Employees in the construction industry have come to expect high physical demands, unrelenting deadlines, and a culture that discourages vulnerability. Unsurprisingly, the sector is now confronting a crisis in mental health and employee satisfaction. So-called “diseases of despair,” including substance abuse disorder, alcohol use disorder, isolation, depression, and suicide, are shockingly common. Suicide rates among construction workers totaled 5,200 in 2022—over five times the number of safety-related injuries in the same time period. A study by the Center for Construction Research and Training showed nearly one in five construction workers reported symptoms of anxiety or depression, yet less than 16% of these workers sought professional help.
Barriers to well-being in the construction industry
Like many male-dominated industries, construction workplaces are often aligned with traditional masculine values such as self-reliance and stoicism, which can encourage resistance to traditional well-being approaches. Language barriers or literacy challenges may also exist, further complicating any potential interventions. Organizations often rely on ad-hoc, individual-level programs, rather than comprehensively integrating well-being into their operations. This approach “encourag[es] workers to identify and seek help for their problems but does not commit organizations or the industry to tak[e] action to reduce the risks inherent to the sector.” As I previously explored in Cultivating a culture of well-being, such interventions fail to address key workplace factors such as workload, autonomy, communication, and culture – the factors that ultimately help support employee health and well-being.
Strategies for building a culture of well-being
Just as it took decades for workplace safety and physical health to be holistically integrated into the construction industry, creating a sustainable culture of well-being will require focus, dedication, and time. The effort is worthwhile: Studies have shown that investing in employee well-being increases productivity, reduces absenteeism, and improves employee retention.
Given the unique nature of the construction industry, here are some strategies to consider:
- Leadership commitment. Well-being should be a core value, championed by leadership. When executives and on-site managers prioritize their own well-being and actively participate in wellness programs, it sets a powerful example for the entire organization by making mental health needs more visible to the organization as a whole. Over time, this commitment can serve to reduce the perceived stigma associated with mental health.
- Enhanced communication. Improving communication between management and on-site workers reduces ambiguity and anxiety, while helping workers feel more autonomous. Simultaneously, using enhanced workforce planning tools can help management better allocate resources, helping to prevent burnout.
- Integrated policies. Policies should reflect a holistic commitment to well-being. This includes alternative scheduling models (e.g., flexible hours/four-day workweeks) and comprehensive health and financial benefits. Policies should be tailored to the unique needs of the employees, such as offering financial literacy workshops or Earned Wage Access programs.
- Community building. Foster a sense of community from day one. Design onboarding practices that introduce new hires to the values, norms, and expectations of your organization. Provide opportunities for socialization, mentoring, and collaboration, as a strong sense of belonging can enhance overall well-being. Encourage team-building activities, social events, and peer support networks. Programs like MATES in Construction and the Construction Industry Alliance for Suicide Prevention are actively raising awareness.
- Continuous feedback. Well-being means different things to different people. Regularly ask for feedback from employees about their overall employee experience – not just your well-being initiatives. Use this feedback to make continuous improvements, and then communicate those improvements. When employees feel heard and valued, their engagement and satisfaction increase.
- Safety beyond compliance. Companies should aim to move beyond a culture of ‘safety-as-compliance’ to one in which safety and well-being are considered symbiotic. Inherent to this understanding is the need to cultivate environments in which workers feel safe discussing all elements of their well-being without fear of retaliation. Government and regulatory agencies are increasingly mandating mental health and well-being requirements in occupational health and safety guidelines; savvy organizations may wish to address these proactively. Standards such as ISO 453003 (Psychological Health and Safety) are rapidly gaining traction, and provide clear and implementable frameworks for:
- Identifying workload as a hazard
- Engaging workers for input
- Monitoring and controlling psychosocial risks
As an example, Clause 5.4 of ISO 45003 emphasizes the identification and management of psychosocial hazards, with particular focus paid to those hazards stemming from excessive workloads, unrealistic deadlines, or conflicting demands.
- Embracing technology. Devices that monitor fatigue, physical strain, and exposure to harmful conditions are being introduced to improve safety and reduce workplace accidents; moreover, AI-powered tools are currently being developed to predict worker fatigue, identify stress triggers, and address workplace hazards—both seen and unseen. While still new, these technologies could one day enable a proactive approach to workforce well-being and safety, shifting the focus from reactive interventions to predictive well-being management.
The construction industry has long been defined by resilience, precision, and a commitment to craft – while the well-being of those doing the work has largely been neglected. It’s time for that approach to change. Just as physical safety transformed from an afterthought to an industry cornerstone, mental health and holistic employee well-being must be prioritized and integral to every facet of construction operations.
This shift is not merely a moral imperative but a strategic necessity—one that fosters a healthier, more productive, and more sustainable workforce. By championing leadership commitment, enhancing communication, embracing innovative technologies, and fostering a culture of trust and inclusion, the industry can pave the way for lasting change. The journey ahead is complex, but the blueprint is clear: a workforce that feels valued, supported, and heard will not only thrive but also drive the construction industry toward a stronger and more resilient future.
If you have any questions about well-being programs or questions about your specific situation, please contact our Well-being Consulting team. We’re here to help.