SVLFG Accident Insurance Old-age Insurance Health Insurance Long-term Care Insurance

1. safe &healthy from a single source SVLFGAccident InsuranceOld-age InsuranceHealth InsuranceLong-term Care Insurance Mental Health Morbidity and Well-Being in Aging Agricultural Populations Social Insurance for Agriculture, Forestry and Horticulture

2. Mental Health and Well-Being (at Work) Stress = Entirety of all comprehensible outside influences that affect the individual psychologically (by definition DIN EN ISO 10075-1 (1a)) e. g.Burnout

3. Scientific evidence for mental strain representing a strong risk factor for chronic diseases, disabilities and occupational safety Higher perceived stress often precedes greater depressive symptoms State of International Research

4. Farmers experience high rates of psychological distress and (occupational) suicide around the globe (suicide rates increase with age) Strongest stressors in farming: overwork, generational conflicts, disorders and the financial situation State of International Research

5. (Older) farmers define health as the ability to work Limited ability to acknowledge or talk about mental health problems and seek help among farmers Mental health in agricultural population is an under-researched issue (in Germany) State of International Research

6. Frequent family farming based structures (private/family life and working life unified in one location) Limited accessibility to and stigmatisation of mental health care; greater concerns about confidentiality Institutional mental health care programmes are not readily compatible with the profession Structural Characteristics

7. We face a trend of an ever-rising number of cases reported (mental health problems) conservative estimates put the prevalence down to 38.2 % of EU 27 population suffering from mental disorders (at any point in time) No substantial cultural or country variations Most people affected don’t receive any treatment One of the most frequent mental health disorders in the EU is the major depression Prevalence of Mental Disorders

8. Mental Disorders – A Growing Challenge Disability (sick leave) in percentage terms Cardio-vascular Disorders Musculo-skeletal Disorders Mental Disorders Airway Disorders Digestive Disorders Injuries Source: Fehlzeitenreport 2012

9. One third of all new disability benefit claims in OECD countries is linked to mental health problems Projections put the total costs of depression alone to an amount of 600+ billion Euro p. a. Employers: €272bn Economy: €242bn Health system: 63bn Social welfare system: €39bn The Economic Impact is Immense

10. Severe mental disorders (e. g. Alzheimer’s disease, schizophrenia and depression) have a high prevalence-cost ratio Costs are expected to increase sharply Mental disorders as the core health challenge of the 21st century The Economic Impact is Immense

11. Studies show well-elaborated interventions to be effective in improving mental health Above all: gains in health and quality of life Also: very significant economic benefits Prevention Works

12. Many interventions are very low cost Small shift in expenditure generates efficiency gains Most interventions are outstandingly good value for money ROI can be as high as €13.62 Broad range of payoffs: within public sector and beyond Well-designed interventions towards mental health can tip the balance for a healthier and longer life Prevention is Good Value

13. Mental Health Study fostering methodological innovations such as new/improved test instruments Mental health promotion and disorder prevention as well as psychotherapeutic interventions in working and living contexts to strengthen resilience and to reduce psychological distress in farmers Innovation Action Programmes as clinical-psychological web based interventions, telephone councelling De-stigmatization Need of Innovation Research and Action – Horizon 2020

14. Model of Multi-Level Resilience

15. Factors of Resilience

16. First Ideas Towards Possible Future Interventions • Universal: • web-tool incl. e-mental-health and access control • resilience-workshop • Selective: • workshop for informal caregivers • anti-fall curses • PSN (Psychosocial Network) • workshop “transfer of business” • dementia-related offers • web-tool for managers incl. e-BGM • business counseling by a safety advisor regarding OHM (occupational health management) and OIM (occupational integration management) • domestic councel by a care consultants • business-workshop • PSN (Psychosocial Network) after trauma (family/business) • workshop “transfer of business” • case-managerSVLFG responsible for holistic processing • training of professional multipliers regarding the recognition of burnout, depression, addiction (e. g. prevention service, care consultants, profession, family doctors) • training of low-threshold multipliers (e. g. profession regarding PSN) • cross-linkage of SVLFG with stationary and ambulant institutions (psychosomatics, peasant family counseling, etc.) • group concepts in stationary institutions

17. WG HPDP Many thanks for your attention and interest in mental health!