A formal supervisory referral occurs when a manager or a
supervisor has documented a job performance problem and has
already activated the organization's standard disciplinary
procedure. As a complimentary, but separate process, the organization
may request that the employee contact PBH EAP for assistance
with any personal problem that may be interfering with the
employee's job performance.
1. Appointment must be scheduled with the client within
twenty-four (24) hours of referral.
2. Provider must contact PBH EAP counselor after the initial
evaluation (and subsequent sessions), with assessment and
recommendations.
3. Provider must communicate non-compliance or treatment
outcome regarding job performance issues to PBH EAP counselor.
1. The initial call requesting EAP services should be made
to PBH by the referring supervisor or manager.
2. The PBH EAP counselor must verify from the supervisor
that the referral is a formal supervisor referral, based
on job performance. The information required may include:
- Current status of the employee and their job, especially
if the current disciplinary action is a final warning
- Past disciplinary action
- Previous discussions/actions taken by supervisor regarding
this employees job performance
- Verification of written documentation regarding job
performance
- Information regarding the company's Drug Free Workplace
policy
3. The PBH EAP counselor will discuss with the supervisor,
the need for a signed consent form from the employee. It
must be determined who will be included on the release form,
and how best to obtain the employees' signature. An employee
will never be coerced or forced to sign the release form.
4. The nature of the information that will be released
is discussed with the caller. The information is limited
to:
- Whether or not the employee has had contact with the
PBH EAP counselor;
- Whether or not the employee has attended counseling
sessions or treatment program;
- Whether or not the employee has followed through on
treatment recommendations, and;
- Any recommendations, including restrictions, regarding
back to work issues (only if the employee is returning
to work after a suspension or other mandatory time off
the job).
5. The EAP will recommend the supervisor ask the employee
to sign the consent to release form during the same meeting
in which they refer the employee to PBH EAP. The form should
be faxed to PBH EAP so that the supervisor may be informed
if the employee does not call.
6. No information, including the employee's failure to
contact EAP may be given to the supervisor without the employee's
written consent.
7. The PBH EAP counselor will instruct the referring supervisor
to inform the employee to identify him/herself as a supervisor
referral.
8. It is the PBH EAP counselor's responsibility to educate
the network provider regarding specifics of the supervisor
referral (i.e., DOT, job performance, POS, drug screen,
etc.).

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