Heller School for Social Policy and Management, Brandeis University, Waltham, MA 02454-9110, USA.
J Subst Abuse Treat. 2011 Apr;40(3):299-306. doi: 10.1016/j.jsat.2010.11.009. Epub 2010 Dec 24.
New federal parity and health reform legislation, promising increased behavioral health care access and a focus on prevention, has heightened interest in employee assistance programs (EAPs). This study investigated service utilization by persons with a primary substance use disorder (SUD) diagnosis in a managed behavioral health care (MBHC) organization's integrated EAP/MBHC product (N = 1,158). In 2004, 25.0% of clients used the EAP first for new treatment episodes. After initial EAP utilization, 44.4% received no additional formal services through the plan, and 40.4% received regular outpatient services. Overall, outpatient care, intensive outpatient/day treatment, and inpatient/residential detoxification were most common. About half of the clients had co-occurring psychiatric diagnoses. Mental health service utilization was extensive. Findings suggest that for service users with primary SUD diagnoses in an integrated EAP/MBHC product, the EAP benefit plays a key role at the front end of treatment and is often only one component of treatment episodes.
新的联邦平权法案和健康改革立法，承诺增加行为健康护理的可及性，并关注预防措施，这使得员工援助计划（EAP）受到了更多关注。本研究调查了在一个管理式行为健康护理（MBHC）组织的综合 EAP/MBHC 产品中，有主要物质使用障碍（SUD）诊断的人员的服务利用情况（N=1158）。2004 年，25.0%的客户首次通过 EAP 寻求新的治疗阶段。在最初使用 EAP 后，44.4%的人没有通过该计划获得任何额外的正式服务，40.4%的人接受了常规门诊服务。总体而言，门诊护理、强化门诊/日间治疗和住院/住院解毒治疗最为常见。大约一半的客户同时患有精神科诊断。心理健康服务的利用非常广泛。研究结果表明，对于综合 EAP/MBHC 产品中患有主要 SUD 诊断的服务使用者来说，EAP 福利在治疗的早期阶段起着关键作用，而且通常只是治疗阶段的一个组成部分。
