Now showing items 1-20 of 2245

    • Child Support Modifications among New Orders in Maryland

      Passarella, Letitia Logan (2024-04)
      This report examines all 11,549 new orders established in 2010 and follows those new orders through 2019 to determine how many were modified. We found that one quarter (26%) of new orders were modified, and that lower order amounts were less likely to be modified.
    • Temporary Cash Assistance: 2023 Jurisdictional Snapshots

      Smith, Haley; Jackson-Brown, Tristan; Hall, Lauren A.; Passarella, Letitia Logan (2024-05)
      This document includes individual snapshots for each of Maryland’s 24 jurisdictions as well as for the state. The front of each snapshot provides a brief look at every family in a jurisdiction who received TCA in state fiscal year (SFY) 2023. The back of each snapshot provides a summary of a sample of families who left TCA between July 2016 and December 2022.
    • Recovery Support Services for Opioid Use Disorder in Maryland: A Mixed Methods Study with a Two-Paper Dissertation

      Park, Eunsong; Unick, George Jay (2024)
      The alarming fatality rates associated with opioid use disorder (OUD) in the United States have triggered an increased level of public concern and awareness. Recognizing the urgency of addressing this crisis, adopting a fundamental proactive approach becomes imperative. Offering recovery support services (RSS) for individuals with OUD, in addition to treatment, emerges as a strategic pathway to guide society away from the opioid crisis. This two-paper dissertation is dedicated to comprehensively exploring RSS for individuals with OUD within Maryland. The first paper investigated the provision status of RSS across the local jurisdictions in Maryland. This investigation involved virtual interviews with key informants, examination of pertinent written documents, and online searches. While all jurisdictions had at least one service provider offering services for Mutual Support Groups, Care Coordination/Case Management, Medical Assistance Transportation, Harm Reduction, and Peer Support Services, considerable disparities in provision were observed among the twenty-four jurisdictions for the remaining RSS categories, RCC, WRC, Recovery Housing, Homeless Shelters, and Supported Employment Services. The second paper examined the associations between the provision of RSS, county-level covariates, and opioid overdose admission among jurisdictions in Maryland. In the second paper, the analysis incorporated the provision of RSS, the results from the first paper and secondary data including the Maryland State Emergency Department Database, Healthcare Cost and Utilization Project (2016-2020). Counties with more RSS were positively associated with opioid overdose admissions, compared to counties with fewer RSS. Drug overdose death rate, patient capacity rate, single-parent household rate, and non-Hispanic White rate were also positively associated with opioid overdose admissions. Notably, a significant reduction in opioid overdose admissions was observed in the year 2020 compared to the reference year, 2016.
    • EAP Evidence: In-Person, Worksite and Online Delivery Options All Are Important to Supporting Workplace Mental Health

      Attridge, Mark (Employee Assistance Professionals Association (EAPA), 2024-06)
      This cover story highlights the fourth installment in the EAP Evidence research series. It continues with a critical analysis of contemporary approaches to providing employee assistance services. New findings are featured from a 2023 survey study (n = 164 EA professionals in a global sample) conducted on the delivery modality options of human in-person, human via technology, and non-human computerized digital tools. Examples of core services within each area were rated for their importance to supporting employer goals concerning workplace mental health. All three kinds of services had a majority of professionals considering it important. Self-service digital tools for employees received the lowest ratings. However, people working at internal staff model EAPs placed more value on workplace service delivery than did people working for external vendor providers of EA services. Major review studies in the research literature are also described to provide context for interpreting the study results.
    • Comprehensive U.S. Federal Boys’ and Men’s Health Policy: Examining Barriers and Strategies Through a Mixed Methods Policy Delphi

      Gilgoff, Jon; Wagner, Fernando A. (2024)
      Background: Boys’ and men’s poor physical and behavioral health outcomes, as well as social determinants of health, have been extensively researched. Disparities facing marginalized subgroups are particularly severe. Federal U.S. policy responses have been lacking, as has research on policy inaction. This study examined barriers to comprehensive federal boys’ and men’s health policy (CFBMHP), and strategies for policy adoption. Methods: The study engaged a diverse, national, purposive sample of 16 key stakeholders with expertise in health and gender using a two-round mixed methods Policy Delphi. In round one interviews, participants described reasons for the lack of CFBMHP and conditions that would facilitate adoption. After using Braun and Clarke’s reflexive thematic analysis, 46 proposed strategies were presented via survey for assessment by importance and feasibility. Survey data analysis computed means for each strategy and overall themes. Results: Key themes with top-rated strategies by both importance and feasibility were: 1. Getting at the root with structural problems that impede CFBMHP, 2. Addressing bias with strength-based intersectional approaches (Strategy – take a strength-based approach, not just focus on negative things boys and men bring to the table), 3. Increasing societal value of boys’ and men’s health – Addressing patriarchy and “which men?” concerns (Strategies – stress how men’s health benefits women’s, family, and community health; stress that many boys’ and men’s deaths are preventable), 4. Engaging boys and men effectively in health services and advocacy (Strategy – implement regular holistic health check-ups beginning in adolescence), 5. Creating momentum through strategic communication, coalition, and consensus building (Strategy – highlight successes of relevant existing federal policies). The most highly rated themes across importance and feasibility were three and four. Discussion: Greater dialogue among key stakeholders appears needed around issue framing so more see this as a social problem in need of policy action. Clearer commitments to women’s, family, and community health, and addressing health disparities facing marginalized men, may increase policy support. Future research may increase study duration and sample, including impacted boys and men, mirroring multi-year consultation processes undertaken in countries that then enacted comprehensive men’s health policies.
    • Reassessing the Role of Leadership in EAP and Wellness Programmes

      Employee Assistance Professionals Association (U.S.) (2024-04-01)
    • What, Another Crossroad?

