Menzies Institute for Medical Research, University of Tasmania, Australia.
Tasmanian School of Business and Economics, University of Tasmania, Australia.
Prev Med. 2017 Aug;101:213-222. doi: 10.1016/j.ypmed.2017.03.017. Epub 2017 Mar 25.
The aim of this systematic review was to determine the quality and comprehensiveness of guidelines developed for employers to detect, prevent, and manage mental health problems in the workplace. An integrated approach that combined expertise from medicine, psychology, public health, management, and occupational health and safety was identified as a best practice framework to assess guideline comprehensiveness. An iterative search strategy of the grey literature was used plus consultation with experts in psychology, public health, and mental health promotion. Inclusion criteria were documents published in English and developed specifically for employers to detect, prevent, and manage mental health problems in the workplace. A total of 20 guidelines met these criteria and were reviewed. Development documents were included to inform quality assessment. This was performed using the AGREE II rating system. Our results indicated that low scores were often due to a lack of focus on prevention and rather a focus on the detection and treatment of mental health problems in the workplace. When prevention recommendations were included they were often individually focused and did not include practical tools or advice to implement. An inconsistency in language, lack of consultation with relevant population groups in the development process and a failure to outline and differentiate between the legal/minimum requirements of a region were also observed. The findings from this systematic review will inform translation of scientific evidence into practical recommendations to prevent mental health problems within the workplace. It will also direct employers, clinicians, and policy-makers towards examples of best-practice guidelines.
本系统评价的目的是确定为雇主制定的旨在发现、预防和管理工作场所心理健康问题的指南的质量和全面性。结合医学、心理学、公共卫生、管理以及职业健康和安全方面的专业知识，被确定为评估指南全面性的最佳实践框架。采用了一种综合的灰色文献搜索策略，并与心理学、公共卫生和精神健康促进方面的专家进行了磋商。纳入标准为专门为雇主制定的、旨在发现、预防和管理工作场所心理健康问题的英文出版物。共有 20 项指南符合这些标准并进行了审查。将开发文件也纳入其中，以提供质量评估的信息。这是使用 AGREE II 评分系统完成的。我们的研究结果表明，分数较低通常是由于缺乏对预防的关注，而更侧重于工作场所心理健康问题的发现和治疗。当包括预防建议时，它们通常是针对个人的，没有包括实施的实用工具或建议。还观察到语言不一致、在制定过程中没有与相关人群进行磋商以及未能概述和区分一个地区的法律/最低要求等问题。本系统评价的结果将有助于将科学证据转化为预防工作场所心理健康问题的实际建议。它还将指导雇主、临床医生和政策制定者了解最佳实践指南的范例。
