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The Almacan 1987

Item Type Newsletter/Magazine

Publication Date 1987

Keywords Employee assistance programs--United States--Periodicals; Alcoholism and employment--United States--Periodicals; Drugs and employment--United States--Periodicals; Employees-- Counseling of--United States--Periodicals; Association of Labor- Management Administrators and Consultants on Alcoholism (U.S.)

Publisher Arlington, VA: Association of Labor-Management Administrators and Consultants on Alcoholism, Inc.

Download date 09/10/2021 18:09:37

Item License https://creativecommons.org/licenses/by-nc-nd/4.0/

Link to Item http://hdl.handle.net/10713/6676 Vol. 17, No.9 September 1987

Published mnnlhk by Ati+oc inliun u(I abnr-Manatiemenl Adminid raton and (on.uhanh un Ali nhulitim •.'tea,^ An In~ernalional A~tiuc iatiun ui Pru(e~.innah in Cmpluvi'e Ati~{slam e Nrn~rann

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STCAD~'~ 1986 Conference Registrant

1'or over a decade, S1,CAll°" conference registrants Alcoholism have long been the standard the others have J~een telling us the thil~gs we like to he~u~. meastu-e fihemselves hy. "The best conference I know of—educates and \fie would like to send you the neat issues of recharges at the same tine:' and "I thoroughly enjoyed Conference Update—complete with details about the conference... especially the netwarking SLCAD~" and the other fine Charter Medical opportunities" are typical of the comments v~~e get. conferences. "7'he program was e~ccptionally well planned and the Call us at 1-800-845-1567 (912-742-1161 in GA) or speakers wcrc outstanding..." and "The warmth and ir~ail in the attached coupon. sharing are just as impvrlanL as ll~e material presented" are lust a few of the many of the praises we receive. Come share the Over the ye~ir~ ~~e have tried to do just one thing— Experience... ~ malteyour experience at SECAD~v the must important thing you do al] year. E~~ tiVe ivlow we're on the ~fight track. ~- As one registrant put it—"This is my first SLCAD"~'—but it won't be my last!" ~-1987 Our conferences like SI~,CAi)~'' The Western Conference oi~ Addiction anti The World Conference on The Southeastern Conference on ~~ Alcohol and Drug Abuse December 2-6, 1987 — Atlanta ~~a~~~ ~~~~~~,eate

r------c,~eak?ri~ ~~Q7 ~ ~~~- .~ ~ , ~ Call or send for your free copy of Conference Update—containing the latest informa- OO ~ 1~' ~ ,... "~' ~+ tion about Charter Medical conferences. s 1~ "„.. "- ~ ALM-7 ,~. ~` ^r„,~""w„"'"-~' Cd~Xp¢~tie►~ NAME

~•rte" ~~~r~,~,°~ .w«; \~;,~.., , FACILITY p~~'"~w~'wy°w ~~n~~'`~a~ - ~ ADDRESS

C[TY, STATL, ZIP Cafl 1-800-845-1567 4912-742-1161 in GA) Or send to _Charter Medical Corporation, Pat Fields, P.O. Box 209, Macon, GA 31298_ J

(ml Charter ~1edic

refer employees for treatment:' He adds, .~ .n. p "The reasons are simple: no nonsense, no j. frills, five day family week, based on a twelve step program, and treatment is cost- sx; effective:' i John isn't the only EAP director who's .~~ using Heartview. More and more companies are switching because Heartview is recognized as one of the most effective, efficient treatment programs in the United States. Call or write us today for`more information.

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HEARTVIEW FOUNDATION 1406 2nd St. lVW Mandan, ND 58554 (701) 663.2321 Opening soon in Shawnee, Kansas Cedar Ridge the newest member of the Mediplex Family.

