Services to the Individual and the Organization
FSAP provides a wide range of services to both individual employees and to the University organization and its management. Below you will find an outline of our various individual and organizational services and the kinds of problems and issues we can assist with. If you have any questions or concerns that are not directly addressed here, please feel free to call and speak confidentially to our Officer of the Day, who will advise you as to whether your situation is one we can help with.
Individual Counseling Services
All of us have problems occasionally, personal or work-related. Often we can resolve them on our own, but sometimes they persist and may affect our mental and physical health, well-being, work performance, or self-esteem. FSAP counseling services are entirely voluntary, and all discussions with FSAP counselors are strictly confidential and will not become part of your personnel file. Your counselor will not release any information to other individuals — including the fact that you have come to FSAP — without your express permission. FSAP provides assessment, counseling, and referral services for a broad range of personal and work-related issues, including:
||Grief and loss
|Substance abuse (alcohol or drugs)
||Coping with disabilities
|Elder or dependent care
|Interpersonal conflict (with supervisors, peers, or subordinates)
|Problems with job performance
|Competing professional and personal demands
||Coping with hostile work environments
Services available to individual employees include:
Short-term counseling: Many of the problems that people come to FSAP for can actually be addressed — and often resolved — by our brief treatment approach. This usually involves around three counseling sessions, although there are a number of exceptions. You and your counselor will work together to identify your problems and the best way to address them — whether here at FSAP or with an outside provider or program.
Referrals: While we do not provide long-term treatment, we can provide you with referrals to local providers who do. We are well acquainted with many qualified therapists and clinical programs in the Bay Area, including ones on your mental health insurance plan, and can often refer you to providers with specific expertise to meet on your needs.
Couples Counseling: While FSAP cannot provide services to non-employees, including family members, the exception to this is when both members of a couple are employees. If you and your spouse, partner, or significant other are experiencing relationship problems, we can offer you short-term couples counseling aimed at improving communication, providing tools for conflict resolution, and a skillful third party to help facilitate difficult discussions.
Coaching: Many times, employees do not need help with specific psychological, emotional or interpersonal issues, but may greatly benefit from individualized coaching. FSAP provides individual coaching for clients on the same basis as our counseling services, i.e., free, confidential and voluntary, but with a focus on problem-solving and skills development in areas such as assertiveness, communication, boundary-setting, and leadership.
Organizational Consulting Services
In addition to individual counseling, FSAP provides a wide variety of consultation services to all members of the University’s Campus and Medical Center leadership (Chancellor’s and Dean’s offices; department Chairs and division chiefs; principal investigators, directors, managers and supervisors, Human Resource generalists and business partners, etc.). FSAP consulting services are based on the principles of organizational psychology and behavior, and are designed to restore or enhance the functioning of employees in their jobs and the teams they belong to. All FSAP consultation services, like our individual counseling services, are offered free of charge and on a confidential basis, and are designed to address the kinds of problems those in management might encounter, including:
|Psychiatric symptoms or behavioral problems
||Impairment due to substance abuse
|Interpersonal conflict among team members
||Employee or patient safety concerns
|Impact of organizational change
|Breakdowns in respect, trust, and civility
Services available to management include:
Management Consultations: Many times as a manager or supervisor, you may find yourself dealing with behavior or performance problems that you’re not sure how to understand or deal with. Such situations may involve possible impairment due to mental health or substance abuse, problematic interpersonal relations, significant changes to your organization, poor team cohesion, and the like. FSAP provides all supervisors and managers with free, confidential consultations about such situations, including effective strategies for dealing with them.
Case Management: In those situations where one of your employees may suffer from a form of impairment — whether due to substance abuse or a mental health condition — special care must be taken to ensure that its impact on their performance, behavior, and interpersonal relations is well-managed. This is particularly true when the employee works in a safety-sensitive position (e.g., health care providers, vehicle operators, childcare workers), or when their impairment may significantly affect the operations of your team. In such cases, FSAP will work with you and the employee to make sure that they are properly assessed and referred for the appropriate kind of treatment — which typically involves a short leave of absence. When the employee is ready to return to work, FSAP will work with you to set up a Return to Work Agreement that provides a framework of accountability and support designed to maximize their chances for success. A key element of such arrangements is FSAP’s Case Management service, where one of our counselors will work with you, the employee, and their treatment providers, both to ensure compliance with the terms of the Agreement as well as to help the employee deal with any challenges or obstacles that may arise, so that they are able successfully to fulfill their obligations and retain their position.
Facilitated Conversations: Conflicted working relationships can have a very detrimental effect on how your team performs its work and on the overall workplace climate, and can lead to poor morale, incivility, and even complaints of a hostile work environment. Sometimes, the conflict centers around disagreements about how to work together to achieve shared business goals (e.g., roles and responsibilities, priorities, deadlines, methodology, and so forth); in such cases, FSAP recommends employing the mediation services of the UCSF Office of the Ombuds. At other times, the conflict may seem to have a significant psychological or emotional component, involve a serious personality clash, a breakdown of trust, or an inability to resolve past issues; in such cases, a more clinically informed approach may be needed, for which FSAP offers its Facilitated Conversation service. This service, like all FSAP assistance, is confidential and voluntary, where a counselor will work with both parties to clear the air around past disputes as well as to establish new agreements for working together in the future.
Critical Incident Debriefing: In a community as large as UCSF, there are bound to be a number of incidents every year that can have a profound, disturbing, or upsetting impact on our employees. Such critical incidents can include everything from natural disasters to workplace bullying, sexual and other forms of harassment, stalking, intense but nonviolent interpersonal clashes, a possibly suicidal staff member, even the death of a co-worker or a patient. Such incidents are highly stressful and typically affect many people at once, sometime an entire workgroup or department. In all such situations, FSAP offers expert Critical Incident Debriefing services, where counselors will meet with the affected members of your team to help them deal with the event, learn any important lessons there may be to take away from it, and process its effect on them individually and as a group.
Threat Assessment & Management: Although relatively infrequent, one of the most serious kinds of critical incident that can occur in the UCSF community is workplace violence. Violence in the workplace is defined as any violation of the UCSF Zero Tolerance Standard for Workplace Violence policy, including acts or threats of violence as well as intimidating behavior. FSAP is a standing member of the UCSF Threat Management Team (TMT) and is responsible to provide expert guidance on the psychological and behavioral aspects of such incidents. Any manager or UCSF community leader who believes they may be facing such a problem is welcome to consult with FSAP about their concerns. A counselor will help you gather all of the information relevant to assessing the nature and severity of the problem, and if warranted, will take the case to the full TMT, and then work with you afterward to ameliorate the impact of the incident on your team.
Team-building retreats: Generally speaking, retreats for staff, faculty and leadership groups are designed to deal with normal business operations and organizational development. However, sometimes a workgroup may be dealing with significant challenges, stressors, or critical incidents that significantly impact how they function and how its members relate to one another. In such cases, where some form of team (re-)building is called for, FSAP can help you design and facilitate a retreat (half or all day), which can involve facilitated group discussions, trainings in needed group skills such as better communication or change management, recreational team-building activities, etc.
Psychological Education: One of FSAP’s primary areas of responsibility is to promote wellness and emotional intelligence within the UCSF community. FSAP regularly provides a wide variety of psychoeducational services to the UCSF community, including Grand Rounds lectures, presentations, trainings, seminars, workshops and custom-tailored courses for different organizational groups and departments. If you believe your group would benefit from our psychoeducational services, you can consult with an FSAP counselor who will help identify what kind of approach would work best for you and then design a one-time or ongoing program to meet those needs.