Chapter 10: Ceridian's Experience in the Integration of EAP,Work-Life and Wellness Programs

SUMMARY

This article considers EAP services, work-life and wellness programs and the implications of integrating these services. The concept of how wellness programs enter into this equation is explored as well as how Web-based services have played a significant role. Ceridian's experience in providing these services is explored through a case study, anecdotal information, and other data. This article reviews why integrated EAP services, work-life and wellness programs offer more value when compared to programs that contain individual components. It is concluded that wellness and the Internet continue to play a key role in programs becoming more integrated. It is also suggested that integration is now larger than traditional EAP, work-life, and wellness programs. Other human resource services are becoming more important components of integrated services.     

Chapter 18: Australian Perspectives on the Organizational Integration of Employee Assistance Services

Abstract

This article considers the commonalities and differences between Australian EAPs and their counterparts in the United Kingdom and the U.S.A. The unique characteristics of Australian EAPs are examined, including an account of the approach taken to the integration of EAP services and other employee services such as work-life and wellness. Three case studies illustrate the forms of integration presently being explored in Australia. It is concluded that efforts to engage in the type of “big picture” thinking characteristic of integration are apparent, even though there is little evidence of the type and degree of collaboration seen to be emerging in the U.S.A.     

Chapter 22: Perspectives on the Future of Integration

Abstract

Thomas Friedman's political analysis of The Lexus and the Olive Tree(2000) is used to frame the discussion of the future of integration in the EAP, Work-life and Wellness field. Many claim that for progress to occur, one needs to understand history. Friedman, however, pushes the reader further to focus on understanding the constant interplay and tension between present day advances and past traditions. This article briefly reviews one of the early attempts at comprehensive benefit services in the United States-Welfare Capitalism as a means to understand the beginnings of some of these endeavors. In addition early research conducted by Lawrence and Lorsch on organizational integration and differentiation are briefly reviewed as a conceptual framework to ground the discussion of future trends in the field of integration. Finally, some closing thoughts are offered that raise both questions on areas requiring further investigation on the topic of integration, as well as a challenge to professionals regarding what role they would like to take regarding the future of these services.     

Chapter 3: Health and Productivity Management

SUMMARY

This article focuses on the emergence of Health and Productivity Management (HPM) as a context for understanding the integration of health and wellness into employee assistance and work-life programs. Major factors influencing the growth of HPM are raising medical costs as well as the rising incidence of obesity. The Wake-up Call to Corporate America underscores the need to manage these costs and improve health through the proactive alignment of health-related benefits and programs. HPM is described as an integrated approach to capture direct medical costs as well as the indirect costs associated with poor health and lost productivity. Critical design and implementation features that are likely to contribute to a successful integrated approach are described and highlighted. An HPM case example of a large pharmaceutical company examines a unique cross referral program including considerations for continuous improvement. Finally, the article concludes with key challenges related to marketplace competition, pricing pressures, concerns regarding the sub-optimization of programs and the influence of current health care system changes.     

Chapter 4: Research on the Integration of Employee Assistance,Work-Life and Wellness Services

SUMMARY

This article will focus on the research exploring the degree to which organizational integration of Employee Assistance, Work/Family and Wellness Programs has evolved since the early 1990s. The first study reviewed is the National Study of EAP and Work/Family Programs conducted in 1994 by Boston University's Center on Work and Family in which 100 of the top family friendly companies were inter viewed. Two major studies conducted under the guidance of the Employee Assistance Professional Association (EAPA) are then reviewed. The Phase I research conducted in 2001 was a large-scale survey of the professionals in fields of EAP and Work-life (N = 950). The Phase II research conducted in 2002 was comprised of two stages: A pilot study surveying vendors in the EAP and Work-life fields (N = 213) and a qualitative study consisting of in-depth interviews with vendors from all three professions (N = 79). The overall theme from this body of research is one of dramatically increasing movement and market demand for some form of collaboration/integration of service delivery. Finally, the chapter offers recommendations for further research regarding integration of services as well as implications for the professional fields.     

