EAP Utilization Hack #124: Create At-Risk Interview Schedules for Clients By Job Type

Don't hate me for this, but, I do not have a collected list of 124 EAP Utilization Hacks exactly, but someday I would like to go to an EAPA conference and make such a presentation. I admit, the #124 was to catch your attention, but if you read this blog regularly, you may have counted that many suggestions along the way combined with my 20 years of emailing EAPs to a list over 8,200 EAP, HR, and other workforce management professionals. Nevertheless consider the following idea.

When an employee comes to your EAP assessment interview via self- or supervisor referral, be knowledgeable about the risks that employee faces in their job. I am not just talking about stress. You will need to research individual professionals. Try the dictionary of occupational titles. Google "job risk and problems ___________. Take librarians for example. Sounds like a quiet job. Hmm. You will discover that  that they are accosted frequently by strangers and the homeless, threatened, and harassed. See what I'm saying? But they may not talk about these things. So, create mental list of specific questions to help screen these employees when they visit your office for routine personal problems to help identify any emerging problems, health crises, or ticking time bombs in their lives. By the way, sell this ability to organizations if you are an EAP vendor....and link it to cost-benefit, recovery from loss, and reduced exposure. And if you have a free time, consider how to link up with property casualty insurers...however.. I digress.

Police, truck drivers, nurses, Latino workers, firefighters, spouses of emergency responders are only a few, but there are many more professions. For example, truck drivers:  Long-haul truck driving is one of the deadliest professions, according to the Bureau of Labor Statistics. Truck drivers are involved in an estimated 250,000 crashes each year, with 1 to 2 percent resulting in fatalities. If you are a truck driver, new research points to how they can reduce risk for a crash. The study sought to identify health and occupational factors that may contribute to crash risk. These include: 1) frequent fatigue after work; 2) using cell phones while driving; 3) having elevated blood pressure. The researchers surveyed 797 truckers who underwent a basic physical exam. Two indicators of poor health management – high blood pressure and fatigue – were highly associated with crash risk. High pulse pressure exacerbated by stress, long hours, heavy lifting, and lack of sleep, and exercise are suspected in contributing to these conditions. Now...complete my post and consider, what questions might you ask such an employee who comes to your office complaining of financial problems? A skilled interviewer could find out much more and do much more than refer such an employee to the local Community Credit Counseling Center.  http://healthcare.utah.edu [search “truck drivers fatigue”]

Should EAPs Give a Hootily about Customer Service?

If you have been reading this EAP blog for a number of years, then you know I like to discuss how to apply EAP skills, knowledge, advantage, the attractive element of legal confidentiality, leverage, relationship building, risk identification opportunity, and organizational access to reach into organizations and spot new and emerging problems and opportunities that will save more lives and deliver more black ink to the bottom line. This is how you get management tostand up and notice how the EAP core technology works. (Especially since their CFO and managed care have sold them a bill of goods that are not true EAP.) Indeed, an 800# service as a substitute for a comprehensive workplace focused program is really a farce when you consider all that EAPs do and can do. For example, take customer service training. Of course EAPs were never designed to train employees in how to deliver customer service. But let me ask you this: Is it appropriate for EAPs to deliver seminars on stress management? What about relationship effectiveness in general? Would you say that helping employees to improve engagement, attitudes, optimism, and manage conflict better are worthwhile and appropriate for the EAP role? Of course you would. So, what do you think customer service is all about? I think you are getting my point. EAPs can REACH into risk. And these sorts of services, training in this case smartly delivered, can elevate your program and give it a permanent spot at the strategic table in the employer's boardroom. After all you have a perspective that no one else can give.

