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The Evolution of Employee Assistance Programs: Historical Foundations and Modern Practices

Employee Assistance Programs (EAPs) represent a critical component of organizational human resource management, providing confidential support services to employees experiencing personal or work-related difficulties. This comprehensive review examines the historical development of Employee Assistance Programs from their origins in industrial welfare movements to their current role as integral components of workplace wellness initiatives. The evolution of Employee Assistance Programs reflects broader changes in workplace culture, mental health awareness, and organizational responsibility for employee wellbeing. Through analysis of historical documentation and contemporary research, this article traces the transformation of Employee Assistance Programs from basic alcoholism treatment services to comprehensive behavioral health and work-life balance support systems. The findings demonstrate how Employee Assistance Programs have adapted to changing workforce demographics, technological advances, and evolving organizational needs while maintaining their core mission of supporting employee productivity and wellbeing. Understanding this evolution provides essential context for contemporary implementation and optimization of Employee Assistance Programs in diverse organizational settings.

Introduction

Employee Assistance Programs have undergone substantial transformation since their inception in the early 20th century, evolving from narrow occupational alcoholism programs to comprehensive support systems addressing diverse employee needs (Dickman & Challenger, 2009). The development of Employee Assistance Programs reflects broader societal shifts in understanding mental health, workplace responsibility, and the interconnection between personal wellbeing and professional performance. Contemporary Employee Assistance Programs serve millions of workers globally, offering services ranging from crisis intervention to preventive wellness education, demonstrating their essential role in modern organizational management.

The historical trajectory of Employee Assistance Programs illustrates how workplace interventions have adapted to changing social, economic, and technological contexts while maintaining focus on supporting employee productivity and organizational effectiveness (Csiernik, 2011). Early Employee Assistance Programs emerged from recognition that personal problems significantly impact workplace performance, leading forward-thinking organizations to invest in employee support services. This investment philosophy has persisted throughout the evolution of Employee Assistance Programs, though the scope and delivery methods have expanded dramatically.

Understanding the evolution of Employee Assistance Programs requires examination of multiple interconnected factors including industrial psychology developments, healthcare system changes, legal and regulatory influences, and technological innovations. The transformation of Employee Assistance Programs from employer-sponsored alcoholism treatment to comprehensive behavioral health services reflects growing recognition of the complex factors affecting employee performance and organizational success. This historical perspective provides essential foundation for contemporary Employee Assistance Programs implementation and strategic development.

Historical Origins of Employee Assistance Programs

Industrial Welfare and Early Workplace Support

The earliest precursors to Employee Assistance Programs emerged during the Industrial Revolution when enlightened employers recognized the connection between worker wellbeing and productivity (Googins, 1975). Companies such as H.J. Heinz and Eastman Kodak implemented welfare programs in the late 1800s and early 1900s that included medical care, educational opportunities, and recreational facilities for employees and their families. These early workplace welfare initiatives established the philosophical foundation for Employee Assistance Programs by acknowledging employer responsibility for worker wellbeing beyond basic wage compensation.

Industrial welfare programs of the early 20th century typically focused on improving working conditions, providing healthcare services, and promoting moral behavior among workers (Brandes, 1976). While these programs differed significantly from modern Employee Assistance Programs, they established important precedents for employer investment in employee support services. The paternalistic approach of early industrial welfare programs reflected contemporary social values while demonstrating practical benefits in terms of reduced turnover, improved productivity, and enhanced company reputation.

The transition from general welfare programs to targeted Employee Assistance Programs began with growing recognition of alcohol-related problems in the workplace during the 1940s and 1950s. Industrial physicians and personnel managers observed patterns of absenteeism, accidents, and performance problems associated with employee alcohol use, leading to development of specific interventions. This shift toward problem-focused assistance marked the beginning of the modern Employee Assistance Programs model, emphasizing early identification and treatment referral rather than purely punitive responses to workplace difficulties.

Occupational Alcoholism Programs

The direct predecessors of contemporary Employee Assistance Programs emerged in the 1940s as occupational alcoholism programs designed to address widespread workplace alcohol abuse (Trice & Schonbrunn, 1981). DuPont Company launched one of the first systematic workplace alcoholism programs in 1942, establishing a model that emphasized constructive confrontation, treatment referral, and job security for employees seeking help. This approach represented a significant departure from traditional disciplinary responses to alcohol-related performance problems, instead viewing alcoholism as a treatable medical condition.

