Managing EAP Clients in Treatment

If you've recently admitted a client to some sort of addiction treatment program, there are few "touch points" you need to keep in mind. Understanding these touch points will allow you to achieve more treatment success with EAP clients and "score more points" with the value of your program for saving lives. It's nice when you can prove in black and white that you're saving lives with your EAP. After admitting a patient to treatment, you can count on resistance raising its ugly head after detox or without about a week of admission. This dynamic is fueled by the patient feeling better, comparing out of the disease, and a desire to drink again with assurance that the client can do it on his own.

Touch points:

1. Generally these points require updates and motivational assessments from the addiction treatment counselor: Admission, after detox, middle of intermediate care, discharge, starting day of aftercare, completion of aftercare, and any point within the next year where follow-up program discovers that the patient has moved below the four-day-per week participation in Alcoholics Anonymous.
2. You should be notified 24/7 with regard to the patient's thoughts and ruminations related to leaving AMA (Against Medical Advice)-- both AMA Ideation and actual AMA. When a patient begins talking about leaving against medical advice, a series of intervention steps occurs. Unfortunately most addition treatment program do not understand dynamics of motivation and leverage and therefore each employee from nurse, counselor, volunteer, doctor, or even the janitor  may take a crack at re-motivating the patient to stay. Unfortunately, each of these attempts reinforces the decision to leave. The first person to make an attempt at re-motivating the EAP client should be you. You can communicate leverage from the employer--generally assurance that the employee will be fired if he or she leaves treatment (we are assuming a formal referral to the EAP with a last chance agreement was involved in this sort of admission). If you are called last instead of first, the patient will have already practiced their "pitch" to leave and your job of convincing them to stay will be made more difficult. Use this EAP Handout Tip Sheet for following clients post discharge from your EAP office.

EAPs: Claim the High Ground on Helping Supervisors Learn Mentoring and Coaching Skills

Inc. Magazine had some interesting news recently that EAPs may want to pay attention to.

Research reported in the Harvard Business Review shows that the most likely reason employees leave their employers isn't money, it's a lack of coaching, mentorship, and training. I smell EAP opportunity here.

Can Employee Assistance Programming figure successfully into these problems and become a cost-benefiting financial solution to many the most expensive human resource problem organization's face?

Figure this one out, and you may endear yourself to the host organization big time rather than look like managed care bait come next budget cycle. Start with metrics and find out the turnover rate now. Then come up with your strategy for change.

Consider this pathway to expanding the value-added worth of your EAP. Take your EAP skills and abilities, and establish soft skills training directly related to relationship building, communication, coaching, mentorship, and helping supervisors bond effectively and listen aggressively to what there employees need. You have the experience to imagine an outline and pathway to growing these capabilities for supervisory and leadership staff.

Training (the third problem above) will always be hurdle because it is a time and resource issue, but the other two issues from this study are about relationships, bonding, listening, communication, listening, and other soft skills that EAPs are naturally better prepared to deliver to organizations. You're likely to increase supervisory referrals as a result--a nice pay off for better relationships and helping supervisors.

Who is offering mentor training and coaching training in organizations? It's time to claim the high ground. This is off the behavioral health care radar and their business model will never touch these problems.



Step #1: Gather information on turnover and figure the cost for your host organization. Step #2) In your annual behavioral risk mapping report that I have encouraged in past posts, present your arguments for adding these tow curriculum opportunities. Justify the cost. Two years later, measure impact.

Don't forget to present a paper at EAPA. You'll fill the room. Also try a SHRM conference. Those folks don't even know what an EAP is anymore.

http://www.inc.com/the-build-network/how-to-keep-your-young-talented-employees-from-leaving.html

EAPs: Getting Back to Basics with Supervisor Referrals

If you're a new HR professional, or even an recent recruit to the EAP profession, you may not know that EAPs had their origins in supervisor use of such programs as proactive management tools. Self-referrals evolved over time, only after EAPs became "broadbrush" beyond occupational alcoholism intervention forte. Unfortunately, the focus on self-referrals has overtaken the importance of supervisor referrals in the marketing of EAPs by managed care/behavioral health delivery models. And serious increases in risk have followed.

To reduce risk in your organization and dispose of this handicap, start understanding both the history of EAPs and their risk management, behavioral intervention purpose.

Typically, managed care will promote a 3-4% utilization rate. This is abysmal. It should be 9-16%.
It's all about how much training and relationship-building the EAP does with supervisors and key managers. Self-referrals are easy, but at-risk employees are hard to get through the doors of an EAP. But this where the payoff comes. It takes good supervisor training to reduce risk associated with these employees.

To get started on the right foot and conduct training that boosts your EAP utilization with more supervisors referrals, visit the Comprehensive EAP Supervisor Training Program and preview the entire product, FREE.

EAP Providers: Keep Talking about Emotional Intelligence

Don't get bored talking about emotional intelligence. The company EAP is in the ideal position to train extensively on this subject. The rationale in my view is not so much educating people about what emotional intelligence is but discovering rationales for developing training, opportunities, and exercises to help employees and supervisors acquire more emotional intelligence to increase productivity, improve workplace harmony, gain cooperation, and help maximize organizational productivity.. Do you have an EAP Employee Newsletter? Perfect spot to talk about this stuff. I just included this article in September 2013 issue of Work Life Excel and FrontLine Employee. This is the kind of content that I am talking about. Here's a training program in PowerPoint that you may want to take advantage of. "Emotional Intelligence for Supervisor" - own the training program. Great content for your workplace wellness newsletter.
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Improve Your Emotional Intelligence

Emotional intelligence is the ability to monitor one’s own and others’ feelings and emotions and to use this understanding to have more satisfying and productive relationships. Anyone can have a better “EI” by practicing a few skills. Here are some: (1) Try encouraging others to speak first and give them your full attention. (2) Eliminate the idea of good and bad personality types at work. Instead, look for the part of their personality that represents positivity and is well-meaning. (3) If there’s friction between you and a coworker, look at where you may be coming up short in communicating and address that first. (4) The next time you find yourself focused solely on winning or on retribution, take a step back and look for ways to achieve your goal that also benefit others.

