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A NEED ANALYSIS FOR AN EMPLOYEE ASSISTANCE PROGRAM by VICTORIA JOYCE MAELI DISSERTATION submitted in partial fulfilment of the requirements for the degree MAGISTER ARTIUM IN SOCIALIS SCIENTIAE in THE FACULTY OF ARTS AT THE RAND AFRIKAANS UNIVERSITY STUDY LEADER: DR A.C. FAUL OCTOBER 1999

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Page 1: A need analysis for an employee assistance program · The Employee Assistance Program (EAP) can be defined as a program sponsored by both management and labour, specifically designed

A NEED ANALYSIS FOR AN EMPLOYEE

ASSISTANCE PROGRAM

by

VICTORIA JOYCE MAELI

DISSERTATION

submitted in partial fulfilment of the requirements for the degree

MAGISTER ARTIUM IN SOCIALIS SCIENTIAE

in

THE FACULTY OF ARTS

AT THE

RAND AFRIKAANS UNIVERSITY

STUDY LEADER: DR A.C. FAUL

OCTOBER 1999

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ACKNOWLEDGEMENTS

It is with the greatest pleasure to express my appreciation of the contribution that the

following people have made to this research study:

Dr Annatjie Faul, for the patience, stimulating and positive guidance through the

entire course of this study.

Dr Christa Fouche, for motivating me to undertake the study.

• The respondents who participated in this study. They took time to complete the

questionnaires and returned them on time. The head, Human Resource

Corporate Services for allowing me to undertake the study.

The Alberton Town Council, for the opportunity and privilege to do this study as

well as the financial support provided.

My children, family, friends and colleagues for the tremendous emotional support

and belief in me.

My beloved late husband for always encouraging me that "nothing is

unachievable".

Last, but not least, to the Almighty God, without whom` nothing of lasting

significance can be achieved.

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TABLE OF CONTENTS

LIST OF TABLES viii

LIST OF FIGURES ix

LIST OF APPENDIXES

ABSTRACT xi

CHAPTER 1: ORIENTATION TO THE STUDY

1.1 INTRODUCTION

1.2 __.._MOTIVATION FOR,THE swDy_ 3

1.3 RESEARCH AIM AND OBJECTIVES 5

1.3.1 THE UNIT OF ANALYSIS 5

1.3.2 GOALS AND OBJECTIVES OF THIS STUDY 6

1.4 RESEARCH METHODOLOGY 8

1.5 LIMITATION OF THE STUDY 8

1.6. DEFINITION OF CONCEPTS 9

1.6.1 EMPLOYEE 9

1.6.2 10CAL GOVERNMENT 10

1.6.3 SOCIAL FUNCTIONING 10

1.7 OVERVIEW OF THE STUDY 10

CHAPTER 2: LITERATURE REVIEW 13

2.1 INTRODUCTION 13

2.2 HUMAN RESOURCE MANAGEMENT 14

2.2.1 PRINCIPLES OF HUMAN RESOURCE APPROACH 14

2.2.2 FUNCTIONS OF HUMAN RESOURCE 15

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2.3 OCCUPATIONAL SOCIAL WORK 16

2.3.1 DEFINITION AND SCOPE OF OCCUPATIONAL SOCIAL

WORK 17

2.3.2 OCCUPATIONAL SOCIAL WORK VERSUS CLINICAL

SOCIAL WORK 19

2.3.3 ROLES OF OCCUPATIONAL SOCIAL WORK 20

2.3.3.1 Counsellor 21

2.3.3.2 Enabler/Facilitator 21

2.3.3.3 Broker 22

2.3.3.4 Advocate 22

273.3.5 Organizer 22

2.3.3.6 Constructive confrontation 22

2.4 EMPLOYEE ASSISTANCE PROGRAMS 23

2.4.1 THE HISTORY AND EVALUATION OF EMPLOYEE

ASSISTANCE PROGRAM 23

2.4.2 STRUCTURE AND DESIGN OF EMPLOYEE ASSISTANCE

PROGRAMS 25

2.4.2.1 Program models of Employee Assistance

Program 25

2.4.2.2 Principles of the Employee Assistance

Program 29

2.4.2.3 The Basis Elements of an Employee Assistance

Program 30

2.4.3 THE STRUCTURE AND DESIGN OF EAP'S 31

2.4.3.1 Administrative Functions 31

2.4.3.2 Education and Training 31

2.4.3.3 Policy and Procedures 31

2.4.3.4 Resources 31

2.4.3.5 Evaluation 31

iii

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2.4.4 POLICY AND PROCEDURES OF EAP'S 32

2.4.4.1 Policy statement 32

2.4.4.2 Purpose 32

2.4.4.3 The importance of the policy 33

2.4.4.4 Confidentiality 34

2.4.4.5 Procedure for referrals 35

2.4.5 ADMINISTRATIVE FUNCTIONS OF EAP'S 36

2.4.5.1 Organizational position of the Employee

Assistance Program 36

2.4.5.2 Phisibil Ideation of the EAP ..... . . . . . .- 36 -

2.4.5.3 Record keeping system 37

2.4.5.4 EAP's versus Medical Disability Benefit Plans 37

2.4.5.5 Malpractice/Liability insurance 37

2.4.5.6 Qualifications for EAP staff 37

2.4.6 EDUCATION AND TRAINING FOR EAP'S 38

2.4.6.1 Marketing the EAP concept to employees and

families 38

2.4.6.2 Marketing the EAP concept to management

and unions 38

2.4.6.3 Employee education 39

2.4.6.4 Supervisory training 40

2.4.7 RESOURCES 40

2.4.8 EVALUATION 41

2.4.9 ROLES OF THE EAP COORDINATOR 41

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2.4.10 EMPLOYEE PROBLEMS ADDRESSED BY

EMPLOYEE ASSISTANCE PROGRAMS 42

2.4.10.1 Interpersonal conflict 42

2.4.10.2 Dissatisfaction in Social Relations 42

2.4.10.3 Problems with Formal Organizations 43

2.4.10.4 Difficulty in Role Performance 43

2.4.10.5 Decision Problems 43

2.4.10.6 Reactive Emotional Distress 43

2.4.10.7 Inadequate Resources 43

2.4.10.8 Psychological or Behavioural Problems 43

2.4.11 BENEFITS OF EMPLOYEE ASSISTANCE

PROGRAMS 44

2.4.11.1 Benefits to the Employer 44

2.4.11.2 Employee Benefits 47

2.5 PREVIOUS RESEARCH ON EMPLOYEE NEEDS WITH REGARD

TO AN EAP 47

2.6 CONCLUSION 48

CHAPTER 3: THE RESEARCH METHODOLOGY 49

3.1 INTRODUCTION 49

3.2 RESEARCH GOALS AND OBJECTIVES 50

3.3 RESEARCH APPROACH 50

3.4 RESEARCH DESIGN 52

3.5 DATA COLLECTING METHODS 54

3.6 MEASURING INSTRUMENTS 55

3.6.1 THE MULTI-PROBLEM SCREENING INVENTORY 55

3.6.1.1 Introduction 55

3.6.1.2 Description of the scale 55

3.6.1.3 Reliability and validity of the MPSI 56

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3.6.2 THE INDEX OF JOB SATISFACTION (IJS) 57

3.6.3 THE EMPLOYEE ASSISTANCE PROGRAM NEEDS

ASSESSMENT QUESTIONNAIRE 58

3.7 SAMPLING 59

3.8 DATA ANALYSIS 60

3.9 CONCLUSION 60

61

4.1 INTRODUCTION 61

4.2 DESCRIPTION OF THE SAMPLE 61

4.2.1. AGE OF RESPONDENTS 62

4.2.2 HOME LANGUAGE OF RESPONDENTS 63

4.2.3 GENDER OF RESPONDENTS 63

4.2.4 MARITAL STATUS OF RESPONDENTS 64

4.2.5 IIUMBER OF CHILDREN 65

4.2.6 HIGHEST ACADEMIC QUALIFICATION 66

4.2.7 LEVEL OF EMPLOYMENT 67

4.3 THE EMPLOYEE ASSISTANCE PROGRAM NEEDS

ASSESSMENT QUESTIONNAIRE 68

4.3.1 HOURS OF OVERTIME WORKED BY RESPONDENTS . 68

4.3.2 DISTRIBUTION OF HOURS WORKED 68

4.3.3 YEARS OF WORK WITH ALBERTON TOWN_ COUNCIL . 69

4.3.4 IMPACT ON PERSONAL PROBLEM :i AT WORK 70

4.3.5 AMOUNT OF SICK LEAVE TAKEN BY RESPONDENTS IN

THE LAST SIX MONTHS 71

4.3.6 REASONS FOR RESPONDENTS FOR LEAVING PRESENT

JOB 72

CHAPTER 4: DATA ANALYSIS AND INTERPRETATION

v i

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4.3.7 DESIRE TO DISCUSS PERSONAL PROBLEMS WITH A

PROFESSIONAL THERAPIST 73

4.3.8 WORK-RELATED PROBLEMS EXPERIENCED BY

RESPONDENTS 74

4.3.9 PREVIOUS CONSULTATION WITH PROFESSIONAL

THERAPIST 74

4.3.10 PERSONAL PROBLEMS EXPERIENCED 75

4.3.11 PREFERRED MODELS OF EMPLOYEE

ASSISTANCE 76

4.4 THEIVIUtii-PROBLEM SCREENING INVENTORY - 78

4.5 INDEX OF JOB SATISFACTION 80

4.6 CONCLUSION 80

CHAPTER 5: RECOMMENDATIONS AND CONCLUSIONS 81

5.1 INTRODUCTION 81

5.2 SOCIAL FUNCTIONING OF THE RESPONDENTS 81

5.3 LEVEL OF JOB SATISFACTION 83

5.4 GUIDELINES FOR THE DEVELOPMENT OF AN EMPLOYEE

ASSISTANCE PROGRAM 84

5.4.1 STRUCTURE OF THE EMPLOYEE ASSISTANCE

PROGRAM 84

5.4.2 CONTENT OF THE EMPLOYEE ASSISTANCE PROGRAM 86

5.4.3 CRITERIA FOR EVALUATION OF THE EAP 88

5.4 CONCLUSION 89

BIBLIOGRAPHY 90

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LIST OF TABLES

Table 4.1: Age 62

Table 4.2: Marital status of respondents 64

Table 4.3: Number of children 65

Table 4.4: Highest academic qualification 66

Table 4.5: Level of employment 67

Table 4.6: Hours of overtime worked by respondents 68

Table 4.7: Distribution of hours worked 68

Table 4.8: Years of work with Albertan Town Council 69

Table 4.9: Impact of personal problems at work 70

Table 4.10: Amount of sick leave taken by respondents in the last six months . 71

Table 4.11: Reasons for respondents to leave present job 72

Table 4.12: Desire to discuss personal problems with a professional therapist . 73

Table 4.13: Work related problems experienced by respondents 74

Table 4.14: Previous consultation with a professional therapist 74

Table 4.15: Personal problems experience 75

Table 4.16: Preferred models for implementing and employee assistance program 76

Table 4.17: The MPSI subscale scores 78

Table 4.18: Index of Job Satisfaction scores 80

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LIST OF FIGURES

Figure 1: Age 62

Figure 2: Home language 63

Figure 3: Gender 63

Figure 4: Marital status 64

Figure 5: Number of children 65

Figure 6: Highest academic qualification of respondents 66

Figure 7: Level of employment 67

Figure 8: Years of work with Alberton Town Council . . . . ... _ _69_

Figure 9: Amount of sick leave taken by respondents in the last six months 71

Figure 10: Reasons for respondents to leave present job 72

Figure 11: Categories of personal problems as reported by respondents 75

Figure 12: The MPSI subscale scores 79

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LIST OF APPENDIXES

Appendix 1: The Employee Assistance Program Needs Assessment Questionnaire

Appendix 2: The Index of Job Satisfaction (IJS)

Appendix 3: Multi-Problem Screening Inventory (MPSI)

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ABSTRACT

The Employee Assistance Program (EAP) can be defined as a program sponsored by

both management and labour, specifically designed to identify and assist employees as

well as their families experiencing various difficulties that impair personal and

occupational functioning.

The Alberton Town Council as a progressive and transparent local authority has

considered the welfare of its employees by identifying the need for such a program.

Beforeihe_p_rogram can be_designed, it is imperative to conduct a needs assessment

so as to determine the specific needs of employees.

The aim of this study is, therefore, to conduct an exploratory investigation into the needs

of the Alberton Town Council employees with regard to an EAP. The objectives of the

study were firstly to determine the level of social functioning of respondents by using 25

subscales of the Multi-Problem Screening Inventory. From the analysis of the data

gained through this instrument, areas of concern (for example, self-esteem, depression,

and relationship problems, etc.) were identified that are to be incorporated in an EAP for

the organization. Secondly, an Index of Job Satisfaction was administered in order to

establish the level of job satisfaction of respondents. The majority of respondents

reported a clinically significant level of job dissatisfaction, which provides a baseline

measurement for later evaluation of the EAP to be designed, as well as an indication of

the necessity of such a program.

The last objective of this study was to give clear guidelines for the development of an

EAP for the Alberton Town Council, including the structure and content of such a

program. An in-house model providing a comprehensive range of services is

recommended and specific areas of emphasis • were identified (for example, conflict

management, stress management, etc.).

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The literature review that was embarked on for this study served as a theoretical basis

for the study, as well as for the designing of an additional questionnaire. This

questionnaire was designed to gather demographic information and practical details

about the implementation of an EAP.

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CHAPTER ONE

ORIENTATION TO THE STUDY

1.1 INTRODUCTION

The amalgamation of both black and white local authorities and the birth of a new

democratic government, has no doubt dramatic changes in both the external and

internal environment of organisations. The changes and transformation that is taking

place at local government level have exerted pressure on the employee with the result

that local is faced by new important challenges.

McKendrick (1987:138) states that: "The work setting ... is the arena in which millions

of people act out hopes, aspirations and new sets of relationships. It can also be a

testing ground for human interaction." Social workers have started to accept the task

of entering the world of work and this important step should be encouraged. If not,

then we may be accepting artificial boundaries which contradict our declared aims of

an entering arena where human interaction takes place and focussing on the

person/environment interface and interplay.

Whilst acknowledging the changes as well as the above stated quotation it is also

noted that the worker spends most of his time within the work situation. The question

is, how does local government deal with the complexity, speed and magnitude of

these changes, and still maintain an environment that is comfortable for employees

to be motivated and productive within and outside the '<wicking environment? This

study would therefore explore the Employee Assistance Program as a vehicle for

occupational social work. The study will be based on an in-depth exploration is

envisaged to ultimately formulate guidelines for the development of an Employee

Assistance Program in the Alberton Town Council.

McClellan (1981) regards Employee Assistance Programs as more than counselling

services. They are systems for identifying and motivating employees who have

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personal problems to seek diagnosis and accept help for the solution of those

problems. What is distinct about an Employee Assistance Program is that, it is for the

mutual benefit of both the employer and employee.

Shain et. al. (1981:1) view Employee Assistance Programs as referring to policies and

procedures adopted by employees in order to identify problem employees, including

those with alcoholic involvement as manifested by deteriorating job performance.

Once identified, such employees are steered to a variety of agencies (both inside and

outside the workplace) for the specific purpose of receiving treatment or rehabilitation.

Ramaknshna—and—Batgorral=(1992)—define—Employee=-Assistance- Programs as-

"programs sponsored by labour and management, that are specifically designed to

identify and assist employees and their families with various difficulties that impair

personal and occupational functioning: individual, marital, family, chemical

dependency, child care, etc., as well as to improve employer-employee

communication and create a positive atmosphere within the work environment."

Cohen (1996) state that there are tremendous advantages that could be drawn from

effective Employee Assistance Programs for both the employees and employers.

Furthermore, he states that: In many organizations there are employees who exhibit

decreasing productivity, increasing absenteeism, rising lateness, fighting with

colleagues, alcohol and drug use at work, etc. The causes of these problems are

often not investigated or understood, resulting in losses for both employee and

employer. Strydom and Botha (1994) view Employee Assistance Programs as a

dynamic development, which presents soda? workers v,;:h The oTpportunity to act as

a link between the needs of employees and the available resources.

Having highlighted the various views of authors, this research investigation will focus

on the needs of the Alberton Town Council services - Gauteng Area, with a view of

establishing an Employee Assistance Program. The agency comprises eleven (11)

main departments with a staff component of ± 1 300.

2

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According to the Constitution of the Republic of South Africa, (1996) Subsection 158

(1) the objects of local government are:

to provide democratic and accountable government for local communities.

to ensure the provision of services to communities in a sustainable manner.

to promote social and economic development.

to promote a safe and healthy environment and

encourage the involvement of communities and community organisations in the

matters of local government.

makauthoritles-art-uniqtreasince-the-eommunifiesl-ttIat-t-Key ,=are- servicing are also-

unique, hence the needs of both the employer and employee would differ and

therefore the Employee Assistance Program needs to be relevant to the situation. It

is also important to note that this approach is also in harmony with the generic social

work approach principle that a thorough needs assessment must precede all social

work interventions, which largely determine outcomes (Hepworth and Larsen

1993:192).

The Alberton Town Council does not have an Employee Assistance Program and it

is important that before the program could be designed and implemented a

comprehensive needs assessment has to be conducted. The purpose of this

research project therefore, is to provide the organization with recommendations that

would be indispensable in the development of such a program, based on a thorough

needs assessment of the needs of both the employer and employee.

1.2 MOTIVATION FOR THE STUDY

Social work is one of the caring social sciences characterized by the direct study of

human and cultural activity (De Vos 1998:5). As a caring profession, its basis is

underlined by a scientific study.

3

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Reid (1995) highlights the functions of scientific research as follows:

It provides a framework for practice activities whereby practitioners could apply

scientific orientation in seeking to obtain the best results where possible.

It builds knowledge for practice which generate and define concepts, determine

the evidence of generalisations and theories and ascertain the effectiveness

of the practice methods.

It serves the practical function of providing situation-specific data to inform

action such as decisions about practice, the operation of programs or efforts

to achieve social change.

For social work research to take place, Rubin and Babbie (1997) and Grinell (1993)

maintain that, it is important for the researcher to choose a researchable topic, that

is primarily directed to the needs in practice with a view to solving practical problems

in social work research.

Brown (1981:35) suggests that the topics for social work research should come from

day to day activities and interaction in the work situation. The topics could also be

generated by examining the evaluative research efforts of the practical researcher

(De Vos 1998:51-52).

Leedy (1993:53) warns that, the researcher should from the onset distinguish

between personal and researchable problems. The latter have to fit the requirements

of the scientific method which is the interpretation of data so as to discover fact.

The basic motive for undertaking this research study is to conduct a need analysis.

The findings thereof, would contribute to the development of a relevant Employee

Assistance Program. The results of this research investigation will also serve as a

valuable contribution to the field of Employee Assistance Programs for welfare

orientated organizations. The literature study reflects that although much headway

has been made in recent years in the industry with regard to Employee Assistance

Programs, less than half of South Africa's companies have counselling programs in

4

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place (Bennett J. 1998: Sunday Times).

The current South African situation is characterized by instability due to transformation

and change that is taking place. The pressure, stress and trauma experienced by

citizens mostly whom are employees, demand for organizations to adopt business

principles and methods that would promote and improve their financial usability which

is the core foundation of any business organization.

Local government as well as welfare organizations are charged with responsibilities

of operating in a business manner. Employee Assistance Programs can be of great

involved - with

assistance in reducing costs personnel.

Winkelpleak (1984) state that the concepts of an Employee Assistance Program

extends beyond the employee as a client to also encompass the organization as a

client.

1.3 RESEARCH AIM AND OBJECTIVES

The scientific study that is to be undertaken will focus on contributing to the

knowledge base of the social work profession, and will therefore be of an applied

nature. The intervention strategy that will be implemented will target to address the

empirical research which is based on knowledge development (KD) and linking it with

practical application (KU) (De Vos 1998).

4.

1.3.1 THE UNIT ANALYSIS

Mouton and Marais (1998:38-40) state that whilst the researcher would have a broad

indication of the general area to be investigated, it is ideal for the investigator to

categorize his target into specific units of analysis.

