ensuring solutions to alcohol problems calculator: impact of alcohol-related problems on the...
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Ensuring Solutions to Alcohol Problems
Calculator:
Impact of Alcohol-related Problems on the Workplace
Ensuring Solutions to Alcohol Problems
Calculator:
Impact of Alcohol-related Problems on the Workplace
Data SourcesData Sources
National Household Survey on Drug Abuse (SAMHSA), 2001
National Comorbidity Survey (NCS: NIMH), 1990 – 1992
National Ambulatory Medical Survey (NCHS: CDC), 2000
National Hospital Discharge Survey (NCHS: CDC), 2000
Health Care Outcomes and Utilization Project HCUP (AHRQ), 2001
National Household Survey on Drug Abuse (SAMHSA), 2001
National Comorbidity Survey (NCS: NIMH), 1990 – 1992
National Ambulatory Medical Survey (NCHS: CDC), 2000
National Hospital Discharge Survey (NCHS: CDC), 2000
Health Care Outcomes and Utilization Project HCUP (AHRQ), 2001
Percent of Employed Persons With Alcohol Abuse or DependencePercent of Employed Persons With Alcohol Abuse or Dependence
AgeAge MenMen WomenWomen
18 – 2518 – 25
26-3426-34
35 – 4935 – 49
50 and over50 and over
19.419.4 10.110.1
4.24.212.212.2
7.67.6 3.53.5
3.33.3 0.90.9
PercentPercent
NHSDA, 2001NHSDA, 2001
0
5
10
15
20
25
Prevalence of Alcohol Abuse/Dependence in the Workforce by Age and GenderPrevalence of Alcohol Abuse/Dependence in the Workforce by Age and Gender
Men
Women
Men
Women
NHSDA, 2001NHSDA, 2001
18 - 2518 - 25 26 - 3426 - 34 35 - 4935 - 49 50 +50 +
Per
cen
t o
f W
ork
forc
eP
erce
nt
of
Wo
rkfo
rce
AgeAge
0 5 10 15 20 25
Construction and Mining
Manufacturing
Transportation, communications
Wholesale & Retail
Service
Finance, Insurance
Services-professional
Government
Percent of Full Time Male Workers with Alcohol Dependence or Alcohol Abuse in Past Year by Industry
Percent of Full Time Male Workers with Alcohol Dependence or Alcohol Abuse in Past Year by Industry
NHSDA, 2001NHSDA, 2001
0 5 10 15 20 25
Construction and Mining
Manufacturing
Transportation, communications
Wholesale & Retail
Service
Finance, Insurance
Services-professional
Government
Percent of Full Time Female Workers with Alcohol Dependence or Alcohol Abuse in Past Year by Industry
Percent of Full Time Female Workers with Alcohol Dependence or Alcohol Abuse in Past Year by Industry
NHSDA, 2001NHSDA, 2001
0 100 200 300
Total alcohol-relatedsick days
Total alcohol-relatedabsent days
Sick days: AlcoholDependent
Absent days: AlcoholDependent
Sick days: AlcoholAbuse
Absent days: AlcoholAbuse
Days Lost to Sick Days and Absent Non-Sick Days Associated with Alcohol Dependence and Alcohol Abuse per 1,000 Workers per Year
Days Lost to Sick Days and Absent Non-Sick Days Associated with Alcohol Dependence and Alcohol Abuse per 1,000 Workers per Year
NHSDA, 2001NHSDA, 2001
Days per 1,000 Full Time Workers
0 100 200 300 400 500 600
Construction and Mining
Manufacturing
Transportation, communications
Wholesale & Retail
Service
Finance, Insurance
Services-professional
Government
At-Work Reduced Productivity Days Associated with Alcohol-Related Problems per 1,000 Workers per Year by Industry
At-Work Reduced Productivity Days Associated with Alcohol-Related Problems per 1,000 Workers per Year by Industry
NCS, 1990-1992NCS, 1990-1992
Days per 1,000 Full Time Workers
0 100
Construction and Mining
Manufacturing
Transportation, communications
Wholesale & Retail
Service
Finance, Insurance
Services-professional
Government
Excess Hospital Days Associated with Alcohol Dependence and Alcohol Abuse per 1,000 Workers per Year by Industry
Excess Hospital Days Associated with Alcohol Dependence and Alcohol Abuse per 1,000 Workers per Year by Industry
