EMPLOYEE ASSISTANCE REPORT
Volume 13, No. 6 June 2010
supporting
EAP
professionals
State of EAPs & EAPA mployee Assistance Report had the opportunity recently to interview Dave Worster, director of EAP services for Concord Dave Worster, director Hospital in of EAP services for Concord, N.H., Concord Hospital in and president of Concord, NH and president of the EAPA the Employee Assistance Professionals Association (EAPA). Worster discussed EAPA initiatives and important issues affecting employee assistance professionals. The following is an edited summary of that conversation.
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EAR: Some EA professionals believe that too many EAPs are trying to be too many things to too many people and are losing their identity in the process. Would you agree this is a problem, and if so, what might be some solutions to this quandary? DW: I agree that many of us are concerned about EAPs losing our identity in the process of trying to be all things to all people. Our historic roots lie in working with supervisors and organizations to encourage constructive intervention about job-performance problems related to alcohol and other
June 2010
substance use problems. However, the natural evolution of EA services: the advent of “broad brush” approaches; the changing marketplace and demand for EA services; and the development and prevalence of network models of service delivery modeled after managed care, have created major confusion and misunderstanding on the part of most people outside our field (and some inside) about what EA is — and isn’t. I think this has encouraged commoditization of EA services and what appears to be a tendency on the part of purchasers of our services to see EAP as a fragmented menu of program options as opposed to a comprehensive organization-wide service. Some of the EAPs I have spoken with have felt pressured to cooperate in this effort in order to maintain their market share, even at reduced fees. As a result, I believe it has become increasingly difficult for business leaders, brokers, and HR professionals to differentiate between EAPs and behavioral health services. This does our profession a disservice and places EA programs at risk as businesses look to reduce their benefit budgets by potentially eliminating services that may appear to them to be redundant with their behavioral health insurance as well as expos-
ing EAPs to myriad and costly regulations such as HIPAA, ERISA, COBRA, etc. In my opinion, the solution is two-fold: 5 We need to work toward some clear and universally accepted understandings within our profession about who we are and who we are not. It is essential that we work collaboratively to identify areas of agreement. After many conversations with a variety continued on Page 2
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