Workplace managed care: Collaboration for substance abuse prevention

  • Deborah M. Galvin


This article describes the history, purpose, and overall methodology of the Workplace Managed Care (WMC) study sponsored by the Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Prevention (CSAP). This study was initiated to discern best practices for workplaces and managed care organizations integrating their substance abuse prevention and early intervention programs, strategies, and activities for employees and their families. CSAP funded nine WMC grants to study their retrospective and prospective data. Results of the WMC study suggested the addition of substance abuse prevention material to existing workplace health promotion offerings that resulted in improved substance abuse attitudes without jeopardizing existing health promotion programs. Stress management programming was successful at improving substance abuse attitudes indirectly. This study provides a platform for multidisciplinary research in workplace and managed care settings.


Substance Abuse Health Promotion Mental Health Service Management Programming Care Organization 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Institute of Medicine:Reducing Risks for Mental Disorders: Frontiers for Preventive Intervention Research. Washington, DC: National Academy Press, 1994.Google Scholar
  2. 2.
    SAMHSA Office of Applied Studies:National Household Survey on Drug Abuse: Population Estimates 1997. HHS Pub. No. (SMA) 98-3250. Rockville, MD: SAMHSA, 1998.Google Scholar
  3. 3.
    Hoffmann JP, Larison C, Sanderson A:An Analysis of Worker Drug Use and Workplace Policies and Programs. Rockville, MD: SAMHSA Office of Applied Studies, 1997.Google Scholar
  4. 4.
    Greenberg ES, Grunberg L: Work alienation and problem alcohol behavior.Journal of Health and Social Behavior 1995; 36(1):83–102.Google Scholar
  5. 5.
    Delaney WP, Ames G: Work Team Attitudes, Drinking Norms and Workplace Drinking.Journal of Drug Issues 1995; 25(2):275–290.Google Scholar
  6. 6.
    SAMHSA, Office of Applied Studies:Preliminary Results of the 1997 National Household Survey on Drug Abuse. Rockville, MD: SAMHSA, August 1998.Google Scholar
  7. 7.
    Committee on the Health and Safety Implications of Child Labor, et al.:Protecting Youth at Work: Health, Safety, and Development of Working Children and Adolescents in the United States. Washington, DC: National Academy Press, 1998.Google Scholar
  8. 8.
    Bachman JG, Schulenberg J:Part-Time Work by High School Seniors: Sorting Out Correlates and Possible Consequences. Monitoring the Future Occasional Paper 32. Ann Arbor: University of Michigan, Institute for Social Research, 1992.Google Scholar
  9. 9.
    Harwood H, Fountain D, Livermore G, et al.:The Economic Costs of Alcohol and Drug Abuse in the United States. Rockville, MD: National Institute on Drug Abuse and National Institute on Alcohol Abuse and Alcoholism, 1998.Google Scholar
  10. 10.
    Ozminkowski RJ, Goetzel RZ, Dunn RL:SAMHSA/CSAP Workplace Managed Care Financial/Cost Research Evaluation Guide. Rockville, MD: SAMHSA, 1999.Google Scholar
  11. 11.
    Cunningham W, Connors E, Martensen K, et al.:Combating Workplace Drug Crimes. Washington, DC: Institute for Lay and Justice and Hallcrest Systems, 1990.Google Scholar
  12. 12.
    French MT, Zarkin GA, Hartwell TD, et al.: Prevalence and Consequences of Smoking, Alcohol Use and Illicit Drug Use at Five Worksites.Public Health Reports Sept/Oct 1995; 110:593–599.Google Scholar
  13. 13.
    Ansel DE, Berte ER: Direct contracting between employers and behavioral healthcare providers.Behavioral Healthcare Tomorrow 1994; 3(6):36–39.Google Scholar
  14. 14.
    Lennox RD, Scott-Lennox JA, Holder HD: Substance abuse and family illness: Evidence from health care utilization of cost-offset research.Journal of Mental Health Administration 1992; 19:83–95.Google Scholar
  15. 15.