Chapter 9: Disaster Consequence Management

SUMMARY

The critical element in a workplace approach to consequence management for disaster, terrorism and other critical incidents is the integrated planning and response across numerous workplace functions including human resources, employee assistance, security and facilities, medical, occupational health, wellness and work-life. These corporate functions ensure the performance, health, safety and human continuity of the workplace. In this model, workplace professionals charged with the human capital and continuity of their organizations play new crucial roles that require an understanding of (1) the integration of mental health into a public health approach for managing the psychological and behavioral implications of terrorism; (2) the integration of operational continuity planning with human continuity resources; and (3) the integration of workplace preparedness into the larger sphere of population health interventions for the 21st century. This new role of workplace health and productivity professionals is necessary to the health and resiliency of our global community and its citizens in the workplace and at home.     

Disability Through a Native American Lens: Examining Influences of Culture and Colonization

Disability is a socially constructed identity. What constitutes a disability and what it means to be a person with a disability can vary across cultures. This article explores meanings of disability within Native American cultures, including how ideas about wellness, balance, roles, and responsibilities influence perceptions of disabilities. This is followed by a review of disability prevalence, discussion of services, and explorations of possible reasons for the disproportionate impact of disabilities in Native American populations. The article concludes with an examination of how the colonial context frames both attitudes about and services for Native Americans with disabilities.     

Chapter 2: The Business Case for the Integration of Employee Assistance,Work-Life and Wellness Services

SUMMARY

Employee assistance programs (EAP), work-life programs and wellness programs are three commonly provided kinds of interventions that have the goals of reducing healthcare costs, improving employee performance and fostering a healthier workplace culture. The integration of these kinds of programs is a recent trend that has the potential to offer additional synergistic benefits. New studies have linked comprehensive delivery services that support human capital needs with bottom-line financial success of the company. This evidence can be used to make the business case for offering EAP, work-life and wellness services in an integrated capacity. However, while promising, the scientific evidence thus far in this area has methodological limitations and there are critical aspects that require further study.     

Chapter 19: Work-Life and EAPs in the United Kingdom and Europe

Abstract

This article describes the development and current degree of integration of the Employee Assistance Programme (EAP) and Work-life (WL) professions in the United Kingdom (UK) and Europe. It is based on a qualitative survey of leading providers and industry consultants conducted by the authors specifically for this publication. The study results suggest that the process of integrating the two industries in the UK and Europe has not been the issue it has in North America to date. While they can be distinct services to employers, in the UK and Europe WL and EAP have grown together and there has been little competition between the two professions. Instead, they are generally seen as synergistic and are usually offered to employers as a combined product, with a seamless delivery to employees. Despite this already high level of integration, there are significant future challenges for both professions.     

Chapter 5: Perspectives on the Integration of Employee Assistance and Work-Life Programs

SUMMARY

A recent qualitative study explored perceptions of critical issues and challenges from the point of view of experts and key informants working in diverse roles in the Employee Assistance Program (EAP) field (Sharar & Hertenstein, 2005). One of the central themes that came out of the study is that EAPs have become a type of platform for the expansion of integrated collateral services, chiefly work-life (WL) programs. This paper presents a variety of perceptions and opinions from experts in the EAP field, both pro and con, on the growing convergence of EA and WL programs, including the rationale to integrate, segregate, and concerns regarding the diffusion of traditional and core EAPs. The paper concludes with the authors? perspectives on implications for the EA field, along with the need to find ways to measure if and when integration leads to employee and organizational improvement.     

Building Strength Through Challenging Homophobia: Liberation Workshops with Younger and Midlife Irish Lesbians

Drawing on the theoretical framework of liberation psychology, this article details workshops on liberation psychology conducted in Ireland with lesbian and transgendered persons aged from early 20's to late 50's. Both younger and older lesbians in the workshops benefited from the opportunity to focus on oppression and to explore options for transformation. The workshops illustrated many of the strengths and vulnerabilities associated with living with homophobia and demonstrated the value of action and engagement. Midlife lesbians were more aware of the systemic nature of homophobia and of the negative emotions related to that. They saw many of these as understandable and even necessary reactions to oppression rather than as negative patterns. These older lesbians tended to be more accepting of the course their lives had taken and of the ways in which choices had been influenced by homophobia and heterosexism. They tended to be more relativistic in their views on coming out, viewing coming out as a decision for each context rather than an overall principle. They valued the importance of community and of activism, and though they were aware of some of the challenges, they also had more positive experiences in this area. These strengths can facilitate managing both homophobia and aging more effectively.     