EAPs: Helping Job-stressed Employees at Risk for Stroke

People with high stress jobs have a 22 percent higher risk of stroke than those with low stress jobs. That’s what an examination of six studies concluded after following 138,782 people for 17 years. That is a big number. And that increases credibility in my view. What’s high stress? Answer: Time pressure, mental load, and coordination burdens. That's what the study focused on. Researchers to see physical labor as producing the same degree of mental stress. EAP Impact: Create services and programs which 1) give people more control over their work. Become a “control over your work expert” in your organization to reduce health problems and health risk by doing so. These at-risk jobs include nursing aides, waitresses, service industry positions among others. Anywhere people are faced with unpredictable demands and very little ability to have any control over when, how much, and the details of how they going to do that work create inordinate stress. Who in your organization matches this sort of occupational profile? There's the value added proposition. My suggestion is to forget the brown-bag seminar approach. Make it more programmatic than that. For example, invite employees into the EAP as self-referrals to discuss their job stress and discover how more control can be instituted. The answers you find may save a life.  Test your assumptions, ideas, and strategies. That is what these medical researchers are concluding. EAPs are in the most strategic place to make this difference. http://healthcare.utah.edu/healthfeed/postings/2015/10/101515_job.stress.php

 

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2015 Impact of Marijuana on Colorado Report

I for one am impressed, mostly because they used facts and more facts to assemble this 11 part report (the third one) showing what's happening to the state of Colorado since the legalization of marijuana. The report does not paint a pretty picture. It's getting pretty nuts out there.

Did you know that the interdiction of pot being shipped in the U.S. mail from Colorado to other states is up like 5000%? Did you know that suspensions, pot smoking at lunch hour, kids smelling of Pot, expulsions, hospital admissions, driving while stoned, and crime associated with minors using pot is absolutely through the freaking roof? Check it out for yourself. I don't know if you are FOR or AGAINST legalization of marijuana, but this report is pretty compelling. THC content is also rising (well of course it is--when you combine market forces with legal pot, what else is there to compete for except higher THC?). THC content average between 17-18% in Colorado pot. It was 3.4% ten years ago.

Download the report here (hang in there..it is about 185 pages..let it load, then click save as): http://workexcel.corecommerce.com/pdf/2015-FINAL-LEGALIZATION-OF-MARIJUANA-IN-COLORADO-THE-IMPACT.pdf

Create a Welcoming Workplace (Tip Sheet Download)

After reading, download the free reproducible workplace wellness tip sheet
at this link: http://workexcel.corecommerce.com/e-newsletter/2015-08-21/index.html

(Summary) To educate employees help them understand the following:

1) Understand how cultural differences impact work behavior. People from different cultures may respond differently to everyday work situations.

2) That it is okay to ask questions. Some cultural differences can be hard to understand. For instance, employees from certain Asian cultures find it difficult to openly disagree with a superior. Never hesitate to ask your colleague what is the best way to communicate with them without violating their cultural norms

3) Check your biases. Creating a welcoming workplace includes a good dose of self-awareness. Turn off your autopilot response to stereotypes and "impressions."

4) Communicate effectively. Ensure that your colleagues clearly understand the expectations you have of them. Some may not ask after providing them with information or instructions.

5) Focus on individual strengths, not ethnicity. Assess the strengths, weaknesses, and preferences of each individual on your team; use this knowledge when assigning tasks and divide work according special abilities and talents.

6) ) Become a mentor. Mentor your new colleague to help them feel comfortable with the change, and help them understand the politics and interrelationships.

7) ) Stand up to discrimination. All of us lose when discrimination reigns. Be a change agent and recognize it when it appears. Don’t stay silent--be a proactive change agent for a welcoming workplace.

Using Firm Choice and Last Chance Agreements Revisited

Firm choice agreements are often used with substance-abusing employees. They employ the leverage of disciplinary action held in abeyance only if there is an immediate decision by the employee to accept a exclusive source of help for a personal problem (usually substance abuse that has been documented or is overtly existent in the form of "documentable" performance issues.)

Firm choice agreements are a last chance, true, but they are not "last chance agreements." Last chance agreements do not employ immediate leverage of disciplinary action, but a postponement of it...certain and assured disciplinary action...until the very next infraction occurs. This is a recipe for disaster with addicts.

Why? Because addicts always, always, always believe that if the urgency to do so is great enough, that they can control their use alcohol to avoid problems with it. All they need is threat as a motivator. Unfortunately, the rules of the disease trump this insanity.

