2016 EMPLOYEE ASSISTANCE PROGRAM EXECUTIVE SUMMARY

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1 216 EMPLOYEE ASSISTANCE PROGRAM EXECUTIVE SUMMARY CLINICAL CLIENT SERVICES 216 Highlights 47 clients, a 12% increase from contact hours, a 3% increase from 215, 2.7 average Total Client and Number of Service Hours by Year hours/client % of clients are self-referred, % are referred by a 8 manager/supervisor 6 4% cite work-related problems (difficulties with co-workers or 2 supervisors, organizational change, career concerns) as the reason for counseling 54% are female 45% are insured by Kaiser Permanente, 3% are insured by Blue Shield Total Cases Client Hours Critical Incident Situation Debriefings Served 7 employees affected by workplace violence Provided 7 group-based CISDs for 63 employees Mediations Provided 18 mediation sessions 195 ORGANIZATIONAL WELL-BEING SERVICES 216 Highlights 332 organizational services to 3369 employees Organizational/management consultations were the most frequently requested organizational service, increasing 29% from 215 Employee education/training services increased 5% from 215 EAP launched the Making Work Work workshop series 2223 employees oriented to EAP, a 571% increase due to participation in departmental Health Fairs, Flu Clinics and Open Enrollment EAP provided services to 49 departments representing a 1% increase

2 Number of Hours, Services and Participants in Organizational Wellness Services by Year Organizational Service Hours Number of Services Participants Non-Violent Crisis Intervention CPI Pilot was completed for 71 employees from 6 chosen departments. 88% of Pilot survey respondents indicated the CPI training was helpful or extremely helpful. Next Steps 1. Develop comprehensive marketing and promotion plan for EAP. 2. Develop and deliver Supervisor Stress series workshops. 3. Decrease barriers to service by promoting Tele-Counseling for employees. 4. Provide pre-retirement individual and group services to employees within six months of retirement. 5. Train EAP staff in Collaborative Consulting to provide consistency in consulting services for supervisors and managers. 6. Increase access to resource materials for employees and family members by expanding information and resources available on the EAP webpage. 7. Assess and seek to update EAP s data management systems. The Health Service System s Employee Assistance Program (EAP) is an internal service for CCSF, USD, Superior Court and Community College employees, their family members and their significant others. The EAP services are divided into two categories: Clinical Client Services which include direct, in-person counseling services; and Organizational Wellness Services which include management and organizational consultations, trainings and seminars, trauma response and mediations. EAP also performs a variety of administrative tasks. EAP staff are licensed psychotherapists, certified Employee Assistance Professionals, certified mediators, designated/certified Substance Abuse Professionals and specialists in trauma response. 2

3 TOTAL EAP REACH BY YEAR In 216, the number of employees served by the EAP increased 77% compared to 215. The increase from two EAP staff to three EAP staff made this additional reach possible Total Employee Contact by Year The total number of service hours in 216 was 1591 which is similar to the previous year. 68% of these hours were spent on client services (compared to 53% in 215) % 9% Percentage of Service Hours spend on Organizational vs Client Services by Year 8% 7% 6% % 4% 3% 2% 1% % Organziational Service Hours Client Service Hours 3

4 CLINICAL CLIENT SERVICES The foundation of EAP services is the Brief Solution-Focused Therapy. Utilizing a short-term, solutionfocused approach, EAP clinical client services (counseling) address both workplace-based and family/personal concerns. EAP addresses personal or work-related concerns that impede one s work performance/productivity and/or personal life. Issues brought to the EAP each working day include stress, burnout, compassion fatigue, depression, anxiety, grief/loss, Post-Traumatic Stress Disorder (PTSD), substance abuse/addiction, anger/rage, and mental illness, as well as personal, family and work-related issues. EAP guides employees through a helpful therapeutic counseling process that enables them to handle their issues with clarity, confidence and self-efficacy. Participation 47 clients received individual or couples therapy in 216. This is a 12% increase from 215. On average, clients received 2.6 hours of counseling compared to 2.3 hours in 215. Many clients received the help they need (sometimes including referrals and additional resources) after only one counseling session; reasons for a multi-session course of counseling include working through more complex concerns, follow-up sessions, assessing the effectiveness of counseling interventions, strategizing actions to resolve issues and reach goals, and generating useful client resources. 14% of client hours were canceled compared to 12% in 215. Participation in EAP has been consistent over the past four years, with an average of 349 total cases per year. On average, EAP counselors provided 95 hours of counseling services with the average client being seen three times Total Client and Number of Service Hours by Year Total Cases Client Hours Fluctuations in caseload occur by month. Possible explanations include staff absence and seasonal changes. Understanding this fluctations can assist in planning efforts. 4

5 Number of Clients by Month and Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Problem Type 41% of reasons for coming to the EAP were work-related problems (2% increase from 215) Family/Marital/Relationship problems (include relationship conflict, separation/divorce, parenting and elder care) increased 3% in 216. Psychological problems (2%) often include depression, anxiety, grief/loss, and adjustment reactions. Other problems (9%) generally include substance abuse, financial and legal concerns. 216: Percentage of Cases by Problem Type 45% 4% 35% 3% 25% 2% 15% 1% 5% % 39% 41% 39% 36% 34% 33% 31% 29% 3% 28% 27% 25% 25% 23% 2% 8% 8% 1% 9% 5% Work-Related Issue Psychological Family/Marital/Relationship Other 5

6 Client Demographics Demographics Employee 95% 92% 97% 97% 95% Gender Female 62% 52% 56% 64% 66% Male 38% 47% 43% 36% 33% Average Age Referral Source Self 58% 64% 59% 63% 67% Supervisor/Manager 19% 21% 18% 16% 14% Co-worker 12% 9% 11% 11% 7% Other 11% 6% 12% 1% 12% Job Type Professional/Technician 33% 35% 32% 38% 34% Office/Clerical Worker 16% 13% 19% 17% 22% Service Worker 17% 15% 12% 14% 13% Other 34% 37% 37% 31% 31% Health Plan BSC 46% 43% 4% 37% 37% KP 42% 49% 5% 55% 55% Other 12% 8% 1% 8% 8% 216: Participation by Health Plan Type Blue Shield Kaiser Permanente Other 6

7 ORGANIZATIONAL WELLNESS SERVICES The EAP provides organizational wellness to all departments by request, to assist in creating and maintaining positive, productive, collegial work teams. Offerings include seminars and trainings (both off-the-shelf and customized) for employees, supervisors and managers; organizational and managerial consultations and executive coaching, focus groups, support groups, meeting facilitation, mediations and Critical Incident Stress Debriefings (CISD). On average, 1 people were served by each organizational service, this is a significant increase from the 3 people served in 215. One explanation may be the increased EAP presence at large events like health fairs and flu clinics which touched many people in a short amount of time (captured under EAP orientations). The percentage of trainings and orientations increased in 216. Whereas the percentage of management consultations decreased. The vast majority of those served by EAP organizational services, were at orientations and then trainings. Number of Hours, Services and Participants in Organizational Wellness Services by Year Organizational Service Hours Number of Services Participants 7

8 216: Percentage of Organizational Services by Type by Year 1% 9% 8% 7% 6% 5% 4% 3% 2% 1% % Organizational/Management Consultations EAP Orientations Supervisor/Manager Training Employee Education/Training Trauma Response (group) 216: Percentage of Participants in Organizational Servies by Type by Year 1% 9% 8% 7% 6% 5% 4% 3% 2% 1% % Organizational/Management Consultations EAP Orientations Supervisor/Manager Training Employee Education/Training Trauma Response (group) 8

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