2011 State Agency Wellness Conference:
Inspiring Positive Change
Do You Spell That
Gray or Grey
Planning Wellness Initiatives for the Next Decade
Presented By:
Tom Maschhoff, MA, LMHC
Executive Director, UTEAP
My Background & Disclosures
Mental Health Experience
 Entrepreneur
 My Epiphany & Start in
Employee Assistance Programs
 My “Crystal Ball” Experience
is Limited---My “Rear View
Mirror” much more accurate.
 Who Knows For Sure What
The Future Holds?
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The Goals for Today
 Goal
One: Stimulate thinking about Wellness in a Different
Way…..Needs Based Not Just Health Based
 Goal Two: Provide Information and Statistics You Can Use
in Planning Your Wellness Initiatives:
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To Increase Your Awareness of How The Workplace is Changing—
And the Role Wellness Should Play!
Shrinking Employee Pool
Employee Retention—Cost to Replace
Influence of Boomers
Influence of Millennial’s -Children of Boomers, Gen X, Y, Z.
 Goal Three: To Look To The Future
 Raise Questions in Your Mind – How will Your Wellness Program
Respond to the Changes we discuss today?
Do You Spell That
Gray Or Grey
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Grey:
 having hair that has become grey or white, usually
because of age --He is greying now but still elegant.
 describes the weather when there are a lot of clouds and
little light
 the color that is a mixture of black and white, the color of
rain clouds
Gray:
 dull in color, having the hair gray
 lacking cheer or brightness in mood, outlook, style, or
flavor
 having an intermediate and often vaguely defined position,
condition, or character
US Spelling is Gray
British Spelling is Grey
Definitions from the Online Cambridge Advanced Learner's Dictionary
How The Workplace Has Changed
Just A Few Of The Events
A Century Ago---
Average life expectancy was 47 years—No One Talked About
Wellness—just staying alive was the goal.
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There were only 8,000 cars and 144 miles of paved roads in
the United States
8% of Homes had Electricity, Average Wage was $.22 per
hour and 95% of all births took place at home.
90% of doctors had no college education and only 6% of
Americans graduated from high school
The population of Las Vegas was 30. There were 230
reported Murders in the Entire United States.
Leading causes of Death were Pneumonia, Tuberculosis,
Diarrhea, Heart Disease and Stroke--only a couple of these are
current wellness topics….
How The Workplace Has Changed
Just A Few Of The Events
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1929 The Birth of The Blues—Blue Cross established by a
Group of Teachers in Dallas
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http://www.lieberson.com/en/medical_history_and_ethics/history/history_of_health_insuran
ce.htm
June 1934 Social Security Act Signed by FDR
1958 AARP Established Offering Group Health Insurance
1964 The Civil Rights Act Passed
1965 Medicare and Medicaid Programs Established
1967 Age Discrimination in Employment Act Passed
1981 Microsoft Incorporates—1984 Macintosh Introduces “Mac”
1988 Drug Free Workplace Act Passed--- Substance Abuse
Testing Started and EAP’s became popular.
How The Workplace Has Changed
 1990
American with Disabilities Act Passed
 In the late1990’s Emotional and Behavioral Issues were
recognized as increasing problems at work—Health
Benefits were improved
 1998 Supreme Court Decision—Employers were Liable
for Harassment & How Damages Were Awarded--150%
increase in Complaints in 1999 over 1998 –previous only
lost time compensated
 2005, Homicide becomes the third leading cause of
death at work
 January 2008 The First Boomer Left the Workplace
Labor Day United States 2010
The first Labor Day Holiday was celebrated on
Tuesday, September 5, 1882
Who’s Who in Today’s Workplace
THE GENERATIONS
 Schwarzkopf Generation -- Those Born Before 1946
11.5 Million
 Baby Boomers -- Those Born Between 1946 and 1964
61.5 Million
 Generation X -- Those Born Between 1965 and 1977
43.5 Million
 Generation Y-- Those Born Between 1978 and 1990
31.5 Million
 Generation Z Those --Born Between 1990 and Now
 Millennial's -- The children of Boomers – Bridge Gen X &
Y as well
THE WORKPLACE HAS ALSO
CHANGED IN DEMOGRAPHICS?