The unit of analysis in this investigation will be the individual, as individual

assessments would be made and the organization, since the employees' views and

5

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needs with regard to organizational policy, structure, communication channels etc. will

also be assessed.

1.3.2 GOALS AND OBJECTIVES OF THIS STUDY

A research goal provides for a broad identification of what the researcher wishes to

ultimately attain in conducting research. Leedy (1993) state that the research aim is

the heart of every research project and needs to be stated in clear, precise terms.

Rubin and Babbie (1993:106-108) identify three primary aims of research, namely:

description, exploration and explanation. Since this study will be of an exploratory

nature, Mouton anct-11arais--(1982:42)-regard-the-g-o-a-rorexploratory studies as an

exploration of a relatively unknown research area. The aims of such studies are:

to gain new insights into the phenomenon;

to undertake a preliminary investigation before a more structured study of the

phenomenon;

to explicate the central concepts and construct;

to determine priorities for future research;

to develop a hypothesis about an existing phenomenon

The ultimate goal of this research study is to conduct a need analysis amongst

employees of the Alberton Town Council, which is a formal organization with a view

of formulating guidelines for the designing of an appropriate Employee Assistance

Program.

The objectives of the study are:

• to conduct a needs analysis of the employees of the Alberton Town Council so

as to determine their needs for an EAP program and the level of social

functioning with regard to 25 sub-scales of the MPSI (Multi Problem Screening

Inventory).

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• to critically analyse the typical problems experienced by the employees so as

to determine the level of job satisfaction through the use of the Index Job

Satisfaction (IJS).

to develop clear guidelines that would lead to establishing an Employee

Assistance Program for the Alberton Town Council thus linking the research

to practical application. This approach enhances the principle of transparency

within the field of social work and it also maintains the code of ethics required

by professional associations.

IrrordertO-attairt-theve-mentione-d goaranTobjectives, th-e-followirig- pit-CedUre

will be followed in the study:

Conducting a thorough literature study of Employee Assistance Programs, as

well as to examine local examples of such programs in the industry.

Designing a situation-specific questionnaire for employers and employees to

assess their needs with regard to an Employee Assistance Program, in terms

of structure and content.

Administering the above-mentioned questionnaire, together with the Multi

Problem Screening Inventory (MPSI) and Index of Job Satisfaction (IJS) to a

representative sample of the Alberton Town Council employees.

The populat:en (and sample) veil be c.iivided ;Fit!: r.7.3.','Cories namely:

Top Management;

Middle Management; and

Support Staff.

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1.4 RESEARCH METHODOLOGY

An exploratory method of enquiry will be employed in this study in order to explore in

an extensive manner the subjective needs of the employees and employer

(Management) with regards to an Employee Assistance Program. Quantitative data

gathering methods will be utilised. Twenty five of the Multi-Problem Screening

Inventory (MPSI) sub-scales will be used as a vehicle to measure the overall social

functioning of the respondents. The Index of Job Satisfaction (IJS) will also be used

to assess the level of job satisfaction of respondents.

A specialty designed questionnaire, the-Erriployde Assistance-Needs Assessment

Questionnaire will be implemented to obtain quantitative data about the respondents'

needs with regard to an Employee Assistance Program, as well as the necessary

demographic data. A convenience sample of 42 employees completed the

questionnaires.

The research methodology of this research investigation will further be discussed in

chapter three.

1.5 LIMITATION OF THE STUDY

Since this research study will focus on the needs of employees in a specific

organization, the direct applicatiOn of results will be contextual in nature. This study

could however become the launching pad for other welfare organizations with

- particular reference to local author `;es in assessing the fof, and :n-plementing

Employee Assistance Programs internally.

Furthermore, the study will assess the needs and social functioning of employees at

a specific point in time. In other words, due to changes in respondent's personal lives,

organizational, social, political etc. climates, the same study could render quite

different results in future. This then highlights the need for routine assessment of the

workforce in order to ensure a relevant E.A.P.

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Some of the staff members, particularly the non-salaried staff do not have sufficient

language skills that would enable them to complete the questionnaires by themselves.

Some form of assistance with regard to the completion of forms will be sought for

them. This could therefore, influence the results since the people will not have privacy

of their responses as the other respondents would have.

A random, representative, proportional, stratified sample of 300 people was originally

drawn from the population of ± 1 300 personnel. Due to managerial difficulties, this

sampling strategy could not be followed, and the questionnaires were in the end

distributed to a convenience sample of employees who were willing to participate in

the study.

1.6 DEFINITION OF CONCEPTS

Rubin and Babbie (1993:119-120) state that many social work terms communicate :

vague, unspecified meanings. Research has to be precise in its meaning, both°

theoretically and operationally. According to these authors, conceptualization entails:

refining and specifying abstract concepts and developing specific research procedures

that will result in empirical observations of things that represent those concepts in the

real world (De Vos 1998:41). The following terms will be dealt with in Chapter Two:

OCcupational Social Work

Employee Assistance Program

Assessment of Employee

Assistanca Prograrnn -:e Needs and

Components of Employee

Assistance Programs

1.6.1 EMPLOYEE

The Oxford Paperback Dictionary (Hawkins 1990) defines an employee as a person

who works for another in return for wages. For the purpose of this research study, the

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term employee will be defined as all persons receiving a salary from the Alberton

Town Council.

1.6.2 LOCAL GOVERNMENT

According to the Constitution, local government is the third sphere of government

within the National Government of the Republic of South Africa. It consists of:

Municipalities which must be established for the whole territory of the Republic.

The executive and legislative authority of a municipality is versed in Municipal

Council.

A municipality (of which the Alberton Town Council is one) has the right to

govern, on its own initiative, the local government affairs or its own council.

1.6.3 SOCIAL FUNCTIONING

Social functioning can broadly be defined as the interaction between an individual and

his environment (Hepworth and Larsen 1993:4). Social functioning in this research

study will be defined as the degree of functionality or dysfunctionality with regard to

depression, self-esteem, partner relationship problems, sexual discord, problems with

children, problems with father and mother, personal stress, problems with friends,

aggression, problems with work associates, family relationship problems, suicidal

thoughts, non-physical abuse, physical abuse, fearfulness, ideas of reference,

phobias, feelings of guilt, confused thinking, disturbing thoughts, memory loss, alcohol

and drug abuse that 'Mil be measured in the Muiti-1),.fc..L!cr.1 Sclleen;ng inventory.

1.7 OVERVIEW OF THE STUDY

This dissertation will be presented in accordance to the following five chapters:

1 0

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Chapter One: Orientation to the study

This will be a brief discussion covering the motivation for the study, research goal and

objectives, research methodology, limitations of the study and definition of concepts.

Chapter Two: Literature Overview

This chapter will be a literary exploration and discussion of the following themes:

Human Resource Management;

OccupatioriiciaT Work; and

Employee Assistance Programs.

The discussion on Employee Assistance Programs will deal with a definition of EAP's,

the evaluation and history of those programs, the structure and design of EAP's, the

role of the EAP coordinator, employee problems addressed by EAP's and lastly the

benefits of Employee Assistance Programs.

Chapter Three: Research Methodology

This chapter will deal with the research design, data collection methods, measuring

instruments, sampling and data analysis.

Chapter Four: Data Analysis and Interpretation

This chapter will present an analysis of results from the three questionnaires

administered and will draw conclusions valuable for the development of an Employee

Assistance Program for the Alberton Town Council.

Chapter Five: Recommendations and Conclusion

The results of the study will be summarized and put forward as a formal

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recommendation to the organization with regards to the development of an Employee

Assistance Program.

...

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CHAPTER 2

LITERATURE REVIEW

2.1 INTRODUCTION

The social worker is in a unique and enviable position to contribute to prevention.

Social work is health oriented, conceptually and philosophically. It addresses the

strengths of the individual or family in a given situation.

Social work organizes and develops the community or mobilizes the resources for

doing this. It is often the first to pinpoint needs and to engage in those activities

designed to prevent the breakdown for the person, the group, or for society. Social

work has a resource and service focus and takes the position that no one can be

healthy in a sick society (Skidmore et. al. 1991:161).

Hepworth & Larsen (1993:4-5) maintain that the primary function of social work is to

enhance the overall social functioning and quality of life for individuals, groups and

communities. It is important to consider and nurture the people's functioning, to

identify their needs and render appropriate services that will enhance their functioning

within the work environment.

Tarthang Tulku, Tibetan Buddist teacher in Jaffe and Scott (1988) states that: "Caring

about our work, linking it, even loving it, seems strange when we see work only as a

way of making a living. But when we see work as a Lu deepen and enrich ail our

experience, each one of us can find this caring within our hearts, and waken it in

those around us, using every aspect of work to learn and grow".

This chapter will be discussing the matter of how social work addresses issues, in

particular in the form of Employee Assistance Programs.

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2.2 HUMAN RESOURCE MANAGEMENT

In order to understand the contextual position of Employee Assistance Programs, as

a function of Occupational Social Work, a brief discussion on Human Resources

Management is important.

The emerging trend in human resource management is clearly toward the adoption

of the human resource approach (Carrell et. al. 1996). Through this approach

organizations would be able to benefit in two significant ways namely:

• artinbreaSe-in-Orgartiational -effectiveness; and

the satisfaction of each employee's - needs.

The human research approach acknowledges that both organizational goals and

human needs are mutual and compatible: one set need not be gained at the expense

of the other.

2.2.1 PRINCIPLES OF HUMAN RESOURCE APPROACH

The Human Resource Approach according to Carrel (1997) is based on the following

principles:

Employees are investments that will, if effectively managed and developed,

provide long term rewards to the organization in the form of greater

productivity.

Policies, programmes and practices must be created to satisfy both the

economic and emotional needs of employees.

A working environment must be created in which employees are encouraged

to develop and utilise their skills to the maximum extent.

Human Resource programmes and practices must be implemented with the

goal of balancing the needs and meeting the goals of both the organization and

the employee.

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Leads to

HIGHER Employee Motivation and Applied Ability

lk Leads to

4=MMMIA11■00po

GREATER Quality, Quantity of work

Leads to

GREATER Employee Rewards, Recognition

Leads to HIGHER Organizational Productivity, Profits

Figure 1.2 tabulates the Human Research Approach as follows:

EMPLOYEE

ORGANISATION

(Correl et. al. 1997:10)

2.2.2 FUNCTIONS OF HUMAN RESOURCE

According to Correl et. al. (1997) the functions of the Human Resource are as follows:

Job Analysis and Design

For an employee to perform satisfactorily his/her skills, abilities and motives

1 ■ "1 C.; . . it

Recruitment Selection, Induction and Internal Staffing

To a great degree, the effectiveness of an organization depends on the

effectiveness of its employees. Recruitment and selection are the core

functions of human resource management.

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3. Appraisal, Training and Development and Career Management

The growth of an organization is closely related to the development of its

human resources. The appraisal of employee performance is one important

developmental function.

4. Compensation and Health

An important part of compensation is employee benefits as well as health and

safety, thus conducive and safe workplace environment is important.

2.3 OCCUPATIONAL SOCIAL WORK

Social work plays a vital role in human resource management as it links the person

experiencing the problem with a system of support that maintains health, or that may

be the means of detecting illness early, or ofpreventing deterioration of the problem.

Social work in the workplace is on the cutting edge of practice (Skidmore 1991).

Much as it is unknown to most businesses and industries, many are beginning to

invite social workers into their service programs. Social workers have been

introduced into the personnel systems to help employees and their families with

personal, family and community problems. This approach by organizations has a dual

purpose, the first one being the purpose of humanitarianism and the second one being

for efficient and effective production. It has come to be realized that employees who

Lrci crosz.-)iy aiTec.e.,:i by rIc;i 1 ::; .°C...LACt72 t.-.;-) L;mJ:iy

the job. The role of the social worker at this instance is to help workers and their

families understand their problems, face them and solve them.

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2.3.1 DEFINITION AND SCOPE OF OCCUPATIONAL SOCIAL WORK

Occupational social work falls under the broad multi-disciplinary umbrella of

occupational health, that has the primary goal of enhancing the quality of life at the

work site (Gould and Smith 1988). Both these authors further state that the

occupational or industrial social profession is the field of practice within the social work

profession that is most closely identified with the person-in-work and person-as-

worker orientation.

Googins and Godfrey (1987: 38) define occupational social work as a field of practice

in wh[ch social-wotkers- attend-to-- the-horriarfancFsociaFrfeeds==ofthe work community

by designing and implementing appropriate interventions to ensure healthier

individuals and environment. Occupational social work draws on basic social work

professional and practice framework within a particular setting, namely the world of

work. Whilst Straussner (1990) acknowledges the definition he adds to it by stating

that the aim of the intervention of occupational social work, is to foster optimal

adaptation between individuals and their environment. The interventions he is

referring to are:

services;

programs; and

policy directions.

Wyers and Kaulakukui (1984) define the breadth and scope of occupational social

work by identifying a range of activiti and `1' ■ :;Ch

personnel services;

training and staff development;

consultation regarding the physical and social environment within the company;

and lastly

activities concerned with community relations.

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Skidmore et. al. (1996) view occupational or industrial social work as involving

helping workers and their families with problems they have relating to social

functioning and human relationships. At a conference held in 1978 by a group of more

than one hundred social work practitioners from business and industry, a definition on

occupational social work was formulated as follows:

"Industrial social work therefore refers to the utilisation of social work expertise in

meeting the needs of workers or union members and the serving of broader

organizational goals of the setting. For social workers, it offers the opportunity to

intervene in a multiple of environmental systems that affect the individual."

Direct service in these settings is an all-encompassing term. It includes:

counselling;

organization of support groups;

concrete service;

consumer advocacy;

linking an individual to community service;

training and staff development for union representatives and management

personnel; and

consultation to union and industrial decision makers.

The same group of practitioners voiced their purposes of social work practice in

industrial settings: "Our goal is to provide the range of services necessary to enhance

ilr,...,:i.f;,': -: (7.,;(,;or i ;rv:2 of thcg:3;:;:, corne for 1,1;:lp. 01 aCj:

provide direct services to employees/members of their families. In addition, they are

involved in program development, affirmative action, corporate social responsibility,

and legislative analysis" (Skidmore 1996:239).

Since occupational social work encompasses a wide range of activities, the decision

on the type of social work model to be adopted by the respective organization or

company lies with it. The occupational social work can also be utilized within the

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framework of an Employee Assistance Program. Employee Assistance Programs are

therefore, either:

a primary responsibility of occupational social work in a context where

occupational social work is seen as a division of occupational health; or

as just one of many diversified responsibilities of occupational social work in

a context where many human resource management functions are performed

by occupational social work.

Having defined the various view points of occupational social work, the values of

-o cu~at octal social work will be explored.

2.3.2 OCCUPATIONAL SOCIAL WORK VERSUS CLINICAL SOCIAL WORK

The difference between occupational and clinical social work lies in the terrain of

values. Values in an occupational setting focus more on the quality of organizational

life, rather than the individual human potential, due to the profit incentive

(Balgopal 1989).

The "core" business of the company or organization is not social work, but rather the:

production;

distribution; and

marketing of their product or service. 4.

The purpose of social work in such a setting is therefore to:

address employees' personal problems (direct service approach) through

counselling and therapy with individuals and families;

promote their productivity, thus, contributing to the "core" business of the

company.

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The outline of social work services in an industrial or organizational setting brings to

the fore two distinct essential services which are:

prevention; and

enrichment.

The basic premise is that if efforts can be made to prevent problems from happening

there will be significant savings in the lives of people, as well as financially.

2.3.3 ROLES OF OCCUPATIONAL SOCIAL WORK

Straussner (1990:10-12) lists the following roles carried out by social workers in the

work place, which can be seen as a broad summary of the activities of occupational

work according to different models.

Apart from the roles of occupational social work stated above, occupational social

work includes assistance with a wide range of management and personnel activities.

Bennett (1999) states that in today's fast-paced, rapidly changing society in South

Africa an EAP at work can play a vital role. She maintains that EAP's are workplace-

linked counselling systems with benefits for both employers and employees.

Surprisingly enough, less than half of South Africa's companies have counselling

programmes in place. Even those that have the EAP, it is not part of core business

structures.

According to Bennett (1999) for employers, a good EAP means better productivity.

For employees, it means professionally dealing with a range of personal and job-

related problems to achieve optimal job performance, and the capacity to meet their

potential.

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Problems encountered within the work environment could include health such as:

AIDS or HIV;

marital and family issues;

financial, legal and substance abuse as well as troubles;

emotional difficulties and balancing work and life demands.

Harper (1999) who is a pioneer of the development of EAP's in South Africa states

that it is unfortunate that many South African companies are still stuck in the old crisis

management mode of dealing with individual employee's problems in a haphazard and

reactive way. EAP's are often seen as existing urily kill- whinge" - and stigmatised

members of society like alcoholics or the mentally ill. As a result, EAP's are often

marginalised.

: 2.3.3.1 Counsellor

As a counsellor the social worker will provide assessment on short- and/or long term

counselling with individuals, families and groups. The role of the counsellor is to

improve the social functioning of consumers of the service by assisting them to

understand their attitudes, subjective perceptions and feelings to modify behaviour

and teach them to cope with problematic situations (Sheafor, Horesji and

Horesji 1992:19).

2.3.3.2 Enabler/Facilitator

Compton and Gallaway (1993:430) describe the enabler role as one that is directed

to assist client systems to find coping strengths and resources within themselves to

produce the changes that are necessary to accomplish the objectives of the contract.

The emphasis of this role is on client ability, involvement, strength and effort, with the

helper in a supporting and empowering role. Client systems are, therefore, helped to

articulate their needs, clarify and identify their problems, explore possible solutions,

but most of all to develop their capacities to deal with their own concerns more

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effectively (Zastrow 1992:14). The enabler role focusses on helping people to help

themselves.

2.3.3.3 Broker

The occupational social worker's role is to link individuals in need with resources

within and outside the working environment. The broker, therefore, puts clients in

touch with facilities and services that they are often not aware of, or too scared to use.

2.3.3.4 Advocate

In this role the occupational social worker will assist employees to obtain resources

and services which on their own would be unable to attain. The helper will play an

active role in collecting relevant information for the client's needs and requests.

2.3.3.5 Organizer

This role includes two different sets of organizing. The first one being organizing

between the agency, the client system and the action system to reach collective goals

and objectives. The second one being to change the organizational system to reach

its goals through promoting and improving communication, co-operation and co-

ordination amongst different service providers so as to facilitate access to resources.

2.3.3.6 Constructive confrontation

This role is especially prominent when helping those employees with drug and alcohol

problems, and who are in a stage of denial. In this role the occupational social worker

may ask the supervisor, union representatives, and family members to assist in the

confrontation. A thorough understanding of the dynamics of substance abuse, family

systems, authority issues and peer pressure is essential to be able to fulfil this role.

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2.4 EMPLOYEE ASSISTANCE PROGRAMS

2.4.1 THE HISTORY AND EVOLUTION OF EMPLOYEE ASSISTANCE

PROGRAM

The EAP grew out of the employee counselling movement initiated by a handful of

companies during the 1920's, the programs gained little ground during the 30's and

40's. Most authors trace the history of the Employee Assistance Program to the

1940's when certain pioneering companies undertook to manage their alcoholics by

means other than dismissal. Whilst Ramakrishnan and Balgopal (1992) view this

point of departure as a narrow focus of helping employees with drug and alcohol

related problems, Wyers and Kaulukukui (1984:168) refer to these early occupational

alcoholism programs as being either medically based programs operated by industrial

physicians, or informal programs staffed by recovered alcoholics. In spite of promising

beginnings and prompting by the National Council on Alcoholism these programs were

slow to grow: only as alcoholism became more "destigmatised" and as the huge cost

of the condition became known did the momentum pick up (Shain and Groenewald,

1980:5):

However, since the 1960's the EAP's have rapidly expanded both in number and

scope of services, addressing many more employees and a much wider variety of

personal and work-related problems experienced by employees (Erfurt and Foote,

1979; Ramakrishna and Balgopal, 1992:488; Googins and Davidson, 1993:477;

Starker, 1989:19-24). Programs have also been shifted and extended from focussing

Gil individua;s as tna f,_)r change to rrisci -o org::::;;Lationz.:1 Q.nd

systematic issues at the root of many of the individual problems with which EAP's

routinely deal (Googins and Davidson, 1993:477).

