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Chapter IV: Proposed Follow-Up Actions

  • Issued: October 2014
  • Content last reviewed: October 2014

At the final roundtable meeting on September 25th, the roundtable membership emphasized that they did not want to see the Roundtable Report “sit on a shelf”. Accordingly, roundtable members proposed various ideas for follow-up and actions which are summarized below. A range of proposals were put forward by individual members at the table, but as with other ideas generated by different roundtable members during discussions and summarized in this report, these do not represent a consensus of the whole group nor were they subjected to debate.

The Chair noted in his final comments during the meeting that many of the proposals made for follow-up actions below would not be achievable unless someone “runs with it”. The Chair stated that MOL would be willing to facilitate the organization of a workshop event in 2014 that would expand the discussion of TMS, and the sharing and highlighting of best practices, to other sectors not at the roundtable (see #9 below). Similar ideas were proposed by roundtable members such as the idea to hold a session on “top performers” doing a good job of handling TMS (see #7 below).

The Minister of Labour, the Honourable Yasir Naqvi, attended a portion of the final roundtable meeting, and discussed the importance of considering the work of the roundtable in the context of the new prevention mandate of the MOL, a responsibility previously under the purview of the WSIB. The Minister indicated that the roundtable process provides an opportunity for MOL to consider how this issue could be tied in with the prevention work underway at MOL.

There were a number of ideas from roundtable members for moving forward.

As noted above, these have not been evaluated for feasibility nor do they represent a consensus of the roundtable. They are provided to stimulate further ideas, debate, and follow-up actions as considered appropriate by different organizations.

  1. Work with Chief Prevention Officer
    • Work with MOL’s Chief Prevention Officer and MOL to ensure that PTSD and TMS in the workplace become one of the Prevention Office’s priorities.
  2. Work with other ministries
    • MOL discuss with other provincial ministries, such as MOHLTC, how to support the needs of those with work related TMS.
  3. Centralize knowledge
    • There is a need for a central knowledge centre where information could be obtained on learning opportunities, such as conferences on this issue.
  4. Build capacity for Critical Incident Response and for Employee Assistance Programs
    • Consider implementing Critical Incident Response as well as EAP supports, in sectors, if these programs are not already in place.
  5. Promote organizational leadership accountability
    • Create CEO Accountability Agreements that include accountability around mental health and TMS.
  6. Build champions within organizations and across sectors
    • Roundtable members to serve as champions in their own organizations: promoting, supporting, training, and sharing information on TMS.
    • Build champions across the province.
    • Share sector-based successes with other sectors.
  7. Focus on top performers
    • Focus on the positive: identify employers doing good work.
    • Organize a session to showcase best practices of top performers.
    • Work with top performers to develop a program.
    • Create a think tank of top performers / best practice employers.
  8. Establish a think tank
    • Create a think tank with stakeholders.
    • Use Health and Safety Associations for a think tank.
  9. Organize a workshop to expand the discussion on work-related TMS
    • MOL facilitate the organization of a TMS workshop in 2014 to reach a broader audience and focus on some of the best practices.
    • Roundtable members contributed many ideas that could be considered in the organizing of such a workshop such as partnering with mental health organizations, expanding participation to include private insurance providers, and engaging roundtable members in the development of the workshop.
  10. Encourage “baseline” practices
    • Need to identify what are the minimum practices, or establish the baseline practices, rather than focusing exclusively on best practices.
    • Make TMS / mental health one of the criteria for WSIB’s Safety Groups.
    • Include TMS in Health and Safety information.
  11. Guidelines and mandatory requirements
    • Consider minimum legislative requirements.
    • Legislate accountability and requirements around supporting employees with TMS.
    • Consider making it mandatory that employees need to be trained from “day one” on TMS.
    • Revise Critical Injury definition in the Occupational Health and Safety Act in order to have critical injury defined by the event itself.
    • MOL and other system partners could create mental health and PTSD materials.
  12. Collective agreements
    • Sectors to include mental health in collective agreements.
  13. Develop performance measures and quantify the problem
    • Need to find ways of measuring progress on mental health such as through working with academics, and ensuring there are mechanisms to measure improvements resulting from the CSA Standard.
    • Find ways of quantifying the problem, for example, through reporting and looking at metrics.
  14. Support families
    • Set up a support system for family members. For example, encourage families to develop contracts with affected family members in order to be able to intervene within the terms of the contract established together.

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