JCAHO Disruptive Physician Alert Offers Few Guidelines for Intervention

One glaring omission of the January 1, 2009 JCAHO Policy guideline for “disruptive behavior” in Health Care Organizations is the lack of recommended intervention to address the “Behaviors that undermine a culture of safety”.

It is clear, however, that interventions should be designed to specifically address the behaviors that are defined in the Alert. In addition, education and skill-based training and coaching are referenced. Finally, “cultural assessment tools” are suggested to determine ‘whether or not attitudes change over time’.

Here is an excerpt from the JCAHO Sentinel Alert:

“Educate all team members – both physicians and non-physician staff – on appropriate professional behavior defined by the organization’s code of conduct.The code and education should emphasize respect. Include training in basic business etiquette (particularly phone skills) and people skills. Provide skills-based training and coaching for all leaders and managers in relationship-building and collaborative practice, including skills for giving feedback on unprofessional behavior, and conflict resolution. Cultural assessment tools can also be used to measure whether or not attitudes change over time.”

The first two programs designed to help “disruptive physicians” are the PACE Program at the University of California at San Diego, and the Distressed Physician Program at Vanderbilt University School of Medicine.

Both of these programs combine emotional intelligence and anger management to teach skill enhancement. Unfortunately, these programs are offered in a small group format rather than individual coaching, and are limited to participants who can travel to Nashville, Tennessee or San Diego, Ca. on a quarterly based. The total number of new participants seen per year is 32 for each program. These programs are already filled through 2009.

The Anderson & Anderson Executive Coaching/Anger Management Program is unique in a number of ways. The Anderson & Anderson coaching is an anger management program based on emotional intelligence. It includes a Pre- and Post-Test designed to determine the participants’ level of competence in recognizing and managing anger, recognizing and managing stress, primary and secondary styles of communication and empathy/emotional intelligence. The four domains of emotional intelligence are self-awareness, self-control, social-awareness and relationship-management.

Like the PACE Program and the Distressed Physician Program, the Anderson & Anderson  Executive Coaching/Anger Management model were already being offered years before the JCAHO Sentinel Alert. This program is offered on-site, seven days a week at a location selected by the participant or in the Brentwood/Los Angeles office of Anderson & Anderson. It can be provided over a two-day 12 -hour period followed by twice monthly phone sessions over a six month period. Post-tests are given at three months and six months. For physicians who live in the locally near the Brentwood/Los Angeles office, the option of being seen two hours on a weekly basis for six weeks (for the initial twelve sessions) is available.

For information on the Anderson & Anderson Executive Coaching for Physicians Program, click here or call our office at 310-207-3591.

George Anderson, MSW, BCD, CAMF, CEAP
Diplomat, American Association of Anger Management Providers
Anderson & Anderson®, The Trusted Name in Anger Management
http://www.andersonservices.com/
http://www.aaamp.org
http://www.linkedin.com/in/geoanderson
www.anger-management-resources.org

Two Day Live Anger Management Training Experience

Anderson & Anderson, A.P.C.

Presents

Anger Management Guru: George Anderson, BCD, LCSW, CAMF

When: July 31ST, 2009 & August 1ST, 2009
                             8:30 am – 4:30 pm

Where: Park Plaza Hotel
                  150 Hegenberger Road
                  Oakland, CA 94621

The Anderson & Anderson model of anger management is the most effective and widely recognized curriculum in the world. This model, which has been featured in Los Angeles Times Magazine, focuses on enhancing emotional intelligence and assertive communication while introducing behavior strategies for identifying and managing anger and stress. Our certification training and approved provider list are the industry standards and dominate the internet.

The First day of training will focus on Adolescent Anger Management and will use the Anderson workbook “Controlling Ourselves” as the text. A demonstration and discussion of the Conover Assessment Component will be conducted. This one-day training is designed for Nurses, School Counselors/Psychologists, Substance Abuse Counselors, Case Managers, HR Managers, Clinicians, Probation Officers, as well as staff from group homes, and agencies serving families and youth. This curriculum is currently being used in school districts in Los Angeles, Oakland, Sacramento, Concord and San Diego, as well as school districts in Texas and Louisiana. In addition, probation departments in Arizona, Kansas, California and Texas use this model.

On the Second day, Adult Anger Management will be examined. A demonstration of the Conover Assessment will be conducted with a discussion of its usefulness. “Gaining Control of Ourselves,” in conjunction with experiential exercises and videos, will be used to initiate the participants to this intervention. Most major corporations have accepted this model for use by H.R. and EAP Managers.

Cost: $500.00 per day includes client workbook, facilitator guide, and certification.