For years now, men, women and And in keeping with the Mediplex com- adolescents have begun recovery from mitment to create environments that the disease of chemical dependence at enhance recovery, Cedar Ridge is at- Mediplex Alcohol and Substance tractively designed, appointed and sit- Abuse Treatment Centers. uated on 25 tranquil, rural acres. Now Mediplex is coming to Shawnee, If you're not yet familiar with the Kansas, just outside of Kansas City. To Mediplex difference in quality care and open Cedar Ridge — an 80-bed resi- clinical effectiveness, we encourage you dential treatment facility for addiction to to become so. And invite you to ar- alcohol and other drugs —this winter. range avisit at the facility. And to provide the same quality of After only two years in operation, our care, clinical expertise and proven first facility, Spofford Hall, was named treatment programs to the greater one of the "seven finest treatment facil- Kansas City area. ities in the country" by a leading na- In keeping with our experience in the tional consumer publication. We'd like effectiveness of special issue focus, to show you why. Cedar Ridge will offer well defined pro- Call any facility, anytime. For additional grams for: Women, Adolescents, Fam- information —about treatment in gen- ilies and Cocainists. All of which are eral or a career with Mediplex —call rooted in 12 Step Recovery Program our corporate headquarters directly. principles.

~~~ Med pI ex The Mediplex Group, Inc. Alcohol and Substance Abuse Division 15 Walnut Street, Wellesley, MA 02181 (617)446-6900 Arms Acres - Seminary Hill Road, Carmel, NY 10512(914) 225-3400 Cedar Ridge - 7405 Renner Road, Shawnee, KS 66217(913) 631-1900 Conifer Park - Glenridge Road, Scotia, NY 12302(518) 399-6446 Mountain Wood -Old Lynchburg Road, Charlottesville, VA 22905(804) 971-8245 Spofford Hall -Route 9A, Spofford, NH 03462 (603)363 -4545

4 THE ALMACAN SEPTEMBER 1987 ANNOUNCING A VERY SENSITIVE TEST FOR A VERB

Quantitative drug testing by analyzing human hair is destined to set a new standardfor sensitivity in detecting chemical use. It's called the RIAH Method (radioimmunoassay of hair) from Psychemedics. And it's based on the scientific fact that drugs in the bloodstream become fixed in hair as it grows—in proportion to the amount ingested. With the RIAH Method, drug contents are extracted by a special proprietary process. The extract is then analyzed by an FDA-approved radioimmunoassay technique, With a few strands of hair, detection of such substances as cocaine, marijuana, opiates, PCP and methaqualone is achieved—even among occasional users. And there's no unpleasant sample collection procedures. The result? You can chart a complete history of drug use or abstinence over several months or years—depending upon hair length. You may determine, for example, if a person has used cocaine, approximately when he or she did so, and whether the person is a light, heavy, or non-user. Equally important, the scientific basis of RIAH testing has been demonstrated after 10 years of study in leading, independent laboratories worldwide. Orders are now being accepted at our modern, fully equipped laboratory. For our new brochure, scientific papers or answers to specific questions, please contact: Psychemedics Corporation, 1807 Wilshire Blvd., Santa Monica, CA 90403, Telephone (213) 828-5224, Toll Free (800) 522-RIAH, In Calif. (800) 533-RIAH,

~~ PSYCHEIV~DICS :...... :.~A

TABLE OF THE COItITENTS ALMACAN

EXECUTIVE OFFICERS Gary Atkins, President Charlie Pilkington Vice President Operations Daniel C. Smith Vice Presiclen[ ?,ciministration Frank Burger, Secretary Candace Bibby, Treasurer REGIONAL BOARD MEMBERS Gary E. Fair Central Rcbion Representative Marcia Nagle (_astern Region Representative Bob Challenger Southern Region [Zepresentative Tamara Cagney ~h'eslern Region Representative William G. Durkin THE AIDS PUZZLE: Inteinalional Region, Representative EAP ROLE AND CORPORATE STRATEGY R.W.(Bub) LaRoy Canadian R~Kiun Represenlali~~c AIDS In the Workplace: The Role of EAPs COMMITTEE CHAIRPERSONS by John F. Bunker, Michael P. Eriksen and Terrence Cowan, Advisory Jennifer Kinsey William R. Schleicher, Annual M~~~eting Site Selection Jim Roth, Bylaws Helping the Employee with or AI Jack Dolan, Consultants ARC DS Donald Magruder, Development by Guenther Krueger Daniel J. Molloy, Education and ll~aining John J. Hennessy, Ethics Sally Lipscomb, Insurance George Cobbs, Labor CHICAGO 1987: THE ANNUAL MEETING Reily Regan, Legislative Daniel Lanier, Membership Bring Up the Curtain on Chicago Entertainment Mary S. Bernstein, Program Managers Andrea Foote, Research by Ken Fox Vacant, S~~e~izrl Prujects Robert Durris, Jr., Stari~iard~ Juhn Sch~varzluse, Treatinunt Betty Recldy, Women's Issues STAFF FEATURES Thomas J. Delaney, Jr. executive Director The Certified Employee Assistance Professionals. Judith Evans, Associate Director Joseph N. Avallone, Edita~

PUBLISHED BY:

Tf~e Association of Labor-Management DEPARTMENTS Administrators and Consultants on Alcoholism, Inc. From the Research Issues i t300 North Kent Street, ~uitc 907 Executive Director Arlington, VA 22"?09 Telephone (703) 522-6212 Legislative Update Chapters and Regions

C~) 1987. b}' Association of Labor-Management ALMACACIearinghouse EAP Infotracks Administrators and Consultants nn Alcohol- ism, Inc. Reproduction without written per- mission is expressly prohibited. Conferences Publication of signed articlrs doec not cnnsti- In the Mailbag and Meetings tufeendorsement of personal views of authors.

6 THE ALMACAN SEPTEMBER 1987 aye ~. ~o e~~s o~ vo~~ soy oar as ~e~r ease . • N~ARV'V~RTH • ~~1)OI.1~.S(.;1:1'~l~ (.~I 11~:~1IC~~L 1)}l'l:Nl)E~~~'~' ~I~~1~~11~111:A'~I~ Cl:A'~1~1:13 ~ I'~

SEPTEMBER 1987 THE ALMACAN 7 FROM THE EXECUTIVE DIRECTOR ,~ 9 by Thomas J. Delaney, CEAP Kathy LaTulippe was hired to be Executive Director, ALMACA A NEW membership coordinator. This had the COMMUNICATIONS DIRECTOR dual benefit of adding a full time per- This issue of the newsletter will be Earlier this year, ALMACA published a son to our membership services and distributed at the 16th ALMACA new pamphlet EAPs: Value and Im- freeing Ellen Millersothatsheonly has Annual Meeting in Chicago. On pact. There are many plans to con- to divide her energies between servic- behalf of everyone at the national office, tinue producing new informational ing the chapters and regions, and as- want to welcome you to Chicago and pieces to support al I of ALMACA's var- sisting Judith Evans in conference extend our best wishes for a successful ious interests. Currently, I am working management. Among other things, and rewarding meeting. with the executive committee to re- this has enabled Judith and Ellen to cruit aperson for the position of com- provide more support to the regional munications manager. This new per- committees while planning their re- CHICAGO PREPARATIONS son may be on board in time to meet gionalconferences. Under the direction of its chairperson, many of you in Chicago. Kathy LaTulippe has focussed much Mary Bernstein of GTE Corporation, One new pamphlet (which is now of her time on planning a national of- the program committee has worked available from ALMACA) describes a fice collection of chapter dues. Kathy hard to produce a program which renew professional liability insurance came to ALMACA from the American flects the interests and concerns of our policy available to ALMACA members. Society of Travel Agents and has re- community.. They have done an excel- In late July, all chapter presidents received great support in her new posi- lent .job. Under the leadership of ceived acopy of the Chapter Officer's tion from membership committee Chapter President Bob Sluzynski, the Manual. It is a loose-leaf binder and chairman, Dan Lanier. Illinois ALMACA Chapter will un- designed so that pages can be substi- As the ALMACA communications doubtedly be the most gracious of tuted oradded later as additional infor- concerns have increased, there comes hosts as they have already provided mation is developed. a need for more support services for its much help to Associate Directorludith activities, which includes certifica- Evans. Judith, of course, has done her tion, the EAP Clearinghouse, The AL- usual fine job of conference manage- NATIONAL OFFICE STAFF MACAN and other publications. After ment. The July issue of the ALMACAN fea- spending a year learning ALMACA The Annual Meeting seems like a tured two pages of pictures and short, while serving as my secretary, Mary natural time to look back on the events biographical sketches of ALMACA Schmidt became the administrative as- of the past year and then cite plans for staff. As new people join the staff, sistant to the communications group. the coming year. In this space in July, there will be further articles introduc- She has a tremendous workload and it wrote at length about the success of ing them. This was one of the recom- includes selling advertising in this ALMACA's efforts with certification mendations of the Organizational Re- newsletter, overseeing our office auto- and Knox Kneene. The certification view Committee which met three mation (we've just added a fourth PC), commission (EACC) will be working in times under the chairmanship of Vice and providing secretarial assistance to the next year to develop criteria for re- President for Operations Charles Pilk- our new fund raiser, Suzanne Martin, certification and make any modifica- ington and submitted its recommenda- who joined us in April. tionsthat an analysis of the first test re- tions to the Board of Directors at its Teresa Moore joined ALMACA in sults suggests. semiannual meeting in May in Indian- May as my new secretary. Teresa also The Knox Keene bill concerned an apolis. This recommendation was en- has previous association experience effort by state government to regulate dorsed by the chairperson of the AL- with the Michigan Eye Bank in Ann all EAP activity with standards that, at MACAN Advisory Committee, Terry Arbor. best, should apply only to a few. There Cowan. Terry and his committee con- is a possibility this will happen else- tinue to be a big help in maintaining where. Indeed, there was some con- the quality of the monthly newsletter. AS ALMACA GROWS cern that proposed New York State There have been several staff As ALMACA grows, the needs of our regulations for out-patient alcoholism changes and additions during the last membership increases. Vice President clinics would create the same problem. year. )oe Avallone became the editor for Administration Dan Smith has in- ALMACA Attorney William Carnehan of this newsletter just after last year's itiated several efforts this year to iden- was assured by the New York state al- annual meeting. Joe came to us from tify these and plan to meet them. One coholism director that there is no in- the American Society of Naval effort involved the use of computer tent to apply these regulations to EAP. Engineers. systems analysis from his employer,

8 THE ALMACAN SEPTEMBER 1987 • •

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If you or someone you love has a problem witr~ alcohol...

Please call (717) 563-1112.

A GeisingerAffiliat~ Waverly, PA 18471

SEPTEMBER 1987 THE ALAAACAN 9 F

The Grac

