Hospital-Based Employees Alcoholism Program
Contemporary industrial alcoholism programs have moved away from the “punitive” model of identifying and subsequently terminating the alcoholic employee to a “caring” model in which an offer of treatment is made following discovery of the alcoholic worker. This approach is often largely dependent upon the discovery of alcoholism through work-related dysfunctional behavior, e.g., accident, mistake, absenteeism and irresponsibility. It relies heavily on the threat of treatment as its rationale for prevention; it provides little help for the potential alcoholic, since treatment could only start after discovery. But perhaps the most striking criticism, is the basic and fundamental contradiction of the entire approach--in an effort to maintain efficiency and productivity and to avoid accidents, the companies adopt a plan that would force the individual to be inefficient,unproductive and accident prone before he/she could be treated for alcohlism. By making it necessary for a crisis to be precipitated before an individual could be “forced into treatment” (though threatening him with dismissal) the strategy fosters chronic alcoholism for it is only at this stage in the alcoholic’s history that dysfunctional behavior of the type discovered in an industrial/institutional setting would manifest itself. In general, this approach is used by most corporations and institutions termed to have modern industrial alcoholism programs.
KeywordsChronic Alcoholism Albert Einstein College Employee Health Dysfunctional Behavior Entire Approach
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