Companies have been developing processes to more effectively manage their behavioral health care expenditures. Early practice focused on controlling cost for substance abuse and in-patient mental health referrals. Gradually, companies ascertained that taking a more comprehensive approach to their employees" problems had a greater impression. The history associated with the development of the employee assistance program or EAP is an important factor in identifying the evolvement of an all-encompassing managed health care approach. .
Introduction.
A considerable amount of research has been gathered regarding the effects of employee-based interventions for alcohol abuse and other mental health related treatments. The continued reliance on twelve-step groups such as Alcoholics Anonymous and outpatient clinics have forced alcohol abusers to utilize alternatives to these treatments. Managed health care providers and patients have sought different approaches to typical treatment. One such approach is if a worker has access to an employee assistance program or EAP. Recognizing the impact of the worksite behavioral health problems on productivity and corporate profit, it is not surprising that employers initiated their management of alcoholism with worksite solutions called EAPs (Patricelli & Lee, 1996). .
Subscribers to this notion believed that the identification and addressing of alcohol-related problems would have a trickle-down effect on containing costs for a business or corporation (Steele & Hubbard, 1985).
History.
An EAP is defined as a worksite program designed to assist in the identification and resolution of employee problems, which may adversely affect employee job performance. EAPs grew from the need to control costs in the workplace while serving the needs of workers who struggle with alcohol dependence (Masi, 1984). Since the start of EAPs, many services have been added. In addition to alcohol & substance abuse, many EAPs now include, but are not limited to the following: health issues, marital problems, legal concerns, emotional, financial reasons, stress, workplace violence, and disability management.