Employee Couns

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Employee Counseling Services

Chapter 11

HRD3eCH11 Contributed by Wells


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The Need for Employee
Counseling
Have you ever seen people:
 Struggling due to high levels of

anxiety?
 Refusing treatment for a treatable

condition?
 Experiencing job burnout?

 Involved in efforts to promote good

health?
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The Need for Employee
Counseling – 2
 Personal problems are a part of life.
 Personal problems affect job performance.
 Healthcare costs continue to rise.
 Reducing tardiness, absenteeism, lost time
and worker’s compensation saves money.
 Reducing turnover can improve productivity
and the bottom line.

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Addressing Employee Well-
Being
 Promotes employee morale.
 Reduces the impact of external
factors on work.
 Promotes productivity.
 Cheaper to train, treat, and retain
existing workers than to hire new ones.

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Employee Counseling as an
HRD Function
 Counseling serves the same goal as
other HRD activities.
 Improving/maintaining worker
performance
 Same techniques are used, especially
coaching.
 Same kinds of analysis and planning
needed.

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Overview of Counseling
Programs
 Problem Identification
 Education
 Counseling
 Referral
 Treatment
 Follow-up

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Problem Identification
 Screening device
 Absenteeism records
 Supervisor’s observations
 Referral
 Voluntary participation

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Education
 Pamphlets
 Videos
 Lectures
 Unsolicited
 Television
 Radio
 Other media
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Counseling
 Needs a non-threatening person with
whom the worker can discuss
problems and seek help. Options
include:
 Supervisor/coach
 Ombudsman
 HRD Counselor
 Professional Counselor

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Referral
 Directing employee to appropriate
resources for assistance, e.g.,
 Physician
 Substance abuse treatment center
 Marriage counselor
 Alcoholics Anonymous (AA)
 Other options (clergy)

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Treatment
 The actual intervention to solve the
problem, e.g.,
 Group therapy
 Medications
 Individual therapy
 Psychological therapy

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Follow-up
 Needed to:
 Ensure the employee is indeed carrying
out the treatment.
 Obtain information on employee
progress.
 Ensure that referrals and treatment are
effective.

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A Caution About Employee
Counseling
 All six approaches are not always
needed.
 The following issues drive which
approach is taken:
 Type of problem identified
 Appropriate response
 Available resources

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Who Provides Employee
Counseling?
 Depends on the organization and
organizational culture.
 Can be done using:
 Corporate resources (In-house).
 Outside resources (Out-of-house).

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In-House Efforts
Advantages: Disadvantages:
 Internal control  Confidentiality
 Familiarity with  Lack of needed
organization resources
 Better coordination
of efforts
 Employee reluctance
to use services
 Sense of ownership
 Greater internal
 Limitations in staff
credibility skill and expertise

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Contracting Externally (Out-of-
House)
Advantages: Disadvantages:
 Subject matter  Lack of on-site
experts services
 Confidentiality easier
 Possible
communications
to maintain problems
 Better identification  Lack of
and use of resources organizational
knowledge

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Characteristics of Effective
Programs
 Top management support.
 Clear policies and procedures.
 Cooperation with unions and employee
groups.

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Characteristics of Effective
Programs
 Policy of guaranteed confidentiality.
 Maintenance of records for program
evaluation.
 Health insurance benefit coverage for
services.
 Family education.

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Employee Assistance
Programs (EAPs)
 Job-based programs operating within
an organization that:
 Identify troubled employees.
 Motivate them to resolve their
problems.
 Provide access to counseling and
treatment, as appropriate.

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General Topics that EAPs
Might Address
 Alcoholism  Compulsive
 Drug abuse gambling
 Anxiety  Marital problems
 Depression  Financial problems
 Eating disorders  Personal problems

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Issues/Outcomes Affected by
EAPs
 Productivity  Accidents
 Absenteeism  Training
 Turnover  Replacement costs
 Unemployment costs  Insurance benefits
 Substance abuse  Etc.
treatment

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Who Offers EAPs?
 62% of medium- and large-sized
companies.
 33% of companies with 50+
employees.
 Estimated 82% of large firm
employees have access to an
employee assistance program.

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Doty Ed.D. Clemson Univ. 22
Items of Importance
 Extent of substance abuse and
mental health problems faced by
companies.
 Approaches to employee assistance.
 Effectiveness of EAPs in treating
substance abuse and mental health
problems.
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Substance Abuse - 1
 Abuse of alcohol and drugs is prevalent.
 Estimates are:
 18 million Americans have a serious
drinking problem.
 Alcohol is involved in 47% of industrial
accidents.
 10 million employed Americans use illegal
drugs.
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Substance Abuse – 2
 6.5 % - 8.5% of employees report
heavy use of alcohol.
 75% of drug users are employed.
 24% of workers reported drinking at
work.
 10% - 12% of prospective Postal
employees tested positive for drug use.
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Substance Abuse – 3
 6.5% of workers reported going to work
while under the influence of drugs or
alcohol.
 5% - 8% reported being under the
influence of marijuana at work.
 Companies lose over $7000/year for
each abuser of alcohol or drugs.

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Reasons for Immediate
Concern
 Drug and alcohol users are more prone to
accidents, injuries, disciplinary problems,
and “involuntary” turnover.
 Would you want to fly in a plane with a
drunken pilot?
 Do you want to drive a car put together by
someone abusing marijuana or cocaine?

