1. Ensuring Solutions to Alcohol Problems Calculator: Impact of Alcohol-related Problems on the Workplace

2. Data 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

3. Percent of Employed Persons With Alcohol Abuse or Dependence Age Men Women 18 – 25 26-34 35 – 49 50 and over 19.4 10.1 4.2 12.2 7.6 3.5 3.3 0.9 Percent NHSDA, 2001

4. Prevalence of Alcohol Abuse/Dependence in the Workforce by Age and Gender Men Women Men Women NHSDA, 2001 18 - 25 26 - 34 35 - 49 50 + Percent of Workforce Age

5. Percent of Full Time Male Workers with Alcohol Dependence or Alcohol Abuse in Past Year by Industry NHSDA, 2001

6. Percent of Full Time Female Workers with Alcohol Dependence or Alcohol Abuse in Past Year by Industry NHSDA, 2001

7. Days Lost to Sick Days and Absent Non-Sick Days Associated with Alcohol Dependence and Alcohol Abuse per 1,000 Workers per Year NHSDA, 2001 Days per 1,000 Full Time Workers

8. At-Work Reduced Productivity Days Associated with Alcohol-Related Problems per 1,000 Workers per Year by Industry NCS, 1990-1992 Days per 1,000 Full Time Workers

9. 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

10. Illnesses 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)

11. 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)www.ensuringsolutions.org 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)www.ensuringsolutions.org 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 )_

12. Results 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

13. Ensuring 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