EXECUTIVE DIRECTOR CONT. The honorary cochairman of the McDonald Douglas, to examine where campaign is James Kemper, Jr. who and how computers could help the na- will be with us on the opening session tional office. Another suggestion in- on Sunday. The other cochairmen of cluded designing an organizational the "LEAP in the Future" Campaign structure to help me manage the office are President Gary Atkins, Jim O'Hair, more efficiently. Both of these recom- EAP counselor, Westinghouse De- mendations were approved at the May fense and Electronics Center, Balti- Board Meeting and are being im- more, and David Mercer, EAP man- plemented. ager, Morton Thiodol, Inc., Boston. Another project which ALMACA will undertake in the next year is the MAINTAINING THE development of a package of EAP STRATEGIC PLAN training materials. The Education and The ALMACA committees have been Training committee chaired by Dan busy this past year and several have Molloy has provided the background is patient centered. plans for 1988 to tackle issues which research for this process, which in- are important to you. President Gary cludes amodel EAP curricula pub- At Gracie Square Hospital, treatment for Atkins has been working with several lished in The ALMACAN earlier this the dually-diagnosed ispatient-centered of the board members who chair these year. Like the public policy project, rather than program-centered. For the committees to assure that these efforts the start of .the training project must patient with a psychiatric illness and a are coordinated and follow the objec- wait until the fund-raising campaign dependency on alcohol and/or drugs, the tives of the ALMACA Strategic Plan covers their initial costs. The national Dual-Focus Program places emphasis on which was adopted in 1985. A sub- treasurer Candace Bibby is being very real response to the specific what and the committee of the Ethics Committee helpful to me in balancing our needs crucial when of patient need. Augmenting chaired by Bob Matano of the Stanford with our fiscal resources but she is also its ability to respond creatively to need is Medical Center has revised the Code carrying out her major responsibilities, the program's cooperation with the of Ethics and Procedure. The chair of making certain that we remain finan- educational services of Breakthrough the Insurance Committee, Sally Lips- ciallysolvent. Concepts, Inc. comb, is organizing a study of how the variety of new benefits packages im- The goal of the Gracie Square Hospital pact on EAP and what EAP and AL- MUCH THANKS Dual-focus Program is for patients to MACA should advocate in this arena. Although Ellen Miller and Judith are function at their highest potential in life The Program Managers Committee very busy with the plans for the 1987 and on the job, and to better utilize self and the Legislative Committee, under Annual Meeting, they have already help groups after discharge. the chair of Mary Bernstein and Riley started working on the plans for 1988 Regan are also participating in the in Los Angeles. President Atkins has For Program Information study. chosen Greg DeLapp to be chairman and Admissions Call: of the Programs Committee for 1988 and L.A. Chapter President Ken Col- ~l, LEAP INTO THE FUTURE lins and his people are anxious to start 0 0 ~ [1Lfl~ The legislative Committee has in- working with Judith on the host ar- (212)988-4400 itiated amajor effort which ALMACA rangements. However, they have Gracie Square Hospital will embark on in the next year to in- agreed to give her a few weeks to tie up 420 East 76th Street crease our public policy capacity. 1987 and get a well deserved rest. New York, New York 10021 However, this depends on the success And so, all in all, it has been a very of the "LEAP into the Future" fund-rais- busy and productive year for the as- "JCAH Accredited. Licensed by the N.Y. ing campaign which will be kicked off sociation. Much thanks to al I of you for State Office of Mental Health, the N.Y. State in September. Division of Alcoholism and the N.Y. State You will be hearing the continued support generously pro- Division of Substance Abuse Services. much more about the need for funds vided to me and my staff. We can all from Suzanne Martin at the Annual be proud of what ALMACA has accom- Meeting. Each member's support is plished in 1987. Optimism is running vital to the success of the campaign. high as we LEAP into the Future. ❑

10 THE ALMACAN SEPTEMBER 1987 The Famii y Prog ram

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The Marworth Family Residence

If someone you love has an alcohol problem, the family residence at Marworth provides education, support, understanding and hope —for you. Family Treatment — a 5 day residential program specifically for family members –~ is an avenue for intervention, clear direction and recovery for family members of the alcoholic and chemically dependent person.

• ~

A Geisinger Affiliate

Waverly, PA 18471 (717) 563-1112

SEPTEMBER 1987 THE ALMACAN 11 LEGISLATIVE UPDATE

Congressional Action: Welfare Reform

by Patrice O'Toole ting any additional federal standards, Special to the ALMACAN and using existing programs more "...genuine effectively. employment opportunities ongress recessed the first week The administration favors an Aid to of August and will be back in Families with Dependent. Children represent the surest session Sept. 8. But before they (AFDC) youth initiative that would route out of poverty and left town, members of both Houses change the allocation formula for dependence for our had debated several proposals to re- funding the AFDC youth and summer form our welfare system. Four major employment programs under the )ob nation's welfare proposals are making their way through Training Partnership Act (JTPA). This families." the House and Senate this summer. proposal is included in HR 1155, the One of the bills introduced this "Trade, Employment and Productivity claim our current system makes wel- summer was drawn from final recom- Act of 1987." fare far more attractive than work. Spe- mendations made by the National A second proposal also would amend cific proposals would require welfare Governors' Association at their annual JTPA/AFDC by adding a new program recipients to enter mandatory work- summer meeting last month. The six- called Greater Opportunities Through fare programs in order to continue re- point plan is the basis of Sen. Patrick Work (GROW)to operate in conjunc- ceiving assistance payments. Recip- Moynihan's(D -NY) welfare reform bill— tion with the youth initiative. GROW ients would lose their benefits, if they The Family Security Act of 1987—in- calls for continued schooling for teens failed to enter these job programs and

troduced in mid-July. The recommen- without a high school diploma, and accept a suitable job when offered. dations made are supported strongly participation by other employable Under Moynihan's bill, court-ordered by Senate Democrats. A House Demo- AFDC recipients in a range of educa- child support payments would be auto- crat proposal, HR 1720, (The Family tional, training and employment-re- matically deducted from the absent Welfare Report Act of 1987), was in- lated activities including JTPA pro- parents paycheck. The plan also would troduced by Rep. Harold Ford (D- grams. This proposal has been intro- require states to establish remedial Tenn.) and has been reported out of duced as HR 1880. education, job-training and work pro- both the House Ways and Means Com- grams for welfare parents, and would mittee and the House Education and extend welfare benefits to two-parent Labor Committee. LOW-INCOME OPPORTUNITY families when thefather is unemployed. This proposal, similar to the Moyni- The third administration proposal is To encourage welfare recipients to han bill, is now in the House Energy The Low-Income Opportunity Im- seek jobs, the Moynihan bill would and Commerce Committee and is ex- provement Act—HR 1288—which continue child-care and Medicaid pected to be reported outof committee will enable states to develop new ap- benefits for up to nine months after a soon. proaches to designing welfare systems recipient leaves welfare. As soon as a by combining resources from many court ordered a parent to pay child programs now helping various parts of support, the information would be WELFARE INDEPENDENCE the low-income population. sent to the parent's employer. The em- A House Republican bill, HR 3200 Secretary of Labor, William E. Brock, ployer would automatically deduct was introduced, early in August by presented these plans at a hearing be- the amount from the pay and send it to House Republican Leader Rep. Robert fore the House Committee on Educa- the state, which would forward it to H. Michel (R-III.). This proposal—re- tion and Labor in early May. He em- the custodial parent. ferred to as the "welfare indepen- phasized his concern on behalf of the Under current law, child support dence" initiative—is aimed at skill Administration that some of the other payments can only be deducted from training and job placement for welfare proposals being considered do not tie wages when an absent parent fal Is be- recipients, while granting states wide into the existing training and employ- hind in payments. discretion in experimenting with more mentsystem and do not facilitate a co- The basic premise of the Senate plan effective welfare programs. ordinated approach to training and is a contract agreement between the The Reagan administration also has employment. federal government and the welfare re- several proposals making their way Leaders in both the House and Sen- cipient. If a recipient does not meet his through Congress in the form of three ate agree that genuine employment or her obligations under the contract, separate bills thatembody a similar in- opportunities represent the surest then the adult's portion of the assist- tent inwelfare reform, but calls for no route out of poverty and dependence ance payment should be eliminated spending on new programs, nor set- for our nation's welfare fami I ies. Many until he or she meets the terms of the

12 THE ALMACAN SEPTEMBER 1987 contract. Child support, however, would be preserved. Moynihan's bill, S 1511, is pending in the Senate Finance Committee. In terms of impacting employers, HOW TO INCREASE THE opponents of these proposals fear that QUALITY OF YOUR establishing a federal workfare program means highertaxes, more federal EAP PROGRAMS spending and new federal standards. There already are federal training and employment programs in existence, such as the Job Training Partnership Act. Others believe shifting recipients from welfare to employmentwill result in a loss of Medicaid and other benefits. The welfare recipient working at a low-paying job without insurance is unlikely to be able to afford hisfamily's health care costs. Thus ultimately, the taxpayer (including employers) will end up footing the bill for this uncom- pensated care. In addition, many welfare recipients are single mothers. Work requirements take them away from their children, and possibly would result in a federal subsidy of child-care expenses. On the other hand, proponents be- lievethat aswelfare recipients become better trained, there will be less need for them to be dependent on the welfare system. This will mean fewer federal dollars spent on welfare programs and a greater sharing of the payrol I and income tax burdens. Labor projections indicate a shrink- ingnumber of young workers entering The Alpha Chamber By combining the audio and the work force. Working welfare System ~ ~~ is the state of the video application by inter- recipients will create a pool of labor art answer to the needs of facing with biofeedback and for businesses. The current level of your Employee Assistance education programs, other welfare benefits with no work require- Programs. It functions as an benefits can be achieved. It is ment allow many recipients to opt for environment within an en- also useful in preventing pro- welfare over a loes-paying job. vironment. The focus of fessional and staff burnout. And finally, work as a condition of treatment is a comfortable, The positive results will receiving assistance, will save federal attractive, sensory enhancing speak for themselves. tax dollars by exposing those who are milieu. fraudently collecting welfare payments. Feelings are running strongly on SENSORY ENVIRONMENT ENGINEERS both sides and compromise may be S'E~E O Y, O. Box 8309 ~ Ve~~1~o~~t Beach, CA 92660 • Phone (714) 645-8614 unattainable. But all concerned do agree on one point—that welfare reform is needed, and necessary. ❑

SEPTEMBER 1987 THE ALMACAN 13

l ALMACA CLEARINGHOUSE

A Portrait of the ALMACA Membership

im Wimbush of ALMACA National's Membership Services Staff has surveyed the data ALMACA members contributed about themselves when they joined ALMACA. While not all ALMACANs supplied all membership data about themselves, this is how the majority of ALMACANs were found to describe themselves.

