This report is the sixth in a series of employee assistance program (EAP) industry global benchmarks on the Workplace Outcome Suite©. The WOS measures work absenteeism, work presenteeism, workplace distress, work engagement and life satisfaction. This is one of the largest and most comprehensive applied studies ever done to profile EAP use and the effectiveness of EAP counseling. The project features data contributed by 61 different EAPs operating in 15 countries. The study profiles 141,297 users of counseling across a wide range of demographic, employer and EAP use contexts during 13 years (2010 to 2022). Longitudinal tests conducted on over 62,000 cases with paired data at both before and after EAP use reveal that each WOS measure had significant improvement. When controlling for other factors, only 2 of 18 factors moderated the improvement results to a meaningful extent (specific EAP provider companies and internal programs and depression symptom severity). The conclusion is that brief counseling from EAPs improved multiple aspects of work functioning and life satisfaction. A $5:1 ROI is estimated based on avoided further loss of combined hours of productive work time from the WOS absenteeism and presenteeism outcomes and industry standards for use and cost inputs. Psychometric tests supported the reliability and validity of the WOS measures. Revised best practices for data collection and scoring are presented. Benchmarking norms for scores at before and after EAP use are provided for all WOS measures for counseling cases in six global regions and also for external vendors and staff model kinds of providers. For the first time results for a new 0-10 rating of job performance are included. The 97-page report includes 10 chapters, 9 appendices and 57 references.