Telemental Health Informed Consent
Employee Assistance Program
STATEMENT OF UNDERSTANDING
Burnout potential inventory checklist
Professional Quality Of Life Scale (Proqol)
Resilience/Stress Questionnaire
Edited and adapted from the Clergy Burnout Inventory by Roy M. Oswald
The Alban Institute, Inc.
Patent Health Questionnaire and General Anxiety Disorder
(PHQ-9 and GAD-7)
Franciscan’s Team In Cir For Critical Incident Stress Debriefing
Alcohol and drug abuse impacts the work environment, job performance, the health and safety of staff and patients, and the public’s confidence in the organization. Franciscan Alliance is committed to the elimination of alcohol and drug use and abuse, ensuring that no Workforce Member works Under the Influence.
Franciscan Alliance believes providing an Employee Assistance Program (“EAP”) is in the best interest of its coworkers.
Franciscan Alliance is committed to providing compassionate, quality health care to its patients.
As such, it requires its coworkers to maintain high standards of performance and behavior.
Search for resources for food, housing, utility assistance, employment, healthcare and more.
Developed by Drs. Robert L. Spitzer, Janet B.W. Williams, Kurt Kroenke and colleagues,
with an educational grant from Pfizer Inc. No permission required to reproduce, translate, display or distribute.
The Alcohol Use Disorders Identification Test (AUDIT), developed in 1982 by the World
Health Organization, is a simple way to screen and identify people at risk of alcohol problems.
The Employee Assistance Program (“EAP”) is provided by your employer without cost to you to assist in clarification of personal problems
Child Version – Page 1 of 2 (To be filled out by the CHILD)