NUMBER OF ALMACANs WORK SECTOR ALMACA now has 5,074 members, more than at any Information on members' work sector is available for other time in its history. Membership has more than 4,153 ALMACANs, or 82 percent of the membership. doubled since 1980. The categories of membership, The raw numbers and percentage distribution of these and the numbers and percentages oftotal membership 4,153 ALMACANs are: in each are: Raw Category Members Percent Type Number Percent Individual ...... 2,450 ...... 4II.0 Private For Profit ..... 2,532 ...... 61.0 Associate ...... 1,706 ...... 33.4 Private Non-Profit ... 87 ...... 20.9 Org/Associate ...... 374 ...... 7.3 Union/Private Org/Individual ...... 332 ...... 6.5 Sector ...... 262 ...... 6.3 Student ...... 206 ...... 4.0 Local Government ... 186 ...... 4.4 Honorary ...... 6 ...... 1 State Government ... 158 ...... 3.8 5,074 Federal Government ...... 111 ...... 2.6 Union/ Government ...... 30 ...... 0.7 Other ...... 2 ...... 0.05 TYPE OF BUSINESS OR INDUSTRY 4,153 Information on members' type of business or industry is available for 4,258 ALMACANs, or 84 percent of the membership. Raw numbers and percent distribution of these 4,258 ALMACANs are: Raw Type Number Percent FUNCTIONAL RESPONSIBILITY Health Care ...... 1,715 ...... 40.3 Information on members'functional responsibilities is Manufacturing ...... 529 ...... 72.4 available for 4,101 ALMACANs, or 81 percent of the Other ...... 486 ...... 11.4 membership. The raw numbers and percentage distri- Consulting ...... 471 ...... 11.0 Services ...... 218 ...... 5.1 bution of these 4,101 ALMACANs are: Education ...... 189 ...... 4.4 Raw Communications ..... 156 ...... 3.7 Type Number Percent Transportation ...... 130 ...... 3.0 Utilities ...... 80 ...... 1.9 Internal Program Insurance ...... 76 ...... 1.II Admin/Mgr/Coord ...... 1,358 ...... 33.0 Finance ...... 55 ...... 1.2 External Program Energy ...... 39 ...... 0.9 Consul/Provider ...... 847 ...... 20.6 Construction ...... 35 ...... O.II EAP Counselor ...... 500 ...... 12.0 Military ...... 24 ...... 0.6 Therapist ...... 432 ...... 10.5 Trade Other ...... 378 ...... 9.0 (Retail/W'Sale) .... 23 ...... 0.5 Consultant Only Beverage ...... 14 ...... 0.3 (No Direct Service) ...... 222 ...... 5.4 Hospitality ...... 10 ...... 0.2 Community Relations ...... 130 ...... 3.1 Real Estate ...... 5 ...... ,... 0.1 Marketing Rep ...... 127 ...... 3.0 Recreation ...... 2 ...... 0.05 Personnel/HResrs Mgr ...... 73 ...... 1.8 Retired ...... 1 ...... 0.02 Industrial Relations ...... 34 ...... 0.8 4,258 4,101

14 THE ALMACAN SEPTEMBER 1987 SALARIES PAID ALMACA MEMBERS EDUCATION The comparison below cites salary ranges for 863 AL- ALMACANs today probably have a heavier represen- MACANs in 1985 and 4,415 ALMACANs(87 percent tation of degree work, and advanced degree work, of total ALMACA membership) in 1987. Comparisons than ever before. In fact, 53 percent of ALMACA's are cited in terms of percentages of total populations. membership report having advanced degrees. Here's the comprehensive breakdown on 3,985 ALMACANs Amount 1985 1987 (78.5 percent of all members)for who the information Under $15,000 ...... 4.2% ...... 4.4% is available. $15,000-24,999 ...... 16.4% ...... 16.5% $25,000-34,999 ...... 38.9% ...... 35.7% Terminal Raw $35,000-44,999 ...... 20.1 % ...... 22.9% Degree Number Percentage $45,000-54,999 ...... 7.4% ...... 9.6% Master's ...... 2,102 ...... 52.7 $55,000 and up ...... 5.8% Bachelor's ...... 754 ...... 18.9 $55,000-65,000 ...... 4.9% Doctorate ...... 604 ...... 15.1 $65,000 and up ...... 5.7% High School ...... 372 ...... 9.3 ...... 153 3.8 Discrete salary levels of $55,000-65,000 and Associate ...... $65,000-plus were not cited in the 1985 survey. 3,985

LICENSURE,CERTIFICATION, CHAPTER CREDENTIALING GROWTH In addition to degrees, many ALMACANs have further validated their expertise through various kinds of licensure, credentialing and certification. Among this 60 group of ALMACANs are 749 drug/alcohol/chemical dependency counselors, 614 social workers, 366 psy- chologists, 312 specialty therapists, 158 nurses, and 276 other workers with specialty licenses, certificates, 50 or credentials related to health care.

40 MEMBERSHIP GROWTH 4,000 30

3,000 20

2,000

10 1,000

80 81 82 83 84 85 86 80 81 82 83 84 85 86*

ALMACA has more than doubled in size since 1980. In ALMACA chapters continue to grow in number. Most of the last few years alone, membership has increased by the United States is now represented in chapter activity. 29 percent.

SEPTEMBER 1987 THE ALMACAN 15 1

firing Up The Curtain On Chicago Nightlife ~_

by Ken Fox President EAP Services Chicago, IL 60657

he ALMACA National Conference could not have Rap Master Ronnie,'87 consists of a series of sketches and been held at a better time than early October for par- songs by Doonesbury's Gary Trudeau. Whether you are a ticipating in Chicago nightlife. Most of the music and fan of the Reagan administration or notwill definitely impact theatre seasons have just begun and those attending the con- on how much you like this show. Theatre Building, 1225 W. ference will have plenty of entertainment activities to Belmont. choose from after each day's seminars are over. Second City and Second City, Etc. are located in adjacent For a comprehensive I istof entertainmentevents, just pick buildings at 1616 and 1608 N. Wells. If you are unable to at- up a copy of CHICAGO magazine at a local newsstand or, if tend the touring groups revue offered through the confer- you arrive early in the weekend, you may be able to find a ence, then try and catch one of these shows. copy of the READER, a free weekly newspaper with ads for Red Noses is for those who want to try something really many of the music and theatre events going on the week of different. It is a comedy about the Black Plague. If anyone the conference. Although we can't cover all the entertain- can pull this off, it is the Goodman Theatre, 200 S. Colum- mentavailable inthis article, we will try to highlight some of bus Drive, behind the Art Institute. the more provocative options available in theatre, music, Beehive is a tribute to the girl groups of the 60's. The origi- and comedy. nal songs by Janis, Annette, Lulu, Tina, Connie, etc. are fabulous. Briar Street Theatre, 3133 N, Halsted. THEATRE MUSIC Half-price, day-of-performance tickets and full-price, ad- Classical vance-sale tickets are available only a few blocks from the If you get the chance, don't miss the world's greatest or- Hilton at the "Hot Tix Booth," 24 S. State Street, Monday chestra conducted by Sir George Solti. Tickets for the noon-6, Tuesday-Friday 10-6, and Saturday 10-5. "Curtain Chicago Symphony are usual ly sold out, but last minute tick- Call" is a 24-hour information line that provides perform- ets turned in by subscribers may be available just before the ance schedules and ticket information at 977-1755. performance. The orchestra is performing Bartok and Elgar Pump Boys and Dinettes is adown-home musical that has on Tuesday, October 6th at Orchestra Hall, 220 S. Michigan. been drawing crowds for over three years. It is the rare mem- Every Wednesday at noon a free classical concert is per- ber of an audience that doesn't like this combination of formed under the Tiffany dome at the Chicago Public Library, country-western, blues, gospel, bluegrass, and boogie- just upthe streetfrom the Hilton atthe cornerof Washington woogie. Apollo Theatre, 2540 N. Lincoln Avenue. and Michigan.

16 THE ALMACAN SEPTEMBER 1987 Blues Chicago is the home of the blues and you can't miss with COMEDY these clubs: "Blue Chicago," 937 N. State; "B.L.U.E.S.," There is more comedy in Chicago than just Second City. Try 2519 N. Halsted; "Kingston Mines," 2548 N. Halsted; "Zanie's" at 1548 N. Wells for acts that regularly appear on "Wise Fools Pub," 2270 N. Lincoln; and a favoritefor piano- Letterman and Carson. based blues, "Lily's" at 2513 N. Lincoln. Folk There used t~ be quite a number of folk clubs in Chicago DANCING but now there are only a few that can be counted on for con- For 50's rock 'n roll dancing there is no place better than sistently good music. A couple of choice selections are right "Jukebox Saturday Night" at 2251 N. Lincoln. If you're long- next door to each other: "Holstein's," 2464 N. Lincoln; and ing for spiked hair, then "Neo," 2350 N. Clark, is the place °EaH's-Pub," 2470 N. Lincoln. to:dance with al I the people you don't want your daughters Jazz to hang out with. "Limelight," 632 N. Dearborn, is open You won't be at a loss for great jazz in Chicago. For early every night and depending on who is mixing records can be evening jazz try "Andy's" at 11 E. Hubbard where from 5-8 a great place to dance, but if you get into Chicago early or on Monday you can catch Dave Remington's Big Band and stay later in the week, the absolute best dance club in on Tuesday, an al I time favorite jazz band, "Ears" from 5-8. Chicago is "Clubland," 3145 N. Sheffield. They are open Joe Segal's Jazz Showcase is j ust up the street from the Hi(- Wednesday-Saturday and offer much more than dance. ton at the Blackstone Hotel, 636 S. Michigan. Expect only When you gettired of dancingthere are professional dancers the biggest names in jazz and comparable prices. above the stage, a wal I of video monitors, and comedy skits Rock to keep your attention. Who knows which bands will be playing, but you can Probably the best place in the city for a mixture of enter- count on the best in local and touring rock at these clubs: tainment is on Lincoln Avenue between Webster and 1Nell- "Caberet Metro," 3730 N. Clark; "Cubby Bear," 1059 W. ington. Many of the places I have listed are located on this Addison; "Gaspars," 1359 W. Belmont; and the "Wild street. Don't bother with the Rush Street area. It is where all Hare," 3530 N. Clark. the other conventioneers end up going. If you want current information about what is going on in the city, just stop by the film festival desk atthe conference and I will havethe up- to-date entertainment information. ❑

SEPTEMBER 1987 THE ALMACAN 17 AIDS In the Workplace: The Role of EAPs

by John F. Bunker, Sc.D., Michael P. Eriksen, Sc.D. and Jennifer Kinsey, M.Sc.

The AIDS epidemic is really not a work- has emerged as a place issue, except for major societal prob- some high risk occu- lemwith medical, ethical pations such as sur- and economic ramifica- geons, dentists and

tions and is rapidly be- emergency medical coming a significantwork- technicians°. The place concern. While spectre of AIDS arises most companies have yet in the workplace due to experience their first to misconceptions, fear AIDS case, this situation is and unfounded prej- rapidly changing. Strategic udices. Unfortunately, Resource Corporation, a although the transmis- benefit consulting firm, sion of AIDS may not recently surveyed Fortune bean issue in the work- 500 companies regarding place, AIDS still can AIDS in theworkplace and become a major threat received a 30% response to the normal conduct rate. They reported that of business. while 33% of companies Corporations oper- reported having employ- ate on the basis of ees with AIDS, .only minimizing disruption 40% have instituted edu- and assuring the smooth cation programs and less flow of operations. Pro- than 20% have AIDS policies. cedures are developed to insure that work flows smoothly While everyone agrees that the AIDS epidemic poses a and efficiency is maximized. Issuesthatcan disruptthework major problem to the business community, the workplace environment are taken seriously by managers and steps are may also serve as an opportunity to effectively educate em- taken to minimize the impact of the problem or to prevent ployees and families on the prevention of AIDS and accept- the problem entirely. AIDS is the type of issue which can dis- ance of people with AIDSZ. rupt the conduct of business, interfere with employee and Precedent has been set for usi ng the workplace to promote customer relations, and result in legal actions and extensive employee health. Corporate wellness programs have been medical care expenditures. established because of concern about rising health care A multitude of AIDS-related problems have already oc- costs as wel I as because of a general concern for employee curred in the workplace and similarly are destined to reoccur health and well-being'. These same wellness programs can in the absence of a preventive and proactive approach. Em- be expanded and used to carry the message of AIDS educa- ployee relations can suffer when coworkers incorrectly as- tion and risk reduction. sumefellow employees to have AIDS or are able to transmit But how does AIDS actually impact the work environ- the AIDS virus. Fear of working near gay coworkers, drink- ment? From an epidemiologic standpoint, AIDS transmission ingcoffee prepared by them or answering their phone is not