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Drug-Free Workplace Act of
1988
 Promotes drug-free awareness
among Federal contractors and grant
recipients.
 Tells employees about:
 Availability of drug counseling
 Availability of rehabilitation programs
 Employee Assistance Programs

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Mental Health
It is estimated that:
 17.5 million Americans suffer from

depression every year.


 23% of the American population has

some sort of mental disorder.


 5.4 % have a serious mental illness.

HRD3eCH11 Contributed by Wells


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Results of Serious Mental
Health Problems
 Mental health problems can interfere
with major life functions such as:
 Eating
 Managing money
 Functioning in family groups
 Functioning at work
 Functioning in society
 Functioning in educational settings

HRD3eCH11 Contributed by Wells


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Why Care About Mental and
Emotional Problems?
 Problems can cause:
 Absenteeism
 Poor performance and work habits
 Low job satisfaction
 Indecisiveness
 Interpersonal conflicts
 Violence and aggressive behaviors at work

HRD3eCH11 Contributed by Wells


Doty Ed.D. Clemson Univ. 31
Three Federal Regulatory
Actions
 American Disabilities Act of 1990
 Mental Health Parity Act of 1996
 Executive Directive by President Clinton
(effective January 1, 2001)

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American Disabilities Act
(ADA) of 1990
 Who is covered by the ADA? An employee who:
 Has a physical or mental impairment that substantially
limits one or more major life activities,
 Has a record of such impairment, or
 Is regarded as having such an impairment, i.e., an
employer’s perception of a disability would be covered.
 Guarantees equal access to jobs for those with
disabilities.
 Includes mental and emotional disabilities, along
with physical disabilities.
 How to deal with individuals with such disabilities
(EEOC Guidelines, May, 1997).
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Mental Health Parity Act of
1996
 Employers with 50+ employees must
provide mental health coverage equal
to physical coverage.
 Does NOT include coverage for
substance abuse or chemical
dependency.
 Note: This law lapsed after
September, 2001.
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Why These Three Federal
Actions?
 To require employers to pay
attention to mental health issues.
 To urge/force employers to carefully
manage and address such problems.

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EAP Approach to Resolving
Employee Personal Problems
Basis of the EAP approach:
 Work is very important to people.

 Work performance can help identify

an employee’s personal problems.


 Employees can be motivated to seek

help.

HRD3eCH11 Contributed by Wells


Doty Ed.D. Clemson Univ. 36
Characteristics of the EAP
Approach
 Problem is defined in terms of job
performance, rather than in clinical
terms.
 Supervisors monitor employees to
identify changes in workplace
behavior that indicate potential
problems.

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Doty Ed.D. Clemson Univ. 37
Behavior Problems Indicating
Possible Substance Abuse
 Absenteeism
 On-the-job absences
 High accident rate
 Poor job performance
 Changes in personal habits
 Poor relationships with co-workers

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Constructive Confrontation
 In this approach, a supervisor:
 monitors performance.
 confronts employee on poor
performance.
 coaches to improve performance.
 urges use of EAP’s counseling service.
 Emphasizes the consequences of
continued poor performance.
HRD3eCH11 Contributed by Wells
Doty Ed.D. Clemson Univ. 39
The Typical EAP
 Clear policies, procedures, and
responsibilities concerning health and
personal problems on the job.
 Employee education campaigns.
 Supervisory training program.
 Clinical services (In- or out-of-house).
 Follow-up monitoring.
HRD3eCH11 Contributed by Wells
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Stress Management
Interventions
 “Any activity, program, or
opportunity initiated by an
organization, which focuses on
reducing work-related stressors….”

HRD3eCH11 Contributed by Wells


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What is Stress?
 Some environmental force affecting
the individual (a stressor).
 Individual’s response to the stressor.
 Interaction between individual and
the stressor.
 Individuals react in different ways to
stress.
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Organizational Stressors
 Factors intrinsic to the job
 Organizational structure and control
 Rewards systems
 Human resource systems
 Leadership

HRD3eCH11 Contributed by Wells


Doty Ed.D. Clemson Univ. 43
Stress Management
Interventions
 Educationally-Oriented Interventions
 Sources or stress, how it feels, how to
avoid it, how to cope with it.
 Skill-Acquisition Interventions
 Provides new ways to manage stress
such as:
 Time management training
 Assertiveness training

HRD3eCH11 Contributed by Wells


Doty Ed.D. Clemson Univ. 44
Employee Wellness and Health
Promotion
 Wellness is more than the absence of
disease.
 Promotes physical fitness and other
non-stress issues:
 Obesity
 Smoking
 Helps control healthcare costs.

HRD3eCH11 Contributed by Wells


Doty Ed.D. Clemson Univ. 45
Three Levels of Fitness and
Wellness Programs
 Level 1: Primarily educational without
interventions.
 Level 2: Seeks to bring about direct
change:
 Supervised exercise, fitness centers,
etc.
 Level 3: Institutionalized wellness.
HRD3eCH11 Contributed by Wells
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Ethical Issues
• Confidentiality:
• Records should be held in strictest
confidence, and kept separate from the
employee’s regular personnel file.
• Release only with specific employee
permission.
• Nature of Participation:
• Mandatory versus voluntary
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