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FRONTLINE EMPLOYEE NEWSLETTER or WORK LIFE EXCEL NEWSLETTER

Let's Try This Again: Where the Partners of "Real" Employee Assistance Programs Await

I would like to recommend as one EA professional to another that you read a very nice synopsis of risk management that you will find at Wikipedia.com. Like most, I am not one to recommend Wikipedia as true authority site, but if you want to know how an escalator works, you certainly will get an accurate understanding of it at Wikipedia. "Risk management" is something that EAPs almost never discuss, and there are those among us, having aligned themselves with managed care, would rather the topic not be broached. Why? It has implications for dumping health insurance aligned EAPs. Alas, I type... It appears, and is fairly obvious on closer inspection, that property casualty insurance markets represent untapped and healthier relationships for EAPs than the health insurance markets that keep co-opting the field in oblivion. These P-C markets and their constituencies are far removed from concerns of health insurance companies and their financial goals. Financial goals of health insurance companies have one concern...containing costs. Property casualty insurance and p-c customers something else, but it is not primarily containing costs. It is preventing losses, incidents, and events that "cost". Their goal is more precisely preventing losses that cost them and their customer money. This is a profound difference, and it has implications for EAPs, what they do, defining functional programs, maximizing utilization, expanding EAP reach and programmatic options, and devising ways to penetrate more potential risk areas within the human-behavioral continuum in order to prevent incidents. Typically losses of P-C insurers and their customers are are managed by risk management. Health insurance dollars are managed by denial of benefits and avoidance of payouts--sometimes sneakily. See the difference? Let's examine this further, and see if you get a little more excited. Risk mitigation measures have four tracks. Here they are: 1) Design processes or programs with adequate built-in risk control and containment measures from the start. 2) Periodically re-assess risks that aren't going away and see what can be done to reduce their impact or likelihood of occurrence, or create added intervention tactics. 3) Transfer financial risks to an external agency so if they happen, you survive financially. (e.g. Contract with re-insurers like Lloyds of London) 4) Avoid risks altogether (e.g. by closing down a particular high-risk business area altogether. (Hey, let's turn down all of the applicants who ever took statin drugs for high cholesterol.) Which of the risk management techniques above do EAPs fit into? (Excuse me, I mean to say real EAPs, fit into?) If you guessed #1 and #2, then you are correct. Health insurance works heavily with #4. It's called insurance denial or services denial. If you get the drift of this article, you can see two things: 1) Property casualty insurance companies don't know squat about real EAPs because we aren't exploring who and what they represent to the field. 2) As a result, they do not know who we are and how we can help them. and 3) health insurance is a lousy partner for EAPs because all they do is exploit a few elements of EAPs to prevent payouts. Here's a bonus observation: 3) Property casualty insurance and risk management need everything an EAP could possibly offer to intervene with human risk and exposures that could lead to losses. And then they need research to push the edge of that envelope....for example, an EAP starting a support group for the spouses of firefighters that could help prevent domestic conflict and subsequent losses of all sorts.) Health insurance companies need only one thing from EAPs -- assessment and deferral (AKA referral) to lower-costing services when exposures appear, otherwise no services proactive or preventative are really needed from the EAP. In fact, it could be argued that proactive and preventative services of EAPs in a managed care model should be avoided because it will lead to more referrals. Financially, this is in conflict. Hmmmmm.

Is Performance Evaluation Training and Consulting a New Gateway to EAP Consulting

Think about performance reviews and performance evaluations of employees. If your experience has been anything like mine, you know that supervisors not only dislike conducting performance evaluations for a host of reasons, but many supervisors renege on their responsibilities and don't do them at all. When I worked for Arlington County government, I discovered many supervisors hadn't done performance evaluations with employees in years. Where was HR? Ignoring these supervisors of course. The risk associated with lack of performance evaluation is enormous, and there is one overwhelming reason why. It's this: The supervisor has only his or her relationship as a tool to managed the employee performance, conduct, and other behavior. A bad relationship can turn into violence and other problems--like theft and conflicts--but the worst of all is violence in the workplace. Stay tuned. We are going to be display a new program and course on conducting effective performance evaluations. I believe there exists an enormous opportunity to propel the EAP field forward, and that is by claiming the high ground on this unmet need to train supervisors. Get ready for the Performance Evaluation Training Program. I will post a link so you can view it soon.

EAP Newsletters: Pipelines for Higher EAP Utilization

The workplace wellness newsletter is still under-appreciated for its value in reducing human and financial losses in the workplace. I think most companies separate wellness newsletter topics away from other education and training that reduces human behavioral risk in the workplace, and this a mistake. It's why I encourage using some newsletter device that combines all behavioral risk reduction content in one source document. I am beginning to think that reducing employee behavioral risk and exposures is better served by small pieces of ongoing, easily digested information, ongoing awareness information, and training in addition to whatever one-shot training topics are offered or mandated by the company. I agree with the wellness newsletter premise that it is a tool to support management first and employees second. This does not make it incompatible with helping or even entertaining employees. However, anything that a business organization institutes should be to its benefit or it is by definition or it is not in conformance with mission and goals of the organization and therefore is improper. The goal of a employee wellness newsletter should be in my opinion--a conduit for education, information, training, awareness to positively influence employees to practice better behaviors that reduce risk, enhances organizational productivity, and improves their personal well-being.