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A brief intervention for at-risk drinking in an employee assistance program
Karen Chan Osilla1, Steven P Zellmer, Mary E Larimer
1RAND Corporation, 1776 Main Street, Santa Monica, California 90401, USA. karenc@rand.org
A brief intervention (BI) for at-risk drinking in employee assistance programs (EAPs) significantly reduced alcohol consumption and related problems. This pilot study shows BI is effective for employees with co-occurring mental health concerns.
Area of Science:
- Occupational Health
- Addiction Medicine
- Psychology
Background:
- Employee Assistance Programs (EAPs) offer mental health services to employees.
- At-risk drinking is a common issue that can impact workplace productivity and well-being.
- Integrating interventions for at-risk drinking within EAPs can address co-occurring issues.
Purpose of the Study:
- To assess the preliminary effectiveness of a brief intervention (BI) for at-risk drinking within an EAP setting.
- To compare outcomes for clients receiving BI plus EAP services as usual (SAU) versus SAU only.
Main Methods:
- A pilot study involving 107 EAP clients screened for at-risk drinking.
- Random assignment of therapists to deliver either BI + SAU or SAU only.
- 3-month follow-up assessment for 74 participants (44 BI + SAU, 30 SAU).
Main Results:
- The BI + SAU group showed significant reductions in peak blood alcohol concentration, peak quantity, and alcohol-related consequences.
- Men in the BI + SAU group experienced greater reductions in alcohol-related problems compared to men in the SAU group.
- No significant differences were found in the number of EAP sessions or problem resolution rates between groups.
Conclusions:
- Preliminary evidence supports the integration of alcohol screening and BI in EAPs for at-risk drinking.
- This approach offers a low-cost method for intervening with employees facing co-occurring mental health and alcohol-related issues.
- BI may be a valuable tool for EAPs to address at-risk drinking behaviors effectively.
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