Designing Healthy Workplaces: The CPH-NEW Healthy Workplace Participatory Program Jennifer Cavallari, ScD, CIH Assistant Professor, UConn Health 2015 Connecticut Public Health Association Annual Meeting and Conference October 23, 2015 A NIOSH Center for Excellence to Promote a Healthier Workforce

Designing Overall Healthy Workplaces Discuss wellness at work Describe Total Worker Health™ (TWH) Explain why workplaces should embrace TWH Introduce the CPH-NEW approach to implementing TWH and how workplaces can implement TWH

What does wellness mean to you?

What does wellness mean to you? World Health Organization definition of Health: a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, June, 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and entered into force on 7 April 1948

Dimensions of Wellness Wellness PhysicalSocial Intellectual Spiritual Occupational Financial

Dimensions of Wellness Wellness PhysicalSocial Intellectual Spiritual Occupational Financial Work satisfaction Satisfaction with financial situation Connection, belonging, support network Physical health status Creativity, building skills and knowledge Sense of purpose, meaning

Social-Ecological Model a framework for wellness hello Policy Community/Society Organizational Interpersonal Individual

The workplace is a place to support wellness

How does your workplace support wellness?

How does your workplace support wellness? Images from wikipedia

Health Promotion Programs: to reduce lifestyle risks Images from wikipedia

How does your workplace support wellness? Images from wikipedia

Safety Programs: to reduce work hazards & exposures Images from wikipedia

Traditional program approach Silos, top-down Health and Safety Reducing hazards and exposures at work to prevent injury and illness Health Promotion Reducing lifestyle risk factors to prevent disease

WHAT IS TOTAL WORKER HEALTH™?

Total Worker Health™ is a strategy integrating occupational safety and health protection with health promotion to prevent worker injury and illness and to advance health and well-being The workplace is a place to prevent work-related injury and illness and support wellbeing

The National Institute for Occupational Safety and Health (NIOSH) NIOSH is the U.S. federal agency responsible for conducting research and making recommendations for the prevention of work- related injury and illness. NIOSH is part of the Centers for Disease Control and Prevention (CDC) in the U.S. Department of Health and Human Services Mission: To develop new knowledge in the field of occupational safety and health, and to transfer that knowledge into practice.

What is an integrated approach to total worker health? Well-beingSafety Management Workers Coordinated planning All levels participate

WHY TOTAL WORKER HEALTH™?

Why we need a safety/wellness program for employees Annually employees report nearly 4 million nonfatal workplace injuries and illnesses Nearly 50% of Americans have one chronic health condition, and almost 1/2 of this group have more than one condition By in 5 American workers will be 55 years of age or older 44% of Americans reported work as always or often stressful in 2010 NIOSH Top Reasons to Create a New Pathway for a Safer and Healthier Workforce, 2014

WHO ARE CPH-NEW AND HOW DO THEY DO TOTAL WORKER HEALTH™?

Center for Promotion of Health in the New England Workplace(CPH-NEW) Umass Lowell UConn Health Center UConn Storrs 22

CPH-NEW’s goals include (From NIOSH Total Worker Health™ Mission) 1.Implement and evaluate models for improving worker health by combining:  Worksite health promotion (WHP)  Workplace safety & health (OSH) 2.To promote participatory approaches that engage all levels of an organization in the design of effective, sustainable workplace interventions.

What is a Participatory Approach? Maximizing employee involvement in identifying and solving problems Used in Community- based Participatory Research (CBPR)

What happens when a program is introduced into a community without input from the intended recipients?

Why a participatory workplace process? Employee health self- efficacy Increased program sustainability Increased confidence to change unhealthy conditions Insights derived from workers’ perspective Find (other) root causes of physical & psychosocial stressors Find (other) root causes of unhealthy behaviors Reflect own experiences, needs and language of the intended program participants Increased decision latitude Increased social support

HOW CAN COMPANIES IMPLEMENT TOTAL WORKER HEALTH™?

CPH-NEW Healthy Worksite Participatory Program Website

CPH-NEW R2P Toolkit promotes promotes a healthy organization Engages employees in setting priorities and developing solutions Improves organizational communication & collaboration about health, safety, wellness Integrates ergonomics with health promotion initiatives Establishes a sustainable process for continuous health/safety improvement Develops a contextual business case for Health & Safety interventions, one intervention at a time.

Two committees – manager, non-manager Engages all levels of the workforce Trained facilitator – subject knowledge Guides, coordinates committees IDEAS intervention planning process Builds solutions one intervention at a time CPH-NEW Healthy Workplace Participatory Program: CORE ELEMENTS 30

Design Team Steering Committee Roles of Steering Committee (SC) & Design Team (DT) Action Feedback Teamwork Allocates and coordinates resources Considers interventions Makes strategic decisions Supports implementation, evaluation Selects health and safety issues Designs interventions Develops business case Proposes solutions 31 Action Feedback Teamwork

Step 1 Identify Problems & Contributing Factors Step 2 Develop Objectives & Activities Step 3 Set Selection Criteria Step 4 Apply Selection Criteria Step 5a/5b Rate/Select Intervention Alternatives Step 6 Plan and Implement Interventions Step 7 Monitor & Evaluate Intervention How Does the IDEAS Tool Work? Trained facilitator moderates each step at safety committee meetings. Team needs meeting time to reflect, brainstorm Facilitator documents team work in worksheets Step 1 Understanding the problem Step 2 Creating full set of possible solutions Steps 3,4 Analyzing costs, benefits, barriers Formulate alternatives Step 5 Rating, selecting best option

Structured process Uncovers root causes Leads to more complete solutions Engages/empowers employees Builds self-efficacy Advantages of Using the IDEAS Tool

Interactive Tools Worksheets and Quick Reference Guides for Facilitators Online readiness survey

What if I work at a small company or a non-traditional workplace, can I still implement the Healthy Workplace Participatory Program?

Elements of the HWPP have been adapted in: A variety of size companies A variety of sectors –Healthcare –Correctional Facilities –Manufacturing

A few words from test sites…. Design Team members (office workers) “It enables you to make a proposal for presentation to management. It made us more equipped to answer some of their questions.” Steering Committee members (office workers) “This experience allowed design team members to build new skills.” “The ideas proposed went way beyond my expectations ….” Design Team (real estate management firm) “If this group was not around, our ideas would not be heard as much and less would be accomplished.” (maintenance technician) “He looked forward to the meetings and felt empowered to go and have a say in things”- (property manager)

CPH-NEW Resources Website –Mailing list –Quarterly Newsletter –CPH-NEWs and Views—fact sheets Speakers Bureau Pilot grants Healthy Worksite Program Toolkit 38

CPH-NEW Healthy Workplace Services Consultation – telephone or onsite Program design, implementation, evaluation Workforce assessment – Employee focus groups Coaching and workshop facilitation – Using the IDEAS tool for intervention planning Request services Webinar evaluation survey

Take home back to work messages The workplace can support wellness Total Worker Health™ approaches integrate health protection and promotion to achieve worker wellbeing Healthy workplaces can be achieved using a participatory TWH Approach CPH-NEW is a resource for achieving TWH

Contributors Suzanne Nobrega, MS Laura Punnett, ScD –University of Massachusetts Lowell Robert Henning, PhD, CPE Nicholas Warren, ScD –University of Connecticut Michelle Robertson, PhD, CPE –Liberty Mutual Research Institute for Safety and the CPH-NEW Research Team

Please use and recommend our tools! Jennifer Cavallari Phone: (860)