One silver lining of the pandemic has been the growing acceptance of mental health care by the public. Thanks to COVID, this national health crisis was forced into the spotlight as heightened anxiety, social isolation, provider shortages, and other pressures overburdened a system that was already struggling. Fortunately, these concerns resulted in action. On the public side, the federal government introduced a sweeping plan for behavioral health care to the tune of $51.7B over 10 years. In addition, states like Massachusetts are now funding programs to divert emergency room visitors with mental health issues to community mental health centers. On the private side, the focus on workplace mental health has been dramatically sharpened. Employee Assistance Programs (EAPs) are being bolstered significantly while new telehealth players are rushing in to exploit the growing market demand. (Mostly venture-backed, these splashy new mental health players raised over $6B in VC funds during the pandemic alone.) While EAPs and health plans have long been central to workplace mental health, these digital disruptors are adding a third access point.

Remote and hybrid work have become highly desired workplace perks, with plenty of research showing their advantages. In fact, employees who work remotely often say they're happier, more productive and more likely to stay with their employer. But new research shows there's at least one drawback to these arrangements: Remote and hybrid workers tend to experience higher rates of mental health issues. Fully remote (40 percent) and hybrid work (38 percent) are associated with an increased likelihood of anxiety and depression symptoms compared to in-person work (35 percent), according to an analysis by the Integrated Benefits Institute (IBI), an Oakland, Calif.-based nonprofit research organization. For its report, IBI analyzed data from the Household Pulse Survey, an online resource created by the U.S. Census Bureau to determine how households were impacted by the pandemic. IBI partnered with Elevance Health (formerly Anthem) to analyze claims data related to mental health. Although there isn't a massive disparity between in-person and remote workers' likelihood of depression and anxiety, it's an important difference that employers would be wise to pay attention to, researchers said. "The differences in prevalence of anxiety and depression symptoms between hybrid, remote and onsite are statistically significant. Our research illustrates that remote work may not be the ideal solution for every employee," said Candace Nelson, director of research at IBI, adding that more exploration of the topic is needed.

The purpose of this brief article is to document a significant series of events in the field of Employee Assistance. The intent is to recount, from collective memory, just how the EASNA accreditation process and standards, evolved.