Following the Pathways to Substance Use Treatment: A Five-Year Project Will Examine How Consumers Use Managed Behavioral Health and EAP Services

By McCann, Bernard; Hiatt, Deirdre et al. | Behavioral Healthcare, January 2008 | Go to article overview

Following the Pathways to Substance Use Treatment: A Five-Year Project Will Examine How Consumers Use Managed Behavioral Health and EAP Services


McCann, Bernard, Hiatt, Deirdre, Merrick, Elizabeth L., Behavioral Healthcare


Substance abuse negatively impacts public safety, reduces workers' productivity, and contributes to higher healthcare costs, premature death, and disability for millions of Americans. (1) In fact, substance use disorders are among the most common medical conditions. (2) Although clinical advances in recent decades have increased the availability of effective treatments for substance use disorders, these treatments persistently are underutilized. (3)

Reducing the impact of substance abuse on rising healthcare costs and worker productivity is particularly relevant to employers, as most substance users and most of those with substance use disorders are employed. (4) Furthermore, a majority of the nonelderly population (60%) is enrolled in employer-paid insurance plans. (5) Employees and their dependents in such plans often have multiple pathways to specialty substance abuse and other behavioral health treatments, including managed behavioral healthcare (MBHC) carve-out plans, employee assistance programs (EAPs) and, in some cases, "integrated" products that combine features of both product types. To facilitate treatment access and engagement for those with substance use disorders, understanding the treatment pathways individuals utilize is critical.

Funded by the National Institute on Drug Abuse, Substance Abuse Treatment Pathways in Employee Groups is a five-year research collaboration between MHN of Point Richmond, California, and the Brandeis/Harvard Center on Managed Care and Drug Abuse Treatment.* The goal is to study aspects of treatment access. MHN is a MBHC organization that provides stand-alone EAP, MBHC carve-out, and integrated products. The Brandeis/Harvard Center is a partnership between Brandeis University's Institute for Behavioral Health and Harvard Medical School's Department of Health Care Policy.

[ILLUSTRATION OMITTED]

Relatively few large-scale research efforts have investigated mental health and substance abuse services utilization within the variety of contemporary MBHC product types. Stand-alone EAPs, behavioral health carve-outs, and integrated programs continue to evolve, and research is crucial to understand current approaches to address workplace substance abuse. (6)

Specific goals of the Pathways study include describing access to specialty treatment for substance use disorders, profiles of service utilization, treatment costs, and performance indicators. The various contributions of employer workplace policies, EAP/MBHC product types, and client preferences will be investigated along with other utilization factors. Researchers are interested in the differences in substance abuse treatment access, engagement, and costs between integrated and stand-alone versions of EAP and MBHC products. Research questions the collaboration hopes to answer include:

** Is EAP availability associated with increased access to substance abuse treatment?

** What effect, if any, does integrating EAP and MBHC products have on barriers to substance abuse treatment?

** Is earlier intervention via EAPs reflected in case severity, level of care, and/or utilization measures?

** How do workplace substance abuse policies and program promotion affect utilization?

** Are enrollees' beliefs regarding confidentiality and treatment effectiveness related to their decisions to use services?

Study data to examine these aspects will come from three distinct and complementary data sources: MHN's administrative records from the years 1999 to 2008, information collected regarding employer/purchaser organizations, and a survey of plan enrollees' perceptions and experiences. The enrollee survey will examine help-seeking behavior, resource use, experience of care, and perception of benefits for both users and nonusers of substance abuse treatment services. The researchers will analyze claims, eligibility, authorization, and initial assessment data, and link these to data collected from account managers and plan enrollees. …

The rest of this article is only available to active members of Questia

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

Following the Pathways to Substance Use Treatment: A Five-Year Project Will Examine How Consumers Use Managed Behavioral Health and EAP Services
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Author Advanced search

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.