As many as two-thirds of American companies offer Employee Assistance Programs (EAPs) as a prepaid benefit to help workers with a wide variety of personal problems that may be having a negative effect on their job performance. EAPs, which grew out of occupational alcoholism programs, once focused primarily on alcohol problems but eventually expanded their focus to include mental health and other drug addiction problems. They now also commonly address “worklife” issues including financial and legal problems, childcare, eldercare and even career counseling. This has reduced the stigma of using an EAP and produced explosive growth in the past decade: more than 80 million Americans now have access to EAP services of some kind, a 247 percent increase since 1993.