    Stoil MJ, Hill GA:Survey Results on Behavioral Health Promotion on Managed Primary Health Care. Paper presented at the annual meeting of the American Public Health Association, New York, Nov. 20, 1996.Google Scholar
  16. 16.
    Yandrick RM: Behavior risk management: The preventive approach to reducing workplace problems.Behavioral Healthcare Tomorrow 1995; 4(5):30–35.Google Scholar
  17. 17.
    National Institute on Drug Abuse:Model Plan for a Comprehensive Drug-Free Workplace Program. Washington, DC: Government Printing Office, 1989.Google Scholar
  18. 18.
    Steele, PD:Employee Assistance Programs: Then, Now and in the Future. Tacoma, WA: CSAP Knowledge Exchange Workshop, September 1988.Google Scholar
  19. 19.
    Blum TC, Roman PM:Cost-Effectiveness and Preventive Implications of Employee Assistance Programs. Substance Abuse and Mental Health Services Administration Pub. No. RP0907. Washington, DC: Government Printing Office, 1995.Google Scholar
  20. 20.
    Steele PD: Worker Assistance Programs and Labor Process: Emergence and Development of the Employee Assistance Model.Journal of Drug Issues 1995; 25(2):423–450.Google Scholar
  21. 21.
    Normand J, Lempert RO, O'Brian CP (Eds.):Under the Influence: Drugs and the American Workforce. Washington, DC: National Academy Press, 1994.Google Scholar
  22. 22.
    Roman PM, Blum TJ: The Core Technology of Employee Assistance Programs: A Reaffirmation.The ALMACAN 1988; 18:17–22.Google Scholar
  23. 23.
    EAPA Model Employee Assistance Professional Licensure Act. Arlington, VA: Employee Assistance Professionals Association, 1997.Google Scholar
  24. 24.
    Sonnenstuhl WJ, Trice HM:Strategies for Employee Assistance Programs: The Crucial Balance. Ithica, NY: ILR, 1990.Google Scholar
  25. 25.
    Hartwell TD:Results of the National Worksite Survey of Employee Assistance Programs. Research Triangle Park, NC: Research Triangle Institute, 1996.Google Scholar
  26. 26.
    Pelletier KR: A Review and Analysis of the Health and Cost-Effective Outcome Studies of Comprehensive Health Promotion and Disease Prevention Programs at the Worksite: 1993–1995 Update.American Journal of Health Promotion 1996; 10(5):380–388.Google Scholar
  27. 27.
    Caldwell B: Managed Care Firms Slow to Implement Wellness Initiative.Employee Benefit Plan Review 1988; May:44–46.Google Scholar
  28. 28.
    Glemigani J: Best Practices that Boost Productivity.Business and Health 1998; March:37–42.Google Scholar
  29. 29.
    Stokols D, Pelletier KR, Fielding JE: Integration of medical care and worksite health promotion.Journal of the American Medical Association 1995; 273:1136–1142.Google Scholar
  30. 30.
    Blum TC, Roman PM:Cost-Effectiveness and Preventive Implications of Employee Assistance Programs. DHHS Pub. No. (SMA)95-3053. Washington, DC: U.S. Department of Health and Human Services, 1995.Google Scholar
  31. 31.
    Engleman S, Forbes J: Economic aspects of health education.Social Science and Medicine 1986; 22(4):443–458.Google Scholar
  32. 32.
    Cooperative Agreements for Public/Private Sector Workplace Models and Strategies for the Incorporation of Substance Abuse Prevention and Early Intervention Initiatives into Managed Care. Guidance for Applicants (GFA) No. SP 97-001, Catalog of Federal Domestic Assistance No. 93.230. Rockville, MD: SAMHSA Center for Substance Abuse Prevention, March 1997.Google Scholar
  33. 33.
    Campbell DT:Experimenting, Validating, Knowing: Problems of Method in the Social Sciences. New York: McGraw-Hill, 1965.Google Scholar
  34. 34.
    Cook RC, Miller TR, Walsh JM, et al.:Substance Abuse Prevention in Workplace Managed Care. Symposium at the annual meeting of the American Public Health Association, Washington, DC, Nov. 17, 1988.Google Scholar

Copyright information

© Association of Behavioral Healthcare Management 2000

Authors and Affiliations

  • Deborah M. Galvin
    • 1
  1. 1.Division of Workplace ProgramsCenter for Substance Abuse Prevention, Substance Abuse and Mental Health Services AdministrationRockville

Personalised recommendations