Chapter 8: Responding to Deaths of Faculty,Staff and Students at UC,Berkeley

SUMMARY

This article describes an important initiative designed to address the deaths of faculty, staff, and students at the University of California at Berkeley. Work-life and EAP practitioners can play a significant role in reducing the distress and lost work time associated with workplace deaths by helping employers to plan a response to employee and client deaths, and by participating in implementing that response. A model framework is presented to demonstrate the vital need for coordination and integration among many of the employers' programs, services, and activities in order to address deaths.     

Decolonizing Sociology Through Collaboration,Co-Learning and Action: A Case for Participatory Action Research1

Despite important efforts by postcolonial scholars to “decolonize” sociology, this endeavor remains limited by the scaffolding of empirical research, or the institutionalized practices and beliefs embedded within data collection and researchers' relationship to research subjects. In its current form, this scaffolding excludes “subaltern” voices from critiquing and extending sociological theory, deriving benefits from the study, or informing social actions that stem from the research. This limits the field's understanding of the multi-faceted impacts of colonialism and retrenches inequalities between scholars and participants. Participatory Action Research (PAR) offers an alternative, decolonial infrastructure. PAR acknowledges the value of knowledge from the periphery and calls for (1) the participation of marginalized research populations in each step of the research process; (2) co-learning between researchers and participants; and (3) collaborative social action that centers the needs of marginalized research populations. Drawing on a case study of PAR in Rio de Janeiro, I demonstrate how PAR allows sociologists, in partnership with historically colonized groups, to decolonize sociology not only in theory, but in the concrete practices of empirical research.     

Immigrant Integration Through Mediating Social Institutions: Issues and Strategies

With nearly 40 million foreign-born residents, the United States is the country with the largest immigrant population in the world (Nwosu, Batalova, & Auclair, 2014). This amounts to 13% of the current US population and has fueled debates about the role of immigrants in American society and about what it means to be American (Batalova & Lee, 2012; Hing, 2004). The issue of immigrant integration is at the center of this debate and is also the focus of this study, which examines immigrant integration in two U.S. cities: San Francisco, California and Chicago, Illinois. This study is part of a larger 2007 multi-country study of immigrant integration practices conducted by CeiMigra, a migration research institute based in Valencia, Spain. This study analyzes data collected in the two U.S. study sites, which consists of 19 extensive qualitative interviews with politicians, policy makers, labor leaders, and nongovernment (NGO) and migrant association leaders regarding issues that affect and strategies that facilitate immigrant integration. The interviewees identified two primary points of integration: the economy and local communities. Common barriers affecting both documented and undocumented immigrants were identified, as well as local strategies that promote integration into the economy and the community. Study participants noted the burden on local communities to address immigrant incorporation and called for stronger and more systematic integration programs and policies at the federal level.     

Narrative Psychiatry and Family Therapy: Promoting Resilience and Collaboration with Persons with Intense Mental and Emotional Experiences at Risk of Causing Violence

Narrative psychiatry identifies meaning‐making as a primal force in our lives and guides family therapists and psychiatrists in cultivating narratives of resilience that support safety and wellbeing when working with families in which a member is dealing with intense mental and emotional experiences and may be at risk of causing violence. These contexts are fraught with implications about power, control, identity, and ethical responsibilities of care for those consulting with us and for the wider community. Offering benefits distinct from pathology‐focused psychiatric practice, narrative psychiatry applies the practices of narrative therapy in psychiatric contexts, focusing on strengths and meaning and honouring how values, intentions, and commitments compel and constrain our actions. Illustrated by case conversations, this paper describes five key practices of narrative psychiatry, including emotional attunement, understanding the person without the problem, externalising problems, creating narratives of resilience, and collaborative treatment planning. It shows how narrative psychiatry facilitates risk reduction through helping a person identify values and narratives that support non‐violence and strengthening abilities, relationships and resources that help them stay true to this commitment. Practical ways that family therapists and psychiatrists can use conversations about resources, including medicines, to deconstruct damaging discourses and generate narratives of resilience are described. Discussion is offered about how narrative psychiatry can support clinicians in ethically negotiating clinical dilemmas in which the preferences of the person or family are in conflict with the clinician's ethical and legal duty to protect life.