Approved for 8 CEU’s by CAADAC (#2n96-341-0805), BBS (#PCE60),
CAADE (#CP40-793-C-1009), TCBAP, and the CA. Board of Corrections

For more information, please call 310-207-3591, or visit http://www.andersonservices.com/certificationseminars.html

This Month At Anderson & Anderson

May has been an incredible month for Anderson & Anderson, the trusted name in Anger Management intervention. The following is a list of some of the exciting events that have taken place:

  • The new Anderson & Anderson Affiliate Marketing Program was initiated resulting in an impressive response. We will continue to work hard to insure success for all of our affiliates.
  • This week, we embarked upon our first 40-hour Facilitator Certification Training in Spanish. This specially designed tutorial was for Dr. Bernardo Stamateas, Psychologist and Minister from Argentina. During the summer, we will offer this training in Buenos Aries, Argentina under the sponsorship of Dr. Stamateas.
  • George Anderson’s presentation on “the Angry Physician”, which was sponsored by the Riverside Medical Association and was given on May 20, 2009 at the University of California (Riverside) was a tremendous success. He has been asked to return as a presenter for 2010.
  • “Comment Contrôler la Colère”, the Canadian French version of our adult anger management workbook, was published and made available in Canada. This publication will be listed on our Online store.
  • In order to meet the anticipated need for more Executive Coaching/Anger Management intervention, we are moving quickly to train two needed coaches in the Anderson & Anderson curriculum.
  • We opened a Twitter Account: http://www.twitter.com/geoanderson. We already have over 500 followers. Follow us and we will return the favor.
  • Andrew Singer, a student of Indiana University, has joined Anderson as a business Intern for the summer of 2009. Andrew will focus on marketing the Anderson & Anderson Affiliate Program.

We would like to thank all of our providers, affiliates and colleagues for your continued support.

George Anderson, MSW, BCD, CAMF, CEAP
Diplomat, American Association of Anger Management Providers
Anderson & Anderson®, The Trusted Name in Anger Management
http://www.andersonservices.com/
http://www.aaamp.org
http://www.linkedin.com/in/geoanderson
www.anger-management-resources.org

Help in Finding Executive Coaching/Anger Management Programs for Disruptive Physicians

Hospital Administrators, Physician Well-Being Committees and Hospital Credential Committees are struggling to find appropriate resources for the assessment and treatment/intervention for physicians whose workplace behavior has been labeled as “disruptive”. The JCAHO Sentinel Alert and Guidelines for “disruptive physicians” did not provide the appropriate guidance for intervention programs to address this issue.

Things to consider in examining programs for “disruptive physicians”:

  • Is the program specifically designed to address behaviors defined in the Sentinel Alert as disruptive? Counseling, psychotherapy, substance abuse treatment, sexual abuse treatment or psychiatric impairment treatment are not appropriate interventions for “disruptive behavior”.
  • Anger Management with emotional intelligence is the intervention of choice for disruptive behavior. Emotional intelligence is a practice based intervention designed to increase competence in self-awareness, self-control, social-awareness and relationship management. Skill enhancements in these four areas are critical in improving interpersonal relationships in any setting.
  • Does the program offer non-psychiatric assessments designed to determine the client’s skill level in recognizing and managing anger, recognizing and managing stress, primary and secondary styles of communication and empathy or emotional intelligence? Physicians suspected of sexual abuse, substance or psychiatric impairment should not be referred to programs for “disruptive physicians”.
  • Does the program have curricula specifically designed to teach skills in anger management, communication, listening, empathy/emotional intelligence and stress management? The intervention strategies used in credible programs for “disruptive physicians” must be practice based with ancillary teaching material and exercises to master skill development in the above mentioned areas.
  • Just as aftercare is critical to maintain gains made in other mandated programs, so it is for “disruptive physician” programs. A minimum of 6 months is standard for most credible programs. Aftercare services should be provided via weekly or bi-monthly phone contacts and/or small group meetings.
  • In recognition of the schedules of many busy physicians, programs need to be flexible enough to offer on-site intervention followed by phone sessions. In addition, these services must be made available on weekends and evenings.
  • The two most respected programs in the nation for “disruptive physicians” are the PACE Anger Management Program for Healthcare Professionals at the University of California in San Diego, and the Distressed Physician Program at Vanderbilt University School of Medicine. Both of these program are skill based with after-care components.

For a list of programs which meet most of these standards mentioned above, click here.