Occupational alcoholism programs gained momentum during the 1950s and 1960s as research documented the prevalence and costs of workplace alcohol abuse (Roman & Trice, 1976). The Kemper Insurance Group, Caterpillar, and other major corporations developed comprehensive alcoholism programs that included supervisor training, employee education, and partnerships with community treatment providers. These early programs established key principles that continue to guide Employee Assistance Programs, including confidentiality, voluntary participation, and focus on job performance rather than personal behavior.

The success of occupational alcoholism programs in reducing absenteeism, accidents, and turnover provided compelling evidence for employer investment in employee support services (Trice & Roman, 1978). Program evaluations demonstrated significant return on investment through reduced healthcare costs, improved productivity, and decreased disciplinary actions. This evidence base supported expansion of occupational programs beyond alcoholism to address other behavioral health issues, setting the stage for the comprehensive Employee Assistance Programs model that emerged in the 1970s.

The Association of Labor-Management Administrators and Consultants on Alcoholism, founded in 1971, played a crucial role in professionalizing occupational alcoholism programs and establishing practice standards (Googins & Godfrey, 1987). This organization, later renamed the Employee Assistance Professionals Association, provided training, certification, and advocacy that supported the growth and development of Employee Assistance Programs. The establishment of professional standards and training requirements helped legitimize Employee Assistance Programs as specialized organizational interventions requiring specific knowledge and skills.

Expansion and Formalization of Employee Assistance Programs

The Broad-Brush Approach

The transformation of occupational alcoholism programs into comprehensive Employee Assistance Programs accelerated during the 1970s with adoption of the “broad-brush” approach that addressed multiple employee problems rather than focusing solely on alcohol abuse (Kurtz, Googins, & Howard, 1984). This paradigm shift recognized that various personal and family problems could impact workplace performance, including marital difficulties, financial stress, legal issues, and emotional disorders. The broad-brush model expanded the reach and effectiveness of Employee Assistance Programs by reducing stigma associated with program utilization and providing support for a wider range of employee needs.

Federal legislation played a significant role in promoting the broad-brush approach to Employee Assistance Programs through the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment, and Rehabilitation Act of 1970 and subsequent amendments (Roman, 1981). These laws encouraged federal agencies and contractors to develop employee assistance programs while providing funding for program development and evaluation. The federal government’s support for Employee Assistance Programs validated their effectiveness and encouraged private sector adoption of similar programs.

The Drug-Free Workplace Act of 1988 further expanded the scope of Employee Assistance Programs by requiring federal contractors to implement comprehensive substance abuse programs that included employee assistance components (Hartwell et al., 1996). This legislation mandated that Employee Assistance Programs address both alcohol and drug abuse while providing treatment referral and support services for affected employees. The regulatory framework established by federal legislation helped standardize Employee Assistance Programs practices and ensured consistent quality across different organizational settings.

Research conducted during the 1980s and 1990s provided strong empirical support for the broad-brush approach to Employee Assistance Programs (Blum & Roman, 1995). Studies demonstrated that comprehensive Employee Assistance Programs achieved higher utilization rates and greater cost-effectiveness compared to programs focused solely on alcoholism treatment. The evidence base supporting comprehensive Employee Assistance Programs encouraged widespread adoption across diverse industries and organizational contexts.

Professional Development and Standards

The professionalization of Employee Assistance Programs accelerated during the 1980s with establishment of formal training programs, certification requirements, and practice standards (Maiden, 1992). The Employee Assistance Professionals Association developed core competencies for Employee Assistance Programs practitioners, including knowledge of organizational behavior, counseling techniques, referral resources, and program evaluation methods. These professional standards enhanced the credibility and effectiveness of Employee Assistance Programs by ensuring that practitioners possessed appropriate qualifications and training.

Certification programs for Employee Assistance Programs professionals emerged during the 1980s to establish minimum competency standards and promote ethical practice (White & Sharar, 2012). The Certified Employee Assistance Professional (CEAP) credential became the primary certification for Employee Assistance Programs practitioners, requiring specific education, experience, and examination requirements. Professional certification helped legitimize Employee Assistance Programs as specialized organizational interventions requiring dedicated expertise and training.

The development of Employee Assistance Programs professional standards also addressed ethical issues related to confidentiality, dual relationships, and competing loyalties between employees and employers (Googins & Godfrey, 1987). Professional codes of ethics established clear guidelines for Employee Assistance Programs practitioners regarding information sharing, treatment referrals, and advocacy responsibilities. These ethical frameworks helped build trust in Employee Assistance Programs among both employees and management by ensuring appropriate boundaries and confidentiality protections.

