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Where the Buck Really Stops

Employee Use of Treatment Services

  • Chapter
Working Dazed

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Abstract

There is a large and expanding enterprise out there. It is called drug treatment. Drug treatment focuses on drug (including alcohol) addiction at the individual level. I emphasize individual level because, although entire families occasionally come in for treatment, entire neighborhoods and entire companies do not. Certainly chemical dependence affects individual people, but it also affects entire organizations. Still, drug treatment programs have not moved right into our workplaces to treat us all.

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Notes

  1. Ruffenach, G. (1988), “Health Insurance Premiums to Soar in ’89,” Wall Street Journal, October 25, p. Bl.

    Google Scholar 

  2. Association of Labor-Management Administrators and Consultants on Alcoholism (1988), “EAP Tax-Credit Bill Introduced in Senate,” ALMACAN, August, p. 10; Danforth, Senator John C. (1988), “Tax Credit for Employee Assistance Programs,” Introduction of S. 2594, Congressional Record, June 29, p. S8805.

    Google Scholar 

  3. Ruffenach (1988), op. cit., p. Bl.

    Google Scholar 

  4. Levin, B. L., J. H. Glasser, and C. L. Jaffee, Jr. (1988), “National Trends in Coverage and Utilization of Mental Health, Alcohol and Substance Abuse Services within Managed Care Systems,” American Journal of Public Health, September, Vol. 78, No. 9, pp. 1222–3; Penzer, W. N. (1987), “Toward Sustaining Quality Mental Health Services,” EAP Digest, March-April, pp. 35–40.

    Google Scholar 

  5. Casey, T. J. and H. M. Seigel (1982), “Health Care Cost Containment: Compensation and Benefits,” Personnel Journal, June, pp. 410–411.

    Google Scholar 

  6. Graves, E. and C. Lovato (1981), “Utilization of Short Stay Hospitals in the Treatment of Mental Disorders, 1974–78,” Advance Data No. 70, National Center for Health Statistics, DHHS No. (PHS) 81–1250, May 22.

    Google Scholar 

  7. Ruffenach, (1988), op. cit., p. Bl; Graves and Lovato (1981), op. cit.

    Google Scholar 

  8. Edwards, G. and S. Guthrie (1966), “A Comparison of Inpatient and Outpatient Treatment of Alcohol Dependence,” Lancet, February 26, pp. 467–468; Edwards, G. and S. Guthrie (1967), “A Controlled Trial of Inpatient and Outpatient Treatment of Alcohol Dependency,” Lancet, March 11, pp. 555–559; Longabaugh, R. et al. (1983), “Cost-Effectiveness of Alcoholism Treatment in Partial vs. Inpatient Settings,” Journal of Studies on Alcohol, Vol. 44, No. 6, pp. 1049–1071; McLachlan, J. F. C. and R. L. Stein (1982), “Evaluation of a Day Clinic for Alcoholics,” Journal of Studies on Alcohol, Vol. 43, No. 3, pp. 261–273; Miller, W. R. and R. K. Hester (1986a), “Inpatient Alcoholism Treatment: Who Benefits?” American Psychologist, Vol. 41, No. 7, pp. 794–805; Miller, W. R. and R. K. Hester (1986b), “The Effectiveness of Alcoholism Treatment: What Research Reveals,” in Miller, W. and N. Heather (Editors), Treating Addictive Behaviors: Processes of Change. New York: Plenum, 1986, pp. 121–174.

    Google Scholar 

  9. Babow, I. (1975), “The Treatment Monopoly in Alcoholism and Drug Dependence: A Sociological Critique,” Journal of Drug Issues, Vol. 5, pp. 120–128; Moore, R. A. (1977), “Ten Years of Inpatient Programs for Alcoholic Patients,” American Journal of Psychiatry, Vol. 134, p. 542.

    Google Scholar 

  10. These data are age-adjusted. American Hospital Association (1988), “1987 Annual Survey,” Annual Survey Data: Hospital Statistics. Chicago: American Hospital Association; American Hospital Association (1979), “1978 Annual Survey,” Annual Survey Data: Hospital Statistics. Chicago: American Hospital Association.

    Google Scholar 

  11. American Hospital Association (1988), op. cit.; American Hospital Association (1979), op. cit.

    Google Scholar 

  12. American Hospital Association (1979), op. cit.

    Google Scholar 

  13. American Hospital Association (1984), “1983 Annual Survey,” Annual Survey Data: Hospital Statistics. Chicago: American Hospital Association.

    Google Scholar 

  14. Office of Technology Assessment (1983), The Effectiveness and Costs of Alcoholism Treatment (OTA-HCS-22). Washington, DC: U.S. Government Printing Office.