18 THE ALMACAN SEPTEMBER 1987 uncommon. Obviously, this sentiment can be extremely disruptive when employees need to work cooperatively. A "AIDS is the type of issue which can similar problem can exist when an employee has actually disrupt the conduct of business, been diagnosed as having AIDS or has died from the disease. Uninformed workers may refuse to occupy the same work- interfere with employee and customer station or to use the same equipment the AIDS patient used. relations, and result in legal actions In one instance, telephone workers refused to ride on a re- extensive medical care pair truck previously used by an employee who had died and from AIDS. expenditures." The fear of AIDS can also interfere with the provision of services to customers. Fear of casual contagion has led to tentially the greatest liability if not handled well. commun ications workers refusing to instal I phones or empty The second level of activity is targeted to the supervisors coin boxes in gay neighborhoodss. and coworkers of afflicted employees. Both these groups of These types of problems have resulted in an increased employees have special needs, fears, and concerns which probabilty of litigation and corporate liability. Managing require tailored educational and counseling services. Be- employees with AIDS, ARC or who are HIV positive is cause supervisors are the frontline of action, appropriate fraught with difficulty and the screening, hiring, discrimina- training is particularly important to prevent difficult situation, and insurance issues are complexb. Employees with tionsfrom becoming crises. Coworkers who have been con- AIDS may be considered handicapped and receive protec- fronted with a fellow employee with AIDS often have con- tion from discrimination under the Rehabilitation Act of cerns, fears, and misconceptions that require immediate 1973'. Accordingly, employees with AIDS should be and direct attention. reasonably accommodated in their work environment. Ad- The third level of intervention isforthe general workforce, ditionally, they may be protected from hiring discrimination regardless of the specific risk of AIDS. The purpose of these and dismissal that might be construed as wrongful dis- activities is twofold: 1) to inform employees about AIDS charge. Legal counsel should be consulted to provide a cur- transmission and how they can reduce their own personal rent appraisal of AIDS-related personnel laws. risk, and 2) to increase their acceptance and improve their Because AIDS has become a workplace reality, employ- attitudes toward coworkers who may have AIaS, ARC or be ersneed to acknowledge the situation and address the prob- HIV positive. Well-developed interventions have been ef- lem proactively9. By doing so, the threat of litigation is fective inchanging high risk behavior in gay communities10, minimized and the possibility of workplace disruption is and similar interventions need to be developed forthe work- reduced. place. In summary, we recommend that a corporate strategy be The fourth level of intervention is directed toward making developed to help protectthe health of all employees, main- employees into AIDS educators and encouraging them to tain employee productivity, manage health care costs and take the AIDS prevention message into their homes, particu- comply with relevant legislation. larly totheir teenage children. This level of intervention may also include corporate involvement in community AIDS prevention and support for local AIDS education and social FRAMEWORK FOR A CORPORATE STRATEGY service activities. Many corporations around the country, As mentioned, AIDS is destined to have a profound impact particularly in San Francisco, have made major commit- on the work environment. Thus, a strategy developed proac- ments inthis area which have resulted inwidely-acclaimed tively is likely to help rationally guide corporate activities accomplishments". and avoid the possibility of AIDS-related disruptions. De- The second critical element in establishing a corporate veloping acorporate strategy can be divided into two major strategy is to establ ish an AI DS task force with al I appropriate components: 1) Identifying objectives and target audience, departments and business functions represented. This multi- and 2) developing a multidisciplinary task force which in- disciplinary team will be best able to deal with all the com- volves al I relevant resources of the corporation. plexitiespresented by AIDS prevention and treatment. Table There are four separate levels of activity in developing a 1 lists the recommended corporate functions and their corporate AIDS strategy. These levels affect different num- suggested role in the AIDS task force. bers of people and can be conceptualized as constituting a The actual development of a corporate strategy is depen- pyramid. The first level, and the top of the pyramid, includes dentupon anumber of key factors including: services provided directly to employees with AIDS, ARC or • establishing amulti—interdisciplinary team HIV. This will represent the fewest number of individuals in • involving all relevant departments any level, but the ones that require the most resources. This • assigning.a task force coordinator level also represents the one with the greatest need and po- • obtaining the visible support of top management

SEPTEMBER 1987 THE ALMACAN 19 Corporate Functions and Responsibilities Table One

Function Area of Responsibility

Personnel Problem resolution, work practices, reasonable accommodation, lC,f~llllfldt1011 ISSUES. Labor Relations Cooperation with union, employee relations. Legal Local, State, and fecler~l legislationcornpliance, protection from ~~~ wrongful discharge. EEO/AffirrnativeAction Non-discrimination, Rehab./~ctof1973,hzndicappedstatus. Hiring Hiring policies, Eire-employment screening~ndnon-discrimination ~ practices. .~ ~~ Benefits Alternative health care benefit coverage, disability benefits, death benefits, health care cost containment. Medical EAP Counselors, education, retui n to ~~ork issues. Comm~mications Eslak~lish ~reclif~ilily ~i~d proactive stance, use of all available channels such as newspapers, video, pamphlets, meetings. ~ ~`• Unions Access to employees,ac~vocateforemployee5. ~~~ Public Relations Liaison with community and local media. ~ ~~ Training Educational programs and seminars. ~~

• developing an action plan the workplace. Ideally this program should include a com- • establishing a corporate policy prehensivecorporate program as described earlier in this ar- • reviewing medical benefits coverage to assure that ap- ticle. The EAP staff can encourage the development of, or if propriate AIDS-related services are covered. one exists, offer to serve on a task force that is responsible for addressing AIDS at the workplace. As a member of the task force, EAP staff can provide information regarding both the EAP ROLE IN AIDS STRATEGY needs of the employees and community services available. The role of the EAP is critical in developing and implement- At the clinical/individual level, EAP staff can anticipate ing acorporate AIDS strategy. EAP involvement spans the and prepare for a variety of AIDS-related problems brought range of providing clinical services to persons with AIDS by individuals to the EAP. The specifics ofeach situation will (PWA)to assisting the corporation in pol icy and program de- demand different skills and knowledge of current informa- velopment. EAP professionals can contribute to the organi- tion and resources. Initially it is important to increase one's zationsproactive response to AIDS related problems in three awareness and sensitivity to the dimensions ofAIDS-related ways. First, EAP staff has knowledge and experience work- problems. Here several likely situations that may occur are ing with community resources such as educational and so- cited followed by a list of possible clinical issues. Appropri- cia) services and can act as a clearinghouse for this informa- ate responses are also discussed. The purpose of this discus- tion. Second, EAP staff is experienced working with the in- sion is to increase awareness and does not provide an ex- teraction between employees and their serious personal haustive list of the range of problems and responses. problems. Final(y, EAP counselors are I ikely to be sought out Employees with AIDS, ARC, HIV infection and can therefore prepare for the specific concerns and • These employees are facingaterminalillness,oftenata needs of individuals with AIDS related problems". young age with the prospect of a lonely and painful death. EAP personnel contribute to the overall corporate pro- The range of emotional problems under these conditions in- gram in several ways. They may see the earliest evidence of clude guilt, extensive denial, anxiety, depression, hopeless- AIDS related problems in the workplace during the process ness, and anger. of assessment and referral counseling. Possible signals in- • Most PWAs are homosexual/bisexual men or intraven- clude 1) an employees' fear of AIDS that is based on in- ous drug users. In most settings these lifestyles are already adequate knowledge; 2) employees with AIDS, ARC or HIV severely stigmatized therefore the individual may already be infection; 3) employees with family who have AIDS or HIV experiencing or is anxious about social and job-related dis- infection; and 4) managers or coworkers of PWAs or HIV in- crimination. There may be legitmate fear that the additional fected individuals. stigma of being identified as a PWA will increasediscrimination. Utilizing the knowledge gleaned from the trenches of as- • AI DS involves a series of health problems that often dis- sessment and referral counseling, EAP staff can inform and figure and decrease the individual's attractiveness and sense motivate the organization to develop a proactive program at of integrity in all areas of life.

20 THE ALMACAN SEPTEMBER 1987 • The AIDS virus frequently affects the central nervous system, which can lead to symptoms ranging from forgetful- "With intelligent planning,the nation's ness to "profound dementia" and possibly psychosis. corporations have the ability to make • The progression of the disease from diagnosis to likely death entails a series of losses: physical strength, mental an important contribution to acuity, ability to work, self-sufficiency, social roles, income alleviating and perhaps overcoming ~~ and savings. Self-esteem often fades under this barrage of public health calamity" insults. • The plethora of issues related to this disease seriously (business Week, March 23,'g7, undermines an individual's ability to cope with other social pg. 174). and psychological stress. ~ The medical treatments for AIDS do not represent a cure and often have serious side effects such as depression, safe sex practices, and coping with the anxiety of testing listlessness, and anxiety". positive with all its implications. Reinforcement of the above Although these individuals will be the fewest in number, information during EAP counseling sessions is, of course, their needs are extensive. A combination of information, valuable. counseling, referral to community resources, support for Family Members and Significant Others coping with workplace issues, and advocacy regarding ben- Family members and significant others of PWAs and HIV efitcoverage wil I beneeded. It is I ikely that many AIDS/ARC infected employees may also come to the EAP with family individuals wi I I already be aware of the community AIDS re- issues. Some will be grappling for the first time with the fact sources, however, it is important to verify that these indi- that the afflicted family member is ahomosexual/bisexual or vidualsare provided the comprehensive support their needs drug abuser, is dying, and has AIDS/ARC. Again a variety of demand and the communitycan provide: housing, medical, concerns/issues are relevant. Some likely issues are fear, legal, financial, psychological and social support. The EAP anger, denial, need for reassurance, and information regard- counselor can provide additional support regarding employ- ing transmission. These individuals are likely to need both ment issues such as concerns over confidentiality, the re- counseling regarding emotional concerns and information habilitation act and how it applies to AIDS, health and disa- on available community resources. bility insurance. It will be helpful to explore with the indi- If the individual is a lover/partner or spouse the above vidual how best to deal with possible reactions of coworkers concerns will be intensified with the added complication of if they become aware or suspect the cause of the individual's either being AIDS/ARC or HIV positive or fearing contagion. medical problems. The individual will need ongoing sup- The anticipated response to the afflicted individual can run port and advocacy in the work environment and the EAP is the gamut from being totally supportive to rejection and dean excellent resource to act in this capacity. sertion. Multiple and sometimes conflicting feelings of HIV positive employees may also require clinical assist- anger, concern, guilt, grief, compassion, fear, and