60% increase in Total Population in the next 50 years.
If You Are Going To Live Longer
Keeping Your Mind Alert Is Important!
You Have 30 Seconds
A View Of The
Workplace And
The Cost To Your
Organization!
How Healthy Is The Workplace
And The Cost To Your Organization
 Between
20 & 25% of any workplace meets the
clinical diagnostic criteria for depression. An
Additional 12% suffer with Anxiety ($$$Direct Influence on
Health Benefit Costs & Operating Expense)
 Eleven
percent of employees suffer with a phobia
(social mostly) and 4% are Agoraphobic.
 Mental Health Concerns are responsible for 30% of
absenteeism and over 40% of all industrial accidents.
($$$Direct Influence on Health Benefit Costs & Operating Expense)
 Sixty
percent of Primary Care Physician visits are by
people with NO PHYSICAL PROBLEM-Think about
the health benefit cost savings! ($$$Direct Influence on Health
Benefit Costs & Operating Expense)
A View Of The Workplace
And The Cost To Your Organization
 At
Least 12% of male and 10% of female employees
have a serious problem with alcohol. ($$$Direct Influence on
Health Benefit Costs & Operating Expense)
 48%
of drug abusers in treatment report stealing or
embezzling from their employer to support their habit.
($$$Direct Influence on Health Benefit Costs & Operating Expense)
 For
every dollar invested in securities and savings
Americans spend two dollars in legal gambling. (Result is
Theft & Increase Absenteeism)
 Family
Issues: 60% of marriages end in divorce.
 36% of Freshmen students entering our nation’s High
Schools fail to graduate as Seniors. (Up over 8% in the past
decade---How Could Wellness Programs help?
A View Of The Workplace
And The Cost To Your Organization
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Fifty percent of employees have a sleep problem three or more
times per week. ($$$Direct Influence on Health Benefit Costs & Operating
Expense)
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The average employee receives less that 15 minutes of direct
sunlight every day.
According to the National Institute For Mental Health, Mental
Illness is the leading reason for hospital admissions (21% of
hospital beds). ($$$Direct Influence on Health Benefit Costs & Operating
Expense) Why Is Your Wellness Program Not Addressing This?
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For most Organizations Anti Depressants are the top three to
five medications prescribed to their employees. Anti Psychotic
Medications are Increasing Rapidly. ($$$Direct Influence on Health
Benefit Costs & Operating Expense)
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One out of every 200 employees files for bankruptcy each year.
Over half the people who take a lunch break don’t actually eat
anything.
Bottom Line
On any given day,
approximately one
in three employees arrives
at work happy, well
balanced, rested and
Has Your Wellness Program
healthy.
Considered
What about the other two?
 Medication Use Research
And Where Do They Work?  Depression Support
And What Should Your
 Sleep Problem Education
Wellness Program Be
 Budget/Financial Planning
Doing
 Physician Visit Planning
 Parenting Support
What Does It Cost
To Replace An Employee?
 In
Dollars:
 Department
of Labor Estimates it will cost $20,000 to
replace an organizations most entry level employee. $35$50,000 for a manager.
 Other Estimates are three times salary.
 Sometimes far more if it is a unique or skilled position
 In
Time
 One
to Six Months to locate
 3-6 Months to Maximum Production
 Unfortunately, over 30% of new hires are gone in 12
months
So, What Does The Future Hold For Your
Employees and Organization?
And Where Should You Direct Your Energy
New Concern Number One
Workplace Violence
The Incidence of Workplace Violence has increased over
200% in the past decade. This trend is expected to
escalate in the next decade.
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Rage seems to be common today.
The Leading cause of Death For Women At Work?________
There were over 2 million reported assaults at work last year.
There were over 2000 homicides at work last year. Less
than 500 in 1995.
Violent Behavior is not a natural Condition or Response. So
Why the Increase in Violence?