    Google Scholar 

  15. Mansdorf, I. J. (1988), “Managed Mental Health Care: The Silver Lining for Professionals,” Register Report, Vol. 15, No. 1, November-December, p. 4; McClellan, K. (1989), “The Benefits of an EAP,” in E. Danto and R. McConoghy (Editors), New Concepts in Employee Assistance Programs: Designing Tomorrow’s EAP Today. New York: Prentice-Hall.

    Google Scholar 

  16. Gove, W. R. (1979), “Sex, Mental Status and Psychiatric Treatment: A Research Note,” Social Forces, Vol. 58, pp. 54–61; Smeade, V. S., D. Smithey-Willis, and R. J. Smead (1982), “Utility of Sex, Marital Status, Race and Age in Targeting Populations for Mental Health Services,” Psychological Reports, Vol. 50, No. 3, pp. 843–55; Taube, C. H., H. Goldman, B. Burns, et al. (1988), “High Users of Outpatient Mental Health Services, I: Definition and Characteristics,” American Journal of Psychiatry, Vol. 145, No. 1, pp. 19–24; Tudor, W., J. F. Tudor, and W. R. Gove (1977), “The Effect of Sex Role Differences on the Social Control of Mental Illness,” Journal of Health and Social Behavior, Vol. 18, pp. 98–112.

    Google Scholar 

  17. Veroff, J. et al. (1981), Mental Health in America: Patterns of Help-Seeking, 1957–1976. New York: Basic Books.

    Google Scholar 

  18. Watts, C. A., R. Scheffler, and N. P. Jewell (1986), “Demand for Outpatient Mental Health Services in a Heavily Insured Population: The Case of the Blue Cross and Blue Shield Association, FEHBP,” Health Services Research, Vol. 21, No. 2, pp. 267–290. For a counterargument, see Taube, C., H. Goldman, B. Burns, et al. (1988), op. cit. For a detailed look at use “differentials,” see Wells, K. B. et al. (1982), Cost Sharing and the Demand for Ambulatory Mental Health Services, RAND Report R-2960-HHS, September 1982.

    Google Scholar 

  19. Tudor, Tudor, and Gove (1977), op. cit., pp. 98–112; Rushing, W. A. (1979), “Marital Status and Mental Disorder Evidence in Favor of a Behavioral Model,” Social Forces, Vol. 58, pp. 32–38.

    Google Scholar 

  20. National Institute of Mental Health (1987), Mental Health. Bethesda, MD: NIMH.

    Google Scholar 

  21. Office of Disease Prevention and Health Promotion (1987), Prevention Fact Book. Washington, DC: U.S. Department of Health and Human Services, Public Health Service.

    Google Scholar 

  22. Stinson, F. S. et al. (1986–87), “Alcohol-Related Morbidity, 1974–1984,” Alcohol Health and Research World, Vol. 11, No. 2, pp. 56–61.

    Google Scholar 

  23. Beckman, L. J. and H. Amaro (1983), Barriers to Treatment among Anglo Women Alcoholics. Los Angeles: University of California Alcohol and Drug Research Center.

    Google Scholar 

  24. Gomberg, E. S. and V. Franks (Editors) (1979), “Problems with Alcohol and Other Drugs,” in Gender and Disordered Behavior: Sex Differences in Psychopathology. New York: Brunner/Mazel.

    Google Scholar 

  25. Mulford, H. A. (1977), “Women and Men Problem Drinkers: Sex Differences in Patients Served by Iowa’s Community Alcoholism Centers,” Journal of Studies on Alcohol, Vol. 38, pp. 1624–1639.

    Google Scholar 

  26. Gomberg and Franks (1979), op. cit.

    Google Scholar 

  27. National Institute on Alcohol and Alcoholism Treatment (1977), Women in Treatment for Alcoholism: A Profile. Bethesda, MD: NIAAA, Analysis and Evaluation Branch, February.

    Google Scholar 

  28. Barrera, M. (1982), “Raza Populations,” in L. Snowden (Editor) (1982), Reaching the Underserved: Mental Health Needs of Neglected Populations. Beverly Hills, CA: Sage Publications; Broman, C. L. (1978), “Race Differences in Professional Help Seeking,” American Journal of Community Psychology, Vol. 15, pp. 473–489; Kahn, M. W. and E. Heiman (1978), “Factors Associated with Length of Treatment in Barrio Neighborhood Mental Health Service,” International Journal of Social Psychiatry, Vol. 24, pp. 259–262; Wong, F. T. L. (1986), “Counseling and Psychotherapy with Asian-Americans: Review of the Literature,” Journal of Counseling Psychology, Vol. 33, No. 2, pp. 196–206; Liu, W. (1985), Research Priorities Development for Pacific/Asian Americans. Rockville, MD: NIMH Contract No. 84M05259301D, March 29.