resent- ancefrom the EAP. Again, these individuals will be a small ment can he expected. but important target group to serve. HIV positive individuals Manager of AIDS/ARC Employees are in the ambiguous position of living with the possibility of For supervisors of known or suspected AIDS/ARC employ- developing a debilitating terminal it Ines and infecting a sex- ees additional issues to those cited above may bepresent. In- ual partner. Any minor complaint, swollen glands, a cold or itially supervisors may need help dealing with their own malaise can be the sign of progression from a positive test to fears and prejudices. Managers will also need assistance AIDS. This ambiguity creates its own form of anxiety. I[ is im- balancing the afflicted employee's needs and rights, with portant to stress that the current information indicates that coworker's fears and rights. AIDS/ARC employees are likely only 20-30% (may be revised to 50%)of HIV positive indi- to be ill frequently and possibly experience compromised vidualswill progresstoAlDS. These individualswill need re- work performance when able to work. Managers may also ferral to available community resources, especially support perceive conflict between the need to maintain work per- groups for HIV positive persons. If available locally, such formance with "reasonable accommodation" issues re- groups provide the needed information regarding possible quired by federal law to protect disabled individuals. factors that decrease one's risk of progressing toAIDS/ARC, Coworkers of AIDS/ARC Employees The response of coworkers to an acknowledged or suspected AIDS afflicted employee will depend on the PWA's FOOTNOTE work history, relationship to the coworkers and, of course, the coworker's level of knowledge and attitudes about AI DS. In rural or very conservative parts of the countryAlDS resources may not be available or well publicized. The local countyorstate health authorityis the For otherwise marginal employees, it is likely that the co- best place to start looking for what's available in your area. workers will be least supportive and may project much of

SEPTEMBER 1987 THE ALMACAN 21 Epidemic MODES OF TRANSMISSION AIDS:The AIDS is an infectious disease that spreads from infected persons either by intimate sexual contact (anal orvaginal intercourseand possiblyoral sex)or The first cases of the disease now known as by the introduction of infected blood through the AIDS were identified in 1981'. AIDS cases skin and into the bloodstream as with intravenous have been reported to the Centers for Disease drug use, or as was previously caused by the trans- Control (CDC) from all fifty states and the World fusion of contaminated blood. It can also be spread Health Organization (WHO) reports active AIDS from an infected mother to her infant during preg- cases in 122 countries around the world. Current nancy or at the time of birth2. estimates are that the number of people infected There is no evidence that the AIDS virus is trans- with the AIDS virus in the U.S. is about 1.5 millionZ mitted in the air, by sneezing, by shaking hands, by and worldwide as many as 10 million persons may sharing a drinking glass, by insect bites, or by living be infected. More than half of the Americans who in the same household with an AIDS patient or an have developed AIDS have died. HIV-infected person. The AIDS virus is not spread through normal casual daily contact at work, in school, or at home3. Persons who are at increased AIDS, ARC &HIV risk of infection by the AIDS virus include: homo- AIDS is caused by a virus—HIV (Human Im- sexual and bisexual men, intravenous drug users, munodeficiency Virus)—that compromises the im- male or female prostitutes and their sex partners, mune system and leaves a person vulnerable to be- and sex partners of persons infected with the AIDS coming infected by bacteria, protozoa, fungi, and virus or at increased risk of infection. other viruses and malignancies which may cause There is presently no cure or vaccine for AIDS. life-threatening illness, such as pneumonia, menin- However, AIDS is preventable. AIDS is associated gitis, and cancer. The most serious form of illness with specific high risk behaviors and the U.S. Pub- caused by HIV is AIDS, a condition which consists lic Health Service recommends the following steps largely of carinii opportunistic infections which are to reduce the chances of exposure to the AI DS vi rus: normally controlled by the immune system. Clini- avoid sex with persons with AIDS or at high risk for cal manifestations of AIDS include pneumocystis AIDS; avoid contact with a sexual partner's body corinii pneumonia, tuberculosis, Karposi's sar- fluids including blood, semen, urine, feces, and coma, and various neurological disorders that can vaginal secretions with the use of a condom; avoid be disabling and ultimately fatal'. sexual practices such as anal intercourse that may AIDS-Related Complex (ARC) is a condition in injure body tissues and make it easier for the virus to which a person tests positive for HIV and has a spe- enter the bloodstream; do not use intravenous cific set of clinical symptoms which may include drugs; finally, do not have sex with multiple partners loss of appetite, weight loss, fever, night sweats, or with persons who have multiple partners. skin rashes, diarrhea, fatigue, swollen lymph nodes, There are currently tests available to determine if and lack of resistance to infection. ARC refers to a person has been exposed to the AIDS virus. These these sets of symptoms that come close to, but don't screening tests for antibodies to HIV include en- precisely meet, the official CDC definition ofAIDS. zyme-linked immuno sorbent assays (ELISA), im- CDC has recently revised the official criteria for munoflourescentassays, and Western blotanalysis. AIDS to include dementia and wasting syndrome. A positive test result only indicates the presence of Some people remain apparently well after HIV antibodies to HIV. The tests do not indicate who infection and have no physically apparent symp- will develop AIDS. toms ofillness. In fact, the majority of HIV infected individuals show no disease symptoms and may not come down with a disease for many years, if ever. ECONOMIC IMPACT Current estimates are that 20 to 50 percent of those Finally, the financial impactoftheAlDSepidemic is HIV infected will develop an illness that fits an ac- staggering. According to a recent study, the per- cepted definition of AIDS within five years. sonal medical care costs of AIDS in current dollars

22 THE ALMACAN SEPTEMBER 1987 ~~ their own fears toward the individual in the form of anger and rejection. If the PWA has a history of optimum work per- Yo $1.1 billion in will rise from $630 million in 1985 formance and cogenial relationships with coworkers, the 1991, Non-personal costs 19£36 to $f~.5 billion in change for a compassionate and supportive response is general (for research, screeninb, education, and increased. support services) are estimated to rise from $319 Coworkers will need assistance sorting through the multi- to $542 million in 1986 to $2.3 bil- million in 19135 ple issues and conflicting feelings. Determining if an indi- loss of lion in 7991. Indirect costs attributable to vidual can accept the information that there is no danger of productivity resulting from morbidity anti prema- contagion under normal working conditions is a first prior- in ture mortality are estimated to be $3.9 billion ity. If a proactive educational effort directed at the general are 1991. The economic implications of AIDS employee has already taken place, the potenia) fora nega- stricken often overwhelming for Yhc individuals tive reaction by coworkers will be minimized. with the disease, family and fi iencls ~f lhe AIDS pa- Employees and AIDS testing tient, community-based health and social service A final category of individuals that EAP counselors may agencies, ho~pi[als, private insurance agencies, encounter are those with questions about the need to be level'. employers, and government zgencics of every tested. With the current wave of media attention given to The economic impactofi AIDS is already ~reatai~d it AIDS, some individuals have become anxious and may re- is expected to increase as the epidemiccontinuesto quire assistance to determine if testing would be appropri- grow`'. In orderto ease the strain nn our health care ate. The U.S. Public Health Service "Guidelines for Coun- patient system and reduce the care of a sinble AIDS seling and Antibody Testing to Prevent HIV Infection and which ranges between $50,OOa to 5150,000 from AIDS" provide an excel lent overview of the issues that need diagnosis to death, the National Academy ofSciences to be addressed15. Priorities for testing include persons who recommends the devel~~ment ~f a better financing are most likely to be infected or who practice high-risk be- community system and the use of more appropri 1te haviors, thereby helping to reduce further spread of infec- care services'. Roughan and Haussler suggest ap- tion. High-risk behaviors includecurrentorpastintravenous plying medical case management techniq~ies in drug use, unprotected anal orvaginal intercourse, homosex- girder Yo humanely care for AIDS patients in a cost- ual or bisexual activity, multiple sexual partners, and blood ❑ cffcctivc manner". transfusions. Exploring with employees these behaviors wi II help clarify the need for testing. Any individual currently active in a high risk group and not practicing safe sex needs careful attention and counseling to encourage behavior REFERENCES change. Regarding testing, it's important to determine if a positive ' National Academy of Sciences, InstituCe of Medicine; Confrontinh~ AIDS: Directions for F'u~lic HealPh, test would change behavior. The recommendations are the Health Care, and Research, National Academy Press, same for all individuals actively participating in high risk be- ~ ~~h. haviors whether they have tested positive or negative: prac- Z Surgeon General's Report on Acquired lrnmune Defi- tice safe-sex and do not share needles. If individuals have re- ciencySynclrome, U.S. D.H. H. 1956. frained from high risk behaviors for six or more months and Gong vs. Facts and Fallacies: An AIDS Overview, In are committed to avoiding future high risk behaviors, a test Gong and Rudnick (Eds; AIDS: Facts and Issues Rutgers may provide valid and useful information. Forthose actively University Press, 19136. participating inhigh-risk behaviors, the characteristics ofthe in- Scitovsky A and Rice D: Estimates of the direct and test (positive individuals may test negative for up to six Immw~odeficiency Syndrome direct costs of Acquired after exposure) make testi ng of questionable value. It the United Stags; 1985, 19ti(~, and 1991, Public months in incidence of Health Reports 102("I): 5-1 7, Feb.-March 1987. must also be stressed that there is a very small 'AIDS: Public Policy Dimensions, J. G~~iggs (Ed) Confer- false positives. Fear of workplace discrimination based on ence Proceeclin~s Jan. 1 h-17; 1986. United Hospital results regardless of accuracy is a common fear76. If it is de- Fund of New York, 1 987. cided that testing will be useful, it is important to assure that 6 Lee P and Arno P, AIDS and Heafih Nolicy in Confer- the testing facility provides both pre and post test counsel- ence Proceeding lan 16-17, 79£36, United Hospital ing. For those individuals contemplating pregnancy, testing F~md of Ne~v York, 1987. is highly recommended regardless of the above points since Roughan J and Haussler P, The Case Management Ap- HIV transmission from a pregnant woman to her child is ap- CorporaCe Commentary proach To Catastrophic Care, proximatelyfifty percent. The prognosis for a chi Id born with 1986. PP 38-43, Winter AIDS is very poor. In summary it is important to emphasize that the nature of