New Concern Number 2
Gambling & Compulsive Spending
Quiz Time:
How Much Money Was spent Gambling
In Casino’s in the United States last year?
A)
B)
C)
D)
$10 Billion
$30 Billion
$60 Billion
$90 Billion?
How Much is that per every American Over 18 ?
___$50 ___$75 ___ $100 ___ $200 ___$250
Last year the total for internet gambling was?
___$ 48 Billion ___$98Billion ___$58 Billion ___$68 Billion
New Concern Number 3
Harassment
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In 1998, the Supreme Court ruled that a
company can be held liable for harassment
even if they did not know the harassment was
taking place.
Every State Agency has Harassment
Prevention Training Yet---Most Supervisors cannot name the eight
types of harassment recognized by the
courts.
Employers are Required to provide Safe
Work environment--EDUCATION
QUIZ TIME AGAIN
At what dollar amount of requested damages will most
Insurance Companies negotiate a settlement rather
than go to court?
___$1 Million ___$500K ___ $350K ___ $100K
New Concern Number 4
The Depressed Workplace
Source: www.Medscape.com Jain Rakesh
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DEPRESSION AND THE WORKPLACE
The frequency of Depression in the workplace has increased 12% in the last
decade alone.
60% of people suffering from depression do not seek treatment.
Depression is the fourth major cause of disability.
65% of those seeking treatment seek care from their primary care physician
and only about half of those are diagnosed accurately. Inadequate doses of
prescriptions.
Only one in ten patients actually gets appropriate treatment.
Only one-third of those diagnosed with depression are treated into
remission. In any other medical specialty, a one-third remission rate would
not be acceptable, AND Depression would be considered an epidemic.
So Why are Wellness Programs Not Doing More About
Depression?
New Concern Number 5
Gray or Grey--So--What’s The Problem?
 7,918---
Number of people
Turning 60 each day in since
2008—That’s 330 every hour.
 The leading states for people
over age 65 are Florida, W. Virginia, Arkansas, and
Arizona—Utah and Texas have the fewest
 The 78.2 million “Baby Boomers” are a politically
powerful group and active.
 Boomers typically hold the Knowledge Jobs, have
$$$ & they have been in Leadership for some time!
www.census.gov/ipc/
The Boomers—Politics
Money, Time & The Internet
Gray or Grey---And There Is More
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MORE Boomers They Are Healthy & Living Longer--57.8
million--baby boomers will be living in 2030. www.census.gov/ipc/
2.1--The number of workers for each Social Security beneficiary
in 2031---when all baby boomers will be over age 65.
Today there are 3.3 workers for each Social Security
beneficiary. www.ssa.gov/pressoffice
The Future Health Care Expense---Average Annual Expenditures On Health
Care
1998 Income $24,095 Health Care Expense $2,812
2008 Income $39,683 Health Care Expense $4,658
Bureau of Labor Statistics www.bls.gov/cex/
How Will The Boomer Exit From The Workplace
Effect Your Workplace?
There are 78 Million Boomers who will Retire in
the next 15 years.
There are 40 Million Americans available to Replace
these workers.
78,000,000 Boomers
- 40,000,000 Replacement Workers
38,000,000 Loss in Avail. Employees
Suddenly, You Ask Yourself
‘Who Will Do The Work?’ You Will!
Physician Shortage
Are You Worried Yet?
 One-Third
of the nations
750,000 physicians will retire in the
next 10 years. All are over 55 now.*
 Medical Tourism - 500,000 people went
abroad for treatment last year. (www.medjourney.com)
 Most popular countries are India, Thailand, South Africa
and Costa Rica.
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Prostate Surgery
Hip Replacement
Open Heart Bypass
Here
$40,000
$50,000
$80,000
There
$5,000
$9,000
$10,000
*News Tribune 6/4/10
“I keep trying to retire from
everything and I discover
I’ve retired from absolutely
nothing.” Paul Newman, Age 82
New Concerns
Aging Employees
The Challenge to MANAGE
an Aging Workplace
The Challenge to REPLACE
an Aging Workplace
Remember in the next 15 years,
78 Million Americans will leave
the workplace—Only 40 Million
Workers to Replace them.
