EWP Practitioner Orientation - iCare - LIVE

1 2010 Careways (Pty) Ltd EWP Practitioner Orientation Version , January 2010 2010 Careways (Pty) Ltd 2010 The Careways Group (Pty) Ltd i Index List of abbreviations .. 1 1 Welcome .. 3 2 Careways .. 4 What is Careways?.. 4 3 What services does Careways render? .. 6 Executive health consultations .. 6 Insurance 6 Health days .. 6 Voluntary counselling and testing (VCT) .. 7 Financial wellbeing consultations .. 7 Legal wellbeing consultations .. 7 Health and dietary information .. 8 Training .. 8 Psycho-social and wellbeing consultations (EWP) .. 8 Critical incident stress management (CISM) .. 9 Critical incident education .. 9 Defusing .. 9 Critical incident stress debriefings (CISD) .. 10 4 Where do I fit in? .. 11 5 EWP focus .. 12 Dual client relationship .. 12 Confidentiality .. 12 EWP as a management tool .. 12 Assumptions of therapy within the EWP context.

2 13 Brief therapy .. 13 6 Attributes of an EWP affiliate .. 19 2010 The Careways Group (Pty) Ltd ii 7 Service models and 20 Service models within the EWP framework .. 20 Assessment and referral model (A&R) .. 20 Fee for service (FFS) .. 20 Full service (FS) .. 20 Benchmarks .. 20 1 Scheduling of appointments .. 20 Loading of session notes .. 21 8 How does the referral process work? .. 22 How employees access the service .. 22 How affiliates receive the referral .. 24 Event importance .. 25 Statement of understanding (SOU) (see Annexure B) .. 26 Session notes .. 26 Benchmarks .. 26 2 Session utilisation and session requests .. 27 3 Session notes .. 27 9 Quality management .. 34 First, Intermidiate, and last session review .. 34 Sessions review .. 34 Red flags .. 34 Formal or mandatory referrals .. 35 Complaints .. 35 10 iCare .. 36 What is iCare ? .. 36 How do I use iCare ?

3 37 Viewing event details .. 40 How to load session notes .. 42 Adding a note to a file .. 53 How do I claim on iCare ? .. 56 Ad hoc events .. 56 Claiming for closed files .. 59 Additional claiming information .. 64 Other features on iCare .. 65 Service provision .. 65 My profile .. 65 2010 The Careways Group (Pty) Ltd iii Documents .. 65 Frequently asked questions (FAQs) .. 65 Problems with iCare .. 66 12 Protocols .. 68 Referring clients outside the EWP .. 68 Self-referrals .. 68 Children in the EWP .. 68 Child physical + sexual abuse in children .. 69 Couples .. 69 Forensic or legal cases .. 70 Non-attendance at EWP sessions .. 70 Objectives .. 71 Policy .. 71 The process .. 74 Record keeping .. 74 On-site clinics .. 75 Home visits .. 75 Substance abuse .. 75 Use of a receptionist and/or a voice-mail system .. 76 Leave and locums .. 76 Travelling .. 77 Red flags.

4 77 Critical incident stress management (CISM) .. 78 Critical incident education .. 78 On-scene support services .. 78 Defusing .. 79 Demobilisation .. 79 Critical incident stress debriefings .. 80 Individual consultation .. 80 Follow-up debriefing .. 80 Post-trauma counselling .. 80 Critical incident stress debriefing (CISD) .. 81 What is a critical incident ? .. 81 How does critical incident stress debriefing differ from crisis intervention? .. 81 What clinical approaches are used to treat traumatic stress? .. 82 2010 The Careways Group (Pty) Ltd iv CISD preparation .. 83 Who should attend a CISD? .. 83 CISD steps .. 84 Debriefing the affiliate .. 90 Domestic violence .. 91 Psychometric assessments .. 91 Annexures .. 93 Annexure A .. 93 Consent to release information .. 93 Annexure B .. 95 Statement of understanding .. 95 Annexure C .. 97 First emotional session notes .. 97 Annexure D.

5 105 Intermediary session notes .. 105 Annexure E .. 110 Event closure .. 110 Annexure F .. 113 First session review .. 113 Annexure G .. 115 Case closure review .. 115 Annexure H .. 117 Referral document .. 117 Annexure I .. 120 Practical guide to feeling better (CISD handout to employees) .. 120 Annexure J .. 123 How to help your employees (CISD handout for managers) .. 123 Annexure K .. 125 Critical incident stress information sheet (CISD handout for managers and employees) .. 125 Annexure L .. 128 Post-trauma do s and don ts (CISD handout for employers and managers) .. 128 Annexure M .. 130 CISD session notes .. 130 Annexure N .. 133 Attendance register .. 133 2010 The Careways Group (Pty) Ltd v 2010 Careways (Pty) Ltd 1 List of abbreviations A&R assessment and referral Aids acquired immune deficiency syndrome B-Psych Bachelor of Psychology degree with honours CAT Children's Apperception Test DSM IV Diagnostic and Statistical Manual of Mental Disorders, 4th edition EAP employee assistance programme Etc.