Graduate degree programs in Employee Assistance Programs and related fields expanded during the 1990s to meet growing demand for qualified professionals (Sharar & White, 2015). Universities began offering specialized coursework in Employee Assistance Programs administration, workplace mental health, and organizational consultation. The development of academic programs provided theoretical foundation and research base for Employee Assistance Programs practice while preparing the next generation of program administrators and clinicians.

Technological Innovation and Service Delivery Evolution

Telephone and Digital Platforms

The introduction of telephone-based Employee Assistance Programs services in the 1980s revolutionized program accessibility and utilization by providing 24/7 support and eliminating geographical barriers (Oss & Clary, 1998). Telephone counseling allowed employees to access Employee Assistance Programs services without leaving their workplace or home, reducing stigma and increasing convenience. The development of toll-free hotlines and crisis intervention services expanded the reach of Employee Assistance Programs beyond traditional face-to-face counseling models.

Advances in telecommunications technology during the 1990s enabled Employee Assistance Programs providers to offer more sophisticated telephone-based services including assessment, short-term counseling, and specialized consultation (Attridge, 2012). Interactive voice response systems allowed employees to access information and resources autonomously while maintaining confidentiality. The integration of telephone and computer systems enhanced Employee Assistance Programs efficiency and enabled better tracking of service utilization and outcomes.

The emergence of internet-based Employee Assistance Programs services in the late 1990s and early 2000s provided new opportunities for program delivery and employee engagement (Reardon et al., 2009). Web-based portals offered employees access to self-help resources, educational materials, and online assessment tools. Electronic communication options including email counseling and chat sessions expanded service delivery options while maintaining confidentiality and convenience.

Mobile technology adoption in Employee Assistance Programs began in the 2000s with development of smartphone applications and mobile-optimized websites (Barrera et al., 2013). Mobile platforms enabled employees to access Employee Assistance Programs resources anywhere and anytime, further reducing barriers to service utilization. The integration of mobile technology with traditional Employee Assistance Programs services created hybrid delivery models that combined high-tech convenience with high-touch human support.

Data Analytics and Outcome Measurement

The application of data analytics to Employee Assistance Programs evaluation and improvement gained momentum during the 2000s as organizations sought evidence-based approaches to program management (Csiernik et al., 2006). Electronic data collection systems enabled Employee Assistance Programs administrators to track utilization patterns, demographic trends, and presenting problems in real-time. Advanced analytics capabilities allowed for predictive modeling and identification of high-risk employee populations requiring targeted interventions.

Return on investment calculations became increasingly sophisticated with development of comprehensive cost-benefit analysis models for Employee Assistance Programs (Sharar et al., 2009). These models incorporated direct program costs, productivity improvements, healthcare savings, and reduced absenteeism to demonstrate program value. Rigorous outcome measurement enhanced Employee Assistance Programs credibility with organizational leadership and supported program expansion and improvement efforts.

The integration of Employee Assistance Programs data with other human resource information systems enabled more comprehensive analysis of program impact and effectiveness (McPherson et al., 2010). Combined datasets allowed researchers and practitioners to examine relationships between Employee Assistance Programs utilization and various organizational outcomes including turnover, performance ratings, and healthcare utilization. This integrated approach to data analysis provided deeper insights into Employee Assistance Programs effectiveness and optimization opportunities.

Contemporary Employee Assistance Programs Models and Integration

Workplace Wellness Integration

Modern Employee Assistance Programs have increasingly integrated with broader workplace wellness initiatives to create comprehensive employee health and wellbeing programs (Goetzel et al., 2014). This integration recognizes the interconnected nature of physical health, mental health, and workplace performance while eliminating artificial boundaries between different support services. Contemporary Employee Assistance Programs often coordinate with health promotion programs, disease management initiatives, and occupational health services to provide holistic employee support.

The integration of Employee Assistance Programs with workplace wellness programs has enhanced program effectiveness by addressing multiple risk factors simultaneously (Baicker et al., 2010). Employees experiencing stress, for example, may benefit from both Employee Assistance Programs counseling services and wellness program stress management resources. This coordinated approach reduces duplication of services while maximizing program impact and cost-effectiveness.