38 MILLION LESS WORKERS
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How will employers get the
product out the door?
SOLUTION: Employers MUST
 Rely on Immigration
 Go Offshore
 Retain Older Workers
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New Problems
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Age Discrimination Litigation
Generational Conflict
Elder Care Responsibilities—
New Twist on Sandwich
Generation
New Terms to Learn:
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Working But Retired
Light Duty Career Path
Intergenerational Partnering
Phased Retirement
Casual Employee
Quiz Time Again
Lets See What You Know About
The Boomers
www.lionsclubs.org/boomers/index.php
A Parrot Head is:
___The mountain located next to
Diamond Head on Oahu?
___Someone in the 60’s who scored
low on their College Entrance Exam.
___A Jimmy Buffett Fan.
Preventing Retirement
What Works
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“It’s like a ballgame. Some companies are at the bottom of the first, some are in
the second. But some don’t even know there’s a game going on: They haven’t
bought a ticket.” Jeri Sedlar, Author-”Don’t Rehire, Re Wire”
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“Some organizations aren’t going to be successful in offering phased retirement if
their Health Benefit Plan Design ADVERSELY AFFECTS those nearing retirement”
Deborah Russell Workforce Issues.
PERCENT OF COMPANIES OFFERING FLEXIBLE WORKPLACE OFFERINGS
Phased Retirement 32%
Flextime 82%
Part-Time Schedules 84%
Compressed Workweek 52%
Job Sharing 36%
Telecommuting 62%
Other Options
 Just Quit
 Part-time—No Benefits-- Not a option for most Boomers
 Retire / Wait / Return as Contractor
How Will Your Wellness Program Support
Employees Caring For An Elder Parent
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“Each caregiver for the older
adult costs his or her employer
an average $3,142 per year in
absences, work interruptions,
added supervisor workload and
replacement costs for those
who quit”. MetLife Study, 2008
“40% of caregivers are men.”
AARP Bulletin 6/07
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QUIZ TIME: TODAY, What percent of
the workplace provides 8 or more
hours of care to a dependent adult
each week?
15% 20% 30% 50%
What Should Your Wellness Committee Be
Doing To Prepare For The Future?
 Look
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at Current Workforce Demographics
Male / Female
Age Range – How many over 50 under 30?
State, County & City workplaces often have a higher percentage of over 50
employees.
 Review
Medical Plan Utilization & Plan Wellness
Programs to Respond to Your Workplace Needs
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Review Most Frequent Procedures
Review Medication Use
What are their most common problems & medications—Adjust accordingly
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Maintain a Healthy Workplace – Gym Membership, Exercise Programs
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 Talk
With HR & Benefits: Wellness Programs
SHOULD be a part of Benefits Planning?
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Better LTC Insurance Options?
Health Benefits directed toward older employees?
Hearing Benefit?
What Should Your Wellness Committee
Be Doing To Prepare For The Future?
 Review
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The Mental Health Benefit
What Is Your Out Patient Benefit?
Partner with Benefits & Your EAP in Planning for needed coverage
EAP’s Extend the Outpatient Benefit by 3 or 6 visits
 Medication
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Review
What are the people taking ???
You Should Know Your Organization’s Top 5 Drugs
How Long Are Employees Staying On--30 Days?
Plan Education around proper use of medication
 Aggressively
Control & Manage Your
Organizations Risk Behaviors
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Violence Control Plan – Behavioral Intervention Team
Implement a Strong Drug Free Workplace Plan
Help in Training Supervisors to approach Aggressive Explosive Behavior
Support Victims of Domestic Violence---This truly is a Wellness Concern
What Should Your Wellness Committee
Be Doing To Prepare For The Future?
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Recognize ANY workforce is representative of the general
population AND the problems we have discussed today!
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Recognize That Your Organization Needs To Make Changes NOW to
Prepare for the Future
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Strategic Planning Group
Review Work Responsibilities & Roles
Consider Wellness Programs for
Part Time/Shared Positions
Prepare for the Loss of Leadership?