Days per 1,000 Full Time Workers
Illnesses and Injuries associated with Alcohol UseIllnesses and Injuries associated with Alcohol Use
Mouth, throat, stomach, liver and breast cancer
Liver cirrhosis, pancreatitis, gastritis
Hypertension, ischemic heart disease, stroke
Low birthweight, spontaneous abortion, fetal alcohol syndrome and fetal alcohol effects
Road injuries, falls, occupational injuries, assault, suicide, domestic violence and abuse
Cost: $92 per man, woman and child (England, 1995; Harwood, 2001)
Mouth, throat, stomach, liver and breast cancer
Liver cirrhosis, pancreatitis, gastritis
Hypertension, ischemic heart disease, stroke
Low birthweight, spontaneous abortion, fetal alcohol syndrome and fetal alcohol effects
Road injuries, falls, occupational injuries, assault, suicide, domestic violence and abuse
Cost: $92 per man, woman and child (England, 1995; Harwood, 2001)
Steps Companies can take to Reduce Avoidable Costs Associated with Alcohol Dependence and Abuse
Steps Companies can take to Reduce Avoidable Costs Associated with Alcohol Dependence and Abuse
Improve health insurance benefits for treatment of alcohol-related problems Cost of equitable coverage increases premiums
by 0.2% or about $5.11 per employee per year (SAMHSA, 2000; RAND, 1999)
¼ large employers and 7 states require parity (www.ensuringsolutions.org, 2003)
Improve screening and brief intervention for problem drinking Cost of comprehensive screening and brief
intervention increases premiums by $4.32 to $7.08 per employee per year (Broskowski, 2001)
ROI of $4/1 (Fleming, 2003)_
Improve health insurance benefits for treatment of alcohol-related problems Cost of equitable coverage increases premiums
by 0.2% or about $5.11 per employee per year (SAMHSA, 2000; RAND, 1999)
¼ large employers and 7 states require parity (www.ensuringsolutions.org, 2003)
Improve screening and brief intervention for problem drinking Cost of comprehensive screening and brief
intervention increases premiums by $4.32 to $7.08 per employee per year (Broskowski, 2001)
ROI of $4/1 (Fleming, 2003)_
ResultsResults
Increased utilization of chemical dependency treatment Increase to at least 0.64 % of covered lives (HEDIS 90%
commercial plan level in 2001)
Reduced alcohol use and problem drinking by treated individuals At least 50% treated persons not drinking, 25% reduced,
non-problem drinking 1 year after treatment
Reduced health care utilization by persons treated for alcohol-related problems and their families Average reduction in health care costs by 25% for treated
individuals and their families 1 year following treatment
Increased utilization of chemical dependency treatment Increase to at least 0.64 % of covered lives (HEDIS 90%
commercial plan level in 2001)
Reduced alcohol use and problem drinking by treated individuals At least 50% treated persons not drinking, 25% reduced,
non-problem drinking 1 year after treatment
Reduced health care utilization by persons treated for alcohol-related problems and their families Average reduction in health care costs by 25% for treated
individuals and their families 1 year following treatment
Ensuring Solutions to Alcohol ProblemsEnsuring Solutions to Alcohol Problems
Contact us at:
Eric Goplerud, Ph.D.
Ensuring Solutions to Alcohol Problems
George Washington University Medical Center
2021 K St., N.W., Suite 800
Washington, DC 20006
www.EnsuringSolution.org
202-530-2302
Contact us at:
Eric Goplerud, Ph.D.
Ensuring Solutions to Alcohol Problems
George Washington University Medical Center
2021 K St., N.W., Suite 800
Washington, DC 20006
www.EnsuringSolution.org
202-530-2302