Firm choice agreements are the way to go with substance-abusing employees. They can work well damn well, but there are a variety of reasons they can easily fail, the most important of which is lack of EAP involvement and close monitoring by pros to help the newly recovering addict avoid relapse by staying involved in ongoing treatment and a recovery program.

Another reason firm choice agreements often fail is lack of immediacy. The employee is offered the option of being referred for help along with one last chance in terms of job performance. If he or she declines help, nothing happens except to wait for the next infraction.

Any employee with a substance abuse problem will try again to control his or her substance use without treatment, and relapse under these circumstances is virtually assured. Dismissal and loss of human capital is the outcome. This is a big "ouch" for all concerned. EAPs must understand how to consult on firm choice agreements so HR sets them up properly. It is a fantastic demonstration of EAP cost benefit that continually is ignored in the EAP literature.

The formula: Firm choice agreements require (1) immediate agreement to (2) attend an assessment, (3) accept referral, (4) enter treatment, and (5) follow through with recommendations (6) monitored by a professional with whom (7) a release is signed and kept active.

All of this is voluntary and completely up to the employee, but the leverage is so powerful that, in my experience, almost all troubled employees (with the exception of those who are past retirement age--they have a paycheck waiting if they quit) agree to it.

The bottom line is that no agreement means immediate dismissal for cause and documented performance issues (not for addiction, alcoholism, or failure to accept help).

Here's the crux: Only the employee's acceptance of the accommodation--and it is a magnificent accommodation--being offered can save the job at this moment in time. It is either a) the assessment and follow-through or b) "bye--pick up your check from on the way out."

This approach saves lives and effectively intervenes in the dynamic of addictive behavior, denial, procrastination, and manipulation common to employees with substance abuse problems. If dismissal results, it is always based on performance problems, attendance issues, or conduct, not on failure enter an assessment. This is a key point. And the organization must be at "wit's end" with the employee. If the employer is not willing to lose the worker, this approach will FAIL. It is a "he who cares least wins" model of intervention.

The opportunity to accept an assessment in lieu of termination is an accommodation for addictive illness, but it is up to the employee, not the company, to say that it is needed. No employee, unless a financial incentive awaits somewhere else--real or imagined--will decline the offer. And no employee's level of denial is so engrained that they will not be moved to accept the offer.

The employer officially doesn't care--either choice is fine. He who cares least wins in this intervention model, because it is the attitude of "detachment" that is the key dynamic driving successful intervention. There is no "next time" factor in firm choice agreements. Next time is already here.

It has been my observation that companies usually have more interest in constructing firm choice agreements with highly valued or long-term employees, but EAP involvement is essential to their success nevertheless.

This classic intervention technique was first fleshed out as a process by the U.S. federal government using guidance issued via its FPM Letters back in the 1970s, shortly after the occupational alcoholism movement began. (NIAAA was formed in 1972 at about the same time this movement took off.)

Unfortunately, the science of how to arrange firm choice agreements has gotten lost and it has become murky as the real pros of yesteryear have faded away. Part of the problem is the loss of EAP professionals inside large business with experience in consulting on these arrangements. The other is the impact of the Americans with Disabilities Act.

After passage of the ADA, alcoholics lost coverage and protection afforded to them by Section 504 of the national Rehabilitation Act governing handicapped persons. Surprised? It's true. They are worse off because of the ADA. Not better off. The ADA dealt with discrimination and stigma, not job security for affected addicts out of control with their disease. This made mandatory interventions (once required by OPM) obsolete, and indeed discriminatory to use with one group of people but not another. It is my argument that the ADA may killed more alcoholics than it saved, but got more employed.

Here is the long and short of this post: You'll save a ton of bucks on turnover, training, workers' comp, and EPL risk if you use firm choice agreements properly.

Remember, firm choice agreements that omit professional monitoring will fail almost every time they're tried. They always end up with the famous phrase, "Oh my, such a shame... he was doing so well, but we had to fire him...he relapsed!"

Of course he (she) did!