SEPTEMBER 1987 THE ALMACAN 23 AI DS creates a tremendous element of fear for many people. native health care will or could benefit plans cover (home In this regard, education may be considered as necessary, health care and hospice)? The medical case management but notsufficientforchanging behaviorsorattitudes. An EAP approach provides coverage that includes palliative or sup- counselor relates an experience that i Ilustrates this phenom- portive services designed to maximize an individual's func- enon with a nurse that had been stuck by the needle of an tional level and independence. AIDS patient. The nurse was referred to the EAP for counsel- AIDS Policy—Should there be an informal orformal corpo- ingafter being reassured by her physician that her risk of de- rate AIDS policy? Unambiguous guidelines for human re- veloping the disease was essentially zero. The EAP coun- sourcepersonnel and line managers enhancethe probability selorspent three sessions a)lowing her to articulate her fears that AI DS-related events are handled equitably throughout a for her family, and the anger and resentment she directed at company. A manager needs to know what to do when an the patient. It was only after significant counseling that she employee informs a supervisor of an AIDS, ARC, or HIV was able to absorb and be reassured by the information her positive diagnosis. doctor had initially given her—that all evidence indicates an Public Relations—How will the corporation deal with the extremely low risk for individuals receiving needle sticks media, coworkers, stockholders and the public when the from an AIDS patient. initial AIDS-related case occurs? What is the company's position on disability, sick leave, and returntoworkfortheemployee with AIDS? A positive and proactive approach to this public CRITICAL ISSUES relations situation requires careful consideration to avoid a

Although we have proposed a comprehensive corporate very negative corporate image. Many corporations are ac- strategy and have explored the role of the EAP counselor in tively involved in community AIDS education and service workplace AIDS prevention and education, a number of dif- projects which enhance company visibility on this impor- ficult issues remain. In addition to the steps so far men- tant health issue. tioned, asuccessful effort is dependent upon identifying and addressing the many and difficult critical issues which will JENNIFER KINSEY, M.Sc is an employee assistance program face the corporation. We are not proposing solutions to specialist for COPE, Inc. of Washington, D.C. Other work experi- these problems; rather, we are bringing them to your atten- enceincludes anarray ofactivities within the health field. She was tion sothat they can be thoughtfully considered by each cor- a counselor, employee assistance program, University of Texas poration and the appropriate decisions can be made based Medical Branch, Galveston from 1984-1986; a health educator, on the unique culture and characteristics of each company. Chesapeake Health Plan, Baltimore, MD from 1983-1984; and a Leadership—Who will manage and direct the AIDS program? research writer/editor at Johns Hopkins University School of Top Hygiene and Public Health. management must be committed to providing the re- She is a member of ALMACA. sourcesand leadershipfor a comprehensive policy and educational program. One especially compassionate example is Robert I-laas, CEO, Levi Strauss & Co. who recently helped staff MICHAEL P. ERIKSEN, Sc.D. is associate health educator, assistant a booth, personally distributed AIDS program professor of cancer prevention, and director, behavioral research materials, and provided leadership to other corporations in program, at the Department of Cancer Prevention and Control, San Francisco. University of Texas System Cancer Center M.D. Anderson Hospi- Legal—What local, state and federal laws must betaken into tal and Tumor Institute, Houston, TX. consideration when dealing with AIDS?Instate legislations, He is active on many local, state, and national committees, has about 500 bills involving AIDS have been introduced this written extensively on workplace health promotion,smoking ces- year, more than any other subject. Potential liability con- sation and other health matters. He is currently president-elect of cerns of employee confidentiality and privacy, testing for the Society for Public Health Education. antibodies to the AIDS virus, and common-law duty to provide asafe workplace. HIV Testing—Should HIV testing be considered for pre- JOHN F. BUNKER,Sc.D. is a research associate professor and di- employment physicals and as a condition of employment? rector, Center of Health Promotion, George Mason University, Who wi I I test employees? What wi I I be done with the test re- Fairfax, VA. sults? How will confidentiality and privacy be maintained? John has worked extensively in the alcoholism and substance What about the concern of false positive test abuse field, in a various array of research and teaching capacities results? What over the last ten years. He has coauthored several papers and has legal and liability issues need to be addressed before, during conducted many presentations and workshops on topics ranging and after testing employees? Istesting acost-effective alloca- from hypertension and the role of physician's assistants in health tion of resources? Is testing voluntary or mandatory? promotion to disease prevention strategies for health professionals Benefits—Are current health, disability and life insurance and the problems of AIDS patients in the workplace. plans adequate to deal with AIDS cases? What kinds of alter-

24 THE ALMACAN SEPTEMBER 1987 AIDS Information Sources

AIDS Action Foundation Los Angeles AIDS Project National Gay Task Force 729 Eighth Street, SE 1362 Santa Monica Boulevard 80 Fifth Avenue, Suite 1601 Suite 200 Los Angeles, CA 90046 New York, NY 1001 1 Washington, DC 20003 (212) 741-5800 (202) 547-3101 Minority Task Force on AIDS Crisis Line:(800) 221-7044 c/o New York City (212) 807-6016(New York, AIDS Action Council Council of Churches Alaska, Hawaii) 729 Eighth Street, SE 475 Riverside Drive Suite 200 Room 456 National Hemophilia Washington, DC 20003 New York, NY 10115 Association (202) 547-3101 (212) 749-1214 19 West 34th Street, Suite 1204 New York, NY 10001 American Association of Mothers of AIDS Patients(MAP) (212) 563-021 1 Physicians for Human Rights do Barbara Peabody P.O. Box 14366 3403 E Street National Hemophilia San Francisco, CA 941 14 San Diego, CA 92102 Foundation (415) 558-9353 Soho Building National AIDS Network 110 Greene Street, Room 406 American Hospital Association 729 Eighth Street, SE New York, NY 10012 840 North Lake Shore Drive Suite 300 (212) 219-8180 Chicago, IL 60611 Washington, DC 20003 (312) 280-6000 (202) 546-2424 National Institute of Allergy and Infectious Diseases Gay Rights National Lobby National Association of Office of Research Reporting 750 Seventh Street, SE People with AIDS and Public Response Washington, DC 20013 P.O. Box 65472 Bldg 31 (202) 546-1801 Washington, DC 20035 9000 Rockville Pike (202) 483-7979 Hispanic AIDS Forum Rockville, MD 20892 c/o APRED National Coalition of Gay STD (301) 496-5717 853 Broadway, Suite 20007 Services National Lesbian and Gay New York, NY 10003 P.O. Box 239 Health Foundation (212) 870-1902 or 870-1864 Milwaukee, WI 53201 P.O. Box 65472 (414) 277-7671 Institute for Disease Washington, DC 20035 Prevention in the Workplace National Council of Churches/ DC Commission on 4 Madison Place AIDS Task Force Public Health Albany, NY 12202 475 Riverside Drive DC Health Dept for (518)434 -2381 Room 572 AIDS Surveillance New York, NY 10115 (statistics on AIDS) KS Research and Education (212) 870-2421 Foundation (202) 673-3525 54 Tenth Street National Gay Rights Advocates San Francisco AIDS Foundation San Francisco, CA 94103 540 Castro Street 333 Valencia Street (415)864 -4376 San Francisco, CA 94114 4th Floor San Francisco, CA 94103 Lambda Legal Defense and National Gay and Lesbian (415) 864-4376 Education Fund Task Force 1322 West 43rd Street 1517 U Street, NW Centers for Disease Control New York, NY 10036 Washington, DC 20009 Office of Public Inquiries (212.) 944-9488 (202) 332-6483 1600 Clifton Road, NE American Red Cross Atlanta, GA 30333 AIDS Education Office (404) 329-3534 (or contact local Red Cross) 1730 D Street, NW Washington, DC 20006 (202) 737-8300

SEPTEMBER 1987 THE ALMACAN 25

r The following is a list of resources providing further in- AIDS in the Workplace formation about the AIDS/ARC/HlV epidemic and its Resources effect on the warkplace. —Isler, C., AIDS in the Workplace, Medical Aspecis of Kelated Legal Issues and 1~iscriminations, Lambda Human Sexuality, pp 60-Fib, May 1986. Legal Defense and Ed~acaYfon F~iiid Inc., 1322 West Singer I., ,AIDS in the Workplace, Nations Business 43rd Street, N.Y., N.Y. 10036, (212) 944-948£3. p~ 3h-39, August 1987. —AIDS and tl~e Employer: Guidelines on the Manage- —AIUS in the Workplace Package, San Francisco AIDS ment of AIDS in the Workplace, l he ICY Business Foundation, 333 Valencia St., San Francisco, CA Group on Health Inc., 622 3rd Ave., 34tf~ Floor, 94"103, X415) $64-X4376. N.Y., N.Y. 10077, (~-12) 808-05G0. —Managing AIDS in the Workplace, (AIDS Executive —AIDS: Employer Rights and Responsibilities, Com- Briefing and Training Package) VVork~~lace Health merce Clearing House Inc., 4025 W. Pallerson, Communications Corporation, 4 Madison Place, Ave., Chicago, IL 60646. Albany, NY "12202, (800) 334-4911 in N.Y., (800j — Halcrov,~ A., AIDS: The Corporate Response, Person- 942-1002. nel /ournal, pp 123-127, nugust 1986. —AIDS in the Workplace, The Bureau of National Af- —Aberth J., AIDS: The Human Element, Personnel fairs, Inc. E3NA Customer Service, 9435 Key West Journal, pp 'I 19-123, August 19F36. Avenue, Rockville, ,'vID 20£352, (f300) 352-1400 in —Rowe M., Russell-Einborn M, and [3aker, M., The Maryland,(~00) 372-1033. Fear of AIDS, Harvard business Review, ~~F~ 28-36, —AIDS Legal Guide: A Professional Resource on AIDS- July-August 1986.

Education—What AIDS educational materials will be uti- Z Francis DP and Chin J: The prevention of acquired immune defi- lizedand who wi II provide the education? AI DS educational ciency syndrome in the United States: An objective strategy for programs require careful planningtoaddresssensitive issues medicine, public health, business and the community, )AMA including the nature of the disease, the distinction between 257: 1357-1366, 1987. AIDS and HI.V infection, the methods of transmission, the Eriksen MP: Workplace health promotion, In Lazes, Gordon, discussion of safe sex practices, and the lack of risks in the Kaplan (eds) Handbook of Health Education (2nd Edition), Aspen Press, 1987. workplace. Businesses should design and implement pro- Morbidity and Mortality Weekly Report: CDC Guidelines for the grams based upon an educational needs assessment of their Workplace, Centers for Disease Control 34(45): Nov. 15, 1985. employees knowledge and attitudes regarding AIDS. Finally, 5 Butler K: S.F. Firms Lead Nation in HumaneAlDS Policies, San does the company have the resources and personnel to plan Francisco Chronicle, page 1, Apri 18, 1986. and conduct an effective AIDS education program? Bayer R and Oppenheimer G: AIDS in the work place: The ethi- Consultants—Should outside consultants be utilized to help cal ramifications, Business and Health, pp 30-34, January/Feb- design, plan, and implement AIDS policy and educational ruary 1986. programs? Businesses must assess internal needs and re- Younger E and Harris L: AIDS: Employers' rights and responsibil- sources, then determine what information and resources ities, Corporate Commentary 27-37, 1986. they need to develop a comprehensive program. We recom- A Wing DL: AIDS: The legal debate, Personnel Journal pp 114- 119, August 1986. mend contacting businesses that have instituted AIDS policy education programs, reviewing the resources cited in AIDS: The Workplace Issues, American Management Associa- and tion, New York, 1985. this article, and soliciting the advice of public health officials 10 McKusick L, Wiley JA and Coates TJ: Reported changes in the in local, state and federal agencies. Private sector consul- sexual behavior of men at risk for AIDS, San Francisco, 1982- tants may_ provide expertise to assist corporations in devel- 1984—The AIDS Behavioral Project, Public Health Reports 100: oping AIDS programs, however, they should be carefully 622-628, 1986. screened on several criteria: documented experience with " Halcrow A: AIDS: The corporate response, PersonnelJournal pp previous corporate clients, academic training in public 123-127, August, 1986. health education, and specific AIDS-related program 'Z Business Week: Business should help battle AIDS (editorial), activities. page 174, March 23, 1987. Employee Relations—How do managers respond to a group 13 Masi, D: AIDS in the Workplace: What can be done? Personnel work a with AIDS, July: pp 57-60, 1987. of workers who refuse to with person " U.S.D.H.I-I.S. Coping withAlDS: Psychological and social con- ARC, or HIV infection? What happens when customers siderations in helping people with HTV-III infection. NIMH, complain that they are concerned about a rumor that an em- DHHS, Publication No(ADM) $5 -7432 Rockville, MD 1986. ployee in your firm has AIDS? How and when does a man- 15 Morbidity and Mortality Weekly Report: Public Health Service agerconfront anemployee who makes inappropriate, callous Guidelines for Counseling and Antibody Testing to Present HIV remarks about a fellow employee with AIDS? ❑ Infection and AIDS 36(31): August 74, 1987. '~ Helquist, M: Your HIV status: should you take the test? The Ad- vocate pp 45, July 1987. REFERENCES ' Strategic Resource Corporation: Fortune 500 Survey of AIDS in the Workplace, as quoted in the Houston Chronicle, July 8, 1987.

