Published On: 9 October 2024

To raise awareness for World Mental Health Day on the 10th October, we sat down with Namhla Kheswa, THINK’s Mental Health Lead for some insights into mental health issues in the workplace and her work on the USAID COMMIT AFRICA PROJECT.

What is your role as the Mental Health Lead for THINK?

As the Mental Health Lead for THINK, my role in the COMMIT AFRICA Project is centred on developing and integrating mental health care into tuberculosis services. The project, funded by the Infectious Diseases Institute (IDI), aims to create a holistic approach to TB care by addressing the mental health needs of TB patient, an often-neglected aspect of comprehensive healthcare. This project is designed to establish an evidence-based and culturally appropriate framework for integrating mental health into TB programs, with a pilot implementation planned for the Fezile Dabi District in the Free State. A core part of my responsibilities includes the development of tools, guidelines, and frameworks to ensure successful integration. This includes:

  • Developing screening tools: Tools are designed for early detection of mental health issues like anxiety, depression, and substance use disorders among TB patients. These tools aim to streamline the identification and referral processes within TB care settings.
  • Designing clinical guidelines: These guidelines will guide healthcare providers on how to manage mental health disorders in TB patients, outlining protocols for screening, diagnosis, referral, and treatment within primary healthcare settings. This will help standardize care across clinics and ensure that healthcare workers can deliver integrated services effectively.
  • Creating frameworks for integrated care delivery: These frameworks will support the workflow and processes in health facilities, detailing how mental health services can be embedded into TB care. This includes outlining referral pathways from TB screening to mental health services and vice versa, ensuring continuity of care.

I have 12 years of experience in therapy work and project management, holding a Bachelor’s degree in social work and psychology as a second major as well as a postgraduate qualification in child trauma. My focus throughout my career has been on providing trauma-informed care, conducting detailed assessments, and developing tailored intervention plans. I specialize in supporting individuals from diverse backgrounds who have experienced trauma, using therapeutic techniques that are both effective and culturally sensitive.

In addition to my clinical expertise, I have significant experience in employee wellness programs, capacity building, trauma debriefing, and empowerment initiatives. I’ve worked extensively on designing and implementing programs aimed at improving the mental health and well-being of individuals and communities, often collaborating with multidisciplinary teams to deliver comprehensive care and support services.

The Mental Health Day Theme focus for 2024 is:
“It’s time to prioritize mental health in the workplace”

Source: UZT: COMMIT- AFRICA PROJECT

What work is THINK doing around mental health?

THINK is actively engaged in integrating mental health into TB programs, primarily through the COMMIT AFRICA Project. This project focuses on developing screening tools to help healthcare workers identify mental health issues in TB patients, ensuring they receive comprehensive and holistic care. In addition to this, THINK provides capacity-building programs for healthcare professionals, equipping them with the skills necessary to recognize and effectively manage mental health disorders. The organization is also dedicated to developing evidence-based frameworks to seamlessly integrate mental health services within primary healthcare, TB services.
Furthermore, THINK is working on expanding the mental health department, fostering collaborative networks, and increasing visibility within the sector.

Why is mental health important especially in the workplace?

Mental health in the workplace plays a crucial role in ensuring not only the well-being of employees but also the overall success and productivity of organizations. Here’s why addressing mental health in the workplace is essential:

  • Productivity and Engagement: Employees with good mental health are more likely to be productive, engaged, and creative in their roles. Neglecting mental health can lead to absenteeism and presenteeism—where employees are physically present but not functioning at their full potential. This not only affects individual performance but also team dynamics and organizational output. Additionally, poor mental health can increase turnover rates, causing disruptions and costs related to rehiring and retraining staff.
  • Reduced Burnout: By addressing mental health needs early on, organizations can help prevent burnout, improve employee retention, and support individuals in managing their stress more effectively, leading to higher job satisfaction and reduced burnout-related turnover.
  • Creating a Positive Work Environment: A workplace that prioritizes mental health fosters open communication, trust, and supportive relationships among employees and leadership. This type of environment encourages collaboration, innovation, and problem-solving, as employees feel valued and supported. Additionally, it helps reduce the stigma associated with mental health conditions, making it easier for employees to seek help and access the resources they need without fear of judgment or discrimination.
  • Financial Savings: Organizations that invest in mental health programs and interventions can realize significant financial benefits. These include reduced healthcare costs, fewer sick days, and lower staff turnover rates. Studies have shown that for every dollar invested in mental health support, companies see a return through increased productivity and decreased costs related to absenteeism, sick leave, and employee disengagement.

Which areas of mental health are we most struggling with?

