• The 5th US/Canada Forum on Mental Health and Productivity: Reference Report of Presentations and Proceedings

      Attridge, Mark; Lackey, Helen; McIntyre, Roger S.; Ricciuti, Joseph; Wilkerson, Bill, 1942- (Mental Health International, 2014-01)
      This report provides detailedi nformation on the content of the 5th US/Canada Forum on Mental Health and Productivity in 2013. The full-text of each of the presentations delivered at the Forum is included here in this report as edited transcripts based on the audio recording of the event. Other content is presented concerning the key themes from the discussion that occurred during the meeting and select ideas captured in the comments and interviews obtained after the meeting from the panel of experts. Other related source material from the Forum is also provided in the appendices to this report.
    • Alcoholism in the Workplace: a Report on Theories & Practices

      Corneil, D. Wayne (1976-07-23)
      On first reading the literature, it appeared that the preparation on a report on alcohol in the workplace would be relatively easy. Most of the material seemed straight forward and said basically the same thing. However, as I began to read between the lines, the complexities appeared. In attempting to prepare an overview of the field these complexities have been reflected in this report.
    • Best Practices in Working with Law Enforcement

      Herlihy, Patricia A.; Rascati, James N.; Barber, Brad W. (EAPA, 2021-04)
      Employee Assistance Professionals have an unusual opportunity to provide workplace expertise during these unprecedented and stressful times. Law enforcement in particular is one population that is under unusual pressure these days. Law enforcement has always been a challenging and stressful occupation, but there has been an increase in their need for emotional support within the last year. An officer’s stress level impacts not only themselves and their ability to perform on the job, but also their family members and community. In one state where an EAP agency provides services to approximately 56 of the 102 police departments, a significant increase in the demand for EAP services was noted. A majority of these police departments experienced either double or sometimes even quadruple the number of requests for EAP services within the last two years. With this increase in demand for behavioral health services, opportunities arise for EAPs. However, for opportunities and partnerships to be successful, EA professionals need to better understand the subculture of law enforcement in the United States.
    • The Challenge of Delivering Health Care and EAPs: US/Canadian Perspective

      Herlihy, Patricia A.; Heirich, Max A.; Hylton, Chris; Legault, Francois; Mulvihill, Michael D.; Murray, Ben, 1962- (2010-05-07)
    • Considerations for Providers of Health Coaching Programs: To Build or Buy

      Slovenski, Sean; Elias, Walter; Attridge, Mark (Hummingbird Coaching, 2009)
      As the demand from employers increases for purchasing health coaching services, more specialty and ancillary service companies are getting into the business of offering health coaching, including disease management companies, employee assistance programs (EAPs), third party administrators of health care claims (TPAs) and even some health plans. The concern with this trend, however, is how well prepared these various companies are to create and deliver high quality health coaching services in a cost effective manner. The choice facing providers who want to offer health coaching services is either to buy the service from another provider and resell it a part of their other services or else to build it internally as their own product. This “build or buy” question is difficult to answer because there are many aspects to consider for each option. This question is examined through a review of research and business literature.
    • Decision-making among philanthropic foundations in the U.S.: Factors that influence international giving

      Chatterjee, Anusha; Reisch, Michael, 1948-; 0000-0002-1273-3979 (2018)
      Philanthropic foundations utilize private money for public purposes. U.S. based foundations play an increasingly important role in shaping global agendas and efforts, providing $22.03 billion towards international causes in 2016. As their resources are vital but limited, grant-making foundations are always making decisions aimed at improving the effectiveness and reach of their grant dollars. Understanding the decision-making processes adopted by foundations help identify decision-making patterns, examine donor preferences, and learn about the various factors that affect foundations decisions. This study sought to address the gap in literature on international grant-making decisions by foundations. The research questions of the study were: 1) What factors influence foundations' decision-making processes, their determination of funding priorities or goals, and the philanthropic strategies they employ in their grant making to international civil society organizations? 2) What characteristics of targeted beneficiaries or recipient organizations do foundations consider in making funding decisions? This study used a multiple case study approach to examine international grantmaking in five independent foundations that have offices in mid-Atlantic U.S. Primary data on were collected through in-depth interviews with a key staff member at each foundation. In addition to the interviews, publicly available information about the foundations including web content, reports and publications were used to supplement the data collected. In each of the five case studies, the participants discussed how the grant making practices at their foundations have evolved over time, highlighting that although the core mission of their foundations may remain unchanged, foundations adapt priorities, goals, strategies and decision-making. Factors in the external environment of the foundation that influence decision-making processes include international policies and priorities, U.S. policies, tax regulations, and priorities, local country policies and priorities, grantmaking behavior of peers, and market forces. At the foundation level, leadership and staff, donor motivations, and foundation structure affect decision-making. Foundations also seek to increase impact and fund programs that are a philanthropic fit. Foundations support needy and vulnerable beneficiaries, build institutional capacities, and seek knowledge development. Foundations support grantees based on familiarity and reputation, past experience, and organization size. The implications for theory, research and practice are discussed.
    • EAP and COVID-19: The pandemic makes it clear: It's time to finally address the mental health crisis in America

