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HomeMy WebLinkAbout86-0310 Forest Health Systems 36— 0510 AGREEMENT PROVIDING FOR THE ADMINISTRATION OF AN EMPLOYEE ASSISTANCE PROGRAM THIS AGREEMENT made and entered into this v���� day of LACtrtall , 1986 by and between the CITY OF ELGIN, an Illinois Municipal Corporation, (hereinafter referred to as Elgin) and FOREST HEALTH SYSTEMS, a/k/a Lovm||ton, with offices at 600 Villa Street, Elgin, Illinois 68120. WHEREAS, it is recognized that many personal problems not associated with an employee's position or office may effect the performance of his duties; and WHEREAS, it is necessary and desirable to assist in the resolution of employee personal problems so as to promote an efficient and effective level of govern- mental services for the general public; and WHEREAS, Elgin desires to have an Employee Assistance Program to be administered by Forest Health Systems; and WHEREAS, the parties are in agreement as to the terms and conditions of any Employee Assistance Program (hereinafter referred twos EAP). NOW, THEREFORE, in consideration of the mutual promises and covenants contained herein, the parties hereto agree as follows: A. Program Goals and Objectives: I. It is the goal of this proposed program to provide professional assist- ance to Elgin's employees experiencing alcohol, drug, emotional, family or other personal problems that interfere with job performance. 2. It is the objective of the program to help the individual resolve these problems before they become costly and extreme. 3. The services offered to the employees and their immediate families will be assessment and referral services. Individual employees and their family can contact the EAP themselves, or be referred by a supervisor, the union or a significant other. Once the individual contacts the EAP, trained professional personnel will conduct an intake interview; help the individual assess the problem; refer the individual for further counseling, treatment or service (if required) to an appropriate resource in the community; coordinate the employee's benefit package; keep client records; and evaluate the program. B. Services to be Provided: Forest Health Systems will provide the following services through its facility in Elgin - Lovellton Treatment Center. I. Assist Elgin's personnel in developing a statement of policy regard- ing the operation of an EAP and in defining specific operations) goals. 2. Assist Elgin in developing a statement regarding employees' rights and confidentiality. 3. Provide supervisory and union personnel with training regarding the identification of the "problem employee", work performance criteria to be used, docu- mentation procedures, and referral methods. 4. Develop an ongoing informational and educational program directed to the employees and their families in order to make them aware of the EAP services, understand the referral process, and take advantage of the service. 5. Work closely with the city manager, administrative staff, and union officials in order to maintain support for the EAP and maximize benefits. 6. Develop an up-to-date, appropriate referral network so employees may be offered efficient, convenient, and economic treatment and service in the event of need for additional help. 7. Provide 24 hour telephone contact service. (Appointments for EAP service will be handled by a 24 hour staff. Crisis calls will be handled immediately by trained Lovellton mental health staff rather than EAP resource personnel.) 2 , ` 8. Provide assessment and referral service to Elgin's employees and their families. 9. Assist the referred employee in coordinating insurance package benefits if additional treatment is required. 10. Provide Elgin employees and their families with information regard- ing such areas as stress management, effective parenting, resolution of marital conflicts, and dealing with drug problems. This information will be available as written material and periodic lectures and seminars. Resources from the entire Forest Health System network will be utilized to provide a comprehensive scope of presentations. | |. Follow-up service to all referrals with post-treatment contact when needed. 12. Evaluation of the program including penetration rate, type of problems addressed, type of referral, and status of termination of treatment. C. Who Qualifies, Costs, and Service Providers: I. All Elgin employees and their immediate family members qualify for EAP services. 2. The above listed EAP services will be provided to Elgin at no cost. 3. The above listed EAP services will be provided to Elgin's employees and their families at no charge. Additional service, counseling or treatment will be the responsibility of the individual, however, EAP personnel will aid in coordinating insurance benefits. 