Cardiff and Vale UHB Employee Wellbeing Service Dr

Cardiff and Vale UHB Employee Wellbeing Service Dr Clare Wright Head of EWS Consultant Clinical Psychologist

Promoting Health and Wellbeing Flow Chart Initial Assessment Initial Actions Consider referral to Occupational Health Service • Support for staff post Violent and Aggressive Incident Involvement in: - Bullying and Harassment - Disciplinary or Grievance issues. Moderate to Serious Mental Health Problems Possible signs: - Lack of flexibility, - Extreme change to usual behaviour - Angry Outbursts - Withdrawn - Aggression - Extreme Impulsivity - Extreme Emotional outbursts Serious Mental Health Problems Possible signs: - Mood Disturbance - Delusional ideas - Obsessions & compulsions interfering with function - Eating Disorders - Suicidal intent Refer to and follow Sickness Policy Common / Mild to Moderate Mental Health Problems Possible Signs: - Low mood/Irritability - Pre-occupied - Increased Alcohol use Seek advice/ information and low intensity support / therapies e. g. recommended self help books, stress coping/ resilience and assertiveness training provided by the UHB Encourage and support self referral to Employee Wellbeing Counselling Service Encourage and support self referral to GP Consider referral to Occupational Health Service If previously or currently reviewed by Community Mental Health Team (CMHT) encourage to make contact directly Consider modifying duties e. g. change or relieve from duties Encourage and support self referral to GP Referral to Occupational Health Service Modify duties where appropriate e. g. change or relieve from duties Referral to Occupational Health Service Support mechanisms Consider the following: - Encourage staff members to contact Staff Representative e. g. for advice on legal options. - Referral to Case Manager - Refer to Employee Wellbeing Intranet Page (Pre Occupational Health Assessment) Consider the following: - Encourage staff members to -Contact Staff Representative - OH Assessment - Rehabilitation Plan - Stress Risk Assessment - Preview Employee Wellbeing Intranet page - Contact OD&T Department to gain access to Stress e-learning programme Consider the following: - OH Assessment - Rehabilitation Plan - Professional competence Issues. - Refer to NICE guidelines for further information and possible treatments www. nice. org. uk

The service offers consultation at 3 levels: Level I: Organisational Psychology: Tackling Work Related Stress at Source Level II: Training in Psychological Skills Level III: Employee Assistance / Counselling

Psycho-education For All employees For Managers Facilitated Learning Groups for Managers around HSE Management Standards Approach/ Stress Preventing Stress: Identifying potential stress hot-spots and consulting with managers/employees Facilitation of Focus Groups Stress Awareness Presentations Toolkit for Managers: Managing Stress in the Workplace Assertiveness Training Formal Support for individuals involved in formal proceedings such as disciplinary. Consultation to: Occupational Health, Human Resources, Organisational Development and Training Cognitive Behavioural Therapy (1: 1) Computer Based Self-Help: Living Life to the Full Stress Resilience Training Structured Brief Counselling (1: 1) Self-Help Book Library Incident Response Alcohol Awareness Training for Managers with Occupational Health Other Themes Consultation to individual Managers Refresher Courses Mediation Post Trauma Consultation/ Support (1: 1) Self Referral Employee & Manager Assistance Responding to Stress Hot Spots: Consultation to managers to support assessment and interventions to reduce stress Organisational Referral Organisational Assistance THE EMPLOYEE WELLBEING SERVICE

Level III: Employee Assistance / Counselling • 478 referrals FY 2011/12 • 50% clients achieved reliable and clinically significant change • 16. 3% reduction in sickness absence • 22. 2% self-reported improvement in workplace functioning • 93% clients rated counselling “useful” or “very useful”.

Psycho-education For All employees For Managers Facilitated Learning Groups for Managers around HSE Management Standards Approach/ Stress Preventing Stress: Identifying potential stress hot-spots and consulting with managers/employees Facilitation of Focus Groups Stress Awareness Presentations Toolkit for Managers: Managing Stress in the Workplace Assertiveness Training Formal Support for individuals involved in formal proceedings such as disciplinary. Consultation to: Occupational Health, Human Resources, Organisational Development and Training Cognitive Behavioural Therapy (1: 1) Computer Based Self-Help: Living Life to the Full Stress Resilience Training Structured Brief Counselling (1: 1) Self-Help Book Library Incident Response Alcohol Awareness Training for Managers with Occupational Health Other Themes Consultation to individual Managers Refresher Courses Mediation Post Trauma Consultation/ Support (1: 1) Self Referral Employee & Manager Assistance Responding to Stress Hot Spots: Consultation to managers to support assessment and interventions to reduce stress Organisational Referral Organisational Assistance THE EMPLOYEE WELLBEING SERVICE

Level II: Training in Psychological Skills Courses for everyone • Understanding why I feel stressed • Handling my emotions in the workplace • Assertiveness training • Relating under pressure training • Sleeping well (under development) Courses for managers • Mental Health First Aid Training • Alcohol Awareness • Action Learning sets in preventing and reducing stress / managing employee wellbeing

Psycho-education For All employees For Managers Facilitated Learning Groups for Managers around HSE Management Standards Approach/ Stress Preventing Stress: Identifying potential stress hot-spots and consulting with managers/employees Facilitation of Focus Groups Stress Awareness Presentations Toolkit for Managers: Managing Stress in the Workplace Assertiveness Training Formal Support for individuals involved in formal proceedings such as disciplinary. Consultation to: Occupational Health, Human Resources, Organisational Development and Training Cognitive Behavioural Therapy (1: 1) Computer Based Self-Help: Living Life to the Full Stress Resilience Training Structured Brief Counselling (1: 1) Self-Help Book Library Incident Response Alcohol Awareness Training for Managers with Occupational Health Other Themes Consultation to individual Managers Refresher Courses Mediation Post Trauma Consultation/ Support (1: 1) Self Referral Employee & Manager Assistance Responding to Stress Hot Spots: Consultation to managers to support assessment and interventions to reduce stress Organisational Referral Organisational Assistance THE EMPLOYEE WELLBEING SERVICE

Level I : Organisational Health Psychology • Stress Mapping to Identify potential stress hotspots • Consultation to managers around employee wellbeing issues for staff • Organisational Health reviews in hotspot areas • Mediation

An Organisational Health Review, using the HSE Management Standards Approach, involves an approximate 18 month cycle of activity involving three key stages

Monitor and Review Action Plan/ Assess Effectiveness Engage all Stakeholders Assess for Sustainability of Change Psycho-educational Interventions Individual Employee Assistance Understand Roles and Responsibilities of all key stakeholders Implementation Preparation Conduct surveys Gather Data Recommendation Support & Train Managers Report Findings Analyse Data Explore Problems & Develop Solutions using Focus Groups Develop Action Plans

Level I : Organisational Health Psychology • This work won the 2010 HSE Award for Best Management Practise in Workplace Stress (HPMA Excellence Awards) • It has been written up as a case study by the HSE and can be found at www. hse. gov. uk/stress/casestudies. htm

Thanks for listening