Behavioral Health Risk Assessment: Predicting Absenteeism and

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Behavioral Health Risk Assessment  Predicting
Absenteeism and Workmans Compensation Claims
with the Gain Short Screener
Richard Lennox Michael Dennis Mark Godley David
Sharar
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Behavioral Health Risk Assessment  Predicting
Absenteeism and Workmans Compensation Claims
with the Gain Short Screener
This study was designed to assess the capacity
of the GAIN Short Screener (GSS) as a behavioral
health risk measure that can detect absenteeism
and workman compensation claims in a population
of employees and their dependents.  The GSS is a
twenty-item version of the 2 hour full
biospychosocial version of the GAIN I.  The GSS
has been extensively validated and has been shown
to share approximately 80 of its total variance
with the full GAIN's core psychopathology
measures.  Using GSS data from 1469 employees
collected as part of a voluntary health risk
assessment we will show that the GSS
is predictive of absenteeism and workman's
compensation claims.   The results provided
evidence that behavioral health issues are
prevalent in the work force and important
predictors of these key workplace outcomes. The
discussion suggests that routine use of the GSS
could provide a basis for detecting persons at
risk of these and other types of adverse
workplace characteristics and could be used to
target them for EAP or other assertive or early
intervention programs. Employers are advised to
carefully examine the type of behavioral health
questions that are inserted into an HRA to insure
the behavioral health questions have predictive
value.
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ADM Pilot (n1469) with an earlier 14 item version
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ADM Pilot (n1469) Triaged by Severity
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Workmans Comp Claims Paid (138,362 total)in
the Next 12 Months by Individual (n44)
Source ADM Pilot (n44 with claims 3 of 1469)
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Percent with High Cost (gt6900) Workmans Comp
Claims in the 12 months before and after
screening by Severity
2.0
1.8
1.6
1.4
1.3
1.2
1.0
0.8
0.7
0.6
0.4
0.4
0.2
0.0
0.0
Before
After
Before
After
Low (n761)
Mod/High (n708)
Source ADM Pilot (n1469)
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Hours Absent (72,576 Total)in the Next 12 Months
by Individual (n429)
Source ADM Pilot (n429 with hours 29 of
1469)
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Percent with Hours Absent (gt284 hours/year) in
the 12 months before and after screening by
Severity
6
5.2
5
4
3.3
3.1
3
2.6
2
1
0
Before
After
Before
After
Low (n761)
Mod/High (n708)
Source ADM Pilot (n1469)
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Clinical Sample of Workers 12 Months AfterSA
Treatment (n115)
0
20
40
60
80
100
76
15
9
Internal Disorder
90
3
7
External Disorder
Substance Use
35
56
8
Disorder
82
14
4
Violence and Crime
Total Disorder
31
17
53
Screener
Low
Moderate
High
Source ERI (Dennis Scott) Interviews
conducted between 1/05 and 5/05
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Costs of Service Utilization in the NEXT 12
Months by Total Disorder Screener (n115)
Source ERI (Dennis Scott) Interviews
conducted between 1/05 and 5/05 plt.05