TY - JOUR KW - Adolescent KW - Adult KW - Employer Health Costs KW - Female KW - Health Benefit Plans, Employee/utilization KW - Health Promotion/economics/utilization KW - Health Services Research KW - Humans KW - Income/statistics & numerical data KW - Male KW - Mental Disorders/economics/epidemiology/therapy KW - Mental Health Services/economics/utilization KW - Middle Aged KW - Occupational Health Services/economics/utilization KW - Patient Acceptance of Health Care/statistics & numerical data KW - Socioeconomic Factors KW - Southeastern United States/epidemiology KW - Substance-Related Disorders/economics/epidemiology/therapy AU - J. V. Trudeau AU - D. K. Deitz AU - R. F. Cook A1 - AB - The study sought to (1) model demographic and employment-related influences on behavioral health care utilization and cost; (2) model behavioral health care utilization and cost influences on general health care cost, job performance, and earnings; and (3) assess workplace-based health promotion's impact on these factors. Behavioral health care utilization was more common in employees who were female, over age 30, with below-median earnings, or with above-median general (non-behavioral) health care costs. Among employees utilizing behavioral health care, related costs were higher for employees with below-median earnings. Employees utilizing behavioral health care had higher general health care costs and received lower performance ratings than other employees. Health promotion participants were compared with a nonparticipant random sample matched on gender, age, and pre-intervention behavioral health care utilization. Among employees without pre-intervention behavioral health care, participants and nonparticipants did not differ in post-intervention utilization. Among employees utilizing behavioral health care adjusting for pre-intervention costs, participants had higher short-term post-intervention behavioral health care costs than nonparticipants. BT - The journal of behavioral health services & research C5 - Education & Workforce; Financing & Sustainability CP - 1 CY - United States IS - 1 JF - The journal of behavioral health services & research N2 - The study sought to (1) model demographic and employment-related influences on behavioral health care utilization and cost; (2) model behavioral health care utilization and cost influences on general health care cost, job performance, and earnings; and (3) assess workplace-based health promotion's impact on these factors. Behavioral health care utilization was more common in employees who were female, over age 30, with below-median earnings, or with above-median general (non-behavioral) health care costs. Among employees utilizing behavioral health care, related costs were higher for employees with below-median earnings. Employees utilizing behavioral health care had higher general health care costs and received lower performance ratings than other employees. Health promotion participants were compared with a nonparticipant random sample matched on gender, age, and pre-intervention behavioral health care utilization. Among employees without pre-intervention behavioral health care, participants and nonparticipants did not differ in post-intervention utilization. Among employees utilizing behavioral health care adjusting for pre-intervention costs, participants had higher short-term post-intervention behavioral health care costs than nonparticipants. PP - United States PY - 2002 SN - 1094-3412 SP - 61 EP - 74 EP - T1 - Utilization and cost of behavioral health services: Employee characteristics and workplace health promotion T2 - The journal of behavioral health services & research TI - Utilization and cost of behavioral health services: Employee characteristics and workplace health promotion U1 - Education & Workforce; Financing & Sustainability U2 - 11840905 VL - 29 VO - 1094-3412 Y1 - 2002 ER -