Alcohol &amp; Drug Abuse: Revisiting Employee Assistance Programs and Substance Use Problems in the Workplace: Key Issues and a Research Agenda

Merrick, Elizabeth S. Levy; Volpe-Vartanian, Joanna; Horgan, Constance M.; McCann, Bernard

doi:10.1176/appi.ps.58.10.1262

Cited by 31 publications

(18 citation statements)

References 12 publications

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“…In 2002, 90 percent of Fortune 500 firms indicated they offered such services and by 2005, 40 percent of all US private industry workers had access to an EAP (Merrick et al, 2007; US DOL, 2005). In the contemporary marketplace, EAPs typically provide a broad range of work- and life-related assistance for employees and family members.…”

mentioning

confidence: 99%

Workplace Stress, Organizational Factors and EAP Utilization

Azzone

McCann

Merrick

et al. 2009

J. of Workplace Behavioral Hlth.

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This study examined relationships between workplace stress, organizational factors and use of EAP counseling services delivered by network providers in a large, privately-insured population. Claims data were linked to measures of workplace stress, focus on wellness/prevention, EAP promotion, and EAP activities for health care plan enrollees from 26 employers. The association of external environment and work organization variables with use of EAP counseling services was examined. Higher levels of EAP promotion and worksite activities were associated with greater likelihood of service use. Greater focus on wellness/prevention and unusual and significant stress were associated with lower likelihood of service use. Results provide stakeholders with insights on approaches to increasing utilization of EAP services.

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mentioning

confidence: 99%

Workplace Stress, Organizational Factors and EAP Utilization

Azzone

McCann

Merrick

et al. 2009

J. of Workplace Behavioral Hlth.

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“…Even though the items pooled were from the qualitative interviews with the substance users, all the items were either the contributing factors or the consequence of the substance use, and their mention in the literature is unquestionable. [145121316]…”

Section: Discussionmentioning

confidence: 99%

“…Studies in India and Western countries have shown that substance use in workplace affect work productivity, increases the rate of absenteeism, occupational injuries, disrupt work environment, and burdens the family financially and emotionally. [123] On the other hand, occupational culture and adverse working conditions such as high demands of the job, overstress, excessive physical demands, discriminatory treatment, psychological humiliation, insecurity, ambiguity, and time pressure may facilitate substance use as a coping mechanism. [45] Studies have also shown that occupation has an effect on recovery of the substance users.…”

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confidence: 99%

Validation of vocational assessment tool for persons with substance use disorders

2016

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Background:Work-related problems are a serious concern among persons with substance use but due to lack of a standardized tool to measure it; these problems are neither systematically assessed nor appropriately addressed. Most existing measures of work performance cater to the needs of the workplace rather than focusing on the workers' perception of the difficulties at work.Aim:To develop a standardized instrument to measure work-related problems in persons with substance use disorders.Methods:Qualitative data obtained from interviews with substance users were used to develop a scale. The refined list of the scale was circulated among an expert panel for content validation. The modified scale was administered to 150 cases, and 50 cases completed the scale twice at the interval of 2 weeks for test–retest reliability.Results:Items with a test–retest reliability kappa coefficient of 0.4 or greater were retained and subjected to factor analysis. The final 45-item scale has a five-factor structure. The value of Cronbach's alpha of the final version of the scale was 0.91.Conclusions:This self-report questionnaire, which can be completed in 10 min, may help us in making a baseline assessment of the work-related impairment among persons with substance use and the impact of substance use on work.

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“…[4] They are typically externally contracted to MBHOs and provide outpatient clinical services (e.g., assessment or short-term counseling for mental health, substance abuse, work stress or family problems) as well as nonclinical services and management consultation. [5] Employers may purchase combined EAP/MBHC products from a single source in the expectation that including EAP benefits will encourage different utilization patterns (such as greater and earlier use of outpatient care, and less use of expensive higher levels of care) relative to standard managed behavioral health care (MBHC) products.…”

Section: Introductionmentioning

confidence: 99%

Patterns of Service Use in Two Types of Managed Behavioral Health Care Plans

Merrick

Hodgkin²,

Hiatt³

et al. 2010

Psychiatric Services

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Objective-To describe service use patterns by level of care in two managed care products: employee assistance program (EAP) combined with behavioral health benefits, and standard behavioral health benefits.Methods-This is a cross-sectional analysis of administrative data for 2004 from a national managed behavioral health care organization (MBHO). Utilization of 11 specific service categories was compared across products. The weighted sample reflected exact matching on sociodemographics (N= 710,014 unweighted; 286,750 weighted).Results-In the EAP/behavioral health product,, the proportion of enrollees with outpatient mental health and substance abuse office visits (including EAP) was higher (p<.01), as was substance abuse day treatment/intensive outpatient care (p<.05). Use of residential substance abuse rehabilitation was lower (p<.05). Other differences were also found.Conclusion-EAP/behavioral health and standard behavioral health care products had distinct utilization patterns in this large MBHO. In particular, greater use of certain outpatient services was observed within the EAP/behavioral health product.

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Alcohol & Drug Abuse: Revisiting Employee Assistance Programs and Substance Use Problems in the Workplace: Key Issues and a Research Agenda

Cited by 31 publications

References 12 publications

Workplace Stress, Organizational Factors and EAP Utilization

Workplace Stress, Organizational Factors and EAP Utilization

Validation of vocational assessment tool for persons with substance use disorders

Patterns of Service Use in Two Types of Managed Behavioral Health Care Plans

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