How Telemedicine Can Proactively Identify and Address Mental Health Onboard

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How Telemedicine Can Proactively Identify and Address Mental Health Onboard


From captains to cooks, fishermen to oil riggers, doctors to dancers, an estimated 1.9 million people worldwide work in diverse roles at sea. Seafaring, though, presents unique health challenges – and not just physical. While the importance of mental health care has become a more open conversation globally, it is imperative now more than ever for the people who make their living onboard. Telemedicine for mental health in maritime is emerging as a critical solution to support seafarers’ well-being.

The Mental Health of Seafarers

When COVID-19 restrictions trapped thousands of crew members onboard ships – some up to a year beyond their contract – ISWAN and MHSS saw a 60% YOY increase in calls for psychological support between April and June 2021. For operators, managers and onboard workers, the situation brought seafarer mental health concerns into sharp focus. Telemedicine for mental health has since gained prominence as a valuable tool to address these challenges.

According to an article in Safety4Sea, “The often-high pressure and demanding nature of work can create more high-stress conditions for seafarers compared to workers in other sectors.” Anxiety and depressive disorders are estimated to have risen more than 25% during the first year of the pandemic alone, and numerous industry surveys show that many seafarers feel isolated, stressed and anxious. This impacts not only  mental health and morale, but also safety.

Even outside the unique situation created by COVID-19, seafarers face a range of factors that can negatively affect their mental wellbeing. Working onboard a ship often means long hours, irregular schedules, and inadequate rest, which can compromise physical and mental health. Telemedicine offers a proactive solution to address these stressors by providing access to ongoing mental health care.

A recent presentation from the International Chamber of Shipping offered insights on why seafarers face heightened mental health challenges. Despite the legal responsibility that operators have to onboard health and wellbeing, the industry’s diverse global workforce brings a wide range of values, ethics and standards onboard, as well as varied attitudes toward the value of health and wellbeing.

The World Health Organization estimates that 12 billion working days globally are lost every year to depression and anxiety, at a cost of US$1 trillion annually in lost productivity. Working environments themselves often contribute to poor mental health among workers. Safe and healthy working environments are not only a fundamental right, says the WHO, but are also more likely to minimise tension and conflicts whilst improving retention, performance and productivity.

Mental Health Solutions at Sea

The maritime sector faces unique mental health challenges, especially compared with other industries, but a recent study outlined numerous steps managers can take to improve crew wellbeing, including hiring more crew members, closely monitoring their mental health, and investing in education and support for mental health at sea.

VIKAND’s Total Healthcare Solution includes annual comprehensive Wellness Reviews for crew members accessed via telemedicine. During the Wellness Review, a trained nurse assesses each patient’s physical and mental well-being across a range of parameters. Additionally, crew members with chronic conditions are offered more regular telemedicine visits with specialist clinicians.

For seafarers with mental health needs, telemedicine is a powerful tool. Using their own mobile device, maritime workers can now maintain an ongoing relationship with a qualified mental health professional. This kind of continuous one-on-one care was once only possible in person, but telemedicine makes private, secure video and voice connections more accessible.

Easy access to mental health resources is not only valuable to seafarers who want help managing specific conditions, but as preventive care, too. An acute mental health crisis is the last phase of a process that begins with warning signs. If symptoms are noticed early, telemedicine makes it possible to receive immediate evaluation and treatment before things progress to the level of a crisis. From a business perspective, this kind of proactive medicine helps to maintain a healthy and productive workforce.

Mental Health is Part of Human Sustainability

As we discussed in our insight on threats to maritime’s future, retaining talent is critical to sustaining our industry for decades to come. Maritime operators must prioritize telemedicine for mental health as part of a broader focus on human sustainability. Companies that offer a supportive environment with accessible mental health tools will stand out as leaders in the industry.

Seafaring is tough work, but we all have a responsibility to raise the bar wherever possible. By integrating telemedicine into regular healthcare practices, maritime companies ensure a healthier, happier, and more productive workforce – a key competitive advantage in the evolving industry.



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Subscribe to our VIKAND Pulse to receive the latest maritime healthcare news from VIKAND sent right to your inbox
Subscribe to our VIKAND Pulse to receive the latest maritime healthcare news from VIKAND sent right to your inbox