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Labour market initiatives: potential settings for improving the health of people who are unemployed
Author(s) -
Harris Elizabeth,
Rose Vanessa,
Ritchie Jan,
Harris Neil
Publication year - 2009
Publication title -
health promotion journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.515
H-Index - 32
eISSN - 2201-1617
pISSN - 1036-1073
DOI - 10.1071/he09214
Subject(s) - unemployment , mental health , government (linguistics) , population health , intervention (counseling) , context (archaeology) , workforce , health economics , economic growth , medicine , public relations , public health , nursing , political science , economics , psychiatry , paleontology , linguistics , philosophy , biology
Issue addressed Unemployment is detrimental to health. The Unemployment and Health Project in South Western Sydney sought to work with labour market programs to improve the health, particularly, mental health, of unemployed people. This paper describes the experiences of the Project. Methods Phase one commenced in 1995 and involved consultation with the majority of Skillshares (labour market programs under the Labor government) in south‐western Sydney to identify potential areas of action. Phase two commenced in 1998 and involved the development of a brief cognitive behaviour therapy intervention that was delivered in Job Network Settings (the next generation of labour market programs under the Liberal government). Results The cognitive behaviour therapy intervention has been successful in improving mental health in five small scale trials but the intervention has proved difficult to scale up and evaluate comprehensively. Generating more general interest in improving the health of unemployed people through the Job Network has also been difficult. This is related to different understanding and valuing of evidence, a highly volatile context, lack of shared core business by the health and employment sectors, and the changing nature of work in Australia. Conclusions There are theoretical and practical reasons why it is difficult for labour market programs to be a setting for improving the health of unemployed people. However, the reach of labour market programs into the high risk groups warrants more attention by mental health promotion programs. So what Apart from social justice considerations, the increased emphasis on keeping Australians working longer means that as a nation we can not afford to waste the talent of the estimated 800,000 Australians who are expected to be unemployed by the end of 2010. There are opportunities for action in this area including an increased emphasis on prevention and health promotion at the national and state levels (where workplaces are seen as a setting for health improvement) and the growth of a mental health promotion workforce.