George Anderson, MSW, BCD, CAMF, CEAP
Diplomat, American Association of Anger Management Providers
Anderson & Anderson®, The Trusted Name in Anger Management
http://www.andersonservices.com/
http://www.aaamp.org
http://www.linkedin.com/in/geoanderson
www.anger-management-resources.org

Frank Morales on Negative Emotions

On May 15th, Frank Morales, MS, CAMF from Family Services Center in Huntsville, Al gave a presentation on Managing Negative Emotions at the annual Alabama Employee Assistance Program Coordinators convention. Over 90 Attendees from employee assistance offices, along with representatives from substance abuse treatment centers, military behavioral health, and individual practitioners heard this Anderson & Anderson based talk on the value of managing these emotions, causes/sources, how they work in today’s personal relationships/ workplace, and finally how to deal with the emotions themselves before they interfere with behavior. This presentation also dealt with how to deal with difficult people.

Both topics deal strongly with taking personal responsibility and the power of Emotional Intelligence, a strong component of the Anderson & Anderson model. This is so important in today’s society, where the current climate has led many to experience hardship and develop many negative thoughts and emotions. However, it should not be an excuse for irrational behavior. Everyday we can read about some violent behavior, where one feels justified, or at the lower end, knows someone who justifies venting. Many people believe in venting, but, simply put, venting is all about you. It means you are probably a poor communicator as you do not care how your message is received or how it affects the listener (elements of self awareness). Secondly, it masks the real problem, that of not learning to be assertive.

The Anderson & Anderson curriculum is perfectly suited for these issues that are currently plaguing our society. Managing the negative emotions is our job, we are the gatekeeper.

Frank Morales, MS
Family Services Center
Huntsville, Alabama

Riverside County Physician Well-Being Conference–A Smashing Success

The Riverside County Medical Association held its annual Physician Well-Being Conference on May 20, 2009. Most of the Hospitals in Riverside County were represented at this training.

“The Angry Physician”, the topic presented by George Anderson, was widely received and had the largest attendance. Anderson gave a detailed explanation of how Executive Coaching/Anger Management for Physicians works to assist physicians in achieving skill enhancement in recognizing and managing anger, recognizing and managing stress, enhancing emotional intelligence and improving assertive communication.

He offered suggestions of how Well-Being committees could best assist physicians in accessing appropriate programs for “disruptive behavior”.

Finally, all those in attendance were given a free copy of “The Practice of Control”, the Anderson & Anderson client workbook for “disruptive physicians”. He announced his decision to establish and publish a list of appropriate providers of anger management coaching for “disruptive physicians”.

For information regarding the Executive Coaching/Anger Management for Physicians, please contact our office at 310-207-3591 or visit our website at www.andersonservices.com.

Rasheed Ahmed
Office Manager
Anderson & Anderson, A.P.C.
Trusted Name in Anger Management
Ph: 310-207-3591
Fax: 310-207-6234
greynotions@aol.com
http://www.andersonservices.com

Anderson & Anderson Offers Affiliate Marketing Program: A Great Opportunity for Passive Income

Anderson & Anderson’s new Affiliate Market is now on-line.  This new affiliate program will serve as a remarkable source of income for serious internet savvy website owners.

Affiliates will receive assistance in placing the Anderson & Anderson logo, advertising banners, links to all our products and training seminars, and executive coaching services on their web site. By conducting a google search on the internet, one finds that the Anderson & Anderson anger management curriculum is the industry standard worldwide. Furthermore, according to www.google.com/trends, anger management counseling is one of the fasting growing niche markets on the internet.

This model has been featured in Los Angeles Times, NBC’s “Starting Over”, BBC’s “Losing It”, ESPN, Toronto Star, Baltimore Sun Times, London Times and many other print and media outlets.

The new Anderson & Anderson Affiliate Marketing Program sells relatively expensive services and products, which makes it potentially lucrative for each Affiliate. A sample of products, services and the payouts include the following:

•The 12 hour Executive Coaching/Anger Management Program for Physicians, cost= $3200, pay out= $960

•The three-day Anger Management Facilitator Certification Training, cost= $1500, pay out= $450

•40 hour Anger Management Home Study CD-ROM Facilitator Certification Training, cost= $797, pay out= $239.10

•Conover Assessment Program, cost= $595, pay out= $178.50

If you would like to know more about the affiliate program system we are using works, please visit http://jam.jrox.com/. To sign up for our affiliate program and create an account, please visit http://www.andersonservices.com/jam/. If you have any general questions, please call our office at 310-207-3591.

George Anderson, MSW, BCD, CAMF, CEAP
Diplomat, American Association of Anger Management Providers
Anderson & Anderson®, The Trusted Name in Anger Management
http://www.andersonservices.com/
http://www.aaamp.org
http://www.linkedin.com/in/geoanderson
www.anger-management-resources.org