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    Onsite Screening and Enhanced EAP Counseling Improves Overall Health, Depression and Work Outcomes: Four-Wave Longitudinal Pilot Study at Community Health Center in Vermont

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    Name:
    ATTRIDGE DICKENS - JWBH - Onsite ...
    Embargo:
    2022-09-26
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    525.7Kb
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    full-text version in MS Word of ...
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    Author
    Attridge, Mark
    Dickens, Steven P.
    Date
    2021-09-26
    Embargo until
    2022-09-26
    Journal
    Journal of Workplace Behavioral Health
    Peer Reviewed
    yes - four anonymous peer reviewers at JWBH
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.1080/15555240.2021.1971537
    Abstract
    Over a 2-year period, patients of a rural community health center in Vermont were screened onsite for multiple behavioral health risk factors and if found at-risk, were offered no-cost counseling onsite at the health center. The treatment was delivered by two licensed employee assistance program (EAP) counselors highly proficient in an evidence-based Motivational Interviewing approach. Longitudinal data at four time points were examined: baseline; end of treatment (3 months); at three- and six-months post treatment. Tests of paired data of baseline versus each later time point found significant improvement for global health (PROMIS-10) in the total sample (N = 120); depression symptoms (PHQ-9) among subsample with depression as clinical issue (n = 68); and work presenteeism and estimated hours of lost work time among employed subsample (n = 46). Improvement in global health was significantly associated with improvement (reductions) in hours of lost work productivity at all later times (r = .33, .35, .50). Improvement in global health was moderated by level of household income (more improvement among cases at lower income levels), but not by clinical or demographic factors. Practical implications for behavioral health screening and intervention (BSI) in medical settings and onsite EAP counseling programs are discussed.
    Description
    Final text version September 8, 2021. Published in the Journal of Workplace Behavioral Health, September 26, 2021, https://doi.org/10.1080/15555240.2021.1971537
    Citation
    Attridge, M. & Dickens, S. P. (2021). Onsite screening and enhanced EAP counseling improves overall health, depression and work outcomes: Four-wave longitudinal pilot study at community health center in Vermont. Journal of Workplace Behavioral Health, DOI: 10.1080/15555240.2021.1971537
    Sponsors
    Invest EAP Center for Wellbeing and grant from the State of Vermont, Vermont Health Care Innovation Project, under Vermont's State Innovation Model (SIM) grant, awarded by the Center for Medicare and Medicaid Services (CMS) Innovation Center (CFDA Number 93.624) Federal Grant #1G1CMS331181-03-01.
    Keyword
    EAP
    risk screening
    work productivity
    BSI
    behavioral health screening and intervention
    longitudinal
    PROMIS measures
    PHQ-9
    HPQ work productivity measure
    Workplace Outcome Suite (WOS) Absenteeism Measure
    Workplace Outcome Suite (WOS) Presenteeism Measure
    EAP counseling
    Employee assistance programs
    Depression
    Global Health
    Show allShow less
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/16791
    ae974a485f413a2113503eed53cd6c53
    10.1080/15555240.2021.1971537
    Scopus Count
    Collections
    Employee Assistance Archive School of Social Work

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