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Dealing with alcohol problems in the workplace

P M Roman1, T C Blum

  • 1Department of Sociology, University of Georgia, Athens 30602.

Recent Developments in Alcoholism : an Official Publication of the American Medical Society on Alcoholism, the Research Society on Alcoholism, and the National Council on Alcoholism
|January 1, 1993
PubMed
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Employee Assistance Programs (EAPs) address alcohol and drug issues in the workplace. Research shows their efficacy is variable, influenced by program structure and adoption motives, with future research facing funding and identity challenges.

Area of Science:

  • Occupational Health
  • Addiction Medicine
  • Health Services Research

Background:

  • Employee Assistance Programs (EAPs) are primary workplace interventions for employee alcohol problems.
  • EAPs integrate alcohol concerns into broader health care management, often using expansive definitions of alcohol problems.
  • Historical context and external environmental shifts, including drug abuse and managed care, have significantly influenced EAP evolution.

Purpose of the Study:

  • To review research findings on EAPs over the past decade.
  • To examine the persistent issue of EAP efficacy.
  • To consider prospects for future EAP research.

Main Methods:

  • Systematic review of research conducted on EAPs over the last ten years.
  • Analysis of factors influencing EAP efficacy, including program structure and adoption motivations.

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  • Assessment of challenges to future research, such as funding and EAP identity.
  • Main Results:

    • EAP efficacy remains a complex and variable issue, influenced by diverse program structures and reasons for their implementation.
    • Increased prevalence of drug abuse, managed care, and dual diagnoses have impacted EAP scope and operations.
    • Research on EAPs faces challenges including funding limitations and an ambiguous program identity.

    Conclusions:

    • The effectiveness of Employee Assistance Programs (EAPs) is not uniform and depends on various internal and external factors.
    • Future research into EAP effectiveness and development is crucial but faces significant practical and financial hurdles.
    • Understanding the evolving landscape of workplace behavioral health interventions requires continued investigation into EAP dynamics.