Wellness-integrated Employee Assistance Programs models typically include expanded preventive services such as health screenings, educational workshops, and lifestyle coaching (Berry et al., 2010). These programs recognize that preventing problems is more cost-effective than treating them after they develop. The shift toward prevention and early intervention has become a defining characteristic of contemporary Employee Assistance Programs, reflecting broader trends in healthcare and public health.

Technology platforms have facilitated the integration of Employee Assistance Programs with wellness programs by providing unified access points and shared data systems (Pronk, 2014). Employees can access multiple services through single portals while administrators can track comprehensive utilization and outcomes. This technological integration has improved user experience and program coordination while providing valuable data for continuous improvement efforts.

Global Expansion and Cultural Adaptation

The globalization of business has led to international expansion of Employee Assistance Programs, requiring adaptation to diverse cultural contexts and regulatory environments (Csiernik, 2004). Multinational corporations have implemented Employee Assistance Programs across multiple countries while adapting service delivery and content to local cultural norms and legal requirements. This global expansion has demonstrated the universal applicability of Employee Assistance Programs principles while highlighting the importance of cultural sensitivity in program design.

Cultural adaptation of Employee Assistance Programs involves modification of service delivery methods, therapeutic approaches, and program marketing to align with local values and communication styles (Sharar et al., 2014). For example, Employee Assistance Programs in collectivistic cultures may emphasize family and group interventions while programs in individualistic cultures focus on personal counseling. Understanding cultural differences in help-seeking behavior, stigma, and authority relationships is essential for effective international Employee Assistance Programs implementation.

Regulatory compliance represents a significant challenge for international Employee Assistance Programs, as privacy laws, healthcare regulations, and employment standards vary significantly across countries (Attridge, 2019). Employee Assistance Programs providers must navigate complex legal frameworks while maintaining program quality and consistency. The development of global service delivery networks has enabled Employee Assistance Programs providers to offer localized services while maintaining international standards and coordination.

Research on international Employee Assistance Programs effectiveness has demonstrated positive outcomes across diverse cultural contexts, supporting the universal value of workplace support programs (Kirk & Brown, 2003). However, program utilization rates and preferred service modalities vary significantly across cultures, highlighting the importance of localized program design. This research base has informed best practices for international Employee Assistance Programs development and implementation.

Specialized Populations and Emerging Challenges

Contemporary Employee Assistance Programs have developed specialized services for specific employee populations including healthcare workers, first responders, military personnel, and remote workers (Bober & Regehr, 2006). These specialized programs address unique stressors and support needs of different occupational groups while maintaining core Employee Assistance Programs principles. The development of population-specific services has enhanced program relevance and effectiveness for diverse workforce segments.

The COVID-19 pandemic accelerated Employee Assistance Programs adaptation to support remote workers and address pandemic-related stressors (Giorgi et al., 2020). Employee Assistance Programs providers rapidly expanded digital service delivery options and developed specialized resources addressing isolation, work-life balance challenges, and health anxiety. The pandemic experience has permanently altered Employee Assistance Programs service delivery with increased emphasis on virtual services and crisis response capabilities.

Emerging workplace challenges including cybersecurity threats, artificial intelligence adoption, and changing employment relationships have created new demands for Employee Assistance Programs services (Hu et al., 2019). Modern Employee Assistance Programs increasingly address technology-related stress, career transition support, and adaptation to organizational change. The evolution of work itself continues to drive Employee Assistance Programs innovation and service expansion.

Mental health awareness and reducing stigma have become central focus areas for contemporary Employee Assistance Programs, reflecting broader societal shifts in understanding psychological wellbeing (Harvey et al., 2014). Employee Assistance Programs now play active roles in workplace mental health promotion through educational campaigns, supervisor training, and peer support programs. This proactive approach represents a significant evolution from the traditional reactive model of Employee Assistance Programs service delivery.

Conclusion

The evolution of Employee Assistance Programs from occupational alcoholism programs to comprehensive workplace wellness initiatives demonstrates the adaptability and enduring value of employer-sponsored employee support services. This historical progression reflects broader changes in workplace culture, healthcare delivery, and understanding of the factors affecting employee performance and organizational success. Contemporary Employee Assistance Programs represent sophisticated integration of clinical services, technology platforms, and organizational consultation designed to support diverse employee needs in complex work environments.

The transformation of Employee Assistance Programs service delivery through technological innovation has fundamentally altered program accessibility and effectiveness while maintaining core principles of confidentiality and voluntary participation. Digital platforms, mobile applications, and data analytics have enhanced Employee Assistance Programs capabilities while creating new opportunities for prevention, early intervention, and outcome measurement. These technological advances have positioned Employee Assistance Programs as essential components of modern human resource management systems.

