1. Silicon Valley Leadership Group

2. Agenda 1.Overview of EAP services 2.Healthcare costs in an organization 3.Recognize a troubled employee 4.Barriers to access care

3. Integrated, comprehensive benefit Employee Counseling Services Completely confidential No cost to employees Convenient, quick access to top notch counselors Work/Life Services Legal & financial consultations & referrals Dependent care resources & referrals (children, parents) LifeAdviser online resource center Convenience & daily living resources & referrals Onsite health, wellness & lifestyle educational seminars Personal health management programs HR and Organizational Services Performance & productivity issues Conflict Resolution, Organizational Development Onsite crisis debriefings, grief groups, layoffs Onsite orientations for employees and managers Ongoing account management support and program promotion Web Based Services CONCERN: EAP

4. EAP role in organizational health 4 Preventative Acute Chronically Ill Attridge, Mark Dr. (2015). EAP Partnership across Health Care Cost Segments. The Journal of Employee Assistance; 3 rd Quarter 2015: www.eapassn.org

5. Stress and Performance Source: Yerkes-Dobson Law. The Stress of Working. D. Rainham

6. Recognizing An Employee In Need

7. Benefits of early recognition For the individual Improved health Improved interpersonal relationships Increased focus and collaboration Decreased absenteeism For the team Improved team cohesion Improved team productivity Reduced risk for accidents and workplace violence Decreased turnover

8. Employee performance problems What the supervisor sees –Absenteeism –Complaints from clients/other EE’s –Co-worker relationship issues –Confusion/concentration ____________________________________________________________ Other possible causes: –Drug/alcohol –Emotional health –Family/relationship –Physical Illness

9. Mental Health/ Substance Abuse Statistics In 2014, depression and anxiety remain the top reasons for utilizing behavioral health benefits. CA claims cost: $7.76 Billion 3.6% (over 1 million) of all adults had serious thoughts of suicide 3.9% had a serious mental illness 1.8 million adults with any mental illness (36.5%) received mental health treatment About half of adults and 2/3rds of adolescents do not receive any treatment 7.5% (aged 12 and above) or 2.3 million individuals abused or reported were dependent on alcohol Behavioral Health Barometer, California, 2014 SAMHSA.Gov

10. Workplace stress 120,000 deaths each year $190 Billion in health care costs Stanford Graduate School of Business. 2/2015

11. Workplace Stressors Top Stressors on Self Rated Mental Health Work-Family Conflict Unemployment High Job Demands Low Organizational Justice Secondhand smoke experience Job Insecurity Low Job Control Low Social Support at Work Exposure to Shift Work Stanford Graduate School of Business. 2/2015

12. Common Reasons Why People Seek Assistance Emotional health Stress Anxiety / depression Bereavement Trauma Communication /conflict Family / partner Manager/ colleague Behavioral concerns Anger Alcohol / drugs Domestic violence Change / Adjustment Divorce/Separation Relocation Caregiving Physical limitations Financial/Legal Services Financial Legal Family care Child and parenting Older adult care

13. CONCERN 2015 presenting issues Counseling Referral Problem Type Psychological/Emotional29.4% Relationship/Couple/Family20.3% Substance Use4.0% Work Related3.2% Medical/Health1.2% Educational/Career1.0% Domestic Violence0.4% Work / Life Issues Legal Services22.1% Parenting / Child Care8.1% Financial Services7.4% Other2.8%

14. Supporting An Employee In Need

15. A successful intervention 1:1 is an important engagement Prepare yourself: Facts “Neutral” state of mind Timing Quiet and private meeting place Discuss observations and performance concerns

16. A successful intervention (cont’d) Always use an “I”: “I have noticed that” or “I’ve learned that” is better than “You have a problem” Respect: “You don’t have to discuss it with me” is better than “Tell me about your situation” Offer support: “Let me know how I can support you” or “We have a support program for all employees” is better than “I think you need some counseling”

17. When to escalate immediately If the employee does any of the following: Statements or threats to cause bodily harm or property damage Put themselves or others in harm's way or causes damage Displays a weapon Any mention of suicide Suspected of using alcohol or drugs *Statements do NOT have to come from the individuals themselves. Employees raising concerns regarding the safety and security of others should be addressed immediately.

18. Barriers to Access Care

19. Questions?