Social; political and economic factors and developments in the helping professions,

with specific reference to the academic component have contributed to this

"broadbrush" approach to Employee Assistance Programs (Ramakrishnan and

Balgopal, 1992). Starker (1989) states two reasons why the focus has shifted from

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primarily alcohol treatment programs to a "broadbrush" approach as follows:

the recognition that not all problems are directly or indirectly caused by alcohol;

the stigma attached to the Industrial Alcohol Programs.

Whilst the boundaries, nature and scope of Employee Assistance Programs are

presently being debated, Googins and Davidson (1993) state that these programs

continue to evolve and develop. They further state that: the broadening sphere of

EAP's in this regard does not negate the clinical role, but instead it refocuses EAP's

on: "addressing the needs of the total client system and capitalising on the unique

position ofEAP's in meeting those needs:--the-refocustng-and broadening - of the client

system to address organizational needs corresponds with ecological theories that

have been a traditional part of social work theory, and encompasses the future of

EAP's worldwide (Googins and Davidson 1993:484), (Stern 1990:16).

Harper (1999) states that EAP's were first introduced in South Africa in the early

1980's, and many focussed largely on managing alcoholism at work. They tended to

operate. in a vacuum without set standards and ethics. Gradually, companies are

recognising the importance of EAP's to maintain and improve productivity, and also

to help them meet the requirements of the labour law.

An important recent development that impacts Employee Assistance Programs, is the

emergence of Member Assistance Programs. These are off-shoots of Employee

Assistance Programs which are peer-based program's designed to help union

mam'osis suffor:ng from substance abusz Eird ;, -_: . 7!emz.. AlThough a

relatively recent phenomenon, MPA's are rooted in traditional union principles of

voluntarism and mutual aid (Bacharach, Bamburger and Sonnestuhl 1996). It is

interesting to note that these new MPA's are in a way returning to service delivery as

it was at the birth of Employee Assistance Programs.

Comprehensive EAP's, which constitute the final category of employee assistance

programs, focus on both a full-range of employee problems and on prevention. For

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example, an employee with an alcohol problem is seen not only as an alcoholic, but

also as a person with a family that may have difficulties. Because these programs

focus on the whole person, comprehensive EAP's employ a multi-disciplinary

professional staff who are able to view a person from different perspectives.

2.4.2 STRUCTURE AND DESIGN OF EMPLOYEE ASSISTANCE PROGRAMS

2.4.2.1 Program Models of Employee Assistance Program

Organizations could be involved in offering employee assistance to varying degrees.

Some organizations' may of er on y an e-due-attan-al progi-am whire-othera may provide

a complete diagnosis and treatment program. Some organizations may even elect to

out source the entire EAP function. Keohane and Newman (1984) cite the possibility

of non-profit welfare organizations contracting with the industry, so as to provide

EAP's are explored. An example is taken where a family and Child welfare

organization designed, implemented and maintained an Employee Assistance

Program for the corporate community. This was found to be a good source of funding

for the welfare organization, and generally works well for all concerned parties.

The different types of EAP programs can be summarized as follows:

The most common type of an EAP is that which employs a coordinator who

evaluateS the employee's problem only sufficiently to make a referral to the

proper agency or private practitioner for diagnosis and treatment (Byars and

A. ti;nzs, c,„:1" :0

organization and is not a full-time employee. This type of program is especially

popular with smaller employers and branch operations of large employers.

In a second type of program, the organization hires a qualified person to

diagnose the employee's problem; then the employee is referred to the proper

agency or private practitioner for treatment (Byars and Rue, 1994:509).

Ramakrishnan and Balgopal (1992:490) feel that although both these

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previously mentioned methods may be helpful, it is not clear whether they are

successful in resolving problems in the most timely and cost effective manner.

Under a third type of program, diagnosis and treatment are provided in-house

directly by the organization (Byars and Rue, 1994:509-510). Eskom has

chosen this option because it is more cost-effective and it is felt that in-house

practitioners are more familiar with the context in which the employees work.

Ramakrishnan and Balgopal (1992:490-491) mention these as well as many

other reasons why they promote and prefer this method. They name this

method as the Task-centred approach and summarise its purpose as

- "providing-frontitie7-seNittsl&-esolVe-proble-rffi-th-gt can be- handled effidie—ntly— -

in the workplace" (Ramakrishnan and Balgopal, 1992:491).

Fleischer and Kaplan (1984) identify four models or forms that an Employee

Assitance Program may adopt. This viewpoint is also expressed in the literature by

various authors and these models are:

the in-house model providing a limited range of services,

the in-house model providing a comprehensive range of services,

the external contractor model providing a limited range of services,

lastly the external contractor model providing a comprehensive range of

services.

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IN-HOUSE MODEL PROVIDING A LIMITED RANGE OF SERVICES

Target population: Employees only Range of services: Limited to diagnostic assessment and referral, to community resources; special focus on substance abuse problems, and periodic training of supervisors in procedures for referring troubled and troubling employees.

Administrative considerations: Sponsored by the organization under the auspices of either the human Lesources,_ personnel, or medical departments. The EAP may be sponsored jointly by labour and management without requiring a change in the definition of any other component.

IN-HOUSE MODEL PROVIDING A COMPREHENSIVE RANGE OF SERVICES

Target population: Extended to include family members. Range of services: Crisis intervention; short term counselling; special focus on substance abuse problems; preventative interventions such as wellness workshops, support groups and educational seminars, training of supervisors in referring employees and consultation with management, union and association representatives concerning organizational stress factors. Administrative considerations: Sponsorship and auspices same as for the other in-house model.

EXTERNAL CONTRACTOR MODEL PROVIDING A LIMITED RANGE OF SERVICES

Target population: Employees only. Range of services: Diagnostic assessment and referral; focus on substance abuse; periodic training of supervisors in procedures for referring troubled and troubling employees.

Administrative consideration: Sponsored by corporation only or jointly with labour. Under the auspices of an external contractor (i.e. family service agency, hospital, c.or. -:munity :1 - Ert -2.1 counselling firm). Sei -vices in-house and/or offsite, preferably close to the work place. Joint sponsorship with labour does not require a change in the definition of any of the components.

EXTERNAL CONTRACTOR MODEL PROVIDING A COMPREHENSIVE RANGE OF SERVICES

Target population: Extended to include family members. Range of services: Crisis intervention, short-term counselling, special focus on substance abuse problems, preventative intervention, such as well-being workshops, support groups and educational seminars, training of supervisors in referring employees and consultation with management, union and association representatives, concerning organizational stress factors. Administrative considerations: Sponsorship and auspices may be the same as for model 3.

Figure 2: MODELS OF EMPLOYEE ASSISTANCE PROGRAMS (Gould & Smith,

1988)

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The evaluation criteria in selecting one of these four models of Fleicher and Kaplan

(1984) are: confidentiality, accessibility, staff expertise and availability, flexibility,

accountability and cost effectiveness.

Maiden (1990) further identifies the following key factors that should be taken into

consideration when selecting a program model for an EAP:

the first factor is the demographic characteristics of the organization;

the second factor is the geographic dispersion of employees; and

the space allocations within the worksite should be taken into consideration;

further, the prefeTences eMployees to have—services - provided - by the -

company or an outside contractor, is important;

in the fifth place, the financial investments needed for each method of service

delivery need to be weighed up against each other; and

lastly the environmental factors in the worksite conducive to program

utilization. A single model or a combination of models may be adopted by an

organization that best "fits" the unique needs and characteristics of the

employees and the organization itself (Fact sheet 182, IPM Journal, May

1989).

Bowen (1997) states Cohen (1996:45) as giving some interesting statistics concerning

the outsourcing of EAP's in America. Fifty percent of American companies offer

EAP's only on an out sourced basis, whilst the other half provide a mix of internal and

external services. The primary reason that these companies put forward in favour of

ancugh it rEt.:...)CA,3ej if a

confidentiality policy is in place, this should not present a formidable problem.

She further remarks that it would be interesting to determine what proportion of South

African companies make use of outsourcing versus in-house EAP's.

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2.4.2.2 Principles of the EAP

In Fact Sheet 182 in the Institute for Personnel Management Journal (May 1989),

some vital principles that underpin successful Employee Assistance Programs, are

stated as follows:

The Broadbrush Principle

This means that all personal problems affecting job performance are covered

by the EAP.

The Principle of Neutrality

To ensure integrity, the EAP must be competent, objective, respectable and

trustworthy (Terblanche 1984). The requirement to obtain the afore-mentioned

is neutrality. Neutrality in this sense refers to neutrality of the relationship

between the employer and employee. By maintaining neutrality the EAP would

be able to function unencumbered by politics, conflicts, tensions and

pressures, which are institutionalised aspects of the formal and informal

structures of modern bureaucratic organizations.

The Principle of Voluntarism

The ideal situation would be employees seeking help on a voluntary basis.

ThiS approach proi .r.3-6. c,: - L.c..t:o,1 ccuid

receive help even earlier in comparison with a situation where he is in such a

state that he could only be identified by the supervisor because of his low

productivity. To promote voluntarism the employee needs to be assured that

there would be no victimisation by the employer or negative results on his

record. The organization's policy has to make provision for the protection of

employees attending for help (Carrel 1997).

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The Principle of Accessibility

The EAP needs to be available to all employees, regardless of position.

Furthermore the EAP has to commit itself to developing a system of resources

relevant and accessible to employees and their families.

The Principle of Confidentiality

Each and every employee has a right of confidentiality to protect his own self

image and record. Therefore, details revealed by employees must be

guar-anteecfCii-rifitl6TitialitYWOUkialiOp7Omote the support of the EAP as well.

The Principle of Constructive Coercion

Although this is not an ideal situation, managers and supervisors must have

sufficient confidence in the EAP to formally refer impaired employees for

assistance as an alternative to, or in conjunction with job-action, but preferable

to the termination of employee's services.

The Principle of Permanency

To achieve this, commitment on the part of both management and labour

through a mutually agreed upon policy statement which guarantees the survival

of the program is necessary.

2.4.2.3 The Basic Elements of an EAP

According to a pamphlet compiled by the National Employee Assistance Program

Committee of the Institute of Personnel Management (1991), five key elements of an

EAP are mentioned. These elements are represented as follows:

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2.4.3 THE STRUCTURE AND DESIGN OF EAP'S

2.4.3.1 Administrative Functions

Organizational position of the EAP;

Physical location of the EAP;

EAP's versus medical and disability benefits plan;

Malpractice - Liability Insurance;

Qualifications of the EAP staff.

---- -- 2.4.3.2 Education and Training

Marketing the EAP concept to employees and families;

Marketing of the EAP concept to management and unions;

Employee education;

Supervisory training.

2.4.3.3 Policy Procedure

Policy statement;

Confidentiality;

Procedures for referrals.

2.4.3.4 Resources

Resource file on the provider of services.

2.4.3.5 Evaluation

EAP evaluation.

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2.4.4 POLICY AND PROCEDURES OF EAP'S

2.4.4.1 Policy Statement

The Draft Policy Document (1998) on the Employee Assistance Program (Department

of Public Service and Administration) states that: It should be the policy of the

department to give assistance in developing and utilizing the potential of its

employees, taking into consideration individual differences, and in eliminating factors

that impact negatively on their working effectiveness. No EAP can function effectively

without a written EAP policy and the advantages of such a policy, as delineated by

Fact Sheet 182 of the IPM Journal (May 1989); fe -bilefly discus§ed below:

The EAP policy offers a clear statement about the purpose, nature and benefits of the

program, and affords a frame of reference for the implementation of the program. The

policy should encourage employees to refer themselves since it stresses

confidentiality and job security. The policy also offers evidence of top management

support, without which the program cannot operate.

The EAP policy is based on certain principles, namely that personal problems can and

do affect job performance. Furthermore that the treatment of personal problems is

less costly than dismissal and replacement. Another principle is that the EAP does

replace disciplinary procedures, but provides an alternative method of managing poor

job performance, often while the discipline is suspended. The final principle is that the

employer's concern is with the job performance and not the personal lives of

1FM

2.4.4.2 Purpose

According to the draft policy (1998) of the Department of Public Service and

Administration, the main purpose of the policy is to produce guidelines and procedures

regarding "troubled" employees or employees with problems. Such employees must

demonstrate problems with job performance or work-related behaviour recognised as

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potentially suffering from a variety of mental, physical, behavioural or social problems

and career adjustments. As such, an employee cannot be officially tagged with a

deteriorating work performance, if he/she cannot be seen to be confronted with

problems affecting his work performance.

The Constitution of the RSA (1996) Section 195(1)(b) stipulates that "efficient,

economic and effective use of resources must be promoted", one of these resources

being "human" resources. Much as the Department has a responsibility to promote

the effective, economic and efficient use of its resources, the discipline that is sought

here is "self-discipline" which demands that the individual recognises his or her

"failing" in the eyes of the organizatiorrand -commils-htrutherseff to a change of attitude

or performance or behaviour as a condition of continued employment.

2.4.4.3 The Importance of the Policy

The EAP is one of the programs° that is concerned with the welfare of an

organization's employees. Welfare is about the provision of benefits and services

which employees may need and value and which simultaneously link strategically with

the needs of the Organization by enhancing performance. Poor (psychological or

physical) health, it is suggested leads to deteriorating performance, hence the need

for an enabling organizational response emphasizing prevention, intervention,

treatment and management of health. In theory, the emphasis of such a response

should be on rehabilitating the employee in line with the Organization's requirements,

Commitment to rehabilitation and management of health therefore becoming

synonyme!...s comn -arnent iv:: In

the Organization can have direct services in terms of cost savings and performance

enhancement.

The EAP policy needs to include certain guarantees such as:

people identified as having personal problems will not be discriminated against;

promotional opportunities will not be affected;

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special sick leave will be granted to accommodate assistance;

discipline will be suspended if involved while the employee is on the EAP;

lastly, confidentiality will be respected in terms of feed back to the supervisor.

A general guideline is that the supervisor may obtain a prognosis but not diagnosis

without the employee's permission.

According to the Fact Sheet 182 of the IPM Journal (May 1989), the EAP Policy needs

to include details covering administrative concerns, for example:

-•

who pays for treatment;

what happens should a relapse occur;

details around time off for counselling, etc.

Furthermore, the EAP Policy should ideally be jointly agreed upon by management

and worker representatives, since this lays a positive grounding for the program's

permanency.

2.4.4.4 Confidentiality

The principle of confidentiality should be maintained at all times with regard to

participation in the Employee Assistance Program, since any breach, or perceived

breach of confidence can ruin the EAP right from the start (National EAP Committee,

1991).

Bews and Bews (1988:22) identify three dimensions of EAP confidentiality namely:

the confidentiality of counselling sessions;

the confidentiality of records; and

the confidentiality about information given about third parties.

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These authors stress that a higher degree of confidentiality will increase the

penetration rate and consequently the EAP will be more cost-effective.

2.4.4.5 Procedure for Referrals

Procedure for referrals should be specified both for voluntary and mandatory referrals.

The National EAP Committee, 1991 refers to these two types of referrals as follows:

Voluntary referrals refer to those kind of referrals resulting from an employee

requesting help due to the development of a problem situation;

ory referrals are the kind of referrals made 6y the manager -of -an

employee facing dismissal to a counsellor on a mandatory basis as a condition

on continued employment.

Gould and Smith (1988) identify two further types of referral as:

an informal supervisory referral, where the supervisor simply suggests in a

friendly way that the employee goes to see an EAP counsellor;

an indirect referral, where an employee can go directly to an external EAP

service provider, by passing the EAP counsellor, but still claiming coverage

under EAP.

Scanlon (1986:30) uses the term "constructive confrontation" to describe the process

by which an employee is encouraged to seek out the services of the company EAP.

Sc.,-•rdon (10E.S:34) mantions arj

"constructive confrontation" as follows:

Do

let the employee know that work performance is the company's primary

concern;

be aware that the problem will usually get worse without professional help.

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emphasize confidentiality when making referral;

explain that accepting a referral to the EAP will not necessarily exclude the

employee from disciplinary procedures;

be specific as to what is expected from the employee in terms of job

performance;

be objective, fair, consistent and decisive.

Don't

diagnose - leave that job to the EAP; _ _ discuss personal problems;

moralize - keep the confrontation to job performance;

counsel or be misled by emotional pleas;

cover up for a friend.

2.4.5 ADMINISTRATIVE FUNCTIONS OF EAP'S

2.4.5.1 Organizational Position of the Employee Assistance Program

The National EAP Committee (1991), states clearly that for facilitating the process of

establishing clear boundaries and expectations of the EAP effectively, the position of

the EAP in the managerial hierarchy should be negotiated and specified in order to

ensure management and union involvement.

0.

2.4.5.2 F h'isiccl Location of the EAP

The physical location of the EAP should facilitate easy access of services for the

employees, while ensuring confidentiality. Offices on the worksite should provide

quick and easy access, particularly for those workers who are without transport.

However, certain employees may only use those off-site offices that guarantee

confidentiality (Bews and Bews, 1988).

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2.4.5.3 Record Keeping System

A proper record keeping system is necessary to ensure the effective monitoring,

management and evaluation of the EAP (National Committee, 1991). This system or

records need to include "input" and "output" measurements. Data on input refers to

program use; for example, sex, job category, age, race group, length of treatment,

types of problems, etc. This data can be very valuable in identifying shortfalls in the

EAP, for example, that certain groups of employees do not feel comfortable using the

program, or that the program is utilized by more senior employees etc. etc. (Fact

Sheet 182, IPM Journal, May 1989).

Data on output refers to attempts to evaluate the impact of the EAP on criteria such

as job performance, cost effectiveness, labour turnover, employee morale, and so on.

These studies are often difficult to construct and at best may only be able to offer

correlations between the EAP and criteria chosen for evaluation (Fact Sheet 182, IPM

Journal, May 1989).

2.4.5.4 EAP's versus Medical and Disability Benefit Plans

It is important that sufficient coverage of costs exists due to treatment of employees

(National EAP Committee, 1991).

2.4.5.5 Malpractice/Liability Insurance

Adequata pfotoc,tion .for s,ta:f &nd the organization shou: Jot :gainc,t

possible malpractice/liability claims (National EAP Committee, 1991). Byars and Rue

(1994:511) stress the importance of having this kind of insurance to cover the

organization.

2.4.5.6 Qualifications for EAP Staff

EAP staff should be professionally qualified and have managerial and administrative

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skills together with the ability to identify, interview, motivate, refer and council troubled

employees (National EAP Committee, 1991). A program "coordinator" is

recommended, who can competently diagnose the nature of an employee's concern

and refer to an appropriate resource (Fact Sheet 182, IPM Journal, May 1989). The

Employee Assistance Professional Association (EAPA) has developed a Code of

Professional Conduct for Certified Employee Assistance Professionals, that was

revised in June 1994. It sets standards of conduct and professionalism for EAP

professionals.

2.4.6 EDUCATION AND TRAINING FOR EAP'S

2.4.6.1 Marketing the EAP concept to employees and families

The employees and their families can only be convinced about the benefits of

participating in an EAP through marketing such a program. It is important for

employees to understand the rationale for using the program and feel comfortable

using it. Posters, brochures, letters, frequent articles in newsletters and the use of

small groups discussions are means of keeping employees and their families aware

of the program (Fact Sheet 182, IPM Journal, May 1989).

2.4.6.2 Marketing of the EAP concept to management and unions

Marketing of the EAP to management and unions is of the utmost importance in order

to obtain their support and continuous commitment to the EAP. Managers need to be

encouraged to support and use the program, not oniy at U -1:3 ■auncii pcogcarn,

but right through the life of the EAP. It is even recommended that jointly administered

EAP's with employee representatives be encouraged, where employee

representatives participate in program development, use and evaluation (Fact Sheet

182, IPM Journal, May 1989).

Although higher level managers may not need to use EAP skills directly as

supervisors do, Ralfs and Morley (1990) argue that an effective EAP puts all

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managers through the same skills training that first-line supervisors receive. The

arguments posed on this point of departure is that managers can then coach and

reinforce supervisors on discussing performance-related issues with their employees,

as well as provide the skill models for supervisors to use in effective employee

intervention.