Future development of Employee Assistance Programs will likely focus on continued integration with broader workplace wellness initiatives, expansion of preventive services, and adaptation to emerging workforce challenges. The globalization of Employee Assistance Programs requires ongoing attention to cultural adaptation and regulatory compliance while maintaining program quality and effectiveness. Research and evaluation will continue to play crucial roles in demonstrating Employee Assistance Programs value and guiding program improvements.

The historical evolution of Employee Assistance Programs provides valuable lessons for contemporary program development and implementation. Understanding this evolution helps organizations and practitioners make informed decisions about program design, service delivery, and strategic positioning within broader organizational systems. The enduring success of Employee Assistance Programs demonstrates the fundamental importance of supporting employee wellbeing as a pathway to organizational effectiveness and social responsibility.

References

  1. Attridge, M. (2012). Employee assistance programs: Evidence for effectiveness. In R. J. Gatchel & I. Z. Schultz (Eds.), Handbook of occupational health and wellness (pp. 439-461). Springer.
  2. Attridge, M. (2019). A global perspective on promoting workplace mental health and the role of employee assistance programs. American Journal of Health Promotion, 33(4), 622-629. https://doi.org/10.1177/0890117118817482
  3. Baicker, K., Cutler, D., & Song, Z. (2010). Workplace wellness programs can generate savings. Health Affairs, 29(2), 304-311. https://doi.org/10.1377/hlthaff.2009.0626
  4. Barrera, M., Castro, F. G., Strycker, L. A., & Toobert, D. J. (2013). Cultural adaptations of behavioral health interventions: A progress report. Journal of Consulting and Clinical Psychology, 81(2), 196-205. https://doi.org/10.1037/a0027085
  5. Berry, L. L., Mirabito, A. M., & Baun, W. B. (2010). What’s the hard return on employee wellness programs? Harvard Business Review, 88(12), 104-112.
  6. Blum, T. C., & Roman, P. M. (1995). Cost-effectiveness and preventive implications of employee assistance programs. Rockville, MD: Substance Abuse and Mental Health Services Administration.
  7. Bober, T., & Regehr, C. (2006). Strategies for reducing secondary or vicarious trauma: Do they work? Brief Treatment and Crisis Intervention, 6(1), 1-9. https://doi.org/10.1093/brief-treatment/mhj001
  8. Brandes, S. D. (1976). American welfare capitalism, 1880-1940. University of Chicago Press.
  9. Csiernik, R. (2004). A review of EAP evaluation in the 1990s. Employee Assistance Quarterly, 19(4), 21-37. https://doi.org/10.1300/J022v19n04_02
  10. Csiernik, R. (2011). The glass is filling: An examination of employee assistance program evaluations in the first decade of the new millennium. Employee Assistance Quarterly, 26(4), 334-355. https://doi.org/10.1080/07347324.2011.625939
  11. Csiernik, R., Datti, P. A., & Adams, J. (2006). Evaluation of an employee assistance program at a transportation company. Employee Assistance Quarterly, 21(2), 1-10. https://doi.org/10.1300/J022v21n02_01
  12. Dickman, F., & Challenger, B. R. (2009). Employee assistance programs: A historical sketch. In F. Dickman, W. G. Emener, & W. S. Hutchison (Eds.), Counseling the troubled person in industry (pp. 34-53). Charles C Thomas.
  13. Giorgi, G., Lecca, L. I., Alessio, F., Finstad, G. L., Bondanini, G., Lulli, L. G., … & Mucci, N. (2020). COVID-19-related mental health effects in the workplace: A narrative review. International Journal of Environmental Research and Public Health, 17(21), 7857. https://doi.org/10.3390/ijerph17217857
  14. Goetzel, R. Z., Henke, R. M., Tabrizi, M., Pelletier, K. R., Loeppke, R., Ballard, D. W., … & White, J. (2014). Do workplace health promotion (wellness) programs work? Journal of Occupational and Environmental Medicine, 56(9), 927-934. https://doi.org/10.1097/JOM.0000000000000211
  15. Googins, B. K. (1975). Avoidance of the alcoholic employee. Journal of Occupational Medicine, 17(3), 161-166.
