THE CAREWAYS GROUP

Dr. André van Jaarsveld

Date: 17 April 2007

THE BUSINESS CASE FOR WELLNESS

SERVICES:EAPCOUNSELLINGWELLNESS24 HOUR SERVICES

STAFF: INTERNALEXTERNAL

MARKETING: ADMINISTRATION:

PROCEDURES AND COLLATION OF DATA

BUSINESS PLAN

INFRASTRUCTURE AND EQUIPMENT

MANAGEMENT:

FINANCIAL:

PROPOSAL

POLICY AND PROCEDURE DEVELOPMENT

SUPERVISOR ORIENTATION AND TRAININGTOP LEVEL MANAGEMENTSUPERVISORS

MANAGEMENT CONSULTATION

EMPLOYEE COMMUNICATION PROGRAMME

EMPLOYEE ORIENTATION

COUNSELLING SERVICES24 HOURSINTERNAL AND EXTERNAL

CONFIDENTIALITY

PROGRAM REPORTING

COST

WHAT OF WHAT OF VALUEVALUE

COMES OUT OF YOURCOMES OUT OF YOUR

ORGANISATION/BUSINESS UNITORGANISATION/BUSINESS UNIT

??????????????

PRODUCTPRODUCT

ANDAND

PEOPLEPEOPLE

PEOPLEPEOPLE

IN CONTROL OFIN CONTROL OFTHEIR LIVESTHEIR LIVES

POOR CONTROL OVERPOOR CONTROL OVERTHEIR LIVES DUE TOTHEIR LIVES DUE TO

PERSONAL PROBLEMSPERSONAL PROBLEMS

EMOTIONALLY / EMOTIONALLY / PHYSICALLYPHYSICALLY

HEALTHYHEALTHY

EMOTIONALLY OR EMOTIONALLY OR LIFESTYLE IMPAIREDLIFESTYLE IMPAIRED

(PRE-OCCUPIED)(PRE-OCCUPIED)

OROR

MENTAL HEALTH IN S.A.H.S.R.C.

SOME FINDINGS

PROBLEMS FREQUENCY

WHITES, COLOUREDS &

ASIANS

1985

BLACKS

1986

ALCOHOLISM

WORRIES ABOUT BECOMING UNEMPLOYED

FINANCIAL

TENSION

PHOBIAS

SLEEP DISTURBANCES

TIREDNESS

DEPRESSION

HEADACHES

LONELINESS

SUICIDAL THOUGHTS(FOR DIVORCED, WIDOWED & PEOPLE LIVING TOGETHER)

9,9%

9,6%

38,6%

34,6%

26,6%

22,8%

21,6%

15,0%

20,1%

17,7%

9,0%

4,9%

32,2%

60,6%

26,0%

34,0%

58,3%

34,9%

30,6%

45,9%

17,1%

9,2%

PRESENTING PROBLEMS

1996 19951994

1 MARITAL 21,4% 20,6%23,6%

2 ALCOHOL 18,9% 17,7%16,3%

3 FAMILY 10,9% 9,3% 11,0%4 DEPRESSION 10,8% 10,1% 8,5%5 STRESS 9,8% 10,5%

10,8%6 INTERPERSONAL 8,4% 5,2%

7,7%7 SEXUAL 4,8% 3,9%

1,9%8 LEARNING PROBLEM 3,2% 2,6% 2,9%9 ADJUSTMENT 2,6% 2,7% 5,1%10 JOB RELATED 2,3% 2,7% 4,6%11 FINANCIAL 0,4% 0,8%

2,1%12 OTHER 6,5% 13,9% 5,6%

N = 55,000

PRESENTING PROBLEMS 2002

2002

1 PSYCHOLOGICAL19,3%

2 FAMILY 17,3%3 HIV/AIDS RELATED

17,0%4 MARITAL

16,0%5 WORK RELATIONSHIP 9,0%6 SUBSTANCE ABUSE 6,9%7 FINANCIAL

5,9%8 OTHER 3,7%9 LIFE EVENT

3,4%10 RELATIONSHIP 1,4%

N = 14,900

IMPAIRED EMPLOYEE

1. LACK OF PHYSICAL ENERGY

2. INSUFFICIENT EMOTIONAL / INTERPERSONAL

SKILLS

3. INABILITY TO BE INTELLECTUALLY CREATIVE

IMPACT OF PSYCHOSOCIAL PROBLEMS

INTERNATIONAL LABOUR ORGANISATION

Research indicates that..

In industrialised countries,

25%

of employees suffer from mental ill-health in the course of their working life.

Personal problems play a major role in

80 – 90%

of all industrial accidents.