2.4.6.3 Employee Education

McClellan (1984) states that it was once thought that supervisory training for social

workers was the basic to an EAP. However, changes in structure of the average work

place, together with the expansion ofthe-EAP-fro-r—n industrial settings to white collar

and professional settings has caused a re-direction of supervisory training to "key-

employee" training. Key-employee training allows for the use of peer group leaders,

union representatives, and highly motivated key-employees, such as personnel

directors, to be the focus of the referral agent training.

The National EAP Committee:1999, point out that the organization should have a

major commitment to employees to on-going education about the phenomenon of

social problems and the handling thereof. This education usually takes the form of

preventative programs aimed at providing employees with skills and knowledge that

will enable them to prevent severe personal and work-related problems from

developing. It is found that in practice their programs are both cost effective, and able

to provide the EAP with a higher penetration (Bowen1997).

MeShulskiz.; (1 corn.pany C;:gma

has implemented an employee education program called Fast Break. This is a stress

management program, and has achieved wonderful results in helping employees to

circumvent the serious effects of long term stress. Examples of other such programs

are Career Guidance Programs, Personal and Financial Planning Seminars,

Assertiveness Training Workshops, Client Relationship Workshops, etc. etc.

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2.4.6.4 Supervisory Training

Supervisors should be trained to understand the prevalence of social problems

affecting employees' productivity and social functioning in order to create knowledge,

skills and a positive attitude towards assistance to troubled employees (National EAP

Committee, 1991).

The Fact Sheet 182 from IPM Journal (May 1989) states that since supervisors are

key people in the EAP, these people need to be trained on how to deal with

employees experiencing job performance problems, and how to refer to the EAP.

Supervisors are to be trained to not diagnose the employee's problem or attempt to

counsel him. Furthermore, the supervisor is not encouraged to cover up a problem

experienced with an employee or be misled by sympathetic tactics. Supervisors are

to be trained to observe.the performance of subordinates and document evidence of

deteriorating job-performance. Early identification of employee problems is critical to

Cost effective outcomes from an EAP (McClellan, EAP Shop Talk 1989).

Ralfs and Morely (1970:74) encourage supervisors to maintain an employee's self

esteem during a confrontation, by having specific documentation about work

performance, as well as having a sincere desire to help. If there is no improvement

after informing the employee of these observations, then a referral to the EAP must

be made.

2.4.7 RESOURCES

A file should be developed on resources in the community which include information

on the type of services rendered, and also the quality of such services (National EAP

Committee, 1991). These resources should be accessible and relevant (Fact Sheet

182 IPM Journal, May 1989).

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2.4.8 EVALUATION

EAP managers need to assess their programs for several reasons:

to obtain accurate feedback for making day to day decisions;

to improve or strengthen some aspect of the program;

to demonstrate the EAP's effectiveness; and

to contribute to progress in the EAP field.

(Burggrabe, J.L.: HAP Digest, July/August 1984)

Methods and features which could be valuable for evaluation are stated by Burggrabe

(1984:26) as follows:

management information systems to accumulate ongoing program data;

frameworks for questions to clarify what the supervisor/manager needs to

know and how the information will be used;

methodological help for accurate measurements; appropriate data analysis and

significant group selection.

2.4.9 ROLES OF THE EAP COORDINATOR

Each EAP has a program coordinator. This may be a full-time employee such as a

social worker, psychologist or occupational health practitioner, while others may be

contracted to the organization.

The following figure (Figure 3) represents the roles of an EAP coordinator, which can

also serve as a checklist for program development (Fact Sheet 182, IPM Journal, May

1989).

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R

0

L

E

--S

Policy Development

EAP Training/Awareness

Ongoing Promotion of the EAP

Direct Services to Troubled Employees

Indirect Services to Referring Supervisors

Indirect Services to Management

Community Resources

Administration of the EAP

Figure 4: THE ROLES OF THE EMPLOYEE ASSISTANCE PROGRAM

COORDINATOR

2.4.10 EMPLOYEE PROBLEMS ADDRESSED BY EMPLOYEE

ASSISTANCE PROGRAMS

Ramakrishnan and Balgopal (1992) identify eight distinct groupings of employee

problems that are usually addressed by an Employee Assistance Program. These

authors stress that the client and his or her problem are viewed within a social system,

which bears on the etiology of the problem, and its resolution.

2.4.10.1 Interpersonal Conflict

Problems centred on personal relationships and interactions, for example, interaction

between marriage partners, parents and children, colleagues or between a supervisor

and employee (Bowen 1997).

2.4.10.2 Dissatisfaction in Social Relations

Unlike interpersonal conflict, here the problem is identified in the client, and not in

relationships. For example, an employee distressed because he finds it difficult to

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socialize with other employees, often isolates himself.

2.4.10.3 Problem with Formal Organizations

Difficulty in the client's relations with organizations such as agencies, hospitals,

schools and workplace.

2.4.10.4 Difficulty in Role Performance

The client finds it difficult to carry out an ascribed social role: spouse, parent, . - - - • - - -

employer, supervisor, employee, etc.

2.4.10.5 Decision Problems

The client finds it difficult to make a certain decision, usually with regard to

contemplated changes in a role or social situation. For example, deciding whether to

file for divorce, take a job in another company, etc. etc. (Bowen 1997).

2.4.10.6 Reactive Emotional Distress

Problems centred on emotional upsets set off by some event or situation, which may

lead to depression or anxiety. For example, the death of a loved one, recovering from

a burglary, car hijacking or assault.

2.4.10.7 inadequate Resources

Lack of money, food, clothing, housing, transportation, child care or other tangible

resources.

2.4.10.8 Psychological or Behavioural Problems

A final category that includes all problems not included in the previous categories. For

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example, addictive behaviour, phobic reactions, self-esteem problems, etc. etc.

2.4.11 BENEFITS OF EMPLOYEE ASSISTANCE PROGRAMS

An EAP provides two distinct sets of services:

services to employers and

services to employees and their eligible dependents.

2.4.11.1 Benefits to the Employer

a. General Benefits

Cohen (1996:45) states that American companies lose about $200 billion per year as

a result of missed days, lost productivity, and health care costs - diretly attributed to

personal problems of employees. Fact Sheet 182 of the IPM Journal (May 1989)

states that between 10-18% of any workforce is "troubled". These figures are based

on American statistics, but some South African EAP's indicate that the percentage of

troubled employees may be much higher. Research in the United States has shown

that troubled employees cost the employer 25% of their wages in terms of

absenteeism, tardiness, accidents and lost production. Casting this out can reveal the

significant hidden costs of troubled employees.

Rosen (1986:20-21) identifies some employee behaviours that cost companies dearly

every year:

burnout;

lack of commitment to product quality;

lateness;

extended lunches;

decreased output;

poor decision making;

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poor concentration;

strikes;

tense working relationships;

high staff turnover;

excessive health care costs, etc.

From the 120 companies that were recently surveyed by the Conference Board, a

New York based business membership organization, Cohen (1996:45) mentions that

these companies reported that benefits of EAP's include improved morale, higher

productivity, less absenteeism, lower health care costs, reduced turnover and less

workplace violence.

It was also discovered that supervisors are feeling the benefits of Employee

Assistance Programs in a marked manner since it takes them out of the role of

counsellor and allows them to do the job they are supposed to do (Cohen1996:45).

Some companies support Employee'Assistance Programs as a means of expressing

their values, i.e. especially the value of internal and external social responsibility

(Starkerl 989; Du Plessis 1989). This maintains a competitive edge for the company.

Strydom (1994:221) states that the longer it takes for an employee to utilize the EAP,

the more time and costs are involved in restoring the employee's former productivity.

It has been established that, if an employee refers himself for treatment, the time and

financial implications are much lower than when the employee comes for treatment

as a result of a formal referral. Strydom (1994:221), further states that although a

forinal efErrat :?

money, to restore the employee's former productivity, stills seems to be more cost

effective than replacing the employee with someone else.

b. Measurement of Employer Benefits in Terms of Effectiveness and

Efficiency

Employee Assistance Programs are measured in terms of their effectiveness and

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efficiency. The major questions that are related to the program's effectiveness are:

to what extent is the population at risk penetrated by the program - the

penetration rate; and

to what extent are changes sought among the people who are identified as

having problems and with whom some intervention is attempted - the success

rates (Shain and Groenewald, 1980:23-25).

Penetration rates can be easily calculated from the demographic statistics that most

EAP administrators keep. Success rates are harder to measure accurately, but can

through the use of econometrics be measured successfully.

Efficiency is measured by attaching monetary values to changes in job-performance

indicators e.g. absenteeism, sick leave, etc. as well as costs saved in terminating an

employee's services, medical aid claims, etc. Decker, Starett and Redhorse

(1986:391-393) strongly advocate the development of accurate, scientific

measurements in order to establish the efficiency or cost-effectiveness of Employee

Assistance Programs. These authors feel that statistical data on the demographics

of the employees utilizing the service, types of problems evidenced etc. - that is,

process evaluation, is not sufficient to prove the cost-effectiveness of the service.

Valuable inspiration that can be analysed to prove cost-effectiveness, can be obtained

in the following areas:

absenteeism;

ber13

accidents;

overtime;

machine down time;

disciplinary actions;

disability absences;

sick leave;

worker's compensation benefits;

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promotions passed over;

• retraining;

grievances; etc. (Decker, Starett and Redhorse, 1986:392).

Settineri (1991) supports this view point, and advocates the development and use of

an evaluation method that combines human and financial perspectives to answer the

question: Does the EAP provide benefit's consume rate with its cost? This author

specifically highlights three areas where costs can be determined with relative ease,

that can significantly measure EAP effectiveness: medical plan costs, absenteeism

and job-related accidents.

2.4.11.2 Employee Benefits

Milne and Roman (1994:123) conducted a study with 1,987 employees at several

locations of a large American Company. Through this study, it was established that

the largest factor involved in the propensity of employees to utilize an EAP, is

confidence in the program. Meaning that, employees have to have experience faith

in the program, as well as program deliveries.

When employees receive higher remuneration in the form of cash, their income tax

increases too, and they actually benefit minimally. Thus, many companies prefer

providing employees and their families with professional social services, so as to

benefit with an expensive tax-free commodity.

2.5 FREViCUS RESLiARCI-; 0:-*/ i4EEDS V6Ii..1

EAP

With the literature review that has been conducted, it could be stated that no study

has been found that has conducted a needs assessment of employees, before an

Employee Assistance Program is developed. A few studies do, however, discuss the

evaluation of the program, as well as employee needs, after the Employee Assistance

Program was developed and running.

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Bowen (1997), before an EAP could be designed for the Aviation Organization and

Volunteers, conducted a needs assessment for the program. The results thereof

enabled the organization to establish an EAP. Yamantani (1988) has developed a

cross-sectional method for assessing and evaluating social service programs in an

industrial setting. This method was found useful for estimating the number of workers

in need of social services, levels of program use, and penetration, and for examining

program outcomes.

2.6 CONCLUSION

Maiden (1987:506) states that "The social work profession can assTiMe -ari important

position in shaping the future development of work-based social service delivery".

Skidmore (1991) maintains that social work in the workplace provides a way in which

millions op people may benefit from skills of social workers by providing prevention

and enrichment programs.

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CHAPTER THREE

THE RESEARCH METHODOLOGY

3.1 INTRODUCTION

The previous chapter dealt with a literature review and it highlighted the field of

Employee Assistance Programs. This broad analysis of Employee Assistance

Programs lays a foundation for the chapter that is to be dealt with, which is the

research methodology and it will provide information on methods that will be utilized

to collect data for the study.

Grinell et. al. (1993:4) define research as a structured enquiry that utilizes acceptable

scientific methodology to solve problems and create new knowledge that is generally

acceptable.

A number of definitions have been formulated by various authors on the concept of

research. De Vos (1998) summarizes it as follows: "Basic professional research,

whether its objective is exploration, descriptive or explanation, is a scientific enquiry

into a relevant problem that provides an answer contributing to an increase in the

body of generalisable knowledge about the particular profession; applied professional

research is geared to the development of knowledge and technology with a view of

achieving meaningful intervention which, ideally, should be participatory interventive

action, based on participatory action research, in that professional ,researchers should

empower research participants to understand and solve their own situatjon and

problems, become aware of their own potential and regain their own sense of dignity,

so as to take collective action for their own self development" (Grinell, 1993; Rothman

and Thomas, 1994; Rachman, 1993).

Research methodology, in its broadest sense can be defined as a plan or system

designed for the purpose of finding a solution to the problem.

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3.2 RESEARCH GOALS AND OBJECTIVES

Arkava and Lane (1983:11-13) explicitly state that a scientific endeavour in social

work research should have at least one of three primary objectives: to explore, to

describe and to explain.

The research objectives of this study will be:

To determine the level of social function of the Alberton Town Council

employees with regard to 25 sub-scales of the MPS!. - -

To determine the level of job satisfaction of employees through the use of the

Index of Job Satisfaction (IJS).

To develop clear guidelines for the development of an Employee Assistance

Program for the Alberton Town Council which guidelines will be formulated

from the result of a literature study and the needs assessment of employees

and management. These guidelines will include the structure and context of

the EAP.

Grinell, Rothery and Thomlison (1993:14-16) state that the goals of social work

research studies can be described as pure or applied research. The goal of pure

research studies is to develop theory and expand the social work knowledge base.

The goal of applied studies is to develop solutions for problems and applications in

practice. The latter goal is the intended study of this research.

3.3 RES EARCH APr iROACi

Rothman and Thomas (1994:3-4) conceptualize applied research as intervention

research. De Vos (1998) states three main types of intervention targeting to address

the application of research as follows:

Empirical research to extend knowledge of human behaviour relating to human

service intervention - referred to as intervention knowledge development, or

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KD.

The means by which the findings from intervention knowledge development

research may be linked to, and utilized in practical application - referred to as

intervention knowledge utilization or KU and

research directed towards developing innovative intervention - referred to as

intervention design and development or D & D.

Much as this study intends to develop information, the core objective of this study

would be to utilize the data gathered so as to prevent or solve problems encountered

by the Merton Town Council with regard to its employees. To accomplish the above

— statedMbjettiVehe- stitcry will apply a quantitatve iiiproach foe . its research-

methodology.

Mouton and Marais (1990:155-156) identify the following characteristics of the

quantitative approach:

It is more highly formalized as well as more explicitly controlled;

Its range is more exactly defined (than the qualitative approach);

It is relatively close to physical sciences.

Reid and Smith (1981:87-89) added the following with regard to the quantitative

approach:

The researcher's role is that of the objective observer;

CC:. 1-CCUF--SEC2 on 232:3-C.;it;

These remain constant throughout the investigation;

Data collection procedures and types of measurement are constructed in

advance of the study and applied in a standardized manner;

Data collectors are to avoid adding their own impressions or interpretations;

Measurement is focussed on specific variables that are quantified through

rating scales, frequency counts and other means;

Analysis proceeds by obtaining the statistical breakdown of the distribution

51

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variables;

Statistical methods are used to determine associations (or differences)

between variables (De Vos, 1998:71).

3.4 RESEARCH DESIGN

De Vos and Fouche find research design definitions to be ambiguous (De Vos, 1998).

They make an example of this ambiguity by stating Thyer's definition (1993:94) as

follows: a research design is "a blueprint or detailed plan on how a research study is

to be conducted - operationalising variables so they can be measured, selecting a

sample of interest to study; collecting data to be used as a basis for testing

hypothesis, and analysing the results".

Huysamen (1993:10) offers a closely related definition of design as "the plan or

blueprint according to which data are collected to investigate the research hypothesis

or question in the most economical manner".

This confussion according to the two authors is addressed by Rubin and Babbie

(1993:92) who view the term research design as basically having two connotations

which are:

The first connotation referring to alternative logical arrangements to be

selected. This connotes experimental research designs, correlation research

designs and others in that cateporv;

Tile second connotation cit.;ais v,;;; Vi the act of des:gning the stuc;y in its

broadest sense. This refers to all decisions we make when planning the study

- decisions not only about what type or design to use, but also about sampling

sources and procedures for collecting, data, measurement issues and data

analysis plans (De Vos, 1998).

De Vos (1998) concurs with Rubin and Babbie's (1993) first connotation by using the

term "research design" only for those groups of small worked-out formulas from which

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prospective (quantitatively oriented) researchers can select or develop one (or more)

suitable formulas to their specific research goals and objectives. De Vos (1998:82)

state that a research design is the guideline within which a choice about data

collection methods has to be made.

Grinell (1993) and Rubin and Babbie (1993) identify three types of research designs

namely:

Explanatory design which is central in research where the researcher seeks to

answer the question, "Why ... !" Grinell (1993) further states that the

explanatory design is best used in confirmatory research studies where the

area under study is well developed, and testable hypotheses can be developed

on the existing theory. These designs seek to establish causal relationships

between the dependent and independent variables. An example of an

explanatory design is where the question is asked why some cities have higher

child abuse rates than others (Bowen, 1997).

The second possible research design is a descriptive design. Here the

researcher observes a certain phenomenon and then describes what is

observed (Rubin and Babbie, 1993). An example of this type is drawing up a

psycho social profile of sexual offenders in a particular prison.

The final possible research design, as identified by these authors, is an

exploratory design. The purpose of this design is to gain a beainning familiarity

with a topic Rubin and Babbi,, 1:393). The purpose of such a resaaich is to

build a foundation of general ideas and tentative theories which can later be

explored (Grinell, 1993). Rubin and Babbie (1993) add that exploratory

research is also often conducted when a researcher wants to develop methods

to be used in a more careful study.

This research study has adopted an exploratory design in order to explore the needs

of employees with regard to an Employee Assistance Program. No hypothesis has

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been formulated for this study, but rather a systematic process is adopted, whereby

recommendations for an Employee Assistance Program based on a quantitative

needs assessment is generated.

After the discussion of the research design, a discussion of the research methodology

will be followed through highlighting data collecting methods.

3.5 DATA COLLECTING METHODS

Toseland (1993:317) argues that "careful exploration and analysis of the research

question and a thorough understanding of the research design are essential before

the specific method that can provide, appropriate data about the variables in the

research question can be chosen" (De Vos, 1998:81-82). "The data collection

methods are the ways in which the data are actually obtained" (De Vos, 1998:82).

Data in this research was gathered by making use of two standardized assessment

scales, namely the Multi-Problem Screening Inventory and Index of Job Satisfaction

as well as a questionnaire that gathers quantitative data, designed by the researcher.

The primary method of data gathering was the use of questionnaires, which are

defined by Mark (1996) as a set of questionnaires or items in written form that is self

administered. The questionnaires with a cover letter will explain the purpose of the

research and will be administered to suite a convenience study.

Quantitative data collection melnocis consist of measuring instruments. The

discussion that follows will explain the various instruments that were used in this

study. Examples are included in Appendix 1 as part of the research package.

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3.6 MEASURING INSTRUMENTS

3.6.1 THE MULTI-PROBLEM SCREENING INVENTORY

3.6.1.1 Introduction

Standardized multidimensional assessment instruments arose out of the need

identified by social workers to scientifically assess a wide range of client problems

within an ecological systems model (Hudson and McMurty 1997). Such instruments

have various features._Firstly, they should cover problem areas most frequently encountered by social workers in practice. Secondly these problems should address

areas of both personal and social functioning, in harmony with an ecological approach.

Lastly, they should be able to measure a range of specific personal and social

problems without requiring specialized training or licenture (Hudson and McMurty

1997). The Multi-Problem Screening Inventory possesses all three of these features

and enables practitioners to conveniently obtain information about client problems in

27 areas of personal and social functioning (Bowen 1997).

3.6.1.2 Description of the scale

The Multi-Problem Screening Inventory (MPSI) is a paper and pencil, self-report

measure containing 334 items that takes about 30 to 45 minutes to complete. Each

of these items has a 5 point scale, from which the client can select his response. The

inventory is divided into 27 sub-soles ranging in length from 7 to 20 it ,3ms, and for

each individual score is obtained. Instead of providing a single composite score, the

MPSI uses these sub-scale scores to develop a graphic profile of client problems.

Each sub-scale produces a score ranging from 0 to 100, after analysis. Lower scores

present the relative absence of problems in a specific area of personal and social

functioning, whereas higher scores represent more serious problems in that area.

Clinical cutting scores are also established for each sub-scale, distinguishing various

degrees of security of the problem (Bowen 1997).