      Levine, Dave (2024-06-10)
    • The Hartford EAP/Optum Care24 Outcomes Study: Longitudinal Results

      Attridge, Mark (1998-11)
      An internal company employee assistance program (EAP) was compared to an externally delivered comprehensive program featuring telephonic 24-hour 7-day access to counselors and nurses and in-person counselor services. Self-report surveys were completed at the start of the service and again at 9 months later. The baseline sample included 1,165 employees and 183 managers. The sample included 800 employees and 123 managers. The Optum Care24 service had significantly higher program utilization and better work and health outcomes than the internal EAP service. Implications for future trends in EAP delivery are discussed.
    • Sampling Issues in the Methods of the OPTUM Member Assistance (EAP) Client Satisfaction Survey and Alternative Resource Study

      Attridge, Mark (Optum, 1998-07-21)
      Non-random sampling methods are currently used at OPTUM to obtain participants in the Client Satisfaction Survey and also the Alternative Resource/Medical Offset Study. Although various biases are conceptually associated with the use of non-random sampling procedures, the current sampling practices at OPTUM do yield representative sampling. Specifically, analyses of over 30,000 new clients in 1995 found no meaningful differences in demographic or clinical characteristics between those who (1) agreed or did not agree to be in the sample of potential participants for the client satisfaction survey; (2) did or did not participate in the follow-up satisfaction survey; and (3) did or did not participate in the Alternative Resource Study (medical service diversion).
    • Workplace Outcome Suite© (WOS) EAP Industry Global Report No. 6: Use and Effectiveness for Over 140,000 Counseling Cases from 2010 to 2022

      Attridge, Mark (TELUS Health & Employee Assistance Professionals Association (EAPA), 2024-06-21)
      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.
    • General Electric Medical Systems Global Assignment Survey: Exploring EAP Services for Expatriate Employees and Family

      Attridge, Mark (1995-06-12)
      This survey was conducted to provide an initial assessment of the needs of employees who are assigned to work in locations outside of the United States. A second goal of the survey was to determine to what extent these needs were being met and how satisfied these employees were with the global assistance services received. To obtain a more complete picture, both the employee and his or her family members on assignment were asked to participate in the survey. Sample of 15 employees, 10 spouses, and 15 children. Results for life satisfaction. Pre-departure needs while still in the USA and post-arrival in other countries needs. Details on work-related issues and personal/family-related issues. Issues for youth. The current life satisfaction ratings reveal that these people are moderately satisfied with their lives. The overall picture from the ratings of importance for various issues occurring during pre-decision/pre-departure, post-arrival and on assignment, work, and daily life and family is that most areas were considered at least moderately important. The level of satisfaction with EAP support services designed to address these issues tended to be variable, with some services meeting the needs of employees and others not meeting their needs. Data tables and comments are included.
    • Determining the Effectiveness of Demand Management Programs through Outcomes Measurement: NurseLine & EAPs

      Attridge, Mark (1997-06)
      Presentation reviewing multiple strategies for conducting applied research to evaluate the effectiveness and cost savings for workplace health management programs for nurse advice and EAP counseling supports. Corporate research case study examples provided from Optum EAP customer studies.
    • Create and Utilize Incredible Surveys for Program Evaluation to Assess Targeted Outcomes

      Attridge, Mark (1996-12-12)
      This half-day tutorial is designed to offer a concise overview of the methodological issues for developing an effective system that measures the outcomes of applied health intervention programs. The tutorial will teach you how to perform a logical analysis of the strengths and weaknesses of outcomes research. Special emphasis is given to survey research and tips for survey construction. Next, you are invited to bring your own survey materials to the tutorial and engage in guided small-group sessions to evaluate them using the Survey Project Checklist. Finally, a critical review of outcome studies on relevant health topics is provided, including examples from ongoing programs at United HealthCare Corporation.
    • City of St. Paul Fire Department Employee Assistance Program Needs Assessment Survey

      Attridge, Mark; Jackson, Ruth (1995-05-15)
      In 1995, researchers at United HealthCare Corporation's OPTUM® program conducted a confidential survey of the employee assistance program needs for the City of St. Paul Fire Department. The purpose of the study was to identify and prioritize which aspects of work and personal life are perceived as stressful to employees. This information will be used to build greater awareness of these issues among employees and administration and to offer workshops and services to employees and their family members to address their needs. Three specific areas were identified, including 24 work-related and 9 personal-related areas. Areas of stress were rated for self and for other workers. After a one-month period, 147 employees had returned the survey (return rate of 31%) and 62 non-employees had returned the survey (return rate of 13%). Results revealed that employees rated their own life and work as less stressful than other workers. Includes data result tables.
    • Making the Business Case for EAPs: A Workshop on Research and Methods.

      Amaral, Thomas M., 1952-; Attridge, Mark (2003-11-21)
      In-person workshop delivered at EAPA Pre-Conference Professional Development Institute. Themes addressed: Conceptual model of business case components - human capital savings (employee work outcomes); health claims savings (avoided use of mental and medical health care treatments) and organizational savings to the employer from behavioral health risk management. Research examples of each ROI component. Comparison of pros and cons of different kinds of data collection and measurement best practices for EAP outcomes. Steps to conducting your own cost-benefit study of EAP use. Reading list.