Health Handouts : Menu Approach of Services

The menu approach offers employees a range of options to support lifestyle changes. It allows people to choose the kind of help that suits their schedules and preferences.

The four basic types of programs include:
• Classes
• Minigroups
• Guided self help
• Individual counseling

Classes

Classes (8 or more) can be an effective means of offering education and social backing for behavior change. The length of a class can vary depending on topic requirements. It is not sufficient to offer only classes at a worksite.

Many staff members are under time constraints with after work commitments and even though they may be interested they simply can’t participate because of their schedules.

workers may be very eager to start a program but because of lack of participants to meet class quotas, the program is canceled. Many national companies such as the American Heart Association, American Cancer Society, Weight Watchers, etc. offer classes; you ought to have little trouble in identifying a provider for class type programs.

You may want to contact your local hospital, health department, or YMCA for possible options. For selecting a vendor to support a program you may want to review the section on program structure.

Minigroups

When there is not enough interest to establish a class, those who are interested in a given health topic can be formed into a minigroup (2 to 7).

The minigroup can cover the same content as a class but do so in a less formal manner. Presentation of information and discussion is the primary format of the minigroup.

Guided Self-Help

Most workers do not want formal help in making health changes; they prefer to do it on their own. In guided self-help, the wellness counselors offer reinforcement, materials, and encouragement.

Meeting times can be arranged and contact can be made either in person, by phone, or computer. Materials can be made available at the workplace, or mailed to the individual. Some worksites now make information available via intranets or the Internet.

Individual Counseling

One of the most successful ways to help people change and improve their health status is counseling (or coaching) on a one-on-one basis.

In published research studies, wellness programs which incorporated individual counseling as part of the program process achieved significantly higher participation rates and achieved greater risk reduction/risk elimination than standard group programs. Studies have established that individual counseling is both cost effective and cost advantageous.

A wellness counselor ought to be trained in evaluation techniques, for in certain situations, they may be required to both screen individuals and counsel them. They ought to know how to do the following:

• Review employee health risks
• Contact workers who have health risks.
• Counsel employees on a one-on-one basis, helping them set goals, solve issues, and get professional help when they need it.
• Help workers follow their treatment recommendations and make lifestyle and health behavior changes.
• Recruit workers into health improvement programs, such as weight loss and smoking cessation.
• Work with employees on a one-on-one basis using guided self-help.
• Conduct classes and minigroups if necessary.
• Work with Worksite Wellness Program Committee members to plan and conduct worksite-wide wellness activities.

Wellness counselors are health generalists; they must have basic knowledge about a wide range of health topics and health risks.

Counselors must be able to talk with employees about their medical issues and the treatments prescribed by their doctors. They must have a great overview of nutrition, exercise physiology, pathophysiology of disease, pharmacology, psychology, and behavior modification skills.