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3.6.1.3 Reliability and validity of the MPSI

From a study done by Hudson and McMurty (1997) it was established that the MPSI

scales have good to excellent reliability. Reliability can be defined as the accuracy or

precision of an instrument; as the degree of consistency or agreement between two

independently derived sets of scores; and as the extent to which independent

administrations of the same instrument yield the same (similar) results under

comparable conditions (Hudson, 1981:113-120). De Vos (1998:85) state that an

instrument is reliable to the extent that independent administrations of it or a

comparable instrument yield similar results.

Flowing from these definitions it means that when an MPSI is administered repeatedly,

it will yield the same results, assuming that the variable measured has not changed

between administrations. The aggression sub-scale has the lowest reliability, but this

is compensated for by its small standard error measurement. In other words, the error

component is very small which causes the observed score to be yen) close to the true

score (Mark, 1996).

The MPSI also appears to be strong enough in terms of its measurement error

characteristics to recommend it of use in a wide range of research applications

(Hudson and McMurty, 1997). Hudson (1981, 104-105) describes a valid measuring

instrument as doing a lot it is intended to do, as measuring what it is supposed to

measure and as yielding scores whose differences reflect the true differences of the

variable being measured rather than random or constant errors.

According to Hudson and McMurty (1997), the MPSI appears to be acceptable in

terms of its content, factorial and construct validity. Lastly Hudson and McMurty

(1997) mention two major disadvantages of the MPSI, which are important to keep in

mind in the context of a research project:

Firstly, the amount of time required to administer and compute the scale can

become problematic. (The intention of the researcher of this instance would

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be to request management to allow the respondents who have been randomly

selected to be allowed to complete the questionnaire during working hours.)

The second disadvantage concerns the fact that it will be self-report measure

and would therefore be vulnerable to all shortcomings of such assessment

devices, such as deliberate distortion of answers by respondents, diminished

effectiveness with populations having limited ability to use written instruments

etc. In this research study the deliberate distortion of answers by respondents

will be reduced by impressing respondents with the fact the results will be used

confidentially in order to establish a program for their benefit in the

organization.

The MPSI will be used to address the following research objective of the study:

"To determine the level of social functioning of the Alberton Town Council employees

with regard to 25 sub-scales of the MPSI".

Two sub-scales will be omitted, and they are:

"Relationships with neighbours"; and

"Problems with work".

The reasons for the omission of these sub-scales:

The first one does not relate to the "work needs" hence it is not of importance

to a needs assessment of an Limployee Assistance Program - probien -is in this

area do not usually form part of such a problem;

The second one will be covered by the Index of Job Satisfaction Scale.

3.6.2 THE INDEX OF JOB SATISFACTION (IJS)

The Index of Job Satisfaction is a standardized, reliable and valid measurement

instrument providing information with regards to job satisfaction (Hudson and Faul,

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1997). This instrument produces scores that range from 0 to 100. The lower the

score, the higher the level of job dissatisfaction. A cutting score of 65 has been

identified, which implies that persons with scores below 65 exhibit clinically significant

job dissatisfaction.

This questionnaire was employed as a method of reaching one of the research

objectives, namely: "To determine the level of job satisfaction of employees through

the use of the Index of Job Satisfaction (IJS). The questionnaire that the researcher

developed will be the next to be discussed.

3.6.3 THE EMPLOYEE ASSISTANCE PROGRAM NEEDS ASSESSMENT

QUESTIONNAIRE

The questionnaire applied the quantitative data collection methods. The first objective

collected certain vital demographic information from the respondents. Secondly the

* questionnaire's aims was to assess the council's specific needs and problems in the

work place, including attitudes and practical considerations in the implementation of

an Emplqyee Assistance Program. The data in turn was interpreted together with the

MPSI and JSI and the results influenced the creation of a profile of individual and

organizational needs. The measuring instrument's purpose was to gather data to

address the following research objective:

"To develop clear guidelines for the development of an Employee Assistance Program

for the Alberton Town Council, as a result of the literature study and the needs

assessment of employees. These guidelines include the structure and content of the

EAP.•

The Employee Assistance Program Needs Assessment Questionnaire comprises the

following:

• An instruction sheet on how to complete a questionnaire.

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Section A

General information, comprising of demographic information and details of

employment.

Section B

Job satisfaction and difficulties, comprising of questions assessing the impact

of personal problems on job performance, amount of sick leave taken over the

past six months, types of personal problems experienced, etc.

• Section C

An Employee Assistance Program for the Merton town Council exploring

various issues around the practical implementation of such a program within

the unique context of the organization.

3.7 SAMPLING

De Vos (1998) states that sampling is one of the most important in the total research

endeavOur. Grinell (1993) defines sampling as the selection of some units, for the

purpose of study, to represent the entire set from which the units were drawn, which

is called a population. Kerlinger (1986) states that in sampling the researcher takes

any portion of a population or universe and considering it to be a representative of that

population or universe.

Arkava and Lane (1987:27) draw a distinction between the terms "universe" and

"population". Universe they write, refers to ail potential subjects who possess the

attributes in which the researcher is interested. Population is a term that sets

boundaries on the study units. It refers to individuals in the universe who possess

specific characteristics. For instance, in a study of child abuse, the population might

include all individuals referred to a community's child-protection services. De Vos

(1998) also concurs with this distinction.

Arkava and Lane (1983:27) therefore, define a sample as the element of the

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population considered for actual inclusion in the study. Or it can be viewed as a

subset of measurements drawn from a population in which we are interested.

The population of this study will include the employees of the Alberton Town Council.

The total population of the council is ± 1,700 and can be divided into the following

categories:

Category one: Non-salaried staff

Category two: Middle management

Category three: Senior management

The problems affecting the ungraded and graded employees of the organization are

not homogenous and it is important for the Employee Assistance Program to be as

inclusive as possible so as to address the entire needs of the organization's

population.

A convenience sample divided amongst the above mentioned categories was drawn.

3.8 DATA ANALYSIS

The Statistical Package for the Personal Computer (SPPC) will be used by the

researcher to analyse the data. The univariate analysis will be used in the description

of the sample in terms of demographic characteristics, as well as instrument scores.

3.9 CONCLUSIOi'l

This chapter concludes the discussion on research methodology and sets the stage

for the next chapter which will be the implementation of the data collection and

analysis process.

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CHAPTER 4

DATA ANALYSIS AND INTERPRETATION

4.1 INTRODUCTION

Placing the collected data on paper is an important part of any research project. This

can be viewed as the final product of the long research process which has now been

completed. Chapter three covered the research methodology utilized in collecting data

for this study. This chapter therefore,_ will encompass the next step in the research

process, which is, data processing and reporting of the results. The reporting of

results will follow the format of the questionnaires administered. The relevance of

these findings to the development of an Employee Assistance Program will be

discussed at the relevant points in this chapter and brought together as a final

recommendation in chapter five.

4.2 DESCRIPTION OF THE SAMPLE

As stated in the previous chapter the respondents completed three questionnaires,

namely:

• The Employee Assistance Program Needs Assessment Questionnaire;

The Index of Job Satisfaction (IJS);

The Multi-Problem Screening Inventory (MPS!).

A total of 42 employees completed the questionnaires.

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4.2.1 AGE OF RESPONDENTS

Table 4.1: Age distribution of respondents

AGE FREQUENCY

20 - 29 6

30 - 39 9

40 - 49 16

50 - 59 3

60 - 69 2 -

TOTAL 35

Figure 1: Aga

Figure 1 represents the age distribution of the respondents. Most of the respondents

were between the age of 40 - 49.

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0

11

= 3 N

= 0 0 Cl) (I)

E g Z V)

co co O

co

I Home language

7 8 a

3 2 1

3

4.2.2 HOME LANGUAGE OF RESPONDENTS

Figure 2: Home language

Figure 2 indicates the number of respondents in accordance to their home language.

It highlights that most of the respondents were:Afrikaans speaking.

°

4.2.3 GENDER OF RESPONDENTS

o Female

m Male

Figure 3: Gender

Figure 3 outlines the gender distribution amongst respondents. From the outline there

is an indication that the majority of respondents were men.

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31

co

Widowed

B Never married

Divorced ea 2 Married

0 10 20 30 40

Frequency

4.2.4 MARITAL STATUS OF RESPONDENTS

Table 4.2 Marital status of respondents

MARITAL STATUS FREQUENCY

Married 31

Divorced 3

Never married 2

Widowed

38_

— - TOTA 7

Figure 4: Marital status

The marital status of respondents is reflected in Figure 4. Of the 42 respondents, 31

are married. The remaining numbers are either divorced, separated, widowed or

never married. An EAP would therefore need to address issues around intimate

relationships since more than half of the respondents are currently involved in such

relationship.

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2 4 0 6 8 10

CI) 6-7 TS

4-5 0

.0 2-3 E z

0-1

clue at..y

giff=17,741S0'

L.D-ZErZY.170:747'

8

8

7

;SIM* 761,1.

4.2.5 NUMBER OF CHILDREN

Table 4.3: Number of children

NUMBER OF CHILDREN FREQUENCY

0 - 1 2

1 - 2

2 - 3 8

3 - 4 7

4 - 5

5 - 6

6 - 7 2

7 - 8 2

Figure 5: Number of children

Table 4.3 and Figure 5 highlights the number of children the respondents have.

According to Figure 5 most of the respondents have children. The mean amount of

children is 2,9.

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14 12 10 8

6 4

2 0

12 11

5 4

3

Grade 8 Grade 10 Grade 12 Certificate National Degree and less Course Diploma

Highest academic qualification

LL

4.2.6 HIGHEST ACADEMIC QUALIFICATION

Table 4.4: Highest academic qualification

ACADEMIC QUALIFICATIONS FREQUENCY

Grade 8 and less 12

Grade 10 2

Grade 12 3

Certificate Course 4

National Diploma - - -- - 11-------

Degree 5

Figure 6: Highest academic qualification of respondents

Table 4.4 and Figure 6 indicate a high frequency distribution of respondents (12) with

\vrt:1 L

be important when designing a program to consider a program which will keep the

academic development and needs of recipients in mind. From the category of

National Diploma it can be deduced that it is composed of the professional staff with

some form of tertiary education, administrative staff, managers, supervisors, etc. as

well as professional staff that have received specialized training. Most of the non-

salaried staff have an educational qualification lower than Grade 10 and even lower

education i.e. at primary school level.

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17

13

1 EMMMI

20

15

4; 10 a. LL 5

0 Top !Addle Non-salaried

management management staff

Level of employment

4.2.7 LEVEL OF EMPLOYMENT

Table 4.5 Level of employment

LEVEL OF EMPLOYMENT FREQUENCY

Top management 1

Middle management 13

Non-salaried staff 17

TOTAL 31

Figure 7: Level of employment

From the above table and figure it is noted that most of the respondents were part of

the nrDr-1-;:-.,7.1::,--F:eci

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4.3 THE EMPLOYEE ASSISTANCE PROGRAM NEEDS ASSESSMENT

QUESTIONNAIRE

4.3.1 HOURS OF OVERTIME WORKED BY RESPONDENTS

Table 4.6: Hours of overtime worked by respondents

OVERTIME WORKED FREQUENCY

Yes 18

No -_ - -- - 20_ ____ - __ - - _ _ . _

TOTAL 38

Table 4.5 indicates that to a certain extent the respondents are working overtime. The

investing of time by the employees on a weekly basis is for the benefit of the council

and therefore, an EAP would need to take cognizance of this effort by employees

through addressing their concerns in a suitable manner.

4.3.2 DISTRIBUTION OF HOURS WORKED

Table 4.7: Distribution of hours worked

HOURS FREQUENCY

1 - 5 9

6-10 5

11 - 15 2

16 - 20 2

N 18

Table 4.7 indicates the distribution of overtime hours worked per week by the

respondents. The mean is 7,1.

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f.

3

.... 0

E z

0

26-30

21-25

16-20

11-15

6-10

1-5

6

5

KM-Stp--t--24MIT 14

0

5 10

15

Frequency of respondents

4.3.3 YEARS OF WORK WITH ALBERTON TOWN COUNCIL

Table 4.8: Years of work with Alberton Town Council

YEARS FREQUENCY

1 - 5 8

6 - 10 14

11 - 15 5

16 - 20 _,_,-_--_,_

-- ------ 21 - 25 -

26 - 30 1

N 36

4.

Figure . (;;ars of work with Atbc-.-on 'loom Coi.,..t;

The average length of time worked by respondents amongst 42 respondents is 8

years with the shortest period worked being 1 year and the longest period being 18

years. Flowing from this analysis it could be indicated that the Council's investment

in terms of an EAP would be a long term investment. Figure 8 illustrates this variable

graphically.

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4.3.4 IMPACT OF PERSONAL PROBLEMS AT WORK

Table 4.9: Impact of personal problems at work

Think about

personal

problems at work

Discuss personal

problems with

colleagues

Discuss personal

problems on the

phone

Do not discuss

None of the time 5 9 19 12

Very rarely 16 9 8 4

A little of the time 2 6 0 3

A good part of___._ _

the time

_ 4 —___1 - _— — - —_-

Most of the time 0 0 0 0

All of the time 0 2 1

N 41 30 38 21

Mean = 2,4

SD = 1,0575

Mean = 2,4

SD = 1,4065

Mean = 1,3

SD = 0,6953

Mean = 2,1

SD = 1,6703

From Table 4.9 it can be seen that 5 of the 41 respondents never think about their

personal problems, while 16 do so on rare occasions. Eight think about their problems .

a good part of their working time. Nine respondents never discuss personal problems

at work, with 9 who discuss it very rarely. Most of the respondents (19) do not discuss

personal problems on the phone, and 12 respondents do not discuss their problems

at all.

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20 17

0-1 2-3 4-5 6-8 9-10

11

. .

4 1

Days of sick leave

10

i 5

0

4.3.5 AMOUNT OF SICK LEAVE TAKEN BY RESPONDENTS IN THE LAST SIX

MONTHS

Table 4.10: Amount of sick leave taken by respondents in the last six months

DAYS FREQUENCY

0 15

1 2

2 6

3 5

1

5 2

6 1

10 4

N 36

Table 4.10 shows the amount of sick leave 36 of the respondents have taken in the last six months. The highest level shows that no sick leave days have been taken, while the mean is 2,5 days. The maximum amount of sick leave taken is 10 days in the last six months. This could be valuable information to be used in the evaluation of an EAP, i.e. a reduction in the average days of sick leave taken by employees would be an indicator of a successful EAP (Cohen 1996:45).

Figure 9: Amount of sick leave taken by respondents in the last six months

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Re

Other

Retirement

Getting a job closer to home

Not enjoying your job

Problems with colleagues

Getting a better paying job

Pregnancy/caring for children

0 5 10 15 20 25

Fre 1..V1e.'1 ,: lf

4.3.6 REASONS FOR RESPONDENTS TO LEAVE PRESENT JOB

Table 4.11: Reasons for respondents to leave present job

REASON FREQUENCY •

Pregnancy / caring for children 0

Getting a better paying job 17

Problems with colleagues 2

Not enjoying your job 7

Getting a job closei- fo—hom- e - ---

Retirement 21

Other

Figure 10: Reasons for respondents to leave present job

Table 4.11 shows a frequency distribution citing various potential motivating factors

for leaving their present jobs. Whilst the most motivating factor is that of retirement,

another strong factor is to leave their present job in favour of a better paying job

elsewhere. The other motivating factors of leaving the job is getting closer to home

and not enjoying the job. These statistics indicate once again that the investment in

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terms of an EAP would have long-term benefits for the organization, since the work

force seems quite stable. It also highlights a significant problem in terms of

remuneration, that could result in the loss of employees in whom the organization has

invested in terms of training, EAP etc. to better paying jobs. Since respondents were

free to mark as many categories as they wanted, no totals are given in this table.

4.3.7 DESIRE TO DISCUSS PERSONAL PROBLEMS WITH A PROFESSIONAL

THERAPIST

Table 4.12: Desire to discuss personal problems with a professional therapist

DESIRE FREQUENCY

Very often 1

Sometimes 12

Hardly ever

Never 22

N • 38

Table 4.12 reflects the responses of 38 respondents in terms of the desire to see a

professional therapist With regard to personal problems. Most of the respondents (22)

never had a desire to discuss their problems with a professional therapist. Whilst only

one had no desire, twelve hardly ever thought of consulting a professional therapist

and only three sometimes had the desire to consult a professional therapist. If people

cc.):.1! •., o scp,:cf:r;, cou!(.1

benefits of therapy and more inclined to use such a service.

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PREVIOUS CONSULTATION FREQUENCY

Experience of professional therapy 2

No experience of professional therapy , 6

4.3.8 WORK RELATED PROBLEMS EXPERIENCED BY RESPONDENTS

Table 4.13: Work related problems experienced by respondents

PROBLEMS EXPERIENCED FREQUENCY

Relationship with colleagues 14

Relationship with clients 1

Unmanageable workload 3

Not enough training for the job 8

Dissatisfaction with remuneration 16

Wcipt—tblems experienced 10

Table 4.13 lists the frequencies of respondents that have experienced recently, or who are presently experiencing various problems in the work place. Since respondents were free to mark as many categories as they wanted, no totals are given in this table. Sixteen respondents indicated dissatisfaction with remuneration as a problem and 14 indicated relationship with colleagues as a problem. An EAP therefore needs to focus on these problems.

4.3.9 PREVIOUS CONSULTATION WITH A PROFESSIONAL THERAPIST

Table 4.14: Previous consultation with a professional therapist

N

According to the frequency distribution of respondents, only two of the respondents have been for therapy at a professional therapist. This can perhaps explain to some degree why many respondents report personal problems but do not feel a need to see a therapist. Whilst the experience of formal therapy might appear to be a strange and threatening experience, to a certain degree some have indicated their unwillingness to pay for such a service.

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20 gatZ7a=.774 E. • .eN. ' '"M.S=17

. ,

zw- szm — 8

1

a,7,;.41 'Will.r1170McM9S...1

' — 8

13

wry&

UjiMMS, •

[::: :1 4

M1

=123 4

.. 4 ''',"

0

10

15

20

25

Frequency

Financial problems

Grief

Alcohol and drugs

Dealing w ith stress

Handling stepchildren

Handling your children

Problems w ith friends

Extetnal co:111kt

Going through a divorce

Conflict in close family

Partner relationship

E

2 0.

is

0-

4.3.10 PERSONAL PROBLEMS EXPERIENCED

Table 4.15: Personal problems experienced

TYPE OF PERSONAL PROBLEM FREQUENCY

Relationship with partner 8

Conflict - family 4

Conflict - extended family 4

Divorce 1

Problems with friends 4

Handling children - ., 4 ____. _,-,--_-_,_ •

Handling stepchildren 3

Stress 13

Alcohol and drugs 1

Grief 8

Financial problems 20 .

Figure 11: Categories of personal problems as reported by respondents

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Table 4.15 indicates a distribution of personal problems experienced by respondents

over the past six months. Personal financial problems takes the lead with 20

respondents who indicated this as a problem. Dealing with stress is second (13),

whilst partner relationship problems (8) and grief (8) follow. Also problems handling

children (4), friends (4), conflict with family (4) and conflict with extended family (4)

were indicated as problems.

From this analysis some vital areas of relationships are brought forward. These will

need to be addressed in an EAP. The challenges of personal financial management

as an area of need is also identified. Partnership relationship enrichment and

inter/erition is also an area -g=attentien==This,-along- with these identified

areas are further reinforced as areas of priority by the scores reported from the MPSI.

4.3.11 PREFERRED MODELS OF EMPLOYEE ASSISTANCE

Table 4.16: Preferred models for implementing an employee assistance

program

MODELS FREQUENCY

Internal therapist (1 session), then referred to external therapist 9

Directly to external therapist 10

Internal therapist for full course of therapy 11

N 30

Table 4.16 shows the frequency of respondents in preference of three different models

of Employee Assistance Programs. The preference according to the respondents is

to see an internal therapist for the entire course of treatment (11 out of the 30

respondents). This could be attributed to the fact that also most of the respondents

indicated an unwillingness to pay for the services. One could assume that the

respondents who were unwilling to pay for the therapeutic services most probably did

not have a medical aid. The researcher thus recommended that an in-house model

providing a comprehensive range of services be adopted by the Council.

