Workplace Solutions. Supervisor Intervention Training

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1 Workplace Solutions Supervisor Intervention Training

2 What is Workplace Solutions? Workplace Solutions is the new name for the internal Employee Assistance Program Workplace Solutions is a work-based intervention program aimed at the early identification and resolution of both work and personal problems that may adversely affect performance. Workplace Solutions is another company resource to help HRBPs, Supervisors and Managers intervene with employees and get them to treatment when normal coaching techniques and performance plans haven t worked.

3 Mental Health in the Workplace 5 of the top 10 causes of worldwide workplace disability are mental health disorders (depression, substance abuse, bipolar disorder, obsessive compulsive disorder, schizophrenia)* 13% of employees have a diagnosable problem at any given time** Over a lifetime, 33% of people have a problem that could benefit from mental health services** * 2001 World Health Organization Report ** ECA Study (NIMH 1990)

4 Mental Health in the Workplace 45% of workplace absences are for mental health reasons Employees with personal problems are most likely to: Use more medical benefits Have accidents and injuries Cost shifting - increase in medical costs if mental health expenditures are decreased. Presenteeism - workers who give face time Few seek treatment on their own without some type of intervention

5 Workplace Stress Mergers, acquisitions, and technology advances are the norm Today s assets are in knowledge and creative thinking power (our minds are more important than ever) Rate of global change may increase stress and uncertainty for employees

6 Depression in the Workplace The #1 worldwide reason for workplace disability is depression In any given year, 9.5% of the population suffers from a depressive illness Nearly 2/3 of the costs of depression are in lowered productivity, absences, poor teamwork, accidents and turnover costs (hidden costs) Only 20% of depressed people seek treatment on their own. One in 5 receive adequate treatment 70%+ of people diagnosed with depression are employed. Depressed employees have, on average, 4 times more medical costs per year than employees without depression.

7 Substance Abuse Statistics Approximately 10% of the population has a substance abuse problem 7% of full-time workers use illicit drugs and 7% are heavy drinkers 90% of alcohol abusers are employed 73% of current drug users are employed 64% of substance abusers say it affects their performance 20-40% of hospital admissions are for complications related to substance abuse

8 Substance Abusers Are 1/3 less productive Use 3 times more sick days 5 times more likely to file worker s comp claims 3 times more likely to be late for work More likely to have accidents and injuries Casual drinkers, in aggregate, account for far more incidents of absenteeism, tardiness and poor quality work than those regarded as alcohol dependent

9 Symptoms? Which is it? Depression Poor performance Absenteeism Presenteeism Interpersonal probs. Irritability/ mood swings Hopelessness Withdrawal Fatigue Change in weight Poor hygiene Substance Abuse Poor performance Absenteeism Presenteeism Interpersonal probs. Irritability/ mood swings Hopelessness Withdrawal Fatigue Loss of weight Poor hygiene Trouble with the law

10 Ways to Get Help - Global Local Employee Assistance Programs Medical Department National healthcare systems Community resources

11 Ways To Get Help U.S. Workplace Solutions Resource for employees and supervisors/ HR to help resolve job performance issues and workplace-related stress ValueOptions Two treatment options: Employee Assistance Plan (EAP 1-5) Behavioral Health and Substance Abuse (Medical Plan Achieve Solutions ValueOptions website: an extensive library of mental health topics and self-assessment tools

12 Workplace Solutions Services Supervisor/ HR and workgroup consultation Supervisor/ HR referrals Supervisor Tool Kit / Supervisor intervention training Workplace conflict resolution Behavioral risk management Change management support Substance abuse interventions/ Return to work Education mental health topics Crisis intervention/ Critical Incident Debriefing Cross-cultural Adaptability Assessments (expats) Global EAP development

13 ValueOptions: Treatment Provider Employee Assistance Plan (EAP) Added to benefits in sessions at no cost to the employee Short-term treatment model Behavioral Health and Substance Abuse Benefits (BHSA) Services under employee s medical insurance benefit Subject to deductibles and co-pays Long-term treatment Psychiatric care Inpatient care

14 Roles and Responsibilities Workplace Solutions Consultation Strategic company interventions Workplace health Internal linkages Prevention Proactive Value Options Clinical Services Employee/ Family interventions Family health External linkages Treatment Reactive

15 Confidentiality All Workplace Solutions records are kept confidential as mandated by federal and state guidelines and are kept separate from medical and personnel records Exceptions: With a release of information (specific to a person) When there is potential harm to self or others Evidence of child or elder abuse In response to a court order Workplace Solutions can not tell supervisors and HR that an employee has been to Workplace Solutions

16 Supervisor Referrals Identify and document problem behavior Intervene with constructive confrontation about performance problems Seek guidance from HRBP and other company resources Motivate the employee to seek help Communicate that going to Workplace Solutions is positive and about solutions Refer the employee to Workplace Solutions Follow up and reinforce improvement

17 Role of the Supervsior Data for documentation: CHANGES Absenteeism Presenteeism here but not here High accident rate: on or off job Erratic behavior or work patterns Reporting to work in an impaired condition Lowered productivity / mistakes Mood swings / Poor relationships on the job Overreaction to feedback

18 Supervisor Traps / Barriers to Referrals Over identification with the employee Don t want to get him/her in trouble Fear of being incompetent as a supervisor I should be able to handle this Becoming the counselor giving advice Enabling - doing his/her job Diagnosing Denial: What problem? It will go away Withdrawing / Avoiding Dealing with the situation while angry

19 Types of Referrals Self-referral Soft referral Supervisor makes a referral based on care and concern for the employee No performance issues Hard referral Supervisor makes a strong referral to Workplace Solutions Performance issues Supervisor tells circumstances to Workplace Solutions Coordinator Mandatory referral fitness for duty

20 Mandatory Referral Fitness for duty issue Threat of violence 2 management personnel make the decision to refer to Medical and/or Workplace Solutions Consequence of non-compliance is disciplinary action or termination

21 2006 ValueOptions Study During the past month how many days were you absent due to your mental health issue? During the past month how many days were you less productive due to your mental health issue? Rate your current mental health status from 1 10 (10 is highest)

22 2006 ValueOptions Study 60% Work Impairment Rates at Intake 57.6% 50.6% Percent of Members 40% 20% 38.6% 0% Absent Less Productive Either Less Productive, Absent or Both

23 VO Study: 3 Month Follow-up Absenteeism 49% reduction in absenteeism overall 83% reported improvement at follow-up 75% reported no absence at follow-up Presenteeism 60% reduction in presenteeism overall 85% reported improvement at follow-up 69% reported no lost productivity at follow-up

24 2006 Value Options Study 60% Changes in Mental Health Status Percent of Members 50% 40% 30% 20% 10% Intake Follow-up 32.2% 4.2% 47.8% 24.3% 16.1% 44.4% 4.0% 27.1% 0% Poor Fair Good Excellent

25 EAP Return on Investment ValueOptions Study: Johnson & Johnson saved $4,000 for every employee that used EAP services For every $1 invested in EAP services, there is a $4 - $10 return 80% of accidents are caused by human error (20% are environmental or machinery related)

26 Employee Assistance Program Services Workplace Solutions Coordinators 24 hours a day Follow prompts for a Regional WS Coordinators ValueOptions 24 hours a day Revised 4/07

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