How Can Your Wellness Program Work
to Retain Talent
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Seasoned Managers Want Out!
Too Much Stress, Too Much Anger, Too Much Work
Too Much Drama, Too Much Office Meltdown
Loss of Those with History & Knowledge
What Should Your Wellness Committee
Be Doing To Prepare For The Future?
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Violence Will Continue To Increase
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ADA Concerns Will Increase
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An Emergency Plan should be in Place for violent customers and violent
employees
Is Your Wellness Committee also on your Safety Committee?
Accommodations for hearing and vision, dexterity and other physical
ailments
Educate and Raise Awareness of Addiction & Self
Medication
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Drugs & Alcohol—Prescription Abuse
Internet Addiction, Gambling, Pornography—All are Increasing at work.
What Should Your Wellness Committee
Be Doing To Prepare For The Future?
 Make
Plans To Adjust to the Aging Workplace--Retention, Retention, Retention
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Direct Wellness Planning Topics to Target Employee Groups
Work with HR in Planning for Position Sharing—Intergenerational
Partnering---and changing workplace demographics
Be creative in Wellness Planning
 Recognize
Younger Workers will
Require Workplace Changes
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Younger Employees Are Looking At Healthy Lifestyles
Different concept of work and different concept of health
Compassion Fatigue--Medical Professionals, Non Profits, Assisted Living
etc. (This is a new condition and growing fast! Less Staff More Work /
More Work Same Hours
Your Wellness Committee Should Partner with
Your EAP Coordinator in Planning
 Encourage
‘Joint Ventures’ with Your EAP!
 EAP’s Offer Solutions to the Problems Ahead
 Select an EAP that meets the needs of Multi
Generational Workplace
 That
means Special Services for Tech Savvy
Employees & Traditional Approaches--- interactive
Online services including Online Appointment
Scheduling, Webinars, Texting and Training
 That means special EAP services for Boomers--Elder
Care, Transition Services, Medicare Assistance, TAX
Preparation Support, Work Life Services
Review Your Current EAP Services
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Easy Access--Language Line & Online Assessment & Consultation,
24/7 Licensed Counselors Available, Enhanced Trauma Services
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Promotional Materials & Web site in Multiple Languages
Three or Six Visit Models
ENHANCED Work Life Services:
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Elder Care & Child Care Consultation
Legal & Financial Consultation
ID Theft Prevention
Concierge Services
Homework Helpline
Is There A Wellness Component to Your EAP?
Onsite/Online Program Promotion Training
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New Employee Orientation—Hard Copy / Electronic Reminders
Select and EAP with Expanded Services
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Strong Web Based Service
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Risk Reduction Education Online and Onsite
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Forms, Links to Gov. Resources, Training: How to Interview, Things to
Consider in RIF Situations etc
Supervisor Support Tools
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Harassment Prevention, Diversity, Violence Prevention, Conflict
Resolution, DOT & DFW Training for CDL
Human Resource Support Tools
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Appointments & Counseling--Online, Screening Tools
Basic Supervision, EAP Supervisor Training, Documentation, How to
Make a Mandatory Referral
INTENSE Mandatory Referral Support
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Online Referral Forms + Supervisor Manual
In Summary A Few Thoughts
“The Beginning of Change is the Beginning of Change”
Wellness Service Delivery Needs to Change to Meet the New Needs of the
Workplace. Making Those Changes Will Not be Easy.
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“Every organization has a natural immune system that kills new ideas.”
Unknown
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“When everything gets really complicated and you feel overwhelmed, think
about it this way: You gotta do three things. First, get the cow out of the
ditch. Second, find out how the cow got into the ditch. Third, make sure you
do whatever it takes so the cow doesn’t go into the ditch again.” Anne
Mulcahy, CEO Xerox
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“Everyone is born with at least one gift. Your only work in life is to learn
about it, take care of it and practice it for the benefit of others.” Salish Indian
Belief
Conclusion
Thank You
Questions?