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Another important factor to be considered is also that a significant number of

respondents (10) indicated to consult an external professional therapist whilst the last

category of respondents indicated to have only had one internal consultation with the

professional therapist and the other sessions to be referred to an external professional

therapist (9). This information is valuable in that should an employee require long-

term highly specialized treatment, the EAP can exercise relative freedom in referring

this person to an external practitioner.

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4,4 THE MULTI-PROBLEM SCREENING INVENTORY

Table 4.17: The MPSI subscale scores

Subscale N Mean SD People

with

problems

People

without

problems

Depression 42 22,48 12,93 11 31

Self-esteem 42 31,43 14,11 26 16

Partner 42 18,09 19,82 8 34

Sexual _ ___ --_,-_, _17,90__- - -18,95 -10 --_-=__, _ . 32 : 42 _ _

Children 42 14,71 10,51 2 40

Mother 42 11,69 15,15 4 3

Father 42 7,40 9,83 2 40

Stress 42. 15,97 14,12 3 36

Friends 42- 18,59 15,47 9 33

School 42 9,07 14,80 6 36

Aggression 42 10,64 13,80 5 37

Associates 42 20,45 14,80 11 31

Family relations 42 14,73 13,57 8 34

Suicidal 42 1,54 4,88 1 41

Non-physical 42 7,23 10,80 11 41

Fearfulness 42 8,83 9,82 1 41

R e f i,,,-- . r, .. _ ,1 ,o7 1 1 ,58 .

2 ,-,

Phobias 42 l‘d,u2 ' 13,33 :3'

Guilt 42 14,73 19,07 7 35

Problems at work 42 16,09 10,79 7 35

Thinking 42 14,09 13,62 3 39

Memory 42 8,04 7,96 0 42

Alcohol 42 6,75 9,77 7 35

Drugs 42 3,38 9,77 4 38

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40 30 20 10 0

19 - -

22

31

13

13

5

12

16

11

20

15

F,4

8

11

19

15

10

Depression

Self-esteem

Partner

Sexual

Children

Mother

Father

Stress

Friends-

School

Aggression

Associates

Family relations

Suicidal

Non-physical

Physical

Fearfulness

Reference

Phobias

Guilt

;P:"C.,1YtF fTY3 3t

Thinking

Memory

Alcohol

Drugs

Figure 12: The MPSI subscale scores

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In Table 4.17 and Figure 12, the results of the different personal and social functioning

problems that were measured with the MPSI, are indicated in terms of mean scores,

number of respondents above the clinical cutting score and number of respondents

below the clinical cutting score.

Flowing from the above stated table and figure the troubled areas can be tabulated as

follows according to the ratings:

Self-esteem

Depression

Relationship with work associates

Relationship problems with partner

Sexual relationship problems

Problems with friends

Non-physical abuse

4.5 INDEX OF JOB SATISFACTION

Table 4.18: Index of Job Satisfaction scores

Scale N Mean SD People with

problems

People without

problems

Job satisfaction 42 63,7 20,6 22 20

It is clear from the above table that more than half of the respondents (22) experience

4.6 CONCLUSION

This chapter reported on the data received from 42 respondents from the three

different questionnaires. Areas of concern for an Employee Assistance Program were

highlighted and discussed briefly. In the following chapter they will be brought

together as a recommendation and conclusion.

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CHAPTER FIVE

RECOMMENDATIONS AND CONCLUSIONS

5.1 INTRODUCTION

In identifying the primary psycho social needs of the Alberton Town Council employees

for an Employee Assistance Program, this study has presented the challenge to

develop the phenomenon of Employee Assistance Programs within local government.

The aim of this research investigation was to conduct an exploratory investigation into the needi of e Alb-e rtonTown COuncif employees for an Employee Assistance

Program. Through the data received and processed from three carefully selected

questionnaires completed by 42 respondents, it can be stated that the aim has been

realized. The purpose of this final chapter is to summarize the findings of this study

and to bring forward the recommendations to be implemented in practice in designing

an EAP of the three objectives as identified in Chapter One, namely'.

TO determine the level of social functioning of the Alberton Town Council

employees with regard to 25 subscales of the MPSI.

To determine the level of job satisfaction of employees through the use of the

Index of Job Satisfaction (IJS).

To develop clear guidelines for the development of an Employee Assistance

Program for the Alberton Town Council, as a result of a literature study and the

neec's assessment of employees. These guidelines include the structure and

ths EAP.

Firstly, the level of social functioning will be discussed.

5.2 SOCIAL FUNCTIONING OF THE RESPONDENTS

From the 25 subscales of the MPSI that were administered to respondents, a picture

was formed of the general social functioning of these people. A summary of the

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cardinal points with regard to the social functioning of the respondents is tabulated as

follows:

A high incidence of respondents show a clinically significant problem of self-

esteem with proportional scores exceeding the cutting score on this subscale.

The next clinically significant problems as identified according to this subscale

are as follows:

depression;

relationship with work associates; and _

non-p-Wsical abuse in intimate relationships.

A third of the respondents reported clinically significant sexual discord.

Almost a quarter of the respondents have marked difficulties in the area of

partner relationships.

A relatively small number of respondents reported a clinically significant

problem in their relationships with the following:

children

mother

father

Almost a third of the respondents also reported a clinically significant problem

intileir

Less than a quarter of the respondents reported serious problems in their

families.

A relatively small number of respondents (1 out of 41) have problems in the

area of suicide thoughts and ideation.

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Only one respondent reported clinically significant fearfulness.

A low incidence of a clinically significant problem in the area of ideas of

reference was reported.

A relatively low number of respondents reported clinically significant phobias.

The subscale measuring guilt feelings of respondents indicated a significant

number (7 out of 35 respondents) as having a serious problem in this area as

well as problems experienced at the work place.

No incidence of clinically significant loss of memory of respondents was

recorded by the subscale measuring loss of memory.

Seven of the 35 respondents according to the subscale reported clinically

significant problems with alcohol abuse and 4 reported problems with drug use.

There is a low incidence of clinically significant confused thinking.

5.3 LEVEL OF JOB SATISFACTION

From the information gained from the Index of Job Satisfaction (IJS) it is clear that a

large number of respondents (22) did report a clinically significant problem in terms of

job satisfaction. The EAP needs assessment questionnaire also indicated that there

ar;_: aril

tabulated as follows:

Leaving their present job in favour of a better paying job;

Getting a job closer to home; and

Not enjoying the job.

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Seeing the statistics in the light of the results from the MPSI, as well as the multi-

variate analysis, it is safe to assume that should the areas of greatest social

dysfunction be addressed through an Employee Assistance Program, there should be

an improvement in job satisfaction. It is therefore recommended that the IJS be

administered as an evaluation tool of the EAP that will be developed. The IJS is

quicker and less expensive than the MPSI and can be used for periodic evaluations

of the EAP. The entire population, or a sample of employees and volunteers, can be

used for these evaluations with success.

Since the level of job satisfaction of respondents has been discussed, the next step

—to-foil-ow will be the ditdissiotrof guidelines-forthe development of an Employee

Assistance Program.

5.4 GUIDELINES FOR THE DEVELOPMENT OF AN EMPLOYEE ASSISTANCE

PROGRAM: O

5.4.1 STRUCTURE OF THE EMPLOYEE ASSISTANCE PROGRAM

It is recommended that EAP seminars or workshops be presented mainly in

English or Afrikaans and Zulu and Sotho as these were the dominant home

languages of respondents.

As a substantially high number of the respondents have a National Diploma

and Vsver scho'astic dua!itIcatIons, the EAP shou!d ensdre that the format,

languagc, and

should be assessable to all.

• The average length of employment at the Alberton Town Council is 8 years.

This would therefore indicate that any investment in employees in terms of an

EAP would be a long-term investment with definite benefits to all.

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More than a third of the respondents indicated a need to discuss their personal

problems with a professional therapist. However, most of the respondents

have never been for professional therapy.

Through the MPSI subscale on family problems, one concludes that family

therapy would need to be part of the EAP therapist's repertoire. Such a

therapist will also have to be aware of the respective incidences such as

phobias and guilt feelings amongst respondents, and the implications of this for

therapy. This analysis clearly indicates a need for a diversified therapeutic

service within the EAP.

The majority of respondents indicated that they would prefer seeing an internal

therapist for the full course of therapy in contrast with the other models of

EAP's.

After a careful consideration of all facts concerned, the researcher would like to

recommend an in-house model providing a comprehensive range of services (Could

and Smith 1988) for an EAP for the Alberton Town Council. This would imply that the

target population would include families of employees too. The range of services

would include the following:

Crisis intervention;

Short-term counselling;

Preventative interventions such as workshops, support groups and educational

Training of supervisors in referring employees; and

Consultation with management, union and association representatives,

concerning organizational stress factors (Could and Smith 1988).

It is further recommended, due to the financial constraints within the Alberton Town

Council, that the EAP be sponsored jointly by management and labour. Seminars or

workshops should be presented without charge to employees. The office of the EAP

therapist is central to the success of this model, in that it needs to be on neutral

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ground as well as provide the employee coming for therapy the privacy needed. That

is, if other employees are aware that one of their colleagues is going for therapy, this

might influence him to stop going. This in-house model for an EAP does not prohibit

the EAP co-ordinates from referring employees to resources and therapists outside

the organization. It does however, place the responsibility on the organization to

ensure that the employee gets the help that is needed.

5.4.2 CONTENT OF THE EMPLOYEE ASSISTANCE PROGRAM

Since more than half of the respondents are between the ages 30 and 49, the relevant

and—developmilltartasks=of-thiS'gfo—uW - t hould=be-considered in the

development of an EAP. Newman and Newman (1987) categorize these people into

the early and middle adulthood life phase. The developmental tasks of these life

phases include:

Forming and nurturing the marriage relationship;

Bearing and rearing children;

Training and settling into a career; and

Developing an own life style.

Newman and Newman (1987) also identify the central process in both of these life

phases in dealing with these challenges in relationship with the spouse, friends, family

and colleagues.

The EAP o:..

tasks successfully, focus special attention on enabling employees to build healthy

interpersonal relationships. This can happen in the format of seminars or workshops

and in individual and group therapy. Topics relevant to general interpersonal

relationship building are:

Listening skills;

Emphatic responding;

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Conflict management;

Positive feedback, etc.

To a certain extent the MPSI scale identifies a relationship problem with friends,

colleagues, etc. Although this problem will be dealt with in individual therapy, the

workshops must aim at improving general relationships.

More than half of the respondents are married. The MPSI scale reports almost a

quarter of respondents experiencing a problem in the area of marital relationship. The

EAP should use seminars or workshops, individual and group therapy and support

groups-to addrgss=issues-----con-cemingz---nnartiage- orfetatitiffal=enrichrhent on a

therapeutic or preventative level.

Of the respondents a relatively small number have indicated that they are

divorced or widowed. For this group seminars or workshops or group session

should be offered for dealing with issues of divorce, single parenting and losing

a spouse.

The majority of respondents were male. The EAP should make a special

provision for the needs of men.

Also the majority of respondents indicated that they were married and have

children, parenting seminars or workshops or educational groups could prove

to be very valuable. There is not a very high incidence of clinically significant

P; ;:"1 1.1. ■ of a VI t.

for the designer of the EAP to establish the ages of the children of the

respondents so as to provide an appropriate, more specific and relevant

service.

• A high number of respondents reported personal financial problems. This is an

area that must be addressed by the EAP either in seminars or workshops or

group format.

, .

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The EAP must also cater for preventative and therapeutic programs for alcohol

abuse and drug use.

As indicated by MPSI subscale scores, depression and self-esteem are areas

requiring attention by the EAP. Individual and group therapy be ways of

addressing these issues. A life skills seminar or workshop is also

recommended where dealing with melancholic feelings and a low self-esteem

can be woven into other life skills such as assertiveness training and stress

management.

The-EAP-sh-ould-alstiett'aeaffativoc7atiemployees in terms Of -areas-of job

dissatisfaction.

5.4.3 CRITERIA FOR EVALUATION OF THE EAP

Recipients of the Employee Assistance Program should be evaluated on a

periodic basis concerning the frequency that they think about and discuss

personal problems while at work. It is recommended that this occurs in the

therapeutic setup where the therapist can, amongst other methods, monitor the

progress of the client by using this criteria.

The mean amount of days taken in sick leave amongst respondents during the

past six months is 2,5. This should also be monitored to calculate increased

savings to the organization as a result of the EAP.

As already mentioned, the IJS and MPSI must be used as evaluation for this

new program as well. The MPSI, as well as Walmyr Short-form Assessment

Scales (Hudson and Faul 1997), are recommended as evaluation tools for

Employee Assistance Program therapy evaluation. It is recommended that the

IJS be administered on a periodic basis to the entire population, or once again

to a properly selected sample, in order to evaluate the overall effectiveness of

the EAP. Both qualitative and quantitative evaluation forms should also be

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used for feedback after seminars and workshops in terms of presentation,

content and further needs.

5.5 CONCLUSION

The findings of this study, it is envisaged that they will stimulate a further discussion

and research on Employee Assistance Programs in local government. The constant

exploring of new territories in social work will keep the profession vibrant and relevant.

The vision of the researcher is that a dynamic, needs-focussed and effective

Employee Assistance Program is designed for the Alberton Town Council as a result

of this study. Councii,—management and employees-will-benefit-positive rewards from

such an endeavour. With the recommendations made, this study is concluded.

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Stadsraad van Alberton Town Council

Atdeling Openbare Gesondheld Hoof: Gesondheidsdienste Public Health Department Head: Health Services Swartkoppiesweg / Road Posbus 4/P.O. Box 4 Alberton 1450 Tel : (011) 861-2000 Fax : (011) 861-2154 Gesondheid: (011) 861-2221 .

In u antwoord meld asseblief In your reply please quote

4/1/1/3 - J. Maeli

No. Navrae/Enquiries U verv/Your ref.

Alto korespondensie moet aan die Stadsklerk gerig word All correspondence to be addressed to the Town Clerk

5 August 1999

Dear Employee,

"ALBERTON CARES"

"Caring about our work, liking it, even loving it, seems strange when we see work only as ay/ay _ to make a living. But when we see work as a way to deepen and enrich our experience (as well as those we serve), each one of us can find this caring within our hearts, and waken it in those around us, using every aspect of work to learn and grow".

(Tarthang Tulku, Tibetian Buddhist Teacher in Jaffe and Scott 1998).

It is important to the Alberton Town Council Management that you have this expgrience described by Tulku - that you love your work and find it enriching to your life and to those that you serve. Sometimes personal and work related problems influence a perion's enjoyment of their work. Many organisations and companies across the world address these personal and work related problems through a program called an Employee Assistance Program. The benefits are many for employees and employers, and well worth the effort and cost involved in such program.

The Alberton Town Council is conducting research to assess if such a program would be relevant in our organisation. You have been selected scientifically as one of 300 people to be part of this research study and are requested to complete the attached questionnaire. To complete the questionnaire will take about 45 minutes. You are requested to set it as a high priority to complete this questionnaire and return it to me BEFORE 18 August 1999.

Please remember that these questionnaires are totally confidential and that your answers will not be able to be traced to you. For this reason you are asked to be completely honest in your responses. Please do not leave any questions unanswered.

This investigation is very important to the Alberton Town Council, E.A.P. Committee and your co-operation to complete and return this questionnaire on time is very important.

Please contact me if you have any queries at Tel. No. 861-2197.

Thank you very much.

Yours faithfully,

• MAELI E .p. COMMITTEE MEMBER

V

Indien verlang. en op skrittelike versoek gerig binne sewe dae na hierdie datum, sal 'n Atrikaanse ekwivalent van hierdie brief aan u gestuur word.

It desired, an English equivalent of this letter will be lorwarded upon written request made within seven days from date hereof.

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INSTRUCTIONS FOR COMPLETING THE EMPLOYEE

ASSISTANCE PROGRAM NEEDS ASSESSMENT

QUESTIONNAIRE

Please answer all the questions and do not leave any question unanswered.

Simply mark with the cross the square that is closest to your desired response.

Example: Yes

No

Where appropriate you may complete the "other" category.

Example Other

If numerical information is required, please use one block for each number.

Example Your Age

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THE EMPLOYEE ASSISTANCE PROGRAM

NEEDS ASSESSMENT QUESTIONNAIRE

A. GENERAL INFORMATION

Your Age:

Home Language:

English

Afrikaans

u

Xhosa

S. Sotho

N.Sotho

Tswana

Other

Gender:

Marital Status:

Male

Female

Married

Divorced

Never Married

Separated

Widowed

Living together

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2

Number of Children:

Your highest Academic qualification:

Grade Eight or less

Grade Ten

Grade Twelve

Certificate Course

National Diploma

Degree

Honours Degree

Masters Degree

Doctorate Degree

What is your level of employment:

Top Management

Middle Management

Ungraded Staff

Do you work overtime?

Yes

No

How many hours of overtime do you work per week?

How many years have you worked for the Alberton Transitional Town Council?

1

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3

B. JOB SATISFACTION AND DIFFICULTIES

Please respond to the following three statements by placing a number next to each as follows:

1 2 3 4 5 6 7 X

None of the time Very rarely A little of the time Some of the time A good part of the time Most of the time All of the time Does not apply

I think about my personal problems while at work.

I discuss my personal problems with colleagues.

I discuss my personal problems on the phone while at work.

I do not discuss my personal problems with anybody.

How many days of sick leave have you taken in the last six months?

Main reason for sick leave: Health problem

Emotional/psychological problem

Family problems

Which of the following would be reasons for you to leave your job?

Pregnancy/caring for children

Getting a better paid job

Problems with colleagues

Not enjoying your job

Getting a job closer to home

Retirement

Other

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4

How often do you feel that you need to discuss your problems with a professional therapist

Never

Hardly ever

Sometimes

Very often

Which of the following categories of problems have you experienced recently or are you experiencing presently at work

Relationships with colleagues

Relationships with clients

Unmanageable workload

Not enough training for job

Dissatisfaction with remuneration

No problems experienced

Other

C. AN EMPLOYEE ASSISTANCE PROGRAM FOR THE ALBERTON TOWN

courcu_.

An Employee Assistance Program is a work based intervention program aimed at early identification and/or resolution of both work and personal problems that may adversely affect work performance.

Have you ever been for therapy at a professional Therapist before

Yes

No

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5

If you have been for therapy before, for how long were you in therapy (in mill

What type of therapy did you receive?

Marital therapy

Pre-marital therapy

Bereavement-therapy

Stress management

Family therapy

Parental guidance

Other

What kinds of personal problems have you experienced recently or are experiencing presently?

Problem in relationship with your partner

Conflict in your close family

Conflict in your extended family (aunts, cousins, grandparents, etc.)

Get:ing (: -.rough a divorce

Problems in relationships with friends

Handling your children

Handling step-children

Dealing with stress in your life

. Addiction to alcohol or drugs

Dealing with grief after the death of a loved one 1 0

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6

Personal financial problems

Low self-esteem

Depression

Problems with intense fear

Problems with intense guilt feelings

Other

Counselling in an EAP is either done by a therapist (Social Worker or Psychologist) within an organisation, or someone from outside. An internal Therapist is naturally more cost effective, as well as better able to understand the context of work related problems. An external Therapist on the other hand is more expensive but sometimes preferred since the Therapist is then a stranger and not someone the employee knows.

If you were assured of confidentiality, which of the following would you prefer -

Seeing an internal therapist for one session and then being

referred to a relevant external therapist

going directly to an external therapist

seeing an internal therapist for the full course of therapy

If you prefer an external Therapist, would you be willing to pay for such serv:ces?

Yes

No

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APPENDIX 1

THE EMPLOYEE ASSISTANCE PROGRAM NEEDS ASSESSMENT

QUESTIONNAIRE

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APPENDIX 2

THE INDEX OF JOB SATISFACTION (IJS)

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HALV: . ... • s : - SOMETIMES:: THE TIME OFTEN : :MOSTLY:

SELDE:'.

SOMS::: DELFTE VAN: DIKWELS MEESTAL

. . DIE TYD : . .. : ..7: .

NOOIT

.. . ALWAYS:

ALTYD

Naam / Name: Datum / Date:

INDEX OF JOB SATISFACTION (IJS)

the IJS scale is designed to measure the way you feel about your job or place of .mployment. It is not a test, so there are no right or wrong answers. Answer each item as carefully and as accurately as you can by placing a number beside each one as follows:

1.

2.

3.

4.

