title: Impact of an alcohol misuse intervention for health care workers --2: Employee assistance programme utilization, on-the-job injuries, job loss and health services utilization.
abstract: OBJECTIVE
  We evaluated the effects of an enhanced substance misuse (SM) prevention/early intervention programme on referrals to an employee assistance programme, health care utilization rates, on-the-job injury rates and job termination rates among health care professionals employed in a managed care organization.
  
  
  METHODS
  The intervention was implemented at one site, with the remaining sites serving as the comparison group. Existing data from hospital databases were used to compare events occurring in the periods before and after initiation of the intervention. To account for baseline differences in age, gender and job class, logistic regression models produced adjusted means for events per employee month-at-risk.
  
  
  RESULTS
  We found that employee assistance referrals and non-SM-related in-patient hospitalizations increased significantly post-intervention, while rates of total out-patient SM-related visits decreased at both the intervention and comparison sites post-intervention. There was a small, statistically significant decrease in the monthly rate (OR = 0.92) of non-SM out-patient utilization at the intervention site, once the intervention was in place. No differences potentially attributable to the intervention were detected in job turnover or injury rates.
  
  
  CONCLUSIONS
  We conclude that, while the intervention did not appear to affect health care utilization for SM-related problems, it was associated with increased referrals for employee assistance.
authors.affiliation: Behavioral Health Research Center of the Southwest, 612 Encino Place NE, Albuquerque, NM 87102, USA.
authors.forename: Sandra C
authors.initials: SC
authors.lastname: Lapham
authors.forename: Garnett
authors.initials: G
authors.lastname: McMillan
authors.forename: Cindy
authors.initials: C
authors.lastname: Gregory
mesh_terms: D000062:Accidents, Occupational / Q000706:statistics & numerical data*; D000328:Adult; D000428:Alcohol Drinking / Q000517:prevention & control*; D004651:Employment / Q000706:statistics & numerical data*; D005260:Female; D006282:Health Personnel; D006293:Health Promotion / Q000379:methods; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009786:Occupational Health Services / Q000706:statistics & numerical data*