title: Integrated employee assistance program/managed behavioral health care benefits: relationship with access and client characteristics.
abstract: This study examined service user characteristics and determinants of access for enrollees in integrated EAP/behavioral health versus standard managed behavioral health care plans. A national managed behavioral health care organization's claims data from 2004 were used. Integrated plan service users were more likely to be employees rather than dependents, and to be diagnosed with adjustment disorder. Logistic regression analyses found greater likelihood in integrated plans of accessing behavioral health services (OR 1.20, CI 1.17-1.24), and substance abuse services specifically (OR 1.23, CI 1.06-1.43). Results are consistent with the concept that EAP benefits may increase access and address problems earlier.
authors.affiliation: Institute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, Waltham, MA 02454-9110, USA. merrick@brandeis.edu
authors.forename: Elizabeth S
authors.initials: ES
authors.lastname: Levy Merrick
authors.forename: Dominic
authors.initials: D
authors.lastname: Hodgkin
authors.forename: Constance M
authors.initials: CM
authors.lastname: Horgan
authors.forename: Deirdre
authors.initials: D
authors.lastname: Hiatt
authors.forename: Bernard
authors.initials: B
authors.lastname: McCann
authors.forename: Vanessa
authors.initials: V
authors.lastname: Azzone
authors.forename: Galina
authors.initials: G
authors.lastname: Zolotusky
authors.forename: Grant
authors.initials: G
authors.lastname: Ritter
authors.forename: Sharon
authors.initials: S
authors.lastname: Reif
authors.forename: Thomas G
authors.initials: TG
authors.lastname: McGuire
mesh_terms: D000275:Adjustment Disorders / Q000175:diagnosis / Q000534:rehabilitation / Q000628:therapy; D000293:Adolescent; D000328:Adult; D019033:Delivery of Health Care, Integrated; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006801:Humans; D007342:Insurance Benefits; D007345:Insurance Claim Review; D019458:Insurance Coverage; D008297:Male; D008329:Managed Care Programs / Q000706:statistics & numerical data; D001523:Mental Disorders / Q000175:diagnosis / Q000534:rehabilitation*; D008605:Mental Health Services / Q000706:statistics & numerical data; D008875:Middle Aged; D009786:Occupational Health Services; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000534:rehabilitation / Q000628:therapy; D014481:United States; D055815:Young Adult
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