as well as psychotherapeutic interventions in working and living contexts to strengthen resilience and to reduce psychological distress in farmers Innovation Action Programmes as clinical-psychological web
based interventions, telephone councelling
De-stigmatization
Model of Multi-Level Resilience
Factors of Resilience
First Ideas Towards Possible Future Interventions
Universal: web-tool incl. e-mental-
health and access control
resilience-workshop
Selective: workshop for informal
caregivers anti-fall curses PSN (Psychosocial
Network) workshop “transfer of
business” dementia-related offers
web-tool for managers incl. e-BGM
business counseling by a safety advisor regarding OHM (occupational health management) and OIM (occupational integration management)
domestic councel by a care consultants
business-workshop PSN (Psychosocial Network)
after trauma (family/business)
workshop “transfer of business”
case-manager SVLFG responsible for holistic processing
training of professional multipliers regarding the recognition of burnout, depression, addiction (e. g. prevention service, care consultants, profession, family doctors)
training of low-threshold multipliers (e. g. profession regarding PSN)
cross-linkage of SVLFG with stationary and ambulant institutions (psychosomatics, peasant family counseling, etc.)
group concepts in stationary institutions
WG HPDP
Many thanks for your attention and
interest in mental health!
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