Several areas of mental health continue to pose significant challenges, particularly within workplace and healthcare settings. These issues not only affect individual well-being but also have broader implications for organizational health and productivity. Key areas of concern include:

  1. Depression and Anxiety
    These are the most prevalent mental health disorders globally, often intensified by job-related stress, personal life challenges, or chronic illnesses such as TB and HIV.
  2. Substance Use Disorders
    Alcohol and drug use are commonly used as coping mechanisms for mental health struggles. Substance use can worsen mental health conditions like depression and anxiety and also contribute to workplace challenges such as reduced productivity, increased absenteeism, and safety risks.
  3. Post-Traumatic Stress Disorder (PTSD)
    PTSD remains a major concern, particularly for healthcare workers exposed to trauma cases or those working in high-stress roles. First responders, caregivers, and individuals in professions where they witness traumatic events regularly are especially susceptible to developing PTSD, which can lead to long-term mental health challenges if not addressed.
  4. Burnout and Compassion Fatigue
    Burnout and compassion fatigue are increasingly prevalent in frontline healthcare workers and professionals in emotionally demanding roles. These conditions arise from chronic workplace stress, emotional exhaustion, and the constant demands of caring for others, leading to disengagement, decreased job performance, and mental health decline.
  5. Stigma and Lack of Access to Care
    Stigma around mental health remains a significant barrier to seeking help. Many individuals are reluctant to address their mental health concerns due to fear of judgment or discrimination.
  6. Workplace Stress and Lack of Work-Life Balance
    • Increasing demands in the workplace, coupled with a lack of proper work-life balance, contribute to a growing level of mental health issues among employees.
    • Chronic stress from long working hours, unclear job roles, and a lack of support can lead to stress-related disorders, further worsening mental health outcomes.

What can we do to improve our mental health?

To foster better mental health, both individually and collectively, here are some key strategies:

  1. Promote Mental Health Awareness: Initiate and encourage conversations about mental health in the workplace and community. Educational programs can help reduce stigma, foster understanding, and motivate individuals to seek help when needed.
  2. Routine Mental Health Screenings: Normalize regular mental health check-ins, similar to physical health checkups. Screening for conditions such as depression, anxiety, and stress at regular intervals can help identify issues early, allowing for timely intervention.
  3. Encourage Work-Life Balance: Employers should actively promote work-life balance by offering flexible working hours, remote work options, and personal days. Encouraging employees to take time off for mental health needs is crucial for overall well-being.
  4. Promote Healthy Lifestyle Choices: Encourage physical activity, balanced nutrition, and healthy sleep habits, which are essential for mental well-being. Employers can support these initiatives by providing wellness programs, gym memberships, or workshops on nutrition and exercise.
  5. Mindfulness and Stress Management: Incorporating mindfulness practices, such as meditation, deep breathing exercises, and yoga, can help individuals manage stress and build resilience. Workshops or guided sessions can be offered to introduce these techniques to employees.
  6. Provide Access to Mental Health Services: Ensure that employees have easy access to mental health resources, including counseling services, Employee Assistance Programs (EAP), and helplines like those provided by the South African Depression and Anxiety Group (SADAG). This access can help employees seek help without barriers.
  7. Create Peer Support Networks: Establishing peer support networks in the workplace or community can enhance feelings of connection and support. Encouraging individuals to share experiences and challenges can be empowering and foster a sense of belonging.
  8. Train Managers and Leaders: Educating managers and team leaders on mental health awareness and supportive practices can create a more empathetic workplace culture. Leaders who understand mental health can provide better support to their teams and promote open dialogues about mental well-being.
  9. Encourage Skill Development: Providing training opportunities in stress management, resilience building, and effective communication can equip individuals with tools to better manage their mental health and navigate challenges in the workplace.
  10. Evaluate Workplace Policies: Regularly assess workplace policies and practices to ensure they promote mental health. Creating a culture of openness, support, and understanding around mental health will contribute to a healthier work environment.

Do you have any guide tips, sources of information and contacts for maintaining mental health?

  • Daily Self-Care: Incorporate daily practices such as journaling, meditation, exercise, or engaging in hobbies that bring joy and relaxation. These activities can help reduce stress and enhance overall well-being.
  • Set Boundaries: Learning to say no and establishing personal boundaries can protect mental health, especially in high-stress environments. Clear boundaries help manage expectations and prevent burnout.
  • Seek Professional Help: If you’re feeling overwhelmed or struggling with your mental health, don’t hesitate to contact a mental health professional. Early intervention is key to effectively managing mental health issues and improving overall well-being.
  • Connect with Others: Building and maintaining strong social connections can provide emotional support and help combat feelings of isolation. Make time for friends, family, or support groups.
  • Practice Mindfulness: Engage in mindfulness practices, such as deep breathing or yoga, to help center your thoughts and reduce stress levels. These techniques can promote emotional regulation and enhance resilience.

Organisations to contact for support and assistance:

  • Lifeline: 0861 322 322
  • Childline: 0800 055 555
  • FAMSA: 031 202 8987
  • Mental Health Information Centre: info@mhic.org.za
  • South African Depression and Anxiety Group (SADAG): 0800 567 567
  • ANON (Anonymous Counseling): 0861 222 123
  • The South African Federation for Mental Health (SAFMH): info@safmh.org.za, 011 781 1852
  • LGBTQIA+ Helpline (Gender DynamiX): 0800 123 22
  • Tears Foundation: 0800 203 205
  • Alcoholics Anonymous (AA) South Africa: 0861 11 00 00
  • Narcotics Anonymous (NA) South Africa: 0861 622 622

Sources of information:

  • World Health Organization (WHO): Provides guidelines and resources on mental health, including specific information on workplace mental health strategies. Mental health (who.int)
  • Centers for Disease Control and Prevention (CDC): Offers mental health guidelines and tools for managing stress, anxiety, and depression. Mental Health | CDC
  • Masiviwe by the Foundation for Professional Development (FPD):Offers mental health support and resources, specifically targeting vulnerable populations and addressing mental health challenges in various communities. Welcome – MASIVIWE – a movement for mental health