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<strong>What</strong> <strong>is</strong> <strong>Good</strong> <strong>Work</strong><br />

Dr Peter Cotton FAPS<br />

Clinical & Organ<strong>is</strong>ational Psycholog<strong>is</strong>t<br />

Director of Psychology Services, Medibank<br />

Senior Mental Health Clinician,<br />

<strong>Work</strong>Safe & Transport Accident Comm<strong>is</strong>sion, Victoria<br />

Adv<strong>is</strong>ory Group, Comcare Centre for Excellence<br />

in Mental Health and Wellbeing at <strong>Work</strong>


The Problem of ‘D<strong>is</strong>cretionary Absentee<strong>is</strong>m’<br />

© 2012 Dr Peter Cotton Email: peterc@cottonocp.com.au<br />

• Requests for GP sickness certification have increased by 70<br />

percent over the past nine years in Australia.<br />

• D<strong>is</strong>ability Support Pension <strong>is</strong> currently the fastest growing<br />

welfare benefit in Australia (800,000+ individuals).<br />

• DSP growth <strong>is</strong> predominantly in milder health and mental health<br />

problems (e.g., chronic musculoskeletal pain, anxiety and<br />

depression)


© 2012 Dr Peter Cotton Email: peterc@cottonocp.com.au<br />

“Real<strong>is</strong>ing the Health Benefits of <strong>Work</strong>”<br />

The Australasian Faculty of Occupational and<br />

Environmental Medicine (AFOEM) position statement<br />

presents international and Australasian evidence<br />

that:<br />

– “work <strong>is</strong> generally good for health and wellbeing, and<br />

– that long term work absence, work d<strong>is</strong>ability and<br />

unemployment generally have a negative impact on health<br />

and wellbeing”<br />

– “Medically unnecessary d<strong>is</strong>ability” Chr<strong>is</strong>tian ACOEM (2006)<br />

– “Fit note” Black (2009)


© 2012 Dr Peter Cotton Email: peterc@cottonocp.com.au<br />

The Australasian Consensus Statement on<br />

the Health Benefits of <strong>Work</strong><br />

• Supported by more than 80<br />

signatories including the<br />

Royal Australian College<br />

of GPs<br />

• A call to action to promote<br />

awareness of the health<br />

benefits of work


© 2012 Dr Peter Cotton Email: peterc@cottonocp.com.au<br />

‘Bad <strong>Work</strong>’ <strong>is</strong> not <strong>Good</strong> for Mental Health !<br />

• Study involving 7,155 respondents.<br />

• Overall, unemployed respondents had poorer mental health than<br />

those employed.<br />

• However, the mental health of unemployed individuals was<br />

comparable or better than individuals in bad jobs (i.e., very ‘poor<br />

psychosocial quality’ jobs = low control, high demands and<br />

complexity, job insecurity and unfair pay).<br />

Butterworth, et al (2011)


© 2012 Dr Peter Cotton Email: peterc@cottonocp.com.au<br />

Background<br />

• 10 year Organ<strong>is</strong>ational Health research program<br />

based at the University of Melbourne<br />

• Research team led by Prof Peter Hart<br />

• National Health & Medical Research Council<br />

funding<br />

• Focus on key drivers of staff motivation, wellbeing<br />

and performance outcomes


The Organ<strong>is</strong>ational Health Framework …<br />

Emotionality<br />

+<br />

+<br />

+<br />

Psych<br />

Injury<br />

Emotion<br />

Focused<br />

Coping<br />

+<br />

Problem<br />

Focused<br />

Coping<br />

_<br />

+<br />

+<br />

Org.<br />

Climate<br />

+<br />

_<br />

+<br />

Negative<br />

Experiences<br />

Positive<br />

Experiences<br />

+<br />

+<br />

+<br />

_<br />

+<br />

_<br />

+<br />

_<br />

D<strong>is</strong>tress<br />

Job<br />

Sat<strong>is</strong>faction<br />

_<br />

Morale<br />

Non certified<br />

Sick leave<br />

Turnover<br />

Intentions<br />

D<strong>is</strong>cretionary<br />

Performance<br />

Customer<br />

Experience<br />

+<br />

+<br />

+<br />

Performance<br />

Sociability<br />

Based on Hart & Cooper (2001)


Organ<strong>is</strong>ational Health research<br />

© 2012 Dr Peter Cotton Email: peterc@cottonocp.com.au<br />

Measuring organ<strong>is</strong>ational health indictors across a range of<br />

industry sectors...<br />

Public Sector<br />

Private Sector<br />

Accountants and Econom<strong>is</strong>ts<br />

Community Services <strong>Work</strong>ers<br />

Emergency Services <strong>Work</strong>ers<br />

Hospital Staff<br />

Local Government Employees<br />

Police Officers<br />

Primary & Secondary Teachers<br />

TAFE Employees<br />

Technical/Scientific Staff<br />

Airline Employees<br />

Engineering Employees<br />

Finance Sector Employees<br />

Information Technology Employees<br />

Insurance Employees<br />

Resource Industry Employees<br />

Retail Employees<br />

Telecommunications Employees<br />

Utilities Employees


© 2012 Dr Peter Cotton Email: peterc@cottonocp.com.au<br />

Key Initial Findings<br />

• Reporting of stress in the workplace <strong>is</strong> not<br />

necessarily caused by increased d<strong>is</strong>tress – but can<br />

also be caused by a lack of positive work<br />

experiences and positive emotions<br />

(Cooper & Hart, 2001)