5.

6.

7.

8.

9.

-., ..... :. My job is very boring. ,":4;: i I:: ..., , I hate my job. I cannot stand m • ; ,;.,., My boss is a fo I really like myj If I won a lottery

:woilid:;(4.1itithislip

The best part of my top is• ' ee.IDreaks lunch; and acatio n I work very, and -**tiiiitipi)V,atiiiu I enjoy thinking about my. job. ,Ilfi'noCat.■ivork. I don't likefo' 1.6k abOlat work:When .1!m.at home The work 1,,, My jobAi,j4t!:'03:waylpAac.0::.a. -:II.y.ing.0.::„ ;;, :: :,;Fri:::.: I y%job My I enjoy;thinking: of ways to ,improve the<w'orI I` The best • dai i SjIpami

.ng... ,w p

I get personal reweNis;frdm:4,

,work My orgATiatior, ovide e'resourc e

s annniww.h I get thr4grj .. e

I think abl'aigiOP IrttArltithe!).01: My job tome a My boss doesn't appreciate the work I db. My organizafi0 does not g• pgonmy My organizatiokrefi!lqg it eaSleriblCaccOniiiish my wort I can depend on:tOriss telOCkiiiKe up My boss doesn't support rtie!W140'itlYiWeitWA:PnallangOd :others. I believe I have job """' ''''" My pay is adequate for -ttie:140or, , Organizational rewards are :tIrslilpirtkdz .falf, M a rfaVdiii. 61:if WO *fifkr!6ff6

. .......

..... .. I

........

In order to ensure' e$: ' re.iriblt,$ervice e,c) ,..ou • •4b white background. .. ..... .. .. ...

; ;-;1

Should you su41509-tithetTlypkla.re:gweb.;!alTpirateipp,_y.';Q. 0.1priglQajforMirpleasel:..cootact:iusj the following address. It is in your own intereS .t.16 -gtia'

Copyright (c) 1992, Walter W. Hudson Illegal to photocopy or otherwise reproduce

1,2,3,4,6,7,10,12,16,19,20,22,23,26

Distributed through Walmyr Publishing Company Represented by Perspective Training College, P.O. Box 1658, Silverton, 0127, Tel: (012) 804-8289, Fax: (012) 804-7412

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B=MOSTLV 7=ALWAYS 1=NEVER 2=RARELY 3=SOMETIMES 4=HALF THE TIME 6=OFTEN

1=11001T A 2=SELDE 3=SOMS 4=HELFTE VAN DIE TYD 6=DIKWELS 6= FESTAL 7=ALTYD

This questionnaire is designed to o 110.44#1.* , ...Irefully and as accurately as you can b

Hierdie vraelys is ontwerp kntwoord elks item so versigting rolgenderskaalt---

of possible problem areas. Answer each item as

assts: tnkeid) moondike probleemareas te bekom.

te skryf, deur gebruik te maak van die

.4

MPSI WALMYR Publishing Co. Presented by PERSPECTIVE TRAINING COLLEGE P.O. Box 1658 Silverton 0127 Tel.: (012) 804-8289 Fax: (012) 804-7412

THE MULTI-PROBLEM SCREENING INVENTORY INSTRUCTIONS

You may disco an x or X but do not /e

When you beght. or as bad as you wish. Pik, though you may feel em assist you, it will be very;

)y mag vind dat stnI X of 'n x langs sulke

Wanneer jy hierdie stet

as wat jy wil. Moot dit asseblie seifs al voel jy ongemaklik of ver moet verleen waarna jy soek.

or your situation. For any such item, please enter

e you will see that. , ou can v *esily make yourself look as good

nt for you to ptovide the ost accurate answers possible even

ncorrtct..or nth ding itifoi matton to those who are trying to •

at you.

is nie. Plaas asseblief 'n

f "sleg" kan laat voorkoir kurate antwoorde sal voorsien,

vir die persoon wat die hull

Please Print Your/ Voorsien ons asseblie

Name/14aam: „ •

Today's Date/Datu

V

e ulik

in order to us ecti.t#s Should you

interest to guard ajti ir~trEitgeititrtir1 t

`:ac'-cground

tit: it is In your owl

Copyright t) 1990, Walter W. Hudson, Ph.D.

No part of the Multi-Problem Screening Inventory (MPSI) may be copied or reproduced in any manner without

written permission from the publisher.

1

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SUBSKAAL: DEPRESSIE

Ek voel magteloos om lets aan my omstandighede to doen. Ek voel bedruk. Ek kry huilbuie. Dit is vir my maklik om myself to geniet. • Dit is vir my moeilik om 'n begin to maak met die dingo wat

ek meet doen. Ek raak bate depressief. Ek voel daar is aityd iemand op wie ek kan staat maak. *

Ek voel my toekoms lyk rooskleurig. • Ek voel terneergedruk.

Ek voel ander het my nodig. • Ek voel ander waardeer my. • Ek geniet dit om aktief en besig to woes. •

SUBSKAAL: SELFAGTING

Ek• dink my vriende vind my interessant. • Ek dink ek het 'n goeie sin vir humor. • Ek voel bate selfbewus wanneer ek by vreemde mense is. Ek voel dat, as ek meer soos ander mense is, alles vir my reg

sal verloop. Ek voel ander het 'n goeie tyd saam met my. • Ek voel dat mense nie my geselskap geniet nie. Ek voel ek word meer gehiet en gebied as ander. Ek dink ek is nogal 'n gawe mans. • Ek voel mense hou eintlik bale van my. • Ek voel ek is 'n innemende persoon. • Ek is bang andere sien my as, 'n dwaas. My vriende het 'n holi dunk van my. *

SUBSKAAL: VERHOUDINGSPROBLEME MET EGGENOOT

My maac is liefdeVol genoeg. . • My maat behandel my slag. My maac gee regtig vir my om. • Ek voel ek sou nie weer dieselfde lewensmaat gekies het as ek

weer die kans sou kry nie. Ek voel ek kan my maac vertrou. • Ek voel ons verhouding verbrokkel. My maac verstaan my regtig nie. Ek voel ons het 'n goeie verhouding. * Ons verhouding is bale gelukkig. * Ons lewe saam is bale oninteressant. Ons het bate pret saam. • My maat neem my nie in sy/haar vertroue nie. Ons verhouding is bale inciem. •

SUBSKAAL: SEKSUELE ONENIGHEID

Ek voel my maac geniet ons sekslewe. • Ons sekslewe is bale optWindend. •

4 O. Saks grow. pret •. , 7r my en my maat. * Saks met my maac het vir my 'n las geword. Ek voel ons seks is vuil en walglik. Ons sekslewe is eentonig. Wanneer ons seks beoefen is dit to gejaag en vinnig verby. Ek voel daar is 'n gebrek aan kwaliteit in my sekslewe. My maac is seksueel bale opwindend. • Ek geniet die sekstegnieke waarvan my maat hou/gebruik.• Ek voel my maat wil to veal salts by my hi. Ek dink ons seks is wonderlik. •

SUBSKAAL: PROBLEME MET MY KIND

My kind work op my senuwees. Ek kom goad oor die weg met my kind. • Ek voel ek kan my kind regtig vertrou. • Ek hou nie van my kind nie. My kind is goad-gemanierd. • My kind is to veeleisend. Ek wens ek het nie hierdie kind gehad nie.

JBSCALE: DEPRESSION

!feel powerless to do anything about my life. I feel blue.

I have Crying spelli. It is easy for me to enjoy myself. •

I have a hard time getting started on things that I need to do.

I get very depressed. I feel there is always someone I can depend on when things

get tough. • I feel that the future looks bright for me. •

I feel downhearted. I feel that I am needed. •

I feel that I am appreciated by others. • I enjoy being active and busy. °

UBSCALE: SELF-ESTEEM

I think my friends find me interesting. • I think I have a good sense of humour. •

I feel very self-conscious when I am with strangers. I feel that if I could be more like other people I would have

it made. I feel that people have a good time when they are with me. •

I feel chat people do not enjoy my company. I feel I get pushed around more than others.

I think I am a rather nice person. * I feel that people really like me very much. •

I feel that I am a likable person. • I am afraid I will appear foolish to others.

My friends think very highly of me. •

CUBSCALE: PARTNER RELATIONSHIP PROBLEMS

My partner is affectionate enough. • My partner treats me badly.

. My partner really cares for me. •• I feel that I would not choose the same partner if I had it to

do over again. I feel that I can really trust my partner. * I feel that our relationship is breaking up.

My partner really does not understand me. I feel that our relationship is a good one. *

Ours is a very happy relationship. • Our life together is dull.

We have a lot of fun together. • My partner does not confide in me. Ours is a very close relationship. •

SUBSCALE: SEXUAL DISCORD

I feel that my partner enjoys our sex life. • Our sex fife is very exciting. *

Sex is fun for my partner and me. Sex with my partner has become a chore for me.

I feel that our sex is dirty and disgusting. Our sex life is monotonous.

When we have sex, is is too rushed and hurriedly completed. I feel that our sex life is lacking in quality.

My partner is sexually very exciting. • I enjoy the sex techniques chat my partner likes or uses. •

I feel that my partner wants too much sex from me. I think that our sex life is wonderful. •

SUBSCALE: PROBLEMS WITH MY CHILD

My child gets on my nerves. I get along well with my child. •

I feel chat I can really trust my child. * I dislike my child.

My child is well behaved. * My child is too demanding.

I wish I did not have this child.

14400IT2-SELDE 3-SOMS 4-HELFTE VAN DIE TYD 5-01KWELS 6-MEESTAL 7;ALTY0

0 1-NEVER 2-RARELY 3-SOMETIMES 4-HALF THE TIME 6-OFTEN 6-MOSTLY 7-ALWAYS

2

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Ek kom goed oor die weg met my vriende. • My vriende tree op asof hulle niks vir my omgee nie. My vriende behandel my sieg. My vriende kom voor asof hulle my nie regtig respekteer nie.• Ek voel nie asof ek deel van my porcuurgroep is nie. My vriende is 'n !clomp snobs. My vriende verstaan my. • My vriende hou skynbaar bale van my. • Ek voel regtig uitgesluit van my portuurgroep. Ek haat my huidige vriende. My vriende blyk daarvan te hou om my by hulk to hi. • Ek hou regtig van my huidige vriende. • Ek voel werklik asof my vriende nie van my hou nie.

SUBSKAAL: PROBLEME MET MY KIND

Ek geniet regtig my kind. • Dis vir my moeilik om my kind te beheer. My kind meng in met my aktiwiteite. Ek het 'n weersin in my kind. Ek dink my kind is wonderlik. • Ek haat my kind.

SUBSICAAL: PROBLEME MET MY MA

My ma is bale geduldig met my. • Ek hou regtig bale van my ma. • Ek hou daarvan om by my ma te wees. • Ek voel asof ek bale min liefde vir my ma het. My ma irriteer my. Ek voel bale kwaad vir my ma. Ek voel geweldadig teenoor my ma. Ek voel trots op my ma. • Ek wens my ma was meer soos ander ma's wat ek ken. My ma verstaan my nie. -

- Ek Ican - regtig my ma vertrou. Ek is skaam vir my ma.

SUBSKAAL: PROBLEME MET MY PA

My pa werk op my senuwees. Ek kom goed oor die weg met my pa. • Ek voel dat ek my pa werklik kan vertrou. • Ek hou bale min van my pa. My pa se gedrag stel my in die verleentheid. My pa is te veeleisend. Ek wens ek het 'n ander pa gehad. Ek geniet my pa werklik bale. • My pa beperk my te veal. My pa meng in met my aktiwiteite. Ek het 'n weersin in my pa. Ek dink my pa is wonderlik. * Ek haat my pa.

SUBSKAAL: PERSOONLIKE SPANNING

Ek voel ulcers paniekerig. Ek voel ek is op die rand van 'n totals ineenstorting. Ek voel ek verloor beheer oor my !ewe. Ek voel ek is na aan breekpunt. Ek voel so gespanne soos 'n opgewende veer. Ek voel ek kan nie byhou by at die else wat daar aan my gestel word nie. Ek voel ek het bale agterstallige werk. Ek voel gespanne en kwaad teenoor diegene rondom my. Ek voel ek moat jaag van die can taak na die volgende. Ek voel ek kan net nies_byhou by atlas nie.

vc•e! sc. Ek voel baie prikkelbaar.

SUBSKAAL: PROBLEME MET MY VRIENDI

&ODOM:LS II=MEESTAL 7=ALTYD

414/10 6=OFTDI 6-MOSTLY ?=ALWAYS

14100IT 2■SEL.DE 3=SOMS 4=HELFTE VAN DIE TYD

OCIE! CIO 1-NEVER 2=RARELY 3-SOMETIMES 4=HALF THE TIME

UBSCALE: PROBLEMS WITH MY CHILD

I really enjoy my child. • I have a hard time controlling my child.

My child interferes with my activities. I resent my child.

I think my child Is terrific. • I hate my child.

UBSCALE: PROBLEMS WITH MOTHER

My mother is very patient with me. • I really like my mother. •

I like being with my mother. • I feel like I do not love my mother.

My mother is very irritating. I feel very angry toward my mother.

I feel violent toward my mother. I feel proud of my mother. •

I wish my mother was more like others I know. _my mother_does not_understand me.

I can really depentrcirrinflirotiftr. - I feel ashamed of my mother.

SUBSCALE: PROBLEMS WITH FATHER

My father gets on my nerves. I get along well with my father. •

I feel chat I can really trust my father. • I dislike my father.

My father's behaviour embarrasses me. My father is too demanding.

I wish I had a different father. I really enjoy my father. •

My father puts too many limits on me. My father interferes with my activities.

I resent my father. I chink my father is terrific. •

I hate my father.

SUBSCALE: PERSONAL STRESS

I feel very panicked. I feel like I am on the verge of a total collapse.

I feel that I am losing control of my life. I feel that I am near a breaking point.

I feel wound up like a coiled spring. I feel that I cannot keep up with all the demands on me.

I feel very much behind in my work. I feel tense and angry with those around me. I feel I must race from one task to the next.

I feel that I rust cannot keen up with everythins. 97._ I

I feel very much on edge. 99:--

SUBSCALE: PROBLEMS WITH FRIENDS

I get along very well with my friends. • My friends act like they do not care about me.

My friends treat me badly. My friends really seem to respect me. •

I do not feel like I am "part of the group" with my friends. My friends are a bunch of snobs.

My friends understand me. • My friends seem to like me very much. •

I really feel "left out" by my friends. I hate my present group of friends.

My friends seem to like having me around. * I really like my present group of friends. •

I really feel that I am disliked by my friends.

3

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1-1100IT 2-SELDE 3-SOMS 4-HELFTE VAN DIE T`,0 6-Ewcwas 5441EESTAL PALTY0

0 CO 411) . 1-NEVER 2-RARELY 3-SOMETIMES RALF THE TIME 6-OFTEN 5-MOSTLY 7-ALWAYS

JBSCALE: PROBLEMS WITH NEIGHBOURS SUBSKAAL: PROBLEME MET MY BURE

I really feel that I am disliked by my neighbours. Ek voel werklik asof my bure nie van my hou nie. I wish I had a different group of neighbours. Ek wens ek was deal van 'n ander buurt.

My neighbours are very nice to me.• My bure is bale gaaf teenoor my. • My neighbours seem to look up to me.' My bure sien op na my. •

My neighbours think I am important to them.* My bure dink ek is vir hulls belangrik. • My neighbours are a real source of pleasure to me.* My burs is 'n ware bron van plesler vir my. •

My neighbours do not seem to even notice me. Dit lyk asof my bure my nie ears raaksien nie. I wish I were not part of this neighbourhood. Ek wens ek was nie deed van hierdie buurt nie.

My neighbours regard my, ideas and opinions very highly.• My bure het 'n hoii ageing vir my ideas en opinies.° I feel like I am an important member of my neighbourhood.' Ek voel ek is 'n belangrike lid van my buurt. •

I cannot stand to be around my neighbours. Ek kan dit nie ultstaan om by my burs cc+ wees nie. My neighbours seem to look down on me. Dit lyk asof my bure neersien op my.

My neighbours really do not interest me. My bure interesseer my glad nie.

UBSCALE: PROBLEMS WITH SCHOOL/COLLEGE/UNIVERSITY SUBSKAAL: PROBLEME MET SKOOL/KOLLEGE/UNIVERSITEIT

I hate school/college/university. Ek haat skool/kollege/universiteit. I enjoy my school work/studies. • Ek geniet my skoohverk/- studies. •

1 put off studies until the last minute. Ek stel my studies uit tot op die laaste minuut. My school/college/university homework_k_v_ery boring. My skool/kollege/universiteit huiswerk is bale vervelig.

Shcool/college/university is notTor study, it is for parties aria-130. 0204

SkoollkisifirgeltiniVersiteit--Is_daar_vir partytjles, nie vir studies nie.

I study very hard at school/college/university. • Ek studeer bale hard by die skool/kollege/universitelt. * I think I am a good student at school/ college/ university. • Ek dink ek is 'n bake goeie student by die skool/ kollege/

universitelt.• I think my school/college/university work will help my

future. • Ek dink my studies by die skool/kollege/universiteit sal my in

die toekoms goad te pas kom.' really do very poor work at school/ college/ university. Ek lewer werklik baie swak werk by die skool/ kollege/

universiteit. I feel I learn a great deal at school/ college /university. * Ek voel ek leer sommer baie by .die

skool/kollege/universiteit.•

SUBSCALE: AGGRESSION SUBSKAAL: AGGRESSIE

When I have to, I really do not mind punching someone out. Ek gee regtig nie om om iemand sommer uit to slaan as ek moat nie.

I get into fights. Ek raak betrokke in bakleiery. When I hurt someone physically it really does not bother me. Dit pla my regtig nie wanneer ek iemand fisies seermaak nie. I am quick to let people know they cannot walk all over me. Ek Iaat ander sommer gou-gou verstaan hulls kan nie oor my

loop nie. I push others around before they have a chance to push me

around. Ek stamp ander rond veer hulle die kans kry om my rond te

stamp. People tell me I have a bad temper. Mense se vir my ek het 'n slegte humeur.

I hurt people before they can hurt me. Ek maak manse seer voor hulls my kan seermaak. I threaten people with a fight. Ek dreig manse met 'n vuisgeveg. -

I like it when others are afraid of me. Ek hair daarvan as andere bang is vir my. If punches are thrown, mine go find As' daar met die vuiste ingeklim meet word, is ek eerste dear.

SUBSCALE: PROBLEMS WITH WORK ASSOCIATES SUBSKAAL: PROBLEME MET KOLLEGA:

I get along very well with my work associates.* Ek kom goad oor die weg met my kollegas. • My work associates azt like thzy c>: -_:3-oue m:•• 1 I-7. I-ly kc trc f niks vir my orngte nie.

My work associates treat me badly. My kollegas behandel my slag. My work associates really seem to respect me. • My kollegas kom veer asof hulle my regtig respekteer. •

I do not feel like I am "part of the group" with my work associates.

Ek voel nie asof ek deal van my groep kollegas is nie.

My work associates are a bunch of snobs. My kollegas is 'n klomp snobs. My work associates understand me. • My kollegas verstaan my. •

My work associates seem to like me very much. • My kollegas hou skynbaar bale van my. • I really feel "left out" by my work associates. Ek voel regtig uitgesluit van my kollegas.

I hate my present group of work associates. Ek haat my huidige kollegas. My work associates seem to like having me around. • My kollegas biyk daarvan te hou om my by hullo te hi. •

I really like my work associates. • Ek hou regtig van my kollegas. •

SUBSCALE: FAMILY RELATIONSHIP PROBLEMS SUBSKAAL: VERHOUDINGSPROBLEME BINNE GESI

There is too much hatred in my family. Daar Is te veel haatdraendheid in my gesin. Members of my family are really good to one another. * My gesinslede is regtig goad vir mekaar. •

My family is well respected by those who know us. • Mense wet ens ken, respekteer my gesin. * There seems to be a lot of friction in my family. Dit is asof daar baie wrywing in my gesin is.

There is a lot of love in my family. • Dear is bale liefde in my gesin. • Members of my family get along well together.* Lode van my gesin kom goad oor die weg met mekaar. •

Life in my family is generally unpleasant. My gesinslede is oor die algemeen onaangeriaam.

