1. Faculty Staff Assistance Program FSAP…Promoting Individual and Organizational Health New Faculty Orientation School of Medicine

2. Paula G. Gomes, Psy.D., Director pgomes@emory.edu Matthew W. Norman, M.D. Psychiatric Consultant norman@atlantapsychiatry.com Faculty Staff Assistance Program Emory University / Emory Healthcare 404-727-4328 or 404-727-WELL

3. Faculty Staff Assistance Program The Emory Wellness Center 1762 Clifton Road, Suite P1100 Emory Crawford Long Hospital Orr Building, 3 rd Floor Wesley Woods Campus Health Center, 1 st Floor Grady Hospital Campus Steiner Building, G24 Four Locations

4. Faculty Staff Assistance Program Organizational Health Health Promotion and Wellness Behavioral Mental Health A Functional Model

5. Behavioral Mental Health Services Confidential, Professional Assistance: Personal Counseling External Referrals Case Management Critical Incident Stress Debriefing Leadership Referrals Consultation Call FSAP Before a Concern Becomes a Crisis

6. Confidential Means Confidential Privileged Communication Protection by Law

8. Organizational Dynamics… Striving for Organizational Health Organizational Dynamics is a systematic process designed to promote organizational health

9. Health Promotion & Wellness Services Wellness and Lifestyle Coachings StressBreaks/Stress Management Programs Work Life Balance Programs Emory Family Resources Health Fairs/Screenings/Flu Shot Clinics Walking Groups and Programs Lunch & Learn Programs/InfoStops Weight Watchers @Emory Freedom from Smoking Classes

10. FSAP Faculty/Physician Services Coaching Services Effective Communication Skills Leadership Training and Skills Support Management of Professional Legal Proceedings Individualized Wellness Plan - Strategies for Keeping You Healthy

11. Overview of Demands on Faculty/Physicians Work Demands include: Balancing patient and organizational issues Managed care and increased regulatory standards of practice Workplace stress – responding to the physical, emotional, legal, and fiscal demands of healthcare

12. Overview of Demands on Faculty/Physicians Personal Demands include: Balancing work and family concerns Coping with life’s unexpected challenges Addressing personal problems of depression, anxiety, substance abuse and addiction

13. Faculty/Physicians’ Wellness Greatest Challenges Facing Emory Physicians Financial pressures/decreased reimbursements Increased demand to see more patients Limited time for effective problem solving Malpractice issues Complexities and innovations in healthcare

14. Faculty/Physicians’ Wellness Challenges Can Lead to Stress Types of Stressors o Physical o Psychological/Emotional o Familial o Spiritual o Social o Occupational

15. Faculty/Physicians’ Wellness Behavioral and Emotional Reactions Increased stress can lead to unmanaged stress Increased pressure to perform Substance abuse and addiction Depression; anger management issues Guilt, anxiety; feelings of victimization

16. Faculty/Physicians’ Wellness Behavioral and Emotional Reactions Personal and professional relationship challenges Increased errors Increased instances of poor judgment Lack of self-care

17. What Do You Mean by “Impaired” ? Inability to care for patients with reasonable skill or safety as a consequence of: The misuse or abuse of alcohol or drugs Mental or emotional illness Burnout Inappropriate behavior

18. Impairment and the Medical Professional 10-15% experience problems with alcohol, other drugs, or mental illness at some time during their lives. Studies among U.S. physicians have concluded that impairment of functioning due to chemical dependence alone affects from 8-12% (expected that prevalence is similar for other health care providers)

19. The Good News! Prevention Strategies Understand your risks NEVER self prescribe Stay involved in personally meaningful activities Accept your limitations Recovery is Likely 70 to 85 % achieve sustained recovery 70 % successful with 1 st attempt

20. FSAP Can Help Why Refer to FSAP? Help our patients Help our colleagues Help ourselves Faculty Staff Assistance Program (7-4328) Confidentiality and privileged communication Intervention coordination Referral for assessment and treatment All staff are licensed professionals

21. Final Thoughts These are the duties of a physician: First...to heal his mind and to give help to himself before giving it to anyone else Epitaph of Athenian Doctor, A.D. 2