Duty of Care Should Not Be a Perk
- Henrik Kjellmo Larsen
- Oct 10, 2025
- 3 min read

It should be integrated into policy. On World Mental Health Day, start with an honest premise: crises differ. Some burn hot and fast; by the time a spreadsheet exists, the lights are back on. Others stretch for weeks, asking for repeatable shifts and simple habits so people don’t relearn the same hard lessons every afternoon. Then there are the seasons - Lesvos, Ukraine - where citizen action becomes part of the landscape, and support must be light, durable, and real. Care has to scale with time. The core package stays the same.
Think of duty of care as operational hygiene for minds. In every timeline, people need a shared language for what they’re feeling, predictable pauses that don’t rely on heroics, a place for stories to land, an obvious lane for extra help, and a lifeline outside the chain of command. Put plainly: a few sentences we all know, a rest budget we actually spend, a quick circle where things can be said and handed over, an escalation path that isn’t a maze, and a number you can call at 01:00 without asking permission.
In the flash phase - hours to a day - the job is to steady, not to process. Leaders should speak in verbs, not vibes: slow down, look, listen, link. Those four words are Psychological First Aid without the pamphlet. Add one practical ritual: a ninety-second check at the end of each stint where every person names one fact they observed, one action they took, one thing that still worries them. No analysis; just a clean handover so unresolved risk doesn’t ride home in someone’s head. If you have time for nothing else, keep that ritual and a hard stop for rest. Speed is not stamina.
When a response lasts weeks, make recovery normal while people are still working. Make rest predictable: write it into the plan as a budget to be spent, not a luxury to be earned. Pair newcomers with a peer who has permission to nudge—“eat now, swap now, breathe now”—and mean it. Close each shift with a ten-minute landing: what changed on the ground, what stuck emotionally, what gets passed to the next team. Skip sermons; repeat two lines until they’re culture: Everyone is affected. Asking for support is standard practice here.
If the work becomes seasonal, treat support like infrastructure. Set a one-page agreement that says what the team does and doesn’t do, and how people are looked after: scheduled rest, a weekly peer circle with simple ground rules, and a referral ladder that moves quietly from peer to coordinator to clinician when needed. Keep a small cadre of trained listeners who aren’t supervisors. Make the on- and off-ramps humane: a structured check-in within seventy-two hours of finishing, another at two weeks, and one more at six. Many don’t need therapy; most need to be witnessed, recognised, heard.
The hotline belongs in all three timelines. It should be national or regional, staffed for surges, advertised wherever citizens are mobilised, and separate from command so confidentiality feels real. Text or call should reach a human who can triage: immediate safety, brief support, or referral. Publish that number next to “how to help,” not in the footnotes of a policy. If volunteers and staff can’t recite it, you don’t have a hotline—you have a poster.
Policies don’t dissolve stigma. People do. Swap pep talks about resilience for tiny, testable behaviours. Ask people to rate themselves green–amber–red at check-ins; treat “amber” as common and actionable. Encourage micro-exits: “I’m taking ten and handing radio to Sam” should be a sentence no one has to justify. Celebrate quiet boundary-keeping the way some teams celebrate record outputs. You keep more people whole, and performance usually improves.
Measure like an adult, not a spectator. Think vital signs, not vanity stats—just a few signals that show whether the system is holding. Are breaks happening when scheduled? Do most people know the hotline number without looking? Is median time-to-first break under ninety minutes on long shifts? Are preventable incidents declining per hundred volunteer hours? Are departures met with thanks and a referral, or with silence? Dull metrics are durable metrics.
None of this asks for a new department. It asks for leaders who treat psychological risk the way they treat weather or logistics: anticipate, brief, monitor, adjust. In short bursts, the work is language and rest. Across weeks, it’s routine and a place to put the hard moments. Across seasons, it’s a modest architecture of care that outlasts any one person’s adrenaline. Different clocks, same package—and on World Mental Health Day, a simple promise: no one carries the weight alone.




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