© 2012 Dr Peter Cotton Email: peterc@cottonocp.com.au<br />

An Organ<strong>is</strong>ational Health Model ...<br />

Leadership<br />

Behaviours<br />

<strong>Work</strong> Team<br />

Climate<br />

Employee<br />

Morale<br />

& Motivation<br />

Business<br />

Performance<br />

Staff<br />

Wellbeing


© 2012 Dr Peter Cotton Email: peterc@cottonocp.com.au<br />

The Structure of Occupational Wellbeing<br />

Mental<br />

Health D<strong>is</strong>orders<br />

Job<br />

Sat<strong>is</strong>faction<br />

Resilience<br />

D<strong>is</strong>tress<br />

Morale<br />

Psychological Injury<br />

Flour<strong>is</strong>hing


© 2012 Dr Peter Cotton Email: peterc@cottonocp.com.au<br />

Key Drivers of Staff Motivation and Wellbeing<br />

Appra<strong>is</strong>al & Feedback<br />

Causes<br />

Teamwork<br />

Professional Development<br />

Goal Alignment<br />

Participative Dec<strong>is</strong>ion-Making<br />

Role Clarity<br />

60% of Individual Morale<br />

80% of <strong>Work</strong>group Morale<br />

80% of <strong>Work</strong>group D<strong>is</strong>tress<br />

30% of Individual D<strong>is</strong>tress<br />

Supportive Leadership<br />

<strong>Work</strong> Demands<br />

Explains


The Critical Role of Morale<br />

© 2012 Dr Peter Cotton Email: peterc@cottonocp.com.au<br />

‣ Higher levels of morale increase resilience and buffer<br />

employees against the impact of operational stressors.<br />

‣ Levels of morale are strongly influenced by supportive<br />

leadership and the quality of work team climate.


© 2012 Dr Peter Cotton Email: peterc@cottonocp.com.au<br />

Effective leader behaviours …<br />

Focus on<br />

People<br />

Focus on<br />

Development<br />

Focus on<br />

Core Business<br />

Supportive<br />

Leadership<br />

Manages People<br />

Coaches Staff<br />

Builds Own Skills<br />

Being approachable<br />

Seeks Feedback<br />

Builds<br />

Relationships<br />

Supports Staff<br />

Effectively<br />

Manages Change<br />

Values Training<br />

& Development<br />

Is Entrepreneurial<br />

Creates a Quality<br />

Environment<br />

Provides Direction<br />

Knowing the<br />

problems staff face<br />

Supporting staff<br />

Role modeling<br />

Proactive engagement<br />

Effectively<br />

Manages<br />

Projects


Leadership Styles and Psychosocial R<strong>is</strong>k<br />

© 2012 Dr Peter Cotton Email: peterc@cottonocp.com.au<br />

Lia<strong>is</strong>sez-Faire<br />

Leader as<br />

Technical Adv<strong>is</strong>or<br />

Popular<br />

Leader<br />

Excessively<br />

Directive<br />

Leader<br />

Team Environment:<br />

Team Environment:<br />

Team Environment:<br />

Low support<br />

Low clarity<br />

Low Engagement<br />

Don’t communicate views<br />

about important <strong>is</strong>sues<br />

Neglect Feedback<br />

Fail to follow up on<br />

requests for ass<strong>is</strong>tance<br />

Avoidance of leadership<br />

responsibilities<br />

High Support<br />

Lower Clarity<br />

Focus on positive<br />

interpersonal<br />

relationships<br />

Don’t address<br />

behavioural <strong>is</strong>sues<br />

Neglect performance<br />

management<br />

Avoid tough<br />

conversations<br />

High Clarity<br />

Low Support<br />

Low engagement<br />

Poor communication<br />

Neglect of<br />

Developmental Feedback<br />

Over-emphas<strong>is</strong> on<br />

Corrective Feedback<br />

Perceived Stigma About<br />

Reporting Personal<br />

Problems


Underpinning of <strong>Work</strong> Psychosocial Quality<br />

Empathy<br />

•Trustworthy<br />

•Even-handed<br />

•Understanding<br />

•Proactive<br />

Clarity<br />

•Clear goals<br />

•Micro &<br />

Macro<br />

Objectives<br />

•Delegations<br />

Engagement<br />

•Dec<strong>is</strong>ion-<br />

Making<br />

•Goal Alignment<br />

•Teamwork<br />

Learning<br />

•Feedback<br />

•Coaching<br />

•Development<br />

© 2012 Dr Peter Cotton Email: peterc@cottonocp.com.au


© 2012 Dr Peter Cotton Email: peterc@cottonocp.com.au<br />

Why the psychosocial quality of work <strong>is</strong> so important …<br />

Wellbeing &<br />

Motivation<br />

Loyalty<br />

Behaviours<br />

Retention<br />

Absence<br />

Cost<br />

Customer<br />

Experience<br />

Business<br />

Performance<br />

80% 60% 25% 15% 50%<br />

30%<br />

the leader and cultural behaviours that form the foundations of engagement and performance<br />

Four Pillars of Leader and Cultural Behaviour<br />

Clarity<br />

Empathy<br />

Learning<br />

Engagement

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