4. Services will be provided by James E. Soukup, Psy.D., and a staff of professional personnel who have master's level training in the mental health profession, CAC, or equivalent experience. A staff psychiatrist, R. Menezes, M.D., will provide psychiatric backup service if required. Counseling will be off-site, at the Love||ton facility in Elgin, or if more convenient, one of the Forest Health System offices in either 3 , . Elmhurst, Des Plaines or Buffalo Grove. (See Rider A attached to and made a part hereof.) O. Confidentiality: All referrals are handled on an individual and highly confidential basis. Individual treatment records are not available to the emp|oyer. Employees will be asked to sign release of information forms relating only to information required for program evaluation such as whether a contact was made, a referral recommended, and/or treat- ment completed. E. Insurance Requirements: In the performance of the work covered by this agreement unless other- wise provided for, Forest Health Systems shall act as an independent contractor and maintain full and complete control over all their employees. During the performance of the work, Forest Health Systems shall obtain and maintain the following insurance: 1. Hospital Professional Liability with limits of $1,000,000 per occur- rence. 2. General Liability Insurance with coverage to $1,000,000 per occur- rence. F. Term: rm : This agreement shall be in full force and effect for one calendar year from the date of execution. G. Compensation: For and in consideration of the faithful performance of the covenants and conditions contained herein, Elgin shall pay Forest Health Services the sum of t5,500.00. Elgin shall pay $2,750.00 upon the execution of this agreement and $2,750.00 on August II, 1986. 4 H. Extent of Authority: This agreement does not negate any ordinance or administrative policies or procedures of Elgin unless specifically indicated herein. Compliance with the ordi- nances and administrative policies or procedures currently in effect or hereinafter amended or adopted are made part of this agreement. I. Entirety of Agreement: This agreement constitutes the entire agreement between the parties and supersedes all previous agreements and understandings with respect to the subject hereof. J. Assignment: Forest Health Systems shall not assign this contract in whole or in part without the prior written consent of Elgin. Any such assignment without Elgin's prior written consent shall be void and of no effect. IN WITNESS WHEREOF, the parties hereto have executed this agreement as of the day and year first hereinabove written which shall be deemed the effective date. FOREST HEALTH SYSTEMS CITY OF ELGIN By: BY: ?fA4-• ATTEST: 5 • RIDER A Employee Assistance Program Staff: 1. James E. Soukup Psy. D. Clinical Coordinator • Education: Doctor of Psychology, Forest Institute of Prof. Psychology M.A. (Counseling), Forest Institute of Prof. Psychology M.B.A. Indiana University B.S. (Business) Indiana University Training and Experience: Counterpoint Intervention Drug Treatment Center, Chicago Seven Springs MHC, Des Plaines (Psychotherapy) Mount Prospect Police Dept. (Program development,psychotherapy, referral services) Loretto Hospital Drug Unit (Education, psychotherapy community education) Forest Psychiatric Hospital (Therapy, psychological testing, program development) Present Employment: Seven Springs Health Resource Center ( An affiliate of Forest Health Systems) - Clinical Coordinator Park West Mental Health Clinic, Elmhurst, IL Clinician 2. Pat MacAlister, LPN, FT, ST. Administrative Director Education: St. Charles Hospital, DePaul University, Aurora College, Forest Institute of Professional Psychology. Licensed Practical Nurse, Family Therapist, Social Therapist Experience: Forest Hospital, Des Plaines, IL Staff Nurse, Head Nurse-Intensive Care Unit, Marketing Department Present Employment: Lovellton, Administrative Director 3. Ralph C. Menezes, M.D. Psychiatric Consultant Education: Pre-medical - St. Peter's College, Colombo,Sri Lanka Aquinas University, Colombo, Sri Lanka Medical Education - University of Ceylon Post Graduate Training and Experience: General Hospital Negombo, Sri Lanka Government Hospital, Imaduwa, Sri Lanka St. Stephen's Hospital, Chelsea, London, U.K. St. John and St. Elizabeth Hospital, London, U.K. Residency in Psychiatry - Chicago Medical School Present Employment: Lovellton, Medical Director Forest Hospital, Program Director, Chemical Dependency Unit and private practice 4. Other personnel connected with EAP service provision, will be supervised by Dr. Soukup and have master's level training in mental health, CAC, or equivilent training.