      Kennedy, Patrick J. (Patrick Joseph), 1967-; Gorin, Norm (Business Insider, 2020-06-21)
      The authors of this article, Patrick J. Kennedy, a former U.S. Representative, author, and founder of the Kennedy Forum, and Norm Gorin, the vice president of MindWise Innovations, astutely analyze the impact of COVID-19 on the mental health of people in the U.S. They explore the burden of mental illness on the economy and workplaces and conclude with three ways Congress can act to address this issue, through passing and/or enforcing national legislation.
    • Employee Assistance Program Counseling Improves Clinical and Work Outcomes: Longitudinal Results from CuraLinc Healthcare 2017-2022 in United States

      Attridge, Mark; Pawlowski, David; Fogarty, Sean (2022-08-06)
      This paper presents empirical findings from a multi-year applied naturalistic study that focused on changes in clinical and work outcomes after using an employee assistance program in the United States. Self-report outcomes assessed with standardized measures were collected at the start of counseling from 33,683 employees during the normal course of business at CuraLinc Healthcare during 2017 to June 2022. A total of 5,159 employees had valid Pre and 30-day Post use data on one or more of the outcomes. Tests within each outcome sample found significant improvement after counseling (most had a 5 or 6 session model). Among the 487 cases using the EAP for a depression issue, the average severity level of depression symptoms (PHQ-9) was reduced by 59%. Among the subset of these cases at-risk for clinical depression disorder (n = 292), 89% had a reliable clinical improvement in severity. Among the 440 cases using the EAP for an alcohol issue, the average severity level of alcohol misuse (AUDIT-10) was reduced by 67%. Among subset of these cases at-risk for alcohol misuse disorder (n = 288), 73% had a reliable clinical improvement in severity. Across all cases with absence data (n = 3,732), the average hours of work absence in the past month per employee (Workplace Outcome Suite) was reduced by 80%, changing from 8.9 hours at Pre to 1.8 hours at Post. At the start of counseling, 35% of these cases were classified as having an absence problem (i.e., missing more work than a typical healthy employee), but at Post only 7% had a work absence problem. Across all cases with productivity data (n = 3,845), the level of work productivity (Stanford Presenteeism Scale) improved by 35%. At the start of counseling, 34% of cases were initially classified as having a problem with work productivity (i.e., low performance and lack of focus), but at Post this rate was reduced to just 5% of cases. All primary results for each outcome were large size statistical effects. Moderator tests indicated the improvement in each outcome was generally consistent across different sub-groups of employees based on client age, sex, clinical use characteristics and other study context factors. Some moderator findings were identified for clinical issue, referral type (self or manager) and client sex having slightly different profiles on certain outcomes. Comparisons with past research, study design limitations, and best practices in conducting applied research on workplace mental health are discussed.
    • Employee Assistance Programs in the United States: Market Update, Research Outcomes, & Techno Trends

      Attridge, Mark (2022-06-09)
      This presentation features research-based trends in the employee assistance program (EAP) industry in the United States. Recent data on market size, the boom in new technology-based mental health support provider companies, and research on the outcomes of EAP counseling are examined. Recommendations are given for how to better understand and evaluate the wide range of EAP and other workplace mental health support service offerings now available as employee benefits.
    • Evolution of EAP: Historical Changes Over 30 Years and What Purchasers Want Today From Employee Assistance Vendors

      Attridge, Mark (2018-08-08)
      This slide presentation shares the results of a survey study conducted in 2018. It asked about three issues: 1) How the employee assistance program industry has changed over the past 30 years? - 2) What is important to purchasers of EAP today for buying services in general - and 3) Why employers decide to purchase one EAP over other EAPs? Data is from 155 senior level professionals with average of 23 years experience in EAP field.
    • Impact of Dominant Academic Culture on Employee Assistance and Organizational Development Programs in Institutions of Higher Education in the United States

