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Marion Borcherds Director: Workplace Programmes Gauteng Department of Health

EAPs IN SOUTH AFRICA. Marion Borcherds Director: Workplace Programmes Gauteng Department of Health. The South Africa Context. A culturally diverse, middle-income developing country of 50 million people A mix of 1 st and 3 rd world with a large discrepancy between rich and poor

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Marion Borcherds Director: Workplace Programmes Gauteng Department of Health

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  1. EAPs IN SOUTH AFRICA Marion Borcherds Director: Workplace Programmes Gauteng Department of Health

  2. The South Africa Context • A culturally diverse, middle-income developing country of 50 million people • A mix of 1st and 3rd world with a large discrepancy between rich and poor • Rapid social, political and economic transformation post 1994 • Increasing global competitiveness and a 4.9% economic growth rate • Limited and inadequate community resources • A young democracy grappling with: • Rapid growth and radical change • High incidence of violence, crime, and trauma • Rampant HIV/AIDS infection rate This impacts negatively on the lifestyles of individuals resulting in high levels ofstress, fear anduncertainty,heightened levels of insecurity, and dysfunction

  3. Predominantly occupational social workers variety of models have established themselves Emergence of specialist consultants Emergence of various training programmes on EAP, including a Masters level programme EAP’s in South Africa

  4. EAPs in South Africa • 70%+ of the top 100 companies, and a growing number of medium to small organisations, have EAPs • All local and provincial government organisations are required to implement EAPs • There is an increasing trend towards outsourcing in both the private and government sectors • EAPs are expanding and evolving rapidly to remain relevant and appropriate to the economic, social, and political changes confronting the country • EAPs fulfill both an economicand a social function in South African society

  5. Typical Components of a South African EAP The South African context demands EAPs that are comprehensive and capable of addressing the complex range of issues and challenges confronting SA society Employee Assistance Programme Counselling Practical Assistance HIV/AIDS & Health Trauma Management

  6. EAP Needs Analysis Ranking (n= 38 000) South African employees’ ranking of critical issues that the EAP should address (Source: EAP provider organisation)

  7. EAP Problem Incidence: Emotional & Practical (top 10) Note: Low incidence of eldercare (Source: EAP provider organisation)

  8. Provincial Government Demographic Trends (1) Gender Utilisation Representative uptake by both males and females ♂ ♀ Language Utilisation African Languages: 54% English: 38% Afrikaans: 8% English Sotho Utilisation by Age 47% of EAP service users are under 40 31-40

  9. Provincial Government Demographic Trends (2) Referred by Low number of Formal Referrals by managers due to the impact of problems on work performance Manager Self Referred Status of User Good Uptake by both managerial and non-managerial staff Managers Employees Length of Service Largest Group of users have more than 10 years of service 10 + Years 5-10 Years

  10. Provincial Government Demographic Trends (3) Call Times Limited After Hours EAP uptake Flagged Cases Relatively high incidence of ‘flagged’/ serious cases Dependant Utilisation Use of the service by dependants is suprisingly low

  11. Alcohol Abuse: 299 Drug Abuse: 133 Anger Management: 91 Bullying, Harassment & Discrimination: 100 Crime Committed: 66 Debt: 284 (severe) + 171 Fraud Committed: 14 Gambling: 13 Major Depression: 382 (186 severe) Grievances: 72 Health & Safety: 20 HIV+ve: 323 Disciplinary Issues: 58 Psychiatric Disorders: 103 Suicidal: 141 High risk EAP cases over a 24 month period • Trauma: 671 • 103 MVAs • 60 armed robbery • 38 assault • 59 domestic violence • 11 family murders • 35 hijacking • 19 homicide • 7 kidnapping • 34 rape • 35 sexual abuse • 20 child abuse • 17 violence • 220 – other trauma 25% of all Problems Over 2500 counselling sessions

  12. HIV/AIDS cases over a 24 month period • HIV and AIDS ranked as one of the top 3 most important services (BRMA) • HIV-related problems 700+ • HIV+ve cases 323

  13. Conclusions South African organisations in both the public and private sectors are increasingly adopting and adapting EAPs that are able to effectively manage the powerful influence of physical, psychological, social, behavioural, and economic factors on the wellbeing, productivity and performance of their employees.

  14. Thank You

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