Employee assistance programs have developed from alcoholism assessment
and referral centers to specialized behavioral health programs.
Comprehensive employee assistance programs are defined by six major
components: identification of problems based on job performance,
consultation with supervisors, constructive confrontation, evaluation and
referral, liaison with treatment providers, and substance abuse expertise.
Other services have been added as enhancements to the basic model and
include managed behavioral health activities and professional assistance
committees, which provide services for impaired professionals and
executives. Recent developments in the field are illustrated through
examples from the experience of the employee assistance program at the
University of Maryland Medical System in Baltimore.