      Kinross, Kelly Marie; Latta, Gail F., Ph.D. (2019-12-02)
      The focus of this study was to examine the relationship between the dominant academic culture and the nature and scope of programming and services offered by employee assistance programs (EAP) at institutions of higher education in the United States. Data analysis explored whether the dominant academic culture predicts which institutions have expanded EAP services to include organizational development programming, to increase the human resources footprint on campus. The three phases were: Academic Cultures Inventory (ACI) (Bergquist & Pawlak, 2008) to measure the dominant culture; interviews to gain EAP directors’ perspectives; and comparative analysis of programmatic data based on the dominant cultural themes of participating institutions. The data revealed one dominant culture, collegial culture, and a variety of hybrid cultures which were combined into one comparison group. A major theme in the interview data revealed EAPs at institutions with a collegial culture were more defined in their departmental roles and did not support departmental overlap with organizational development or wellness while EAPs at institutions with a hybrid culture welcomed the collaboration. Institutions with a collegial culture reported a lower utilization rate and greater flexibility in number of visits permitted than institutions with a hybrid culture. Although only one of the six cultures defined in Bergquist & Pawlak’s taxonomy was sufficiently represented to permit comparative analysis in this study, the themes exposed in the data implied how academic culture may impact employee assistance programs and the services offered to the institution. Suggestions for further research include conducting a larger scale replication and utilizing alternative methods of assessing academic culture to address limitations identified in the ACI.
    • Leading Effectively by Managing Change

      VandePol, Bob; Holthaus, Jean, 1963- (2021-10)
      Many people are feeling anxiety about shedding whatever they relied upon to create safety and give them a sense of being protected. During the Pandemic this anxiety has increased for many. This presentation offered by experts in the Crisis Management field offers solid information from current surveys about the status of anxiety in the US and then offers some concrete ways of managing those fears and concerns especially from the role of someone depended on for leadership in the workplace.
    • Percentage of adolescents reporting drug use decreased significantly in 2021 as the COVID-19 pandemic endured

      National Institute on Drug Abuse (NIDA), 2021-12-15
      The percentage of adolescents reporting substance use decreased significantly in 2021, according to the latest results from the Monitoring the Future survey of substance use behaviors and related attitudes among eighth, 10th, and 12th graders in the United States. In line with continued long-term declines in the use of many illicit substances among adolescents previously reported by the Monitoring the Future survey, these findings represent the largest one-year decrease in overall illicit drug use reported since the survey began in 1975. The Monitoring the Future survey is conducted by researchers at the University of Michigan, Ann Arbor, and funded by the National Institute on Drug Abuse (NIDA), part of the National Institutes of Health. The 2021 survey reported significant decreases in use across many substances, including those most commonly used in adolescence – alcohol, marijuana, and vaped nicotine. The 2021 decrease in vaping for both marijuana and tobacco follows sharp increases in use between 2017 and 2019, which then leveled off in 2020. This year, the study surveyed students on their mental health during the COVID-19 pandemic. The study found that students across all age-groups reported moderate increases in feelings of boredom, anxiety, depression, loneliness, worry, difficulty sleeping, and other negative mental health indicators since the beginning of the pandemic.
    • Possible Changes to Confidentiality of SUD Treatment Records

      Leekha, Puneet (Employee Assistance Professional Association, 2016-11)
    • Profile of Small Employers in the United States and the Importance of Employee Assistance Programs During the COVID-19 Pandemic.

      Attridge, Mark (SAGE Press, 2022-08-25)
      In this paper, we define small businesses and their share of the U.S. workforce. Next, we review the research on the increasing burden of behavioral health disorders during the COVID-19 pandemic. Finally, we discuss the role of employee assistance programs (EAP) in small businesses to effectively respond to the kinds of worker health and workplace problems exacerbated by the pandemic.
    • Research Based Practices for Supporting Mental Health Disability

      Attridge, Mark; Wallace, Scott, Ph.D. (2011-10-12)
      This presentation offers evidence-based insights for understanding and managing return to work for employees on mental health disability leave. Two areas are addressed: Part 1. Understanding mental health disability, including facts on the prevalence and the impact of mental health problems in the workplace. A clinical profile of typical mental health disability cases and co-occurring addiction and physical health problems and Why a workplace-focused integrated care approach is more effective than standard approaches driven by medical providers and insurance claim managers. Part 2. Supporting mental health disability and making accommodations for return to work after treatment and preventing relapse.
    • The State of Mental Health in America 2022

      Reinert, Madeline; Fritze, Danielle; Nguyen, Theresa (Mental Health America, 2021-10-01)
      This chart book presents a collection of data that provides a baseline for answering some questions about how many people in America need and have access to mental health services. This report is a companion to the online interactive data on the MHA website (https://www.mhanational.org/issues/state-mental-health-america). The data and tables include state and national data and sharable infographics.