Posts Tagged Mental Health Awareness

John Oliver: Rehab, Last Week Tonight Psychology of Performance #63

Robert A. Mines, Ph.D., Chairman and Chief Psychology Officer

Thank you John Oliver and your staff for a significant public service on your show this week! Your commentary and excellent coverage of a major problem in substance use disorder and alcohol treatment will have an impact far beyond what the insurance and professional communities have been able to do.

MINES has patients who have gone out of network, received poor care, the payors have received outrageous bills, the patients are stuck with bills that can only result in medical bankruptcy and as you noted, people die in these disreputable facilities.  A major component that you pointed out is patient brokering. When people Google substance abuse/use treatment, the top 20-30 are facilities, mostly in Florida and California, or are patient brokers. Reputable facilities in the person’s community do not even make the list. Then the facilities sometimes even pay the airfare to fly the patient to their facility and if the patient does not meet medical necessity for that level of care, the facility turns them out on the street to find their own way back to the state/community they live in.

You mentioned addictionologists as a resource for finding reputable care. In addition, Employee Assistance Programs as well as managed behavioral health services (insurance) are knowledgeable and informed about substance use and alcohol treatment. They know which facilities and programs are in network with the insurance and which ones do a good job.

Evidence-based treatment supports the use of a continuum of care from outpatient, intensive outpatient, partial hospitalization, residential and detox (medical and social detox). There are medications that also contribute to sobriety and health.

These are chronic illnesses/conditions that require the patients to cope with all their lives. Learning relapse prevention and adherence skills are essential.

If you decide to delve into this national problem further in a future episode, I would be happy to consult with you and your team.

The following clip may be not suitable for some work environments:

Resource:

This is a link to a pdf of an article published by the Self Insurance Institute of America on predatory treatment facilities and managed behavioral healthcare strategies for helping the patients and the payors. http://www.minesandassociates.com/documents/Predatory_Facility_Article.pdf

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Showing Support for Employees

May is mental health awareness month – an issue that has implications on individuals as well as the organizations they work for. The importance of mental health and the employee is a frequently discussed topic in the field of HR. Does the employer have a responsibility for their employees’ mental health? How can offering mental health benefits help the organization? Although there are multiple perspectives, there are some ways that the employer can help support their employees through difficult times.

One common and inexpensive benefit that the vast majority of organizations provide to their employees is an Employee Assistance Program (EAP). Yes, MINES and Associates is an EAP provider, and as such we see the issues that come to the table: low morale, family conflicts, substance abuse, and financial stressors to name a few. We also hear success stories of employees completing their counseling sessions and feeling that many areas of their lives have improved – including their job! Being the HR specialist of an organization which provides EAP services, it was easy to see where the value of an EAP lies. When an employee comes to you with a problem or suspicions of a mental illness, it’s reassuring to know that as an HR specialist, you have a great resource available where you can refer employees to clinicians that are better suited to help with these sorts of problems.

In addition to an EAP, there are other ways that you can regularly support your employees. Some benefits that our employees greatly appreciate include generous time off, the ability to work remotely, and encouraged open-communication. During times of stress, employees tend to appreciate time off to deal with personal matters. Working remotely allows the employee flexibility in their work. Finally, open-communication allows employees to bring forth concerns and needs without fear of reprisal. Your employees are the greatest asset of the company – show them that you care and support them!

Daniél C. Kimlinger, MHA
Human Resources Specialist

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