Employee assistance programs
Encyclopedia
Employee Assistance Programs (EAPs) are employee benefit
Employee benefit
Employee benefits and benefits in kind are various non-wage compensations provided to employees in addition to their normal wages or salaries...

 programs offered by many employers, typically in conjunction with a health insurance
Health insurance
Health insurance is insurance against the risk of incurring medical expenses among individuals. By estimating the overall risk of health care expenses among a targeted group, an insurer can develop a routine finance structure, such as a monthly premium or payroll tax, to ensure that money is...

 plan. EAPs are intended to help employees deal with personal problems that might adversely impact their work performance, health, and well-being. EAPs generally include assessment
Health assessment
A health assessment is a plan of care that identifies the specific needs of the client and how those needs will be addressed by the healthcare organization or skilled nursing facility....

, short-term counseling and referral services for employees and their household members.

Services

Employees and their household members may use EAPs to help manage issues in their work and personal lives. EAP counselors typically provide assessment, support, and, if needed, referrals to additional resources. The issues for which EAPs provide support vary, but examples include:
  • substance abuse
    Substance abuse
    A substance-related disorder is an umbrella term used to describe several different conditions associated with several different substances .A substance related disorder is a condition in which an individual uses or abuses a...

  • safe working environment
  • emotional distress
    Emotional distress
    Mental distress or anxiety suffered as a response to a sudden, severe, and saddening experience.Emotional distress may refer to:* Law of torts:** Intentional infliction of emotional distress** Negligent infliction of emotional distress* Medicine:...

  • major life events, including births, accidents and deaths
  • health care
    Health care
    Health care is the diagnosis, treatment, and prevention of disease, illness, injury, and other physical and mental impairments in humans. Health care is delivered by practitioners in medicine, chiropractic, dentistry, nursing, pharmacy, allied health, and other care providers...

     concerns
  • financial or legal concerns
  • family/personal relationship issues
  • work relationship issues
  • concerns about aging parents


An EAP's services are usually free to the employee and their household member, having been pre-paid by the employer. In most cases, an employer contracts with a third-party company to manage its EAP. Some of these companies rely upon other vendors or contracted employees for specialized services to supplement their own services, such as: financial advisors, attorneys, travel agents, elder/child care specialists, and the like.

Confidentiality is maintained in accordance with privacy laws and ethical standards.

California requires EAP providers who deliver actual counseling services on a pre-paid (or capitated) basis for more than 3 sessions within any six-month period to have a Knox-Keene license. This is a specialty license for psychological services and is mandated by the Knox-Keene Health Care Service Plan Act of 1975. The state's Department of Managed Health Care regulates these licensed plans and assists consumers with regard to grievances, access to quality care, and ensuring that the EAP has an appropriate level of tangible net equity to deliver services to plan members. Title 28, Rule 1300.43.14 of the California Code of Regulations allows EAPs without a Knox-Keene license to request an exemption if they solely refer callers to external services and do not provide the actual services themselves.

Benefits for employers

Some studies indicate that offering EAPs may result in various benefits for employers, including lower medical costs, reduced turnover and absenteeism, and higher employee productivity. Critics of these studies question the scientific validity of their findings, noting small sample sizes, lack of experimental control groups, and lack of standardized measures as primary concerns. Proponents, however, argue that the consistency of positive findings across studies in different service sectors denote at least some positive effect of programs, even if the most effective components of such programs have not been determined. EAPs may also provide other services to employers, such as supervisory consultations, support to troubled work teams, training and education programs, and critical incident services.

The provision of employee assistance services has established business benefits, including increased productivity of employees (termed "presenteeism") and decreased absenteeism.

Criticism

Employee assistance programs have been criticized for their lack of impartiality in cases where an employee seeks assistance due to work-related issues, or where an employer recommends that an employee seek help through the program. Programs where EAP providers are employed by the same company as the program participants are particularly criticized as being another arm of company management.

See also

  • Occupational health psychology
    Occupational health psychology
    Occupational health psychology emerged out of two distinct applied disciplines within psychology, health psychology and industrial/organizational psychology, and occupational health. OHP is concerned with the psychosocial characteristics of workplaces that contribute to the development of...

  • Work-life balance
    Work-life balance
    Work–life balance is a broad concept including proper prioritizing between "work" on the one hand and "life" on the other. Related, though broader, terms include "lifestyle balance" and "life balance".-History:The work-leisure dichotomy was invented in the mid 1800s...

  • Workplace interventions
  • Workplace stress
    Workplace stress
    Workplace stress is the harmful physical and emotional response that occurs when there is a poor match between job demands and the capabilities, resources, or needs of the worker....

  • Workplace wellness
    Workplace wellness
    Workplace wellness is a program offered by some employers as a combination of educational, organizational, and environmental activities designed to support behavior conducive to the health of employees in a business and their families...


External links

Professional associations in the employee assistance program industry:
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