  16. Googins, B. K., & Godfrey, J. (1987). Occupational social work. Prentice Hall.
  17. Hartwell, T. D., Steele, P. D., French, M. T., Potter, F. J., Rodman, N. F., & Zarkin, G. A. (1996). Aiding troubled employees: The prevalence, cost, and characteristics of employee assistance programs in the United States. American Journal of Public Health, 86(6), 804-808. https://doi.org/10.2105/ajph.86.6.804
  18. Harvey, S. B., Milligan-Saville, J. S., Paterson, H. M., Harkness, E. L., Marsh, A. M., Dobson, M., … & Henderson, M. (2014). The mental health of fire-fighters: An examination of the impact of repeated trauma exposure. Australian & New Zealand Journal of Psychiatry, 50(7), 649-658. https://doi.org/10.1177/0004867415615217
  19. Hu, B., Gong, J., Zhou, Y., Huang, Q., Tang, Y., Zhang, L., … & Li, H. (2019). The psychological status of medical staff and students in China during the COVID-19 epidemic. Psychiatry Research, 293, 113441. https://doi.org/10.1016/j.psychres.2020.113441
  20. Kirk, A. K., & Brown, D. F. (2003). Employee assistance programs: A review of the management of stress and wellbeing through workplace counselling and consulting. Australian Psychologist, 38(2), 138-143. https://doi.org/10.1080/00050060310001707137
  21. Kurtz, N. R., Googins, B. K., & Howard, W. C. (1984). Measuring the success of occupational alcoholism programs. Journal of Studies on Alcohol, 45(1), 33-45. https://doi.org/10.15288/jsa.1984.45.33
  22. Maiden, R. P. (1992). Employee assistance programs in South Africa. Social Work, 37(2), 155-160.
  23. McPherson, T. L., Goplerud, E., Olufokunbi-Sam, D., Jacobus-Kantor, L., Walsh, L., & Curtiss, L. (2010). State strategies to expand and sustain comprehensive workplace alcohol and drug programs. Journal of Behavioral Health Services & Research, 37(4), 394-404. https://doi.org/10.1007/s11414-009-9190-x
  24. Oss, M. E., & Clary, J. (1998). Outcomes management: The implications for EAPs. Employee Assistance Quarterly, 14(2), 1-14. https://doi.org/10.1300/J022v14n02_01
  25. Pronk, N. P. (2014). Best practice design principles of worksite health and wellness programs. ACSM’s Health & Fitness Journal, 18(1), 42-46. https://doi.org/10.1249/FIT.0000000000000012
  26. Reardon, J., Williams, N. L., & Ziemer, K. S. (2009). The impact of technology on EAP service delivery. Journal of Employee Assistance, 39(2), 18-20.
  27. Roman, P. M. (1981). From employee alcoholism to employee assistance: Deemphasis on prevention and alcohol problems in work-based programs. Journal of Studies on Alcohol, 42(3), 244-272. https://doi.org/10.15288/jsa.1981.42.244
  28. Roman, P. M., & Trice, H. M. (1976). Alcohol abuse and work organizations. In B. Kissin & H. Begleiter (Eds.), The biology of alcoholism: Vol. 4. Social aspects of alcoholism (pp. 445-518). Plenum Press.
  29. Sharar, D. A., Pompe, J. C., & Lennox, R. D. (2009). Evaluating the workplace effects of EAP counseling. Journal of Workplace Behavioral Health, 24(3), 336-347. https://doi.org/10.1080/15555240903188372
  30. Sharar, D. A., Hertenstein, E., Sheridan, A., Clarke, H., McLeod, J., & White, W. L. (2014). Do employee assistance programs offer effective secondary prevention for alcohol problems? A research review and recommendations. Journal of Employee Assistance, 44(2), 14-17.
  31. Sharar, D. A., & White, W. L. (2015). The evolution of employee assistance: A chronological review of key developments. EAP Association Exchange, 45(3), 8-12.
  32. Trice, H. M., & Roman, P. M. (1978). Spirits and demons at work: Alcohol and other drugs on the job (2nd ed.). New York State School of Industrial and Labor Relations, Cornell University.
  33. Trice, H. M., & Schonbrunn, M. (1981). A history of job-based alcoholism programs: 1900-1955. Journal of Drug Issues, 11(2), 171-198. https://doi.org/10.1177/002204268101100204
  34. White, W. L., & Sharar, D. A. (2012). Early workplace addiction interventions in America: Toward a historical understanding of addiction recovery mutual aid and professional treatment. Alcoholism Treatment Quarterly, 30(3), 275-295. https://doi.org/10.1080/07347324.2012.691023