6 Et cetera EWP employee wellness programme CBT cognitive behaviour therapy CIS critical incident stress CISD critical incident stress debriefing CISM critical incident stress management CNA could not attend DAP draw-a-person test DNA did not arrive for example FAQ frequently asked question FFS fee for service FS full service GP general Practitioner HIV human immunodeficiency virus HR human resources ICD-10 International Statistical Classification of Diseases and Related Health Problems, 10th revision ID identification that is IQ intelligence quotient KFD kinetic family drawing Late cancels late cancellations MFRC Micro Finance Regulatory Council Millon Millon Adolescent Clinical Inventory MMPI Minnesota Multiphasic Personality Inventory MSE mental status examination 2010 Careways (Pty) Ltd 2 N/A not applicable p. page PF Personality Factor Questionnaire PTSD post-traumatic stress disorder RFC reason for call SSAIS Senior South African Individual Scale SFT solution-focused therapy SLA service level agreement SMS short message system SOU statement of understanding TAT Thematic Apperception Test VCT voluntary counselling and testing WAIS Wechsler Adult Intelligence Scale 2010 Careways (Pty) Ltd 3 1 Welcome The Careways Group (hereinafter called Careways ) welcomes you as the EWP Practitioner (hereinafter called Practitioner ) to our dynamic family.

7 We believe that our working relationship will be prosperous and fruitful. Please note that all information contained on this Orientation CD is copyright protected by Careways. In the contract you signed with Careways, you agreed to protect the intellectual property and not use, reproduce, distribute or sell any of the contents of this CD for your personal use or for any other purpose than to render services on behalf of Careways. Careways can take legal action against you should you breach the copyright laws. 2010 Careways (Pty) Ltd 4 2 The Careways Group To begin this Orientation it is best to start with the company itself. To understand the company is to know what you, as a Practitioner , are part of and where you fit in. What is Careways? Careways is a company that delivers tailor-made, integrated solutions designed to promote the emotional and physical wellbeing of corporate workforces. We are South Africa s leading provider of psycho-social and on-site healthcare services.

8 Careways is a comprehensive and integrated solution provider. The Company has the ability to provide a one-stop solution addressing psycho-social, lifestyle and medical aspects. Careways s solution is a customised and personalised service. No one client will receive the same off-the-shelf solution. All components of care are available through all the channels, namely telecare (Service Centre, and electronic-based care), in-person and group sessions. What are the aims of the company? Careways s vision is to be the provider of choice of wellness support solutions in southern Africa and to be acknowledged for the relevance of its technology and expertise on a worldwide basis. The mission of Careways is to provide integrated and comprehensive wellbeing solutions to target populations within organisations, thereby: Contributing to the business effectiveness of these organisations Improving the quality of work and life of the people working for them.

9 The values of Careways are aimed at optimising work and life through: Diversity (relevance, empowerment) Excellence (professional, learning and evidence based) Logic (experience, business model and implementation) Magic (innovative, dynamic, integrity, zest and care). 2010 Careways (Pty) Ltd 5 2010 Careways (Pty) Ltd 6 3 What services does Careways render? Careways has several service options for the clients to consider: Executive health consultations Sustained high performance is perhaps the largest challenge executives have to face and dealing with personal health and related matters on behalf of the company is a crucial component of their success. Careways has designed a comprehensive wellbeing solution to address the physical, emotional and lifestyle management needs of the executive. The outcome of these services is to: Identify risk associated with the physical, emotional and lifestyle functioning of these key individuals Provide suitable resources to manage the identified risk as well as facilitate strategies to improve the wellbeing of these executives Facilitate the executive s decision making about health issues in the workplace.

10 Insurance medicals Careways provides a risk screening service to a number of insurers. Careways Service Centre is contacted to coordinate the visits of nurse practitioners to the workplace or at home. These short medicals are done for either insurance purposes or to support decision making regarding the management of the quality and cost of care. Health days Mass screenings are provided at the workplace: To establish the health profile of the workforce to plan and manage future wellbeing initiatives To create awareness of the importance of a healthy lifestyle These know-your-status campaigns can include measurements of blood pressure, diabetes, cholesterol, stress, body type, lifestyle practices and VCTs. 2010 Careways (Pty) Ltd 7 Voluntary counselling and testing (VCT) Careways does VCT testing at companies so as to: Identify people who are HIV-negative in order to reinforce change in risk behaviour, thereby reducing the risk of contracting HIV Identify those that are HIV-positive also to modify risk behaviour and thereby reducing transmission of HIV Provide access to preventative treatment Identify HIV-positive employees for the purpose of providing them with the option of early access to medical care and ongoing emotional and social support.