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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ATTRIDGE DICKENS - JWBH - Onsite ...
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Date
2021-09-26Embargo until
2022-09-26Journal
Journal of Workplace Behavioral HealthPeer Reviewed
yes - four anonymous peer reviewers at JWBHType
Article
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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/10.1080/15555240.2021.1971537Citation
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: 10.1080/15555240.2021.1971537Sponsors
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
EAPrisk 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
Identifier to cite or link to this item
http://hdl.handle.net/10713/16791ae974a485f413a2113503eed53cd6c53
10.1080/15555240.2021.1971537