Empowering Seafarers as Agents of Their Mental Health: The Role of Information and Communication Technology in Seafarers' Well-Being.

The academic literature seldom views information and communication technology (ICT) as a means to empower merchant seafarers in terms of their active and positive contributions to their mental health (MH) and overall well-being. Seafarers are often viewed as recipients and not the sources of health interventions. Using mixed methods, this paper examines how seafarers' MH has not been the top priority among seafarers themselves, and how ICT and formal education might empower seafarers in health promotion. The pervasive culture of "ship first" in the maritime industry is palpable in the findings of this study, where seafarers do not prioritize their MH because the ship's safe operations take precedence over everything else. Data shows that seafarers perceive MH interventions provided by companies as more useful when these have direct implications or effects on their families. In effect, seafarers may not see a priorities the physical and mental health support directly impacting their well-being. Nevertheless, there are some fundamental changes in the maritime industry in using technology to improve the MH of seafarers and their overall well-being, such as the development of MH applications ("apps"), helplines, or websites, coupled with the growing comfort of seafarers to use ICT.

Seafarers' mental health during the COVID-19 pandemic: An examination of current supportive measures and their perceived effectiveness.

As the current COVID-19 pandemic and the resulting crew change crisis exacerbates the mental health problem faced by seafarers, various maritime stakeholders have mobilised their resources and strengths to provide a variety of supportive measures to address the issue. This paper aims to find out what measures have been adopted in the industry and how widely they have been experienced/received by seafarers and evaluate their effectiveness. To achieve this aim, this research employed a mixed methods design involving qualitative interviews with 26 stakeholders and a quantitative questionnaire survey of 817 seafarers. The research identified a total number of 22 mental health support measures, all of which were perceived to have contributed positively to seafarers' mental health. However, not all of them were widely available to or utilised by seafarers. The findings also highlighted the importance of family, colleagues, shipping companies, and government agencies, as they are associated with the most effective support measures, namely communication with family, timely crew changes, being prioritised for vaccination, being vaccinated, and a positive and collegial atmosphere on-board. Based on the findings, recommendations are provided.

Mental health of Filipino seafarers and its implications for seafarers' education.

This narrative review examines current academic literature on the mental health of Filipino seafarers working internationally, including the mental health effects of coronavirus disease 2019 (COVID-19). Framed within a rights-based approach, it aims to identify and analyse emerging themes on Filipino seafarers' mental health literature to understand what these studies potentially mean for the improvement of seafarers' education on mental health. Based on a broad selection criteria, 28 eligible papers demonstrate collectively three key findings: firstly, there is paucity in published research on seafarers' mental health; secondly, the majority of published studies are associated with a recent piracy crisis, where a significant number of mariners were attacked, taken as hostages, or killed; thirdly, three key areas emerged under which research on Filipino seafarers' mental health can be organized: the medical repatriation of seafarers, system of care for the mental health of seafarers including the diagnostic standards used, and seafarers' experiences and conceptions of mental health including the mental health effects of COVID-19. Though the bulk of the current understanding of the mental health problems is associated with piracy, several risk factors for which the quality of quantitative and qualitative evidence are patchy. The few sources of primary data to date lack focus on mental health needs which makes it difficult to grasp the extent of the problem. Developing policies and programmes for the promotion of mental health through mental health education among seafarers is important for a couple of reasons. Seafaring remains a dangerous and socially isolating occupation where work-related accidents are likely and will be potentially traumatic to mariners. Research on occupational stressors is increasingly providing evidence of their contributions to poor mental health outcomes among seafarers. Thus, mental health education of seafarers in the context of their work is important for proactive training and development.