The Health & Safety Executive in the UK state "You should consider ways to manage mental ill health in your workplace which are appropriate for your business, such as providing information or training for managers and employees, employing occupational health professionals, appointing mental health trained first aiders and implementing employee support programmes."

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Wherever your staff are working and, irrelevant of flag or nationality, vessel owners, representatives and captains have a duty of care to their staff and crew to ensure that nominated staff are trained in first aid for mental health and to be able to respond to those who need support in what can be a stressful and solitary environment and then activate the mental health care plan.