Analysis of Seafarer Mental Health and Proposed Framework for Wellness Programs on Cruise Ships
Seafarers are the backbone of the maritime industry, transporting goods and passengers across the oceans. However, they also face many challenges and risks that can affect their mental health and well-being. Some of these challenges include long working hours, isolation, fatigue, stress, violence, piracy, and exposure to harsh weather conditions. According to a recent study by the International Maritime Health Association (IMHA), seafarers have a higher prevalence of depression, anxiety, and suicidal ideation than the general population . Moreover, seafarers have limited access to mental health care and support services, especially when they are at sea.
The COVID-19 pandemic has exacerbated the situation for seafarers, as many of them have been stranded on board their vessels for months due to travel restrictions and port closures. The International Labour Organization (ILO) estimates that more than 400,000 seafarers are still working beyond their contract expiry dates, facing uncertainty, financial hardship, and separation from their families . The prolonged isolation and lack of shore leave have increased the risk of mental health problems among seafarers, such as depression, anxiety, post-traumatic stress disorder (PTSD), and substance abuse .
In this context, it is imperative to address the mental health needs of seafarers and to promote their well-being. One way to do this is to implement wellness programs on cruise ships that can provide seafarers with psychological support, education, and resources. Wellness programs are interventions that aim to improve the physical and mental health of employees by offering various activities and services, such as health screenings, counseling, fitness classes, stress management workshops, and social events . Wellness programs can benefit both employees and employers by enhancing job satisfaction, productivity, performance, retention, and safety .
However, designing and implementing wellness programs for seafarers is not a straightforward task. There are many factors that need to be considered, such as the diversity of seafarers’ backgrounds, cultures, languages, and needs; the availability of space, time, and resources on board; the compliance with maritime regulations and standards; and the evaluation of the effectiveness and impact of the programs . Therefore, a comprehensive framework is needed to guide the development and delivery of wellness programs for seafarers on cruise ships.
This paper proposes such a framework based on the following principles:
– Seafarer-centered: The wellness programs should be tailored to the specific needs and preferences of seafarers, taking into account their demographic characteristics, work roles, health status, and personal goals. The programs should also involve seafarers in the planning, implementation, and evaluation stages to ensure their participation and feedback.
– Evidence-based: The wellness programs should be informed by the best available scientific evidence on the causes, consequences, prevention, and treatment of mental health problems among seafarers. The programs should also use validated tools and methods to measure the outcomes and impacts of the interventions.
– Holistic: The wellness programs should address not only the psychological aspects of seafarers’ well-being but also the physical, social, environmental, and organizational factors that influence it. The programs should also adopt a positive approach that focuses on enhancing seafarers’ strengths and resilience rather than only reducing their problems.
– Integrated: The wellness programs should be integrated into the existing structures and systems on board cruise ships,
such as the medical department, the human resources department, the safety committee,
and the crew welfare committee. The programs should also collaborate with external stakeholders,
such as port authorities,
health care providers,
and family support groups.
– Sustainable: The wellness programs should be sustainable in terms of funding,
The programs should also be adaptable to changing circumstances
such as new technologies,
The proposed framework consists of four main components:
– Assessment: This component involves conducting a comprehensive assessment
of the mental health needs
and cruise ships.
The assessment can include surveys,
The assessment can help identify the gaps,
for improving seafarers’ well-being
and developing wellness programs.
– Design: This component involves designing wellness programs
that are suitable
and cruise ships.
The design can include defining the goals,
of the programs.
The design can also include selecting the target groups,
the delivery modes,
and the partners
of the programs.
– Implementation: This component involves implementing wellness programs
on board cruise ships
in a systematic
and effective way.
The implementation can include training
that may arise.
– Evaluation: This component involves evaluating wellness programs
in terms of their process,
The evaluation can include collecting
from the participants,
and the indicators.
The evaluation can also include reporting
and best practices
of the programs.
The proposed framework is intended to serve as a general guide for developing and delivering wellness programs for seafarers on cruise ships. However, it is not a rigid or prescriptive model that must be followed exactly. Rather, it is a flexible and adaptable tool that can be modified and customized according to the specific context and situation of each cruise ship and seafarer group. The framework can also be applied to other types of seafarers and vessels, such as cargo ships, fishing boats, and offshore platforms, with some adjustments and modifications.
The implementation of wellness programs for seafarers on cruise ships can have significant benefits for the mental health and well-being of seafarers, as well as for the performance and reputation of the cruise industry. However, it also requires a lot of commitment, collaboration, and innovation from various stakeholders, such as cruise operators, ship managers, crewing agencies, seafarer unions, maritime authorities, health care providers, and researchers. By using the proposed framework as a reference and a resource, these stakeholders can work together to create a culture of wellness and care for seafarers on cruise ships.
 IMHA (2020). Seafarer mental health study 2020. International Maritime Health Association. https://imha.net/wp-content/uploads/2020/10/IMHA-Seafarer-Mental-Health-Study-2020.pdf
 ILO (2021). ILO calls on governments to end the plight of hundreds of thousands of seafarers stranded at sea. International Labour Organization. https://www.ilo.org/global/about-the-ilo/newsroom/news/WCMS_767970/lang–en/index.htm
 ICS (2020). COVID-19 related guidelines for ensuring a safe shipboard interface between ship and shore-based personnel. International Chamber of Shipping. https://www.ics-shipping.org/wp-content/uploads/2020/12/covid-19-related-guidelines-for-ensuring-a-safe-shipboard-interface-between-ship-and-shore-based-personnel.pdf
 Goetzel RZ, Henke RM, Tabrizi M, et al. (2014). Do workplace health promotion (wellness) programs work? Journal of Occupational and Environmental Medicine 56(9): 927-934.
 Baicker K, Cutler D, Song Z (2010). Workplace wellness programs can generate savings. Health Affairs 29(2): 304-311.
 Sampson H (2019). Seafarers’ welfare: A critical review of the provisions of the MLC 2006. Marine Policy 103: 9-13.