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V.SELOE 3-SOMS 4-HELFTE VAN OIE TYD 6•DAAVELS ii ■MEESTAL 7.ALTYD

My. family is a great joy to me. • I feel proud of my family. •

Other families seem to get along better than mine. My family is a real source of comfort to me. •

I feel "left out" of my family. My family is an unhappy one.

My gesin is vir my 'n bron van groot vreugde. • Ek voel trots op my gesin. • Ander gesinne kom beter oor die weg met mekaar as ons. My gesin is vir my 'n bron van troos. • Ek voel uitgesluit uit my gesin. Ons is 'n ongelukkige gesin.

My partner belittles me. My partner demands obedience to his or her whims.

My partner becomes surly and angry if I say he or she is drinking too much.

My partner demands that I perform sex acts that I do not enjoy or like.

My partner becomes very upset if my work is not done when he or she thinks it should be.

My partner does not want me to have any friends. My partner tells me I am ugly and unattractive.

My partner tells me I really could not manage or cake care of myself without him or her.

My partner acts like I am his or her personal servant. My partner insults or shames me in front of others.

My partner becomes very angry if I disagree with his or her point of view.

My partner is stingy in giving me money. My partner belittles me intellectually.

My maat verkleineer my. My maat eis dat ek inskiklik sal wees ceenoor sy/haar giere. My maat word nors en kwaad as ek s6 hy/sy drink te veel.

My maat eis dat ek meedoen aan seksdade wac ek nie geniet of van hou nie. My maat raak ontsteld wanneer my werk nie na sy/haar mening betyds klaar is nie. My mast weier dat ek enige mansvriende het. My maat vertel my ek is lelik en onaancreklik. My man se ek sal nie regtig sonder hom/haar oor die weg kom nie. My maat tree op asof ek sy/haar bediende is. My maat beledig en maak my verleii in ander se geseiskap. My maat word bale kwaad wanneer ek van sy/haar standpunt verskil. My maat is suinig wanneer by/sy vir my geld moat gee. My maat kraak my intelligensie af.

1-NEVER 2-RARELY 3-SOMETIMES 4-HALF THE TIME 6-OFTEN S4AOSTLY 7-ALWAYS

UBSCALE: FAMILY RELATIONSHIP PROBLEMS SUBSKAAL: VERHOUDINGSPROBLEME BINNE GESIN

UBSCALE: SUICIDAL THOUGHTS SUBSKAAL: SELFMOORDGEDAGTES

.4

I think about ending my life. My life is so grim that I have considered ending it.

I think about committing suicide. I feel that everyone would be better off if I were dead.

I actually think about different ways that I could kill myself.

I have:actually- decidectthacImoingto.take my own-life-,---1-76.--- - and I now think about my final plans for doing that.

I feel that it is useless for me to continue living. 177. I think about finding relief or peace by taking my own life. 178.

I feel that the only way to end my shame is to end my life.

I feel that my agony is too great for me to continue living. I feel that my life is over and I may as well end it.

Ek dink daaraan om 'n einde aan my lewe co maak. My lewe is so goor dat ek dit oorweeg om 'n einde daaraan to maak. Ek dink daaraan om selfmoord to pleeg. Ek voel dit sal vir almal beter wees as ek dood is. Ek clink reeds aan verskiliende maniere om myself dood te maak. ,

Itetzreeds_beelnit- eint- rnyztewcy-te--neem:ess--ek -dinknou -aan - die finale planne om dit te doers. Ek voel dit is nutteloos om aan te hou lewe: Ek disk aan die verligting en vrede wat ek sal vind deur my ele lewe te neem. • Ek voel die enigma manier om my skande te verberg, is um my lewe te Ek voel my pyn is te veal om aan te hou leef. Ek voel my lewe is verby en ek kan dit net sowel

;UBSCALE: NON-PHYSICAL ABUSE SUBSKAAL: NIE-FISIESE MISHANDELING

;UBSCALE: PHYSICAL ABUSE SUBSKAAL: FISIESE MISHANDELING

partner cries .o choke or scraig::. My partner knocks me down and then kicks or stomps me.

My partner twists my fingers, arms or legs. My partner throws dangerous objects at me.

My partner bites or scratches me so badly that I bleed or have bruises.

My partner violently pinches or twists my skin. My partner hurts me badly while we are having sex.

My partner injures my breasts or genitals. My partner tries to suffocate me with pillows, towels, or

other objects. My partner pokes or jabs me with pointed objects. My partner has broken one or more of my bones.

My partner kicks my face and head.

1-iy maac p-rcb*,..r my verw4rg ci versmoor. My maat klap my grond toe en dan crap by op my of skop my. My maat buig my vingers, arms of bene. My maat goof my met gevaarlike voorwerpe. My maat byt of krap my so erg, dat ek bloei of gekneus is.

My maat knyp op 'n gewelddadige wyse. My maat maak my slag seer wanneer ons seks het. My maat beseer my borste of geslagsdele. My maat probeer my met kussings, - handdoeke of ander goad versmoor. My maat sny of steak my met skerp voorwerpe. My maat het al meer as een van my bene gebreek. My maat skop my gesig en kop.

S.

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I experience a great deal of fear. A sense of terror washes over my entire body.

I have frightening nightmares. My dreams are very frightening.

I become afraid very easily. I feel panic stricken and terrified.

I am stricken with a sense of paralysing fear. Panic and fear disrupt what I am trying to do.

I am frightened very easily. I am very afraid that I will be hurt or damaged.

I become afraid for no apparent reason. I am terrified that something awful is going to happen.

I break out in cold sweats of fear and panic. I am terrified that something really bad will happen to me.

I become so afraid that I feel I am going to die. I become so afraid that I can hardly move.

I wake up at night feeling afraid. Fear courses through my body.

- I wake up at night in a state of terror.

Ek beleef 'n geweldige klomp angs. 'n Gevoel van angs spool oor my hale liggaam. Ek het vreesaanjaende nagmerries. My drome is baie angswekkend. Ek raak bale maklik bang. Ek voel paniekbevange en bevrees. Ek word platgeslaan deur 'n gevoel van verlammende vrees. Paniek en vrees dwarsboom dit wat ek probeer gedoen kry. Ek skrik maklik. Ek is bale bang dat ek sal seerkry of skade ly. Ek raak bang vir Been olinskynlike rede nie. Ek is bevrees lets vreesliks gaan gebeur. Ek kry koue sweet van vrees en paniek. Ek is bevrees dat lets verskrikliks met my gaan gebeur. Ek word s6 bang, dit voel of ek gaan sterf. Ek word so bang, ek kan skaars beweeg. Wanneer ek snags wakker word, voel ek bang. Vrees deurspoei my liggaam. Ek word snags wakker in 'n toestand_van_vreesagtigheid.

207. 208.

1-NOOIT 2-SELDE 3-SOMS 4-IIEI_FTE VAN DIE TYD 6-11111WELS 64/IEESTAL 7°ALTVIT

0 C, CD 4 0• IBSCALE: FEARFULNESS

1-NEVER 2-RARELY 3■8011.4ETBAES 4-HALF THE TIME 6-OFTEN 6-MOSTLY PALWAYS

SUBSKAAL: ANGSTIGHEID

UBSCALE: IDEAS OF REFERENCE SUBSKAAL: VOOROPGESTELDE IDEES

I think people talk about me behind my back. People are definitely "out to get me". I chink people are plotting against me.

People keep staring at me. People who are supposed to be my friends are really out to

stab me in the back. Various people keep calking about me.

I think there are people who are plotting against me.

People are out to get me because they are jealous of me.

Police keep spying on me. People sneak around and try to cause me trouble.

People are trying to hurt me. People who call themselves my friends try to pull me down

because they would love to see me fail. People are plotting to kill me. I can feel people watching me.

My enemies are plotting my downfall. My boss would really like to see me mess up.

People around me really resent my ability and talent. People keep trying to invade my privacy.

There•are people who would really like to get rid of me. People are trying to make me look foolish.

Ek dink ander mense skinder van my. Manse is definitief besig om my te benadeel. Ek dink mense is besig om 'n komplot teen my te smee. Mense hou aan om my aan te steer. Mense, wat veronderstel is om my vriende te wees, is daarop uit om my in die rug te steek. Mense hou aan om oor my te praat. Ek dink daar is mense wat besig is om 'n komplot teen my te smee. Mense is daarop uit om my te benadeel want hulls is jaloers op my. Mense hou aan om op my te spioeneer. Manse is agter-af besig om my in die moeilikheid te probeer kry. Mense probeer my seermaak. Mense, wat hulself my vriende noem, probeer my onderkry, want hulls skep 'n behae daarin dat ek moat misluk. Mense beplan om my dood te maak. Ek kan aanvoel dat mense my dophou. My vyande is besig om my ondergang te beplan. My baas sal horn daarin verlekker as ek 'n gemors van alles maak. Manse rondom my is gegrief deur my vaardighede en talents. Manse is aanhoudend besig om my privaatheid binne te dring. Daar is manse wat regtig graag van my ontslae sal wil raak. Mense probeer om 'n gek van my te maak.

>Li EISCALE: PHOBIAS

I feel extremely nervous when I must go to high places or look down from them.

I am extremely frightened or nervous when I am in crowds of people.

I feel panicked when I must cross over bridges or go through tunnels.

I am terrified when I enter small rooms or closed spaces.

I am extremely nervous when 1 fly in aeroplanes. I am terrified of driving in even moderate traffic.

I am extremely nervous when I am in the presence of strangers.

I am terrified of being alone. I am extremely nervous, even panicked, when I meet people

for the first time. 1 feel completely incapacitated at the thought of public

speaking.

SUBSKAAL: FOBIE!

Ek voel geweldig senuagtig wanneer ek hog plekke moat besoek of daarvandaan moat afkyk. Ek is baie bang of senuagtig wanneer ek tussen 'n menigte mense is. Ek voel paniekerig wanneer ek oor bite of deur connels moet gaan. Ek is angsbevange wanneer ek in klein vercrekkies of toe plekke moat ingaan. Ek is bale senuagtig wanneer ek in vliegtuie moet vlieg. Ek is bale bang om motor te bestuur, selfs al is die verkeer nie swaar nie. Ek is geweldig senuagtig in die ceenwoordigheid van vreemdelinge. Ek is verskriklik bang om alleen te wees. Ek is bale senuagtig, selfs paniekerig, wanneer ek mense vir die eerste keer moet ontmoet. Ek voel heeltemal verlam by die gedagte dac ek 'n openbare toespraak meet maak.

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11.4HEESTAL 7■ALTY0 YSOMS IPRELIFTE VIM DIE TYR 6-0OHNELS

4.11ALF THE TIME 6-OFTEN • 6-MOSTLY 2rALWAYS 2-RARELY 3-SOMETIMES

1-HOOIT 2-SELBE

0 1-NEVER

IUBSCALE: PROBLEMS WITH WORK

My job is very boring. I hate my job.

I cannot stand my boss. My boss is a fool.

I really like my job. * I think I am good at my job. •

I get to work on time. • I like to waste time on the. job.

The best part of my job is coffee breaks, lunch, and

I work very hard at my job and I am very consc:eli:io,Js about doing it well. •

My werk is bale vervelig.' Ek haat my work. - Ek kan my baas nie verdra nie. My baas is 'n onnosel vent. Ek hou regtig van my work. * Ek dink ek is goed in my werk. • Ek kom betyds by die werk aan.* Ek hou daarvan om . tyd te mors by die work. Die beste dinge omtrenc my werk is koffle- en etenstye en v:Ara77t.:4,7c.

21( :Ian my :-.‘1‘.rist.,,, c:( IS dzatop geFteld cm dit good to doen.°

,;

SUBSKAAL: PROBLEME BY DIE WERK •

I seem to feel guilty for no good reason. When things go wrong, I feel I should apologize even if it is

not my fault. When things do noc go right I usually accept the blame for

them. I am usually the one who apologizes for anything.

I have this nagging feeling that I have done something wrong.

I have the feeling I should be punished even when I have done nothing for which to be punished.

I have the feeling that I have done something terrible. I feel very guilty and ashamed.

Deep inside, I feel that I am really a "bad" person.

I feel that people would be ashamed of me if they really knew me very well.

Ek voel skuldig sonder dat daar enige ride voor is. Wanneer dinge verkeerd loop, voel ek ek moet om verskoning vra, al was dit nie my skuld nie. Wanneer dingo nie reg wil uitwerk nie, aanvaar ek gewoonlik die skuld daarvoor. . Ek is gewoonlik die een wat om verskoning vra vir alles. Ek het hierdie aanhoudende gevoel dat ek lets verkeerds gedoen het. . Ek voel ek verdien straf, e is daar seen rode daarvoor om my te straf nie. Ek het so 'n gevoel dat ek lets vreesliks gedoen het. Ek voel vreeslik skuldig en skaam. Flier diep binne-in my voel ek dat ek regtig 'n "slegte" mans

Ek voel merisesal hullo vir my skaam as hulls my ears regtig leer ken.

IBSCALE: PHOBIAS

SUBSKAAL: FOBIES

I feel afraid to go out of my house alone. I feel afraid in open spaces or in the streets.

I feel afraid I will faint in public. I am comfortable travelling on buses, subways or trains. •

I feel nervousness or shakiness inside. I feel comfortable in crowds, such as shopping or at a movie•

I feel comfortable when I am left alone. • Due to my fears, I unreasonably avoid certain animals,

objects or situations. Due to my fears, I avoid social situations, whenever possible.

Ek is bang om alleen uit my huts uit te gaan. • Ek voel bang wanneer ek in wye, oop areas of in die strata is. Ek is bang ek gaan in die openbaar flou word. • Ek voel gemaldik wanneer ek per bus of per trein reis. • Dit voel senuagtig of bewerig binne-in my. Ek voel gemaklik tussen 'n skare manse of by die fliek. • Ek voel gemakiik wanneer andere my alleen laat.• As gevolg van my vrese, vermy ek sekere diere, voorwerpe en situasies onnodiglik. _ As gevolg van my vrese, vermy ek sosiale geleenthede wanneer moontlik. As gevolg van my vrese, vermy ek dit, indlen enigsins

.-talleuen.34L-4ees;' • '

Due to my fears, I avoid being alone, whenever possible.

UBSCALE: FEELINGS OF GUILT

SUBSIKAAL-1 SKULDGEVOELENS

iUBSCALE: CONFUSED 'THINKING

SUBSKAAL: VERWARRENDE DENKI

I have difficulty keeping my thoughts straight. My thinking becomes confused.

I cannot seem to keep things straight in my mind. There are times when my mind plays tricks on me. Some of the strangest ideas just pop into my mind.

There are times when my thinking does not seem to work right.

I worry about the way my mind seems strange.

Ek vind dit moellik om my gedagtes agtermekaar to hou. My denke raak verward. Ek slaag nie daarin om fogies te dink nie. Daar is tye wat my gedagtes my bedrieg. Die snaaksste gedagtes flits deur my brein. Daar is tye wat dit vir my voel asof my denkpatrone nie reg werk nie. Dit bekornmer my dat my denkpatrone vir my vreemd is.

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I have ideas and thoughts chat disturb me greatly. Some of my thoughts are frightening to me.

I think about ugly or horrible things. There are times when I have very strange and disturbing

thoughts. I cannot get certain bad thoughts out of my mind.

Disturbing ideas come to me and I cannot get rid of them.

I worry about the horrible thoughts that I h'ave. Ugly or horrible thoughts rush into my mind.

I just cannot get certain bad thoughts out of my mind.

Ek het ideas en gedagtes wat my bale ontstel. Sommmige van my gedagtes maak my bang. Ek dink aan lelike, aaklige goad. By lye het ek eienaardige en ontstellende gedagtes.

Dear is sekere slegte gedagtes wat ek eenvoudig nie uit my kop nit kan kry nie. Ontstellende gedagtes kom by my op en ek kan nie daarvan ontsiae raak nie. Ek is bekommerd oor die aaklige gedagtes wat ek het. Aaklige of lelike gedagtes kom gedurig by my op. Ek kan sekere lelike gedagtes net nie uit my kop uit kry nie.

I forget where I put my keys, glasses, or other objects that I use daily.

There are times when I forget my nail's. - I forget whit day it is.-

I forget important dates,. addresses, or phone numbers that I should remember with ease.

I have difficulty remembering things that I should easily remember.

There are times when I actually forget my own address. I forget important things about my work or school.

My memory seems to fail me.

302. •

-1303.

Ek vergeet wear ek my sleutels, my bril en sulks goad wat ek elke dag gebruik, neersit. Daar is lye wanneer ek my naam vergeet. Ek vergeet wetter dag dit is. Ek vergeet belangrike datums, adresse of telefoonnommers wet ek eintlik maklik behoort te onthou. Ek vind dit moeilik om dinge te onthou wat ek eintlik maklik behoort te onthou. Daar is lye wat ek selfs my eie adres vergeet. Ek vergeet belangrike dinge omtrenc my werk of studies. Dit lyk asof my geheue my in die steak laat.

1.-HOOIT 2-SELDE 3..SOMS 4-KLETE YAM 0IE TY0 6-0IKWELS S-AREESTAL 7°ALTY0

0 IC!Y • Cil° 400 1-NEVER 2-RARELY 3-SOMETIMES 4-HALE THE TW1E 6-OFTEN S-MOSTLY 2...ALWAYS

IBSCALE: DISTURBING THOUGHTS SUBSKAAL: ONTSTELLENDE GEDAGTES

UBSCALE: MEMORY LOSS SUBSKAAL: GEHEUEVERLIES

.' •

,UBSCALE: ALCOHOL ABUSE

When I have a drink with friends, I usually drink more than they do.

My drinking causes problems with my family or friends. My drinking causes problems with my work.

After I have been drinking, I cannot remember things that happened._

After I have been drinking, I get the shakes., When I am drinking, I have three or fewer drinks: •

I drink to calm my nerves or make me feel better. •

I drink when I am alone. I drink so much that I piss out..

My drinking interferes with obligations to my family or =friends.

I have one or more drinks when things are not going well for

ni I have one or more drinks before noon. My friends avoid me when I am drinking.

My personal life gets very troublesome when I drink.

r nt,

SUBSKAAL: ALKOHOLMISBRUIK

Wanneer ek 'n drankie geniet saam met vriende, drink ek meer as wat hulle drink. My drinkery veroorsaak problems met my vriende en familie. My drinkery veroorsaak probleme by my werk. Nadat ek gedrink het, kan ek die volgende dag niks onthou van wet gebeur het nie. Na ek gedrink het, raak ek bewerig. Wanneer ek alkohol gebruik, drink ek drie drankies of minder. • Ek drink om my senuwees te kalmeer of om my beter te laat voel. Ek drink wanneer ek alleen is. Ek drink so bale dat ek omkap. My drinkgewoontes meng in met my verpligtinge teenoor my familie en vriende. Ek drink can of twee drankies wanneer sake vir my skeef loop. Ek drink can of meer drankies voor dit middag word. My vriende vermy my wanneer ek drink. My persoonlike lewe raak heeltemal omgekrap wanneer ek

-- ;-, :'•' c ; :- •

7 • -

- •

CUBSCALE: DRUG USE SUBSKAAL: DWELMMISBRUII

I take drugs to calm my nerves or make me feel better.

When I take drugs with friends, I usually take more than they do.

My drug use causes problems with my family or friends. . .

My drug use causes problems with my work: I take drugs when I am alone.

My drug use interferes with obligations to my faintly or -. friends.

I take drugs when things are not going well for me. My friends avoid me when I take drugs.

My personal life gets very troublesome when I use drugs.

I take drugs several times a week.

Ek gebruik dwelms om my senuwees te kalmeer of om my beter te laat voel. Wanneer ek saam met vriende dwelms gebruik, gebruik ek gewoonlik meer as hulle. My dwelmgebruik veroorsaak vir my probleme by my vriende of famine. My dwelmgebruik veroorsaak problems by my werk. Ek gebruik dwelms wanneer ek alleen is. My dwelmgebruik meng in met my verpligtinge teenoor familie in vriende. Ek gebruik dwelms wanneer dit nie met my goad gaan nie. My vriende vermy my wanneer ek dwelms gebruik. My persoonlike lewe raak vol probleme wanneer ek dwelms gebruik. Ek gebruik dwelms etlike kere per week.

8