Abstract
This article reports findings from a workplace substance abuse prevention program designed to investigate best practices. The study sought to assess the effects of the worksite wellness program and employee assistance program (EAP) on healthcare utilization and costs, identify predictors of outpatient costs and visits, and assess the effect of the intervention on health attitudes, behaviors, and behavioral health-related costs and visits. Results indicated that visits to the EAP increased as did overall healthcare visits, that utilization of healthcare services and costs were higher in the population receiving substance abuse prevention intervention, and that employees in the substance abuse prevention intervention reported lower heavy drinking and binge drinking. Data suggest that substance abuse prevention may result in higher healthcare costs and utilization in the short term, but a reduction in health risk behaviors such as heavy drinking may result in lower healthcare costs and utilization in the long term.
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Cook RF, Youngblood A. Preventing substance abuse as an integral part of worksite health promotion.Occupational Medicine: State of the Art Reviews. 1990;5(4):725–738.
Cook RF, Back AS, Trudeau J. Substance abuse prevention in the workplace: recent findings and an expanded conceptual model.The Journal of Primary Prevention. 1996;16(3):319–339.
Cook RF, Back AS, Trudeau J, McPherson T. Integrating substance abuse prevention into health promotion programs in the workplace: a social cognitive intervention targeting the mainstream user. In: Bennett JB, Lehman WEK, eds.Preventing Workplace Substance Abuse: Beyond Drug Testing to Wellness. Washington, DC: APA; 2002:97–133.
Heirich M, Sieck CJ. Helping at-risk drinkers reduce their drinking: cardiovascular wellness outreach at work. In: Bennett JB, Lehman WEK, eds.Preventing Workplace Substance Abuse: Beyond Drug Testing to Wellness. Washington, DC: APA; 2002:135–164.
Snow DL, Swan SC, Wilton L. A workplace coping-skills intervention to prevent alcohol abuse. In: Bennett JB, Lehman WEK, eds.Preventing Workplace Substance Abuse: Beyond Drug Testing to Wellness. Washington, DC: APA; 2002:57–96.
Trudeau JV, Deitz DK, Cook RF. Utilization and cost of behavioral health services: employee characteristics and workplace health promotion.The Journal of Behavioral Health Services and Research. 2002;29(1):61–74.
Hersch RK, Cook RF, Deitz DK, et al. Methodological issues in workplace substance abuse research.The Journal of Behavioral Health Services and Research. 2000;27(2):144–151.
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;10:380–388.
Goetzel RZ, Anderson DR, Whitmer RW, et al. The relationship between modifiable health risks and health care expenditures. An analysis of the multi-employer HERO health risk and cost database. The Health Enhancement Research Organization (HERO) Research Committee.Journal of Occupational and Environmental Medicine. 1998;40(10):843–854.
Aldana S, Jacobson B, Harris C, et al. Influence of a mobile worksite health promotion program on health care costs.American Journal of Preventive Medicine. 1993;9:278–383.
Goetzel RZ, Jacobson BH, Aldana SG, et al. Health care costs of worksite health promotion participants and non-participants.Journal of Occupational & Environmental Medicine. 1988;40(4):341–346.
Pelletier KR. A review and analysis of the clinical and cost-effectiveness studies of comprehensive health promotion and disease prevention programs at the worksite: 1995–1998 update (IV).American Journal of Health Promotion. 1999;13(6):333–345.
Hoffmann JP, Brittingham A, Larison C.Drug Use Among U.S. Workers: Prevalence and Trends by Occupation and Industry Categories. Rockville, Md: US Dept of Health & Human Services; 1996.
Cook RF, Back A, Trudeau J. Preventing alcohol use problems among blue-collar workers: a field test of the “Working People” program.Substance Use and Misuse. 1996;31(3):255–275.
Cook RF, Schlenger W. Prevention of substance abuse on the workplace: review of research on the delivery of services.Journal of Primary Prevention. 2002;23(1):115–142.
Olfson M, Pincus HA. Outpatient psychotherapy in the United States, I: volume, costs, and user characteristics.American Journal of Psychiatry. 1994;151(9):1281–1288.
Grosch JW, Murphy LR. Occupational differences in depression and global health: results from a national sample of U.S. workers.Journal of Occupational and Environmental Medicine. 1998;40(2):153–164.
Whitmer RW, Goetzel RZ, Anderson DR. The HERO Study on risks and costs: research findings.The Art of Health Promotion. 1999;2(6):1–8.
Wood E, Olmstead G, Craig J. An evaluation of lifestyle risk factors and absenteeism after two years in a worksite health promotion program.American Journal of Health Promotion. 1989;4(2):128–133.
Goetzel RZ, Juday TR, Ozminkowski RJ. What's the ROI? A systematic review of return-on-investment studies of corporate health and productivity management initiatives.Worksite Health. 1999;6(3):12–21.
Zarkin GA, Bray JW, Qi J. The effect of EAP use on health care utilization.Health Services Research. 2000;35(1):77–100.
Gordon SM.Women and Addiction: Gender Issues in Abuse and Treatment. Wernersville, PA: Caron Foundation; 2001:4–25.
Westermeyer J, Boedicker AE. Course, severity and treatment of substance abuse among women versus men.American Journal of Drug and Alcohol Abuse. 2000;26(4):523–535.
Hewitt Associates.Work and Family Benefits Provided by Major U.S. Employers in 1996: Based on Practices of 1,050 Employers. Lincolnshire, Ill: Hewitt Associates; 1997.
Heaney CA, Goetzel RZ. A review of health-related outcomes of multi-component worksite health promotion programs.The American Journal of Health Promotion. 1997;11(4):290–307.
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Deitz, D., Cook, R. & Hersch, R. Workplace health promotion and utilization of health services. The Journal of Behavioral Health Services & Research 32, 306–319 (2005). https://doi.org/10.1007/BF02291830
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DOI: https://doi.org/10.1007/BF02291830