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APECTransportation Working Group July2024 APEC SEN Mental Health TrainingCurriculum to Empower Well-beingof Life Onboard for Seafarersacross the APEC Region APEC Transportation Working Group July2024 APEC Project:TPT 02 2020S Produced byMr. Jongho LeeMinistry of Oceans and Fisheries, the Republic of Korea ForAsia-Pacific Economic Cooperation Secretariat35 Heng Mui Keng TerraceSingapore 119616Tel: (65) 68919 600Fax: (65) 68919 690Email: info@apec.orgWebsite: www.apec.org © 2024 APEC Secretariat APEC#224-TR-03.1 ONBOARDPARTICIPANT BREAK THESILENCE APECSENMENTALHEALTHTRAININGBOOK1 Organizedby Co-sponsoringeconomy Sponsors ExpertGroup2:SeafarersBetterWelfareChair:PrescaLeeLugoMaritimeIndustryAuthority,ThePhilippinesVicechair:TaehaLeeFederationofKoreanSeafarers’Unions,TheRepublicofKorea Dr.SeungheeChoiExecutiveDirectorofAPECSEN Dr.HoseokLeePusanNationalUniversityHospitalHwagyuSeo Medicalreview Technicalreview Capt.AnwarBudtainFleetManager,KuwaitOilTankerSamarHahanProjectManager,GlobalMarineConsultantByoung-gyu SeoFormalPresident of Korea Institute of Maritime and FisheriesTechnology/Formal Administrator ofBusan RegionalOfficeofOceansandFisheries Contents ⚫Introduction 03 ⚫Module1WeAllHaveaStateofMentalHealth05 1.PhysicalHealth2.MentalHealth ⚫Module2SupportStructure 12 1.ManagingYourMentalHealth2.ImprovingYourMentalHealth3.IdentifyingSourcesofHelpandSupport4.BeaSupportertoOthers ⚫Module3ALLACT:SupportingOthers23 1.SupportingOthers2.IntroducingALLACT3.MakingaStart:ALLACT ⚫Module4PromotingPositiveMetalHealthandReducingStigma34 1.IdentifyingPositiveandNegativeInfluences2.Stigma ⚫Summary Introduction BreaktheSilence Mentalhealth is increasingly being recognized within the shipping industry as an importantissue.Thereisagrowingawarenessthatourseafarerssufferahigherlevelofmentalillhealthand suicide compared to land-based workers. However, we may find mental health issuesdifficult to talk about. Whyitishardtotalkaboutmentalhealth? Why:Areyouafraidoftalkingaboutmentalhealth? ✓Peoplefearbeingseenasweakorbeingjudgedbyothers.✓Thereisstigmaaroundtalkingaboutmentalhealth.✓Thisisamale-dominatedindustry,andmenarelesslikelytoopenupabouttheirfeelingsoraboutmedicalproblems.✓Mentalhealthisataboosubjectinsomeculturesandfamilies.✓Wemaybescaredofwhatothersmightthinkofus.✓Peoplemayworryaboutkeepingtheirjobsbydeclaringillhealthormedicationwhenjoiningavessel. Why:Doweneedtotalkaboutmentalhealthwithinshippingindustry? ✓Itisunacceptablethatsomanyseafarerscanfeelunsafeormiserableatwork.✓Thelevelofsuicideswithintheindustryishighandcanaffectanycompanyatanytime.Anysuicideisatragedy.✓Becauseit’stherightthingtodo.Talkingaboutmentalhealthisawayofdemonstratingcare.✓Measurestoensurethementalhealthandwellbeingofourseafarersmustmeetorexceedtherequirements of the Maritime Labour Convention 2006.✓Whenourseafarersfeelsafeandcaredfortherearefeweraccidents,incidentsandadverseevents.✓Engaged,mentallywellseafarersaremoreresilientandmoreproductive-especiallyimportantascommercial pressures increase.✓Bypromotingacaringandsafeenvironmentweincreasetrustandcommunication,whichinturnencourages better conversations and decision making. CourseOverview This course consists of four modules, which are delivered in a group setting and lead by afacilitator. Thiscourseisaimedatallowingseafarersandcompaniestostarthaving conversationsaroundmental health and to startbuilding understanding. Module1:WeAllHaveaStateofMentalHealth Module2:SupportStructures Module3:ALLACT–SupportingOthers Module4:PromotingPositiveMentalHealthandReducingStigma Themoduleshavebeendesignedtobuildknowledge andunderstandingaboutmentalhealth.If they are not undertaken in this order, it will be confusing. Module1WeAllHaveaStateofMentalHealth -GoalsofModule1 First,Understandthatweallhaveastateofmentalhealthjustaswehaveastateof physical health and how this can vary.Second,Identifythosethingsthatcanhavepositiveandnegativeeffectsonourstateof mental health and understand that they are similar for us all.Third,Bytalkingaboutourmentalhealth,discoverhowwecanunderstandourselves, support each other and reduce stigma. -GettingStarted Weallhaveastateofphysicalhealthandastateof mentalhealth. First,thinkaboutyourphysicalhealth.Weallhaveastateofphysicalhealth.Thinkaboutyour physical health right now and how healthy you feel. Ourphysicalhealthchangesallthetime. Thinkofatimewhen yourphysicalhealthwasbetter or worse. Why?Whathaschangedbetweenthenandnow? 1.PhysicalHealth First,thinkaboutyourphysicalhealth.Weallhaveastateofphysicalhealth.Doyouagree?1 Ourphysicalhealthchangesallthetime.Thinkofatimewhenyourphysicalhealthwasbetterorworse.Why?3 Whathaschangedbetweenthenandnow?4 2.MentalHealth Wecanthinkofourstateofmentalhealthinexactlythesameway. Weoftentalkasifotherpeoplehavementalhealth–“themandus”–andthisiswheresomeof the stigma comes from. Thefactis,weallhaveastateofmentalhealth–allofus,everyone! Justlikephysicalhealth,mentalhealthchangesallthetime.Ourmentalhe