The maritime industry has made notable progress in recent years to prioritise the welfare and mental health of seafarers. As awareness grows around the unique challenges of life at sea, the sector is responding with practical efforts to improve working conditions and provide better support. This article outlines key developments in seafarer welfare, with a particular focus on mental health initiatives.
Mental Health at Sea: A Recognised Concern
Mental health is now recognised as a critical issue across the maritime sector. Research indicates that between 17% and 30% of seafarers experience conditions such as anxiety and depression—a clear signal that mental health support must remain a top priority.
The COVID-19 pandemic intensified many of these challenges. Prolonged contracts, limited repatriation options, and uncertainty contributed to increased stress and fatigue among seafarers during this period.
Shore Leave and Port Access
Shore leave plays a vital role in seafarers’ well-being, but restrictive port policies continue to impact morale. The Seafarers Happiness Index has consistently highlighted this issue. In response, there is growing momentum for more seafarer-friendly port policies, including improved shore access, better transportation, and upgraded welfare facilities.
Associated British Ports (ABP) has taken a positive step by expanding its default contribution option for shipping agents to the Merchant Navy Welfare Board (MNWB) and affiliated charities. Starting January 2025, this system will apply across all 21 ABP ports. The increased funding is expected to strengthen welfare services—providing safe, welcoming spaces for rest and support during shore leave.
Strengthening Legal Protections and Standards
Governments and international bodies are also working to improve conditions for maritime workers. In the UK, new legislation prevents the dismissal of entire crews without prior notice—offering greater job security. Meanwhile, updates to the Maritime Labour Convention, that came into effect in December 2024, focus on living standards, food quality, and access to communication at sea. Shipping companies are increasingly investing in internet connectivity, recognising that staying in touch with family and support networks is essential for mental well-being.
The Role of Welfare Organisations
Non-governmental and faith-based organisations continue to provide essential support to seafarers. Stella Maris operates in over 50 countries, offering practical and pastoral care. The International Christian Maritime Association (ICMA) supports collaboration among 26 member organisations to advocate for seafarers’ rights. ISWAN (International Seafarers’ Welfare and Assistance Network) continues to provide helplines, resources, and humanitarian support for seafarers and their families worldwide.
Building Awareness Through Education
Training and early intervention are key to supporting seafarers’ mental health. The International Transport Workers’ Federation (ITF) has introduced mental health awareness training into maritime education programs, aiming to equip future seafarers with the tools to identify and address mental health challenges.
Areas of Focus for the Industry
To support the long-term welfare of maritime workers, several areas require continued attention:
- Reliable internet access and digital connectivity
- Onboard mental health support and training
- Accessible and well-equipped port welfare facilities
- Stronger enforcement of labour rights and regulations
These focus areas reflect a growing industry-wide recognition of the essential role seafarers play in global trade and the importance of safeguarding their health and well-being.
Ongoing Role of MedResQ
Despite progress across the sector, the need for responsive, compassionate support remains, especially when seafarers face illness or injury while away from home. MedResQ continues to play a vital role in coordinating care and support for seafarers during these difficult moments.
Our approach is holistic. We consider not only physical health but also psychological, emotional, and social factors. Being unwell in an unfamiliar country can be disorienting and distressing. Our experienced Case Managers work closely with seafarers from the moment they disembark, using established relationships with port authorities and medical providers to ensure access to appropriate care.
We maintain consistent communication with the seafarer throughout their treatment and repatriation, keeping them informed and involved at every stage. By listening to their concerns, providing reassurance, and supporting them and their families throughout the process, we aim to reduce stress and improve the overall experience of receiving care abroad.