ABSENTEEISM

KELSEY HAYES STUDY

In terms of average absenteeism

of all employees

Alcohol Problems 4 times higher

Drug Problems 5,4 times higher

Mental Problems 5 times higher

Family Problems 5,7 times higher

JOB RELATED ACCIDENTS

INTERNATIONAL LABOUR ORGANIZATION

Personal problems play a major role in 80 – 90% of all industrial accidents

NATIONAL INSTITUTE FOR OCCUPATIONAL SAFETY AND HEALTH U.S.A.

75% - 85% of Industrial accidents caused by emotional distress

KINGSON AND LEDDERMAN STUDY

Average daily drinking of 5 tots increases the risk of job related accidents by 100%. The use of psycho-active drugs

increases this risk by 70%

DAMAGE TO EQUIPMENT

CAPLOVITZ STUDY

49% OF EMPLOYEES WHO HAD

DAMAGED EQUIPMENT – DIRECTLY

RELATED TO USE OF DRUGS

SOURCES OF LOSS

Absenteeism, which includes on-the-job absenteeism, as well as time-off absenteeism.

Accidents resulting in injuries or deaths and consequent compensation.

Time lost due to disciplinary and grievance procedures.

Lowered productivity levels.

Labour turnover resulting in manpower wastage.

Wastage of materials and damage to machines.

Main Assumptions

Personal problems adversely affect human functioning, thus impacting the job performance of both the individual concerned, and that of his co-workers

Unless some form of intervention is initiated, the problems are likely to get worse

Infrastructures which typically exist in an employment environment provide an ideal context for the development of an intervention network

Effective intervention is in the interest of all parties concerned, namely the employer, the employee and his family, employee organizations and the community at large

THEN THEY ARE IN THEN THEY ARE IN NEED OF NEED OF

EMPLOYEE WELLBEING, EMPLOYEE WELLBEING, EXECUTIVE WELLBEING OR EXECUTIVE WELLBEING OR

AT RISK MANAGEMENT AT RISK MANAGEMENT PROGRAMMESPROGRAMMES

WELLNESS SERVICESWELLNESS SERVICES

CAN BE DESCRIBED AS :CAN BE DESCRIBED AS :

““An employee and management developmentAn employee and management developmentsystem for the early identification of employeessystem for the early identification of employeeswhose problems impair their job performancewhose problems impair their job performance

and the motivation of these individuals to receiveand the motivation of these individuals to receive assistance to resolve the problem”assistance to resolve the problem”

Solutions to Business

Corporate Wellness

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Work/Life

Physical wellbeing

ManagementEmpowerment

Emotional wellbeing

OUR SOLUTION

EAP

MANAGEMENT POLICY

(strategic planning)

MANPOWER

& TRAINING

CO-ORDINATOR

(in-house)

SUPERVISOR

WORK PERFORMANCE FACTORS

POSITIVE NEGATIVE

PROGRAMME

COUNSELLING CONSULTATION & FEEDBACK

TRAINING & DEVELOPMENT

-24 hours-Face-to-face

-strategic planning-Statistical feedback

-Interpersonal skilled training

EAP IN YOUR ORGANISATION

SUCCESS IS DEPENDANT ON..

The degree to which..

ManagementEmployee Organisations

and Employees

Support the implementation of theEAP principles of –

Neutrality Voluntarism

Impartiality Accessibility

Confidentiality Prevention of abuse

Timeous intervention A balanced programme

Equal and dignified treatment

IN-HOUSE FUNCTIONS

ORGANISATION

POLICY

TRAINING & MARKETING

IMPAIRED EMPLOYEE

VOLUNTARY INFORMAL FORMAL

IN-HOUSE EAP STRUCTURE

MANDATE

IN-HOUSE EAP STRUCTURE

REFERRAL SYSTEMS

SELF COLLEAGUES SUPERVISOR

EAP COORDINATOR

COUNSELLING CENTRE

EXTERNAL SERVICE PROVIDER

REINTEGRATION

MONITORING & EVALUATION DONE BY EAP ACTION COMMITTEE

EAP FUNCTIONARIES REFERRAL AGENTS

COORDINATOR

EAP RESOURCE

FEEDBACK SYSTEM

MAINTENANCE

TRAINING AND ORIENTATION

PSYCHOSOCIAL CRITERIA

Marital/FamilyDepressionSuicideSchizophreniaPhobiasDrug AddictionAlcoholismFinancialStress

REFERRED BY:Medical DoctorsSelf Referrals

Less than 4% bysupervisors

INDUSTRIAL CRITERIA

Drop in ProductivityAbsenteeismTardinessHigh incidence of: Disciplinary action Grievances Workplace Accidents Interpersonal conflictWork related errorsMissed deadlinesWastage of time and materialsDisregard for safety REFERRED BY:Supervisors

