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Employee assistance programs (EAPs) have various forms and offer different services across organizations but are generally thought of as systems of programs and resources implemented to support the health and well-being of an organization's employees. An organization may choose to institute an employee assistance program (EAP) for many reasons, including cost reductions, health care or employee turnover, and prevention and treatment of problems or disorders that may directly affect the organization's productivity or quality of services.

Employee assistance programs offer help with various problems encountered by employees, both personal and work related. Although there are no requisite services that must be offered to deem the organizational assistance as an official EAP, typical services include, but are not limited to, the following: counseling for substance abuse, including alcoholism; family or marital issues; problems with coworkers or supervisors; productivity issues, which may be related to personal issues, such as financial or health concerns; problems with sexual harassment or discrimination; safety issues or infractions; and individual assistance with emotional or behavioral problems offered to both the employee and the employee's immediate family members. An organization's employees either are referred to EAP services via management or are self-referred, meaning the employee contacts the EAP without an internal referral.

Historical Development of Employee Assistance Programs (EAPS)

Current models of EAPs emerged from the late 19th and early 20th centuries, when concern arose about consumption of alcohol in the workplace. At that time, it was commonplace for employees to drink on the job, and employers viewed this behavior as normative and thus acceptable. The foundation of today's EAPs can be traced back to several historical motivations, which raised public concern about alcoholism and alcohol use on the job. The Washingtonians, forerunners of Alcoholics Anonymous (AA), played a vital role in the movement through their attempts to persuade the public about the negative effects of Workplace drinking on employee safety and health. During this time, the movement gained strength, with support from both the medical community and published studies documenting the effects of alcohol on Workplace efficiency. The emergence of Taylorism (named for Frederick Taylor), a philosophy that emphasized implementation of the most efficient production systems, as well as workers' compensation laws focused on worker safety, further ignited concern and sparked initiatives to eradicate alcohol from the workplace.

Another catalyst for the emergence of EAPs was the mass production requirements incumbent on workers during World War II. Not only were workers who were under the influence of alcohol less efficient on the job, but they were also less dependable, resulting in higher absenteeism and reduced efficiency for the organization. Therefore, the earliest EAPs, also known as occupational alcoholism programs (OAPs), emerged in the mid-1940s with the primary goal of eliminating alcohol from the workplace by assisting and treating employees with alcohol problems. The ideal resolve was to return these workers to the workplace, alcohol free, and operating as productive members of the organization.

Early forms of EAPs remained secretive about their intentions and actions, but in the 1950s, formal and written policies became standard. Still, programs rarely dealt with employee issues outside of alcoholism. Throughout the 1960s and 1970s, EAPs expanded to include employee assistance for issues including drug abuse, family problems, emotional or behavioral problems, legal problems, and financial problems. Beginning in the 1980s, EAPs further expanded to include more preventative, rather than reactive, assistance, including stress management and holistic health practices, such as assistance with smoking and overeating. This latter model has been referred to as an employee enhancement program (EEP) because of its focus on prevention. Other contemporary issues addressed by EAPs may include counseling or services for critical/acute stress incidents, such as the tragedies that occurred on September 11, 2001; workforce diversity and awareness, training that may also fall under employee development initiatives; and current main-stream information that may be beneficial for employees both on and off the job, such as how to prevent personal identity theft.

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