Systems mapping ofwork-stress mental health inStockholm to inform policydecision making
Abstract: Mental disorders are now the most common disorders for sick leave benefit and the second most common for long periods of sick leave. They are also the most common reason for receiving disability pensions. Long term work-stress or burnout is a prevalent cause of mental disorders and since it’s causes could be clinical or societal, there is a need to systematically address it from different perspectives. The aim of this thesis is to construct an overarching model that encompasses more than the medical side to help local authorities develop a mental health strategy for work-stress mental health illnesses. The work-stress mental health situation in Stockholm is addressed using a systems mapping approach to visualize the effect of future strategies of relevant institutions. Literature is reviewed to understand the national context of mental health in Sweden, identify relevant actors which affect work stress mental health and highlight their roles. This is then presented in a systems map through which the impact of policies can be shown across sub-systems. It is presented to several experts for validation which results in agreement on the accuracy and relevance of the model, identification of more sub-systems, actors that can be added to the model and the limitations of important actors such as occupational health centres and primary care. The exercise also entailed insights on how national and local level mental health policies could factor in the individuals’ resources and support employers with wellness and rehabilitation to counteract stress at workplace.
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