Sunday, January 26, 2014

Understanding Employee Eldercare Challenges

You have no doubt heard of the coming "age wave" - Americans are living longer and the number of older adults is steadily increasing. The Society for Human Resource Management (SHRM) Workplace Forecast of 2004-2005 indicated that the two most important demographic trends impacting the workplace are the growth in the number of workers with eldercare responsibilities and the growth in the number of workers with both childcare and eldercare responsibilities. According to SHRM, over 90% of companies surveyed expect an increase in the number of employees caring for elderly relatives. In 2007, almost 22 million workers in the United States cared for parents or other elders (American Association of Retired Persons web site, 2007).

Elder care is not like child care. Think of how often you have seen family photos of employees including their children. Now think of how often these employees display photos of their parents and other aging relatives. For parents, children are hope; we help them grow, learn and experience life. We do not expect to watch them face the physical, emotional, financial and health challenges an adult child as elder caregiver will face.

Your employed elder caregivers will rarely entertain open discussion about the needs of their elderly relative until a crisis occurs. When this happens, they are then catapulted from being fairly oblivious to elder care issues to being in the midst of an eldercare crisis that disrupts work, family, finances, health, marriage and other relationships.

You may have witnessed some of the work and productivity-related burdens employed caregivers of the elderly face: missing full and partial days of work, taking more time off work, experiencing additional interruptions and distractions at work, being unable to take on additional projects, travel, or even well-deserved promotions. These elder caregiving responsibilities affect a worker's health, finances, family and social life; all of which result in lost productivity at work.

How much are the costs in lost productivity solely due to elder caregiving by businesses in the United States? According to a study by the MetLife Mature Institute, the costs are up to 34 billion annually.

Employee assistance program experts, along with company benefit and human resource professionals, are noticing that eldercare is "becoming the new childcare" with regards to helping employees balance work/life challenges.

Employees as Caregivers

A National Alliance for Caregiving and American Association of Retired Persons study in 1997 showed that for 40% of caregivers surveyed, caregiving affected their ability to advance in their jobs. The subsequent lost wages then affect the ability to save for retirement (National Alliance for Caregiving and American Association of Retired Persons, 1997).

In regards to health care concerns, it was learned as early as 1988 that employees caregiving for older adults were 20% more likely to see their physicians than employees who are not providing care to the elderly (Dellman-Jenkins: Creedon, 1988). Additional research links caregiver stress with increased risk of depression and anxiety, diminished immune responses, slower wound healing and a greater incidence of hospitalization, sleeplessness, and weight gain or loss. A study focusing on dementia found caregivers of those with this cognitive impairment experienced almost three times the stress symptoms when compared with other caregivers; they were also more likely to report using prescription drugs (Azaroff & Scharlach, 1988).

Moore, founder of FamilyCare America Inc. and the National Caregivers Library, states the following impact on health care costs of working caregivers:

o 50% report 8 additional visits per year to a health care provider (for themselves) as a result of their caregiving responsibilities

o 22% report a significant impact on their own health

o 75% of working caregivers report an adverse affect on their own health

As maintained by the Society for Human Resource Management's 2003 Eldercare Survey, absenteeism is the number one problem among employees having caregiving responsibilities. Of those participating in the survey, 62% have seen partial day absenteeism due to older adult caregiving and 59% have seen full day absenteeism. Stress & absenteeism in the workplace for those caring for elderly relatives (that live a long distance away) results in workers missing at least 15 million workdays each year.

The average working caregiver spends approximately two hours on the phone communicating with medical professionals and any happinesslifetime.com home care agency used to coordinate care, along with the four to five calls received per day from her elder or the hired home caregiver ("Caregiving vs. Career," 2003).

In these most difficult economic times, a ten percent (10%) reduction in employee population might be welcomed by some. However, how welcome would that be if the choice of employees leaving your company were not in the control of management? How difficult would it be to replace your age 40-45+ workers, those with the most intellectual capital and experience, when they themselves decide they must resign their jobs to care for an elderly family member? According to Greene, 2006, nine percent (9%) of family caregivers quit their jobs of their own choosing due to these eldercare issues, costing employers about $6.6 billion a year.

Corporate Productivity Loss

The responsibilities of elder caregiving have a direct impact on employee productivity and on those who work with them. According to companies that have surveyed their employees, 20% to 30% of them found employees balancing work and elder care issues (Dellman-Jenkins, 1994).

The main areas of corporate productivity loss according to John Paul Marosy, President of Bringing Elder Care Home, are:

1) Employee productivity - replacement of employees who burn out or terminate; absenteeism, partial absenteeism, workday interruptions.

2) Management-administrative costs - supervisory costs related to time and impact of additional stress on managers and supervisors who are often ill equipped to manage the personnel productivity issues related to workers' caregiver responsibilities.

3) Health care, including mental health - costs for caregivers under a physician's care, associated with treatment for anxiety and depression, and employee assistance programs.

Additional costs incurred include loss of human capital when caregivers turn down promotions, transfers and extra projects; missed meetings and business trips and the reduction in employee continuing education.

Eldercare and Corporate Culture

Employees with eldercare problems need to see the support of management as well as feeling acceptance in the organization's corporate culture. Without it, the employed elder caregivers are not helped, nor will the employer see the value in the eldercare related program investments. Research shows that when management demonstrates an understanding of the value of a healthy family life, it can increase employee commitment. When employed caregivers are able to share their problems with co-workers and supervisors, learn from their caregiving experiences or become aware of programs that can provide them with solutions, they reported work/life satisfaction, improved productivity and less stress.

Eldercare in the workplace continues to be a hidden problem. Even when the problems related to caregiving of an elder is acknowledged by human resources, the depth of the impact on the employee and on productivity is often underestimated. A corporation offering targeted employee eldercare assistance based on their specific employee concerns may lead to gains in employee loyalty, morale, retention and commitment; a boost in employee candidate levels, and a reduction turnover, all of which help lead to increased productivity and relieve employee stress and its related health issues.








Veronica Woldt, M.A., is the owner and principal of Corporate Eldercare Solutions, llc (CES) and the author of two studies: An Exploratory Study of Corporate Employees with Eldercare Challenges (2009) and The Aging Effect on Corporate America: A study of the use of eldercare benefits by Milwaukee area industry (2003-2004).
CES helps companies realize the costs associated with unaddressed employee eldercare difficulties via a Customized Employee Eldercare Needs Analysis (CEENA). Based on the quantitative and qualitative results of this analysis, CES then provides corporate shareholders with solutions to their specific employee eldercare concerns. The results assist in the positive enhancement of company productivity and associated employee health-related issues, as well as facilitating relief of employee eldercare-related stresses, thereby improving employee work/life circumstances. CES also offers employee eldercare education, direct confidential employee consultations to determine the initial eldercare management direction for an employee, monthly corporate educational newsletters addressing employed caregiver, human resource and corporate productivity loss concerns and special projects as requested and identified. All services provided by Veronica Woldt, MA, with statistics and analysis review by Krista Moore, Ph.D.
CES pursues as clients and partners professionals in employee assistance and work/life programs, human resources, HR consulting firms, and executives involved in the concerns of corporate productivity management. CES does not provide elder care benefits, geriatric case management, financial or legal planning (May, 2009).
For more information, please visit corporateeldercaresolutions.com corporateeldercaresolutions.com, or contact Veronica Woldt via phone at 414-763-6333.

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