ENLARGING THE CONCEPT OF ENLARGING THE CONCEPT OF EMPLOYEE ASSISTANCEEMPLOYEE ASSISTANCE

Executive Wellness Executive Wellness ProgrammeProgramme

ORGANIZATIONALORGANIZATIONAL

WELLNESSWELLNESS

PROGRAMMEPROGRAMME

MANAGEMENTMANAGEMENT

INDIVIDUAL INDIVIDUAL WELLNESSWELLNESS

AssessmentAssessment

• PhysicalPhysical

•EmotionalEmotional

• Work LifeWork Life

• FitnessFitness

• ReportingReporting

• Consultation Consultation

• Risk ProfilingRisk Profiling

• Group Wellness Group Wellness Interventions Interventions

MISMIS

ORGANISATIONAL ORGANISATIONAL FEEDBACKFEEDBACK

InterventionIntervention MonitoringMonitoring

• Face 2 FaceFace 2 Face

• E- CareE- Care

• TelephoneTelephone

• Compliance Compliance

HIV / AIDS WORKPLACE

PROGRAMME MANAGEMENTPROGRAMME MANAGEMENT

• “Know your status” (VCT)• Wellness Clinics• E care Psycho-social counselling

• “Know your status” (VCT)• Wellness Clinics• E care Psycho-social counselling

COMMUNITY BASED CARE PROGRAMMECOMMUNITY BASED CARE PROGRAMMECaregivers (Homecare)Caregivers (Homecare)

COMMUNITY BASED CARE PROGRAMMECOMMUNITY BASED CARE PROGRAMMECaregivers (Homecare)Caregivers (Homecare)

KAP StudiesPrevalence StudiesActuarial Studies

KAP StudiesPrevalence StudiesActuarial Studies

Business PlanBusiness Plan

Policy and ProceduresPolicy and ProceduresPromotionPromotionTrainingTrainingManagement ConsultationManagement ConsultationManagement FeedbackManagement FeedbackAidsInSiteAidsInSite

Policy and ProceduresPolicy and ProceduresPromotionPromotionTrainingTrainingManagement ConsultationManagement ConsultationManagement FeedbackManagement FeedbackAidsInSiteAidsInSite

ExcoExcoManagementManagementEmployeesEmployees

Peer EducatorsPeer EducatorsHIV/AIDS Steering CommitteesHIV/AIDS Steering Committees

ExcoExcoManagementManagementEmployeesEmployees

Peer EducatorsPeer EducatorsHIV/AIDS Steering CommitteesHIV/AIDS Steering Committees

NEED ASSESSMENTS NEED ASSESSMENTS AND AUDITSAND AUDITS

NEED ASSESSMENTS NEED ASSESSMENTS AND AUDITSAND AUDITS

CRITICAL INCIDENT STRESS MANAGEMENT

Responding promptly to Occupational trauma

24 Hours a day, 365 days a year Access via National Call Centre On-site debriefing to groups or individuals Critical Incident Stress debriefing Feedback

Corporate Health Consultant and role players of your Organisation to conductCorporate Health Consultant and role players of your Organisation to conducta Needs Analysis and design a Business Plan for implementationa Needs Analysis and design a Business Plan for implementation

EMPLOYEE WELLBEING PROGRAMME

Policy and Procedure DevelopmentPolicy and Procedure Development

Management TrainingManagement Trainingand Orientationand Orientation

Promotional activitiesPromotional activities Counselling ServiceCounselling Service

Executive and Executive and Senior Management orientationSenior Management orientation

Employee OrientationEmployee Orientation

Programme Evaluation and Management Feedback

Supervisory trainingSupervisory training

Written communicationWritten communication

Wellness PresentationsWellness Presentations

Web BasedWeb Based

On-LineOn-Line

Face to FaceFace to Face

On-siteOn-site

REPORTING AND FEEDBACK

• Data Management - Nationally

• Feedback Reports - Monthly

- Quarterly

- Yearly

• Data Analysis - Trends & Tendencies

- Recommendations

- Consultation & Training

CONFIDENTIALITY

Cornerstone of your EAP

No personal information: Therapeutic purposes

Counselling during working hours

Formal/Mandatory referral: Therapeutic progress

Exception: Life threatening events

The formalizing of an Policy supported by Management and Employee Organizations, defining the principles to be adhered to by all parties concerned.

Training of all groups involved in the establishment and implementation of infrastructures

ACTION COMMITTEE

The Action Committee assists the co-ordinator in organizing and executing the following functions:

ACTION COMMITTEE

Marketing of the EAP to all employees and dependents

The ongoing maintenance, development and enrichment of the Programme

Evaluation of the Programme in terms of impact and cost-effectiveness

PRICING

1. Programme: Selections- Health Audit- Impact Survey- Programme Management: Policy and procedure development

Programme planning, implementation and maintenance

Orientation SessionsPromotional Material / Campaigns

External Quality AssuranceReporting

PRICING

2. Individual Programmes- Assessments

- Psychosocial Counselling- Legal Counselling- Financial Counselling- Preventative Treatment

PRICING

3. Training and Workshops

4. Customisation

5. Payment Terms