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                                                                                      Employee Assistance Programs


                did not shake and who did not drink on the job did not  and employees, there are differences in how they do it.
                receive help.                                    Boiled down to the essentials, these differences come
                   Today, most EAPs pay close attention to the specific  under two headings: who is helped and how that help is
                needs of clients. For example, until recently few EAPs  provided.
                dealt with gambling-related issues; but now counselors are
                being trained to deal with gambling addiction and related  SINGLE-ISSUE PROGRAMS
                problems. A number of companies also have EAPs that  Single-issue programs aim to help only employees
                offer financial and legal referrals to employees with con-  impaired by a specific problem. Their focus is clear, and
                sumer credit or bankruptcy problems and legal concerns.  they are generally small enough to cost the employer rela-
                These services are in addition to assistance offered for
                                                                 tively little. A disadvantage of single-issue programs is that
                emotional, family, work, and substance-abuse problems.
                                                                 they may become stigmatized because of the negative con-
                   Another area that EAPs frequently deal with is criti-  notations of terms such as addiction and alcoholism.
                cal incident intervention—helping workers handle deaths,  Some people may be afraid to use the program for fear of
                suicides, hostage situations, major accidents, and natural  being labeled drunks or addicts. Since the per-person cost
                disasters, including fires, earthquakes, mudslides, floods,  of an EAP decreases with the number of people who use
                and hurricanes. Employees often need assistance in deal-  it, this stigmatization is an important issue to consider.
                ing with the emotional and physical trauma of these nat-  Furthermore, supervisors tend to look only for symptoms
                ural disasters.                                  of abuse instead of concentrating on declining job per-
                                                                 formance.
                MODERN PROGRAMS                                     The greatest weakness of single-issue programs is
                Organizational development, managed care, workers’  their lack of preventative power. Late-stage alcoholics and
                compensation, child care, and catastrophic disasters are  addicts have the highest relapse rate and the least chance
                just a few of the issues that are expanding the scope of  for permanent recovery. Single-issue programs tend to
                today’s EAPs. The changes going on in corporate America  find these late-stagers, but recognizing those in the early
                are tremendous. As a result, the role and scope of the com-  stages for whom help can be most effective is much more
                pany’s employee assistance program has evolved with the  difficult.
                times. Some EAPs offer workers professional organiza-
                tional counseling. This service runs the gamut from coun-  BROAD-BRUSH EAPS
                seling work-group members who are having problems  Broad-brush EAPs offer help to employees suffering from
                getting along with one another to counseling survivors of  all kinds of problems, including chemical dependency. For
                downsizing on how to handle stress.
                                                                 example, a broad-brush program may provide crisis-man-
                   Managers may have to terminate good employees as  agement services for those whose problems can be dealt
                well as difficult ones. Besides the emotional effects, there  with over the short term. Sometimes all that is needed is a
                is also a practical side to letting workers go: There is doc-  chance to talk a problem over with a sympathetic listener.
                umentation and a procedure to follow. Human resources  The great advantage of broad-brush programs is their abil-
                staff members are stretched to the limit in some cases.  ity to uncover drug and alcohol problems in their early
                   Many EAPs provide disability management services.  stages. Often early-stagers come to their EAP presenting
                Companies today want to complement the traditional dis-  problems that make no mention of alcohol or drugs. At
                ability arrangement with a whole-person approach. In  first clients complain about financial trouble, a stressful
                many cases workers’ self-esteem is tied to their jobs. As  marriage, or abuse of problem children. It is only after
                workers sit at home recuperating from injuries or disabil-  working with a skilled counselor that the truth is revealed:
                ities, they may become bored and depressed. In some cases  cocaine bankrupting an executive; a marriage in trouble
                their disabilities may put financial strains on their fami-  because the wife drinks and the husband enables her; chil-
                lies. Therefore, there is a need to supplement the medical  dren acting out because they cannot get the nurturing
                care a person is receiving with counseling on issues he or  they need from addicted parents.
                she is facing. The goal is to keep the worker connected to  One disadvantage of broad-brush programs is that
                the workplace.                                   they are usually more expensive than single-issue pro-
                   Today’s EAPs have grown in size and sophistication.  grams.  There are, however, ways to minimize costs by
                In some businesses EAPs are operated through employee  designing a program customized to specialized businesses.
                associations. Sometimes professional groups or similar  Costs can be reduced when multiple businesses form an
                businesses and small industries unite to form a consor-  EAP alliance. In the long run, EAPs can save businesses
                tium. Although all EAPs aim to help both management  money by making them more efficient and productive,


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