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Reigning In The High Cost Of 'presenteeism' Posted By: HR&P

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The impact of "presenteeism" on smaller employers can be particularly challenging -- because there are fewer people to take up the slack. "Presenteeism" is the phenomenon of employees coming to work, but with diminished productivity. Health vs. Performance Issue When an employee's productivity drops, it may be tempting to view the situation narrowly as a performance issue. But "every performance issue is a health issue in one way or another, and often it's a mental health issue," according to Dr. Jeff Guardalabene, a psychologist and mental health case manager for Standard Insurance Company. Also, under some circumstances, clinical depression, a very common cause of presenteeism, may be treated as a disability covered by the Americans With Disabilities Act, requiring reasonable accommodations. Note: While mental health benefits are already widely included in employee benefit plans and, when offered, must be offered on a similar basis as other health benefits, the Affordable Care Act (ACA) will expand them further as mental health and substance abuse treatment services are included in ACA's package of "essential health benefits.

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