Total Worker Health
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In a globalized economy where work is increasingly tenuous, ensuring the safety, health, and well-being of workers has become a matter of urgency for organizational leaders and an area of intense focus for researchers and practitioners.
The Total Worker Health® initiative of the National Institute for Occupational Safety and Health (NIOSH), targets policies, programs, and practices that address risks arising from both the physical and organizational work environment, as well as beyond the workplace.
This volume presents approaches for implementing integrative prevention programs to address these problems. These include applications for diverse worker occupations and industries, such as health care, construction, corrections, and manufacturing; for aging workers who may have multiple chronic health conditions; and for workers employed in small businesses. Evidence of program effectiveness is also provided.
This book is for occupational safety and health professionals, human resource managers, policymakers, and organizational trailblazers who understand that ensuring the safety, health, and well-being of workers is an essential best business practice.
Contributors
Foreword
John Howard
Acknowledgments
Introduction
Heidi L. Hudson, Jeannie A. S. Nigam, Steven L. Sauter, L. Casey Chosewood, Anita L. Schill, and John Howard
I. Historical, Theoretical, and Empirical Foundations of Total Worker Health®
- Total Worker Health®: Evolution of the Concept
David M. DeJoy and Mark G. Wilson - The NIOSH Total Worker Health® Vision
Anita L. Schill, L. Casey Chosewood, and John Howard - Interrelationships of Occupational and Personal Risk Factors in the Etiology of Disease and Injury
Paul A. Schulte and Sudha P. Pandalai - Effectiveness of Total Worker Health® Interventions
W. Kent Anger, Anjali Rameshbabu, Ryan Olson, Todd Bodner, David A. Hurtado, Kelsey Parker, Wylie Wan, Bradley Wipfli, and Diane S. Rohlman - A Conceptual Model for Guiding Integrated Interventions and Research: Pathways Through the Conditions of Work
Glorian Sorensen, Deborah L. McLellan, Jack T. Dennerlein, Eve M. Nagler, Erika L. Sabbath, Nicolaas P. Pronk, and Gregory R. Wagner - A Participatory Framework for Integrated Interventions
Martin G. Cherniack and Laura Punnett
II. Organizational Approaches to Total Worker Health® Interventions
- Occupational Safety, Health, and Well-Being Programs in Small Midwest Enterprises
Shelly Campo, Kevin M. Kelly, and Diane S. Rohlman - Creating and Sustaining Integrated Prevention Approaches in a Large Health Care Organization
Robert K. McLellan - Total Worker Health® Approaches in Small- to Medium-Sized Enterprises
Lee S. Newman and Liliana Tenney - A Labor–Management Approach to Addressing Health Risks in the Unionized Construction Sector
Jamie F. Becker and Scott P. Schneider - Community Health Programs: Promising Practices and Opportunities for Expanding Total Worker Health®
Sherry Baron, Emma K. Tsui, Isabel Cuervo, and Nadia Islam
III. A Spectrum of Total Worker Health® Applications
- Developing an Integrated Approach to Workplace Mental Health
Anthony D. LaMontagne, Angela Martin, Kathryn M. Page, Nicola J. Reavley, Andrew J. Noblet, Allison J. Milner, Tessa Keegel, Amanda Allisey, Alicia Papas, Katrina Witt, and Peter M. Smith - Productive Aging and Work
James W. Grosch, Steven Hecker, Kenneth Scott, and Juliann C. Scholl - Workplace Strategies to Reduce Risks From Shift Work, Long Work Hours, and Related Fatigue Issues
Claire C. Caruso - Reducing Work–Life Stress: The Place for Integrated Interventions
Leslie B. Hammer and MacKenna L. Perry - Integration of Workplace Prevention Programs and Organizational Effectiveness
Ron Z. Goetzel, Enid Chung Roemer, Karen B. Kent, and Katherine McCleary - Future Directions and Opportunities for Total Worker Health®
Heidi L. Hudson and Jeannie A. S. Nigam
Index
About the Editors
Heidi Hudson, MPH, is a science communicator and commander in the U.S. Public Health Service. She has led initiatives around the coordination of dissemination and implementation of research, including the creation of practical guidance on integrative approaches to worker well-being. She serves as team leader for the NIOSH Office for Total Worker Health, part of the Centers for Disease Control and Prevention.
Jeannie A. S. Nigam, MS, PhDc, is a research psychologist and advisor to the Total Worker Health Program at the National Institute for Occupational Safety and Health. Her research centers on understanding how work organization affects employee health and well-being with emphases in the areas of work–life balance, depression, and benefits of comprehensive organizational programs on worker well-being.
Steven L. Sauter, PhD, is a consultant to the Total Worker Health Program at NIOSH. He served previously as coordinator of the NIOSH Research Program on Work Organization and Stress-related Disorders, and he has extensive publications on psychosocial aspects of occupational health.
L. Casey Chosewood, MD, MPH, is the director of the Office for Total Worker Health at NIOSH. He is the author and editor of numerous scientific publications. He lectures extensively on worker safety and health, occupational medicine, health policy, and worker well-being interventions.
Anita L. Schill, PhD, MPH, MA, is a consultant to the NIOSH Total Worker Health Program. Prior to retiring after more than 23 years of federal service, Dr. Schill served as a co-manager of the Total Worker Health Program and senior science advisor to the NIOSH director. She received the NIOSH Total Worker Health Founder's Award.
John Howard, MD, MPH, JD, LLM, MBA, is a physician, professor, and public health administrator. Serving in three 6-year terms as NIOSH director, Dr. Howard led NIOSH to expand its research focus to address practical solutions for modern workplace challenges. He also serves as administrator of the World Trade Center Health Program in the Department of Health and Human Services. He speaks and publishes extensively on emerging trends, law, and policy related to occupational safety and health.
This is the definitive book on this topic, tracing the evolution from its roots in the WorkLife program…. I believe the total worker health approach will allow mid-career professionals to add an important element, making many of them feel gratified long enough to finally see that this approach is justified, conceptualized, and advanced.
—Doody’s
This comprehensive review of the practical and aspirational components of Total Worker Health is a must-read for organizations seeking to be an employer of choice. It highlights the importance of integrating safety, health, well-being, and work environment while providing suggestions on how to implement this approach in workplace settings. Authored by outstanding leaders in the field, this will be the go-to resource for designing effective programs.
—Pamela A. Hymel, MD, MPH, FACOEM
Vice President and Chief Medical Officer, Disney Parks, Experiences and Products
To improve the safety and health of workers, we must ensure that work environments are free of hazards and also recognize the close link between occupational and personal risk factors and worker illnesses and injury. This book provides a road map to making major improvements in worker safety and health.
—David Michaels, PhD, MPH
Professor of Environmental and Occupational Health, George Washington University School of Public Health, Washington, DC; former Assistant Secretary of Labor for OSHA (2009–2017)
