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    WELLNESS DEFINITIONAs a Noun

    The quality or state of being healthy in body and mind, especially as tof deliberate effort.

    World Dictionary

    The state of being in good physical and mental health

    Medical Dictionary

    The condition of good physical and mental health, especially when mby proper diet, exercise and habits.

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    HALBERT DUNN, 1977

    An integrated method of functioning which is oriented toward

    maximizing the potential of which the individual is capable, within

    the environment where he is functioning

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    DIMENSIONS OF WELLNESS

    These dimensions are interdependent i.e., they interact

    and overlap with each other to produce health

    Physical

    Social

    Mental

    Emotional

    Spiritual

    Environmental

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    Social

    Environmental Spiritual Emotional

    MentalPhysical

    PICTORIAL REPRESENTATION

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    WORKPLACE HEALTH AND WELLNESS ISS

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    ABSENTEEISM

    Psychological problems account for 61% of absences from workeach year, 65-85% of employee terminations and 80-90% of industrialaccidents.

    An estimated 1,000,000 workers are absent on an average ofworkday because of stress related complaints. (The AmericanInstitute of Stress, 2000)

    Unscheduled absenteeism costs employers as much as $688 per

    employee per year.

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    MENTALHEALTH

    Depression and anxiety disordersthe two most common mental illnesseeach affect 19 million American adults annually (National Institute of MeHealth, 1999)

    The estimated economic burden of depression was $43.7 billion: $31.3 b

    indirect costs such as decreased productivity and lost work days, and $1billion in direct costs such as medication and physician time (NMHA, 200

    Up to one-half of all visits to primary care physicians are due to conditioare caused or exacerbated by mental or emotional problems (CollaborFamily Healthcare Coalition, 1998.)

    Two out of ten people suffering from clinical depression start out with stre

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    WORKPLACE VIOLENCE

    Workplace murders claim the lives of 1,000 people each year. Anothermillion people per year are victims of a violent event or threat in theworkplace.

    Studies indicate that workplace violence costs American businessesanywhere from $6.4 billion to $36 billion annually. On the average, itcosts the company $53,000 per event in law suits, workers comp claimsand public image problems

    EAP has three tools to reduce the risk of workplaceviolence: 1) Confidential and accessible consultation for employeeswho feel stressed 2) Anger Management Training and 3) assistance forsupervisors who are addressing potentially violent situations.

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    EMPLOYEE ASSISTANCE PROGRAMS& WELLNESS PROGRAMS

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    WHAT ARE EMPLOYEE ASSISTANPROGRAMS?

    A confidential and comprehensive program ofcounseling services for employees and their families

    Designed to reduce risk, cut costs, and enhanceemployee productivity

    Some EAP providers offer such services as retirementassistance, wellness/health promotion and fitness, andcrisis management

    Further examples include: Alcohol & substance abuse,domestic violence, and stress management

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    WHAT ARE WELLNESS PROGRAM

    Cost effective employee benefits that can improveemployee health and morale and limit healthcarecosts

    Main objective is prevention and organizationalwholeness

    Examples include: exercise and relaxation classes,financial counseling, and weight management

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    HISTORY

    Beginning in the mid 1960s to mid 1970s, workplace counselingfocused on addictionalcohol and drug problems

    Mid 1980s the impact of health benefit cost containment

    approaches brought about considerable change and consolidatio

    Today, the market is divided among several large, nationalbehavioral health and assistance providers

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    IMPLEMENTATION

    Internal/In House

    Consortia

    Fee-for-Service Contracts

    Fixed-Fee Contracts

    Peer-Based Programs

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    WHY OFFER EMPLOYEE ASSISTANPROGRAMS?

    Unlimited positive outcomes

    Leads to a more energetic, positive and productive workplace

    Reduced employee turnover, lower overall health care costs,and reduction in on-the-job accidents and injuries

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    WHY OFFER EMPLOYEE ASSISTAPROGRAMS?

    Up to 68% of all workers will, at some time, expworkplace problems severe enough to prevecoping with day-to-day activities

    As a prevention tool

    As a form of managed care

    As a multi-purpose human resource tool

    As a way to show you care

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    WHAT CAN AN EAP DO FOR COMPANY?

    High Return on Investment

    Lower Medical Claims

    Decreased Use of Mental Health Insurance

    Reduction in Employee Turnover

    Increase in Employee Productivity

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    WELLNESS PROGRAMS Quality of life/life satisfaction monitoring

    A holistic approach

    Unique person directs action

    Multidimensional expression across lifespan

    Number and quality of friendships/socialsupport

    Mental engagement

    Environmental awareness

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    FACTORS FOR SUCCESSFULPROGRAMMING

    Individual behavioral change

    Physical work environment

    Organizational development & policies

    Community collaboration and environmental issues

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    EXAMPLES OF INDIVIDUALCHANGE

    Work station stretching

    Meditation and other Relaxation Techniques

    Walking clubs

    Self-care guide use and education programs

    Healthy eating when and where you eat, as well aswhat.

    Health risk appraisal and risk management

    Personal/Professional Development

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    EXAMPLES OF PHYSICAL WORENVIRONMENT

    Vending machines: snacks vs. low fat

    Promoting walking by marking paths and using signage topromote use

    Posting/delivering health messages

    Quiet room for relaxation Personal control of workspace

    Ergonomically correct workspaces

    Workloads consistent with a normal work day

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    ORGANIZATIONALDEVELOPMENT & POLICIES

    Upper management buy-in

    Commitment to wellness by including it in the companys vision

    Health theme months

    Subsidize fitness/health club memberships Newsletters, emails, payroll inserts with health tips

    Departmental competitions: walking, weight, etc.

    Special recognition of participants

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    COMMUNITY COLLABORATIO

    Advocating for sidewalks, bike trails and health-relatedcommunity planning

    Health related speakers from community

    Local restaurants sponsoring low fat foods and cookingclasses

    Children of employees creating health posters and

    messages

    Sponsor parks and recreation programs

    Involve health related organizations in programs foremployees

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    I di

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    India

    Major Health ConcernsCardiovascular disease and diabetes due to poor diet, lack of exercise,

    and tobacco consumption

    Communicable and non-communicable diseases,including HIV/AIDS,

    tuberculosis, malaria, and pneumonia.

    TrendsNeglected diseases are likely to become endemic; it is predicted that by 2025,

    57.2% of the population will have diabetes.

    According to the World Health Organization, approximately 60% of deaths can be

    attributed to chronic diseases, possibly increasing to 77% over the next 10 years.

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    United States

    Major Health ConcernsChronic disease: heart disease,

    cancer, stroke, diabetes.

    Injury due to unhealthy diets, obesity,using tobacco and alcohol, and not

    using seatbelts.

    Not getting preventive medical care,

    such as flu shots, Pap smears, mammograms,

    and colorectal cancer screening tests.

    TrendsMore than half of all Americans suffer from one or more

    chronic diseases.