    Google Scholar 

  29. Scheffler, R. M. and A. Browne Miller (1989a), “Differences in Mental Health Service Utilization among Ethnic Subpopulations,” International Journal of Law and Psychiatry, July-August, pp. 43–49.

    Google Scholar 

  30. Scheffler, R. M. and A. Browne Miller (1989b), “Demand Analysis of Mental Health Services Use among Ethnic Subpopulations,” Inquiry, Summer, Vol. 26, pp. 202–215.

    Google Scholar 

  31. Scheffler and Miller (1989a, 1989b), op. cit.

    Google Scholar 

  32. Mayo, J. A. (1974), “Utilization of a Community Mental Health Center by Blacks,” Journal of Nervous and Mental Disease, Vol. 158, pp. 202–207.

    Google Scholar 

  33. Flaherty, J. A. and R. Meaer (1980), “Measuring Racial Bias in Inpatient Treatment,” American Journal of Psychiatry, Vol. 137, January, pp. 679–682.

    Google Scholar 

  34. Snowden, L. R. (1986), “Minority Mental Health Services Research: A Systematic Approach,” prepared for Minority Research Branch Institutes of Mental Health, NIMH Contract No. 65501D, October.

    Google Scholar 

  35. Snowden, L. R. (1988), “NIMH Surveys of Research on Ethnic Minority Groups: Review and Extension,” prepared for Minority Research Branch Institutes of Mental Health, NIMH Contract No. 88M030499503D, June 30.

    Google Scholar 

  36. Good, R. (1984), In-house memorandum, unpublished. San Francisco: Bechtel Corp.

    Google Scholar 

  37. Miller and Hester (1986a, 1986b), op. cit.; Miller, W. R. and R. K. Hester (1980), “Treating the Problem Drinker: Modern Approaches,” in W. R. Miller (Editor), The Addictive Behaviors. Oxford: Pergamon Press, pp. 11–14.

    Google Scholar 

  38. Miller and Hester (1986b), op. cit.

    Google Scholar 

  39. Edwards and Guthrie (1966, 1967), op. cit.; Longabaugh, R. et al. (1983), op. cit.; McLachlan and Stein (1982), op. cit.; Miller and Hester (1986b), op. cit., pp. 11–14.

    Google Scholar 

  40. McLachlan and Stein (1982), op. cit.; Penk, W. E., H. L. Charles, and T. A. Van Hoose (1978), “Comparative Effectiveness of Day Hospital and Inpatient Psychiatric Treatment,” Journal of Consulting and Clinical Psychology, Vol. 46, No. 1, pp. 94–101.

    Google Scholar 

  41. Mosher, V. et al. (1975), “Comparison of Outcome in a 9-Day and 30-Day Alcoholism Treatment Program,” Journal of Studies on Alcohol, Vol. 36, No. 9, pp. 1277–1281; Page, R. D. and L. H. Schaub (1979), “Efficacy of a Three Versus a Five Week Alcohol Treatment Program,” The International Journal of Addictions, Vol. 14, pp. 697–714.

    Google Scholar 

  42. Ruffenach (1988), op. cit., p. Bl.

    Google Scholar 

  43. Coile, R. C. (1990), “Managed Care Poised to Dominate Health,” GPS Provider, Vol. 2, No. 1. Washington, DC: General Psychological Services, May, p. 3.

    Google Scholar 

  44. Miller and Hester (1986a, 1986b), op. cit.; Sobell, L. C. and M. B. Sobell (1981), “Outcome Criteria and Assessment of Alcohol Treatment Efficacy,” Evaluation of the Alcoholic: Implications for Research, Theory and Treatment, Alcohol and Health Monograph No. 5. Rockville, MD: Alcoholism, Drug Abuse, and Mental Health Administration.

    Google Scholar 

  45. National Academy of Sciences (1990), “News from the Institute of Medicine.” Washington, DC: National Academy of Sciences, March 12. See also Institute of Medicine (1990), Broadening Base of Treatment for Alcohol Problems. Washington, DC: National Academy Press.

    Google Scholar 

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Authors and Affiliations

  1. Kensington, California, USA

    Angela Browne M.P.H., Ph.D.

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  1. Angela Browne M.P.H., Ph.D.
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© 1991 Springer Science+Business Media New York

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Browne, A. (1991). Where the Buck Really Stops. In: Working Dazed. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-5962-1_10

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  • DOI: https://doi.org/10.1007/978-1-4899-5962-1_10

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-306-43765-6

  • Online ISBN: 978-1-4899-5962-1

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