26 THE ALMACAN SEPTEMBER 1987 out~S? nt t~ yearn ~n°~e ab Catl~1~5 Wa the pub 11 e~1~~1 Rea d the~ read by , ~,l i ~r i~~ N Y ~ '- f~ .,Y~ ~~~.,,+x

Nt ALi4iaGA `~•: T /1`,S "ONT NUUM OF SERy/CAS ~~~ ~ ntcoryo~ allo ~S~\1~ G~ a Gam. ALMACA Publications OR[/G ABUSE ofp,2~~ ~p~ WORKPLACE. "PepeaN 1~Pptt`S9~ Standards for Employee Assistance NF ~~S~UPP~ Programs This 8-page publication is a guide O~~ QQp for the establishment of new employee assistance PG programs. It walks program people through rr five elements that are part of every successful EAP...... $ .50 A Guide for Supervisors Without the involvement ofthe supervisor or middle-manager,few EAPs will be successful. This 12-page publica- AL.MACA EAP Fact Sheets This series tion explains what maybe expected of these key of Clearinghouse publications deals with known, players, and teaches them how to prepare for attributable data on EAP-specific areas of their own involvement, how to confront the troubled concern...... $ 1.00 employee, and how to follow up ...... $ 1.50 The ALMACAIÌ Flagship of the ALMACA EAPs: Theory and Operations This 20-page publications fleet, The ALMACAN is a respected publication deals with human problems in the monthly journal whose fame rests on itsthought- workplace, how involved persons can respond ful,thorough coverage and reflection on areas to these problems, the theory and operation of Periodicals: Back Issues Only of EAP concern...... S 1.50 EAPs in this context, and an appendix of pro- gramstandards ...... S 1.50 In FOCUS A publication of the ALMACA Clear- NOTE: The periodicals listed here are member- inghouse for Employee Assistance Program ship publications for ALMACA members and Legal Issues Affecting EAPs This 32-page Information, the In Focus series consists of subscribers to the Clearinghouse. Back issues publication, written by ALMACA's legal counsel, brief essays on subjects of interest to EAP only are sold to persons who are not ALMACANs takes readers through the maze of government practitioners...... $ 1.00 or Clearinghouse subscribers. Members and regulations (particularly those dealing with subscribers receive these publications in the confidentiality) and labor-management The IIÌFO-LI[YE Also from the Clearinghouse, month of issue. For more information, or to liabilities...... S 3.00 this is a monthly newsletter dedicated to keeping order ALMACA publications, write Dick Bicker- readers current on EAP-specific topics. This is ton, Manager, ALMACA Clearinghouse for EAPs: Value and Impact This 12-page not a journal. It's a Flexible record of the Employee Assistance Program Information, publication speaks quietly to the probability that rapidly changing EAP field and its volatile ]800 North Kent St., Suite 907, Arlington, VA almost any business or industrial site is in need issues...... S 1.00 22209; ar telephone 703/522-6144. of some form of EAP. Using no "gee-whiz" statistics that may astound but not inform, it presents the case for EAPs in a nonthreatening way that is intended to motivate an examination of the possibilities...... $ 1.50 ~ Please send me the ALMACA publications and quantities indicated below.(NOTE: Orders of Compiled especially for new employ- ~ less than 510.00 must be accompanied by a check or money order made payable to ALMACA. Those Sta~'tel' Kit order.) ee assistance programs or for people who are 1 orders to be billed—S10.00 or more—must be accompanied by a purchase considering implementing an EAP, the Starter Kit 1 contains the five publications described above, 1~ PUBLICATION UNIT PRICE Q(lAiÌT1TY COST and other materials...... ~ 7,50 jStandards for Employee Assistance Programs S .50 S A Guide for Supervisors S 1.50 and 1 Continuum of Services A sane, caring, ~ EAPs:Theory and Operations S 1.50 effective program of testing for substances at ~ Legal Issues Affecting EAPs S 3.00 pages the worksite, the Continuum lays out 28 1 EAPs:Value and Impact S 1.50 of process maps and other procedures bearing ~ Starter Kit 5 7.50 upon testing during hiring or after the person is ~ Continuum of Services S12.50 ...... $12.50 on the job. i ALNIACA International Resource Directory S 5.00 ALMACA International Resource Directory ~ Resource Information on EAPs S 2.00 This Directory contains names, addresses, ~ In Focus S 1.00 and descriptions of programs in 28 countries j The IfYFO-LINE S 1.00 outside the United States. It also identifies and ~ ALMACA EAP Fact Sheets S 1.00 describes other directories of international ~ The ALMACAIY S 1.50 interest ...... $ 5.00 i Specify which issues) ~ TOTAL S EAPs This 28- 1 Resource Information on ~ Send publications to the following address: pagecompilation of resource data contains t sections on program standards and resource organizations, an annotated book list and a list I~IAME COMPANY of journals and newsletters...... $ 2.00 i ADDRESS CITY STATE ~T5 Help in g the Em pto y ee With ARC or AIDS

by Guenther Krueger, RN, M.Ed.

ssessment of an em- physical symptoms as- ployee with AIDS sociat~d with the im- is focused on phys- munodeficiency syn- ical and behavioral mani- drome, or neurologi- festations of the disease calsymptoms resulting that could .impair work from the virus' attack performance or personal on nervous system functioning. The person structures. Some people should be interviewed will have problems in with the objective of de- both areas. terminingthe nature of any impairment, its severity, the person's coping skills SEVERITY and personal resources, The range of physical and ascertaining whether problems can vary there are pre-existing psy- widely and will fluc- chiatric complications, tuate throughout the maladaptive behaviors or disease process. One conditions such as alco- of the difficu Ities of th is holism. This information disease is that a person gives the EAP counselor may have alife-threat- information necessary for ening illness, yet may appropriate intervention feel healthy. An op- or referral. portunistic infection may develop gradually or suddenly. Some people will re- cover completely and others will develop chronic problems. THE NATURE OF IMPAIRMENT There are few patterns to AIDS and AIDS related-complex People with AIDS have compromised immune systems mak- (ARC). The degree of physical problems is assessed on an indi- ingthem susceptible to a number of rare infections and can- vidual basis, usually by a physician. cers. For example, they can get a skin cancer called Kaposi's Neurological problems may be more insidious. Early sarcoma, or a lung infection called Pneumocystis carinii symptoms of problems will include forgetfulness, poor con- pneumonia. Such infections are known as opportunistic: centration, loss of interest in work, apathy and withdrawal they take advantage of the opportunity presented by a deficit (Holland and Tross, 1985). The disease process in the brain in the immune system. The virus can also affect the nervous and spinal cord is not dependent on the immune deficiency. It system, causing changes in brain function and behavior. is a separate and poorly-understood process. It is also not Studies have shown that 30% to 60% of patients with HIV in- known how the virus' limited effect gives rise to a wide range fection will have neurological complications. Futhermore, of symptoms including dementia. Symptoms may also mimic as many as 20% of HIV infected individuals will manifest other neurological syndromes such as multiple sclerosis neurological symptoms prior to other symptoms(Berger, 1987). (Gallo, 1987). In any case, referral to a neurologist or clinical This means that persons with AIDS (PWA's) have either psychologist may determine the degree of impairment.

2II THE ALMACAN SEPTEM6ER 19137 disorderswill decreasethe patient's copingabilities. The im- COPING SKILLS portant issue here is that normal psychological reactions of A diagnosis of AIDS usually leads to a range of reactions. AIDS patients be distinguished from psychiatric complica- Some knowledge of this reactive stage theory as outl fined by tions. Referral to a psychiatrist may be useful at this point. Nichols (1985) will assist the counselor in determining how Heightened anxiety and fear reactions may also lead to an the PWA is dealing with the problem: increased use of drugs and alcohol—a dangerous option for Initial crisis. There is vacillation between anxiety and denial. someone already physically compromised. Appropriate in- These responses may interfere with the patient's ability to tervention is needed for this specific problem. The EAP comprehend and comply with medical instructions. In the counselor should bear in mind that some treatment re- work place this can easily lead to an inability to carry out as- sources may be unwilling to deal with people with AIDS or signed tasks properly. Patients in the crisis state typically ARC. have difficulty retaining information and may distort what they are told regarding their illness. "Patients inthe crisis state typically Transition. At this time there may be alternating waves of anger, guilt, self-pity, and anxiety. Depression is common. have diffic«Ity retaining information Patients may obsessively review their past in an attempt to and may distort what they are told understand what they may have done to "deserve" AIDS. Some patients will displace their anger in continued sexual or drug- regarding their illness." using behavior endangering others as well as themselves. Persons in the transition stage need to form new values, a There are other factors affecting the individual's coping new sense of self, and a new community. Often they must strategies which should be assessed. These include: restructure relationships with loved ones and families. An Self-Concept EAP referral to support groups can be useful at this time. Self-concept can be viewed as a continuum. High risk Accepting /imitations. The person attempts to involve him- groups such as gay men and intravenous drug users may al- selfwithin the confines of the diagnosis. There may be fluc- ready have self-concept difficulties relating from their closeted tuation between this stage and the transitional stage. This is or underground existence and their general lack of support the time when patients learn to accept the limitations that from society at large. Diagnosis often exacerbates this social AIDS imposes on them but also realize that they can still isolation and reinforces feelings of rejection or inferiority. manage their lives by reacting to the disease with more Intravenous drug users generally have the poorest social reason than emotion. Some patients may also embrace spir- support systems. The support of an EAP counselor can prove itual concepts in order to give themselves hope and relief. invaluable in helping the client view him or herself more Spiritual counselling may be helpful here. favorably. This acceptance stage will make the PWA feel less vic- Attitude Toward Health and Illness timized. Generally it is found that at this time people take People vary widely in their attitudes towards health and more responsibil ity fortheir own health and develop more of illness and in the way they view the health care system. a fighting spirit. There may also be experimentation with What is a health problem for one person may not be the case diets and alternative treatment practices such as meditation. for another. Pain tolerance also varies widely among indi- Nichols also refers to situational distress. This happens viduals. However, an even greater perceptual difference when different, sometimes simultaneous, crises happen probably occurs in relation to the health care system itself. with acceptance being temporarily lost. New crises may Some view physicians and hospitals with distrust with little force renegotiation of transitional states to reach acceptance expectation of positive outcome. Others place themselves in once again. This has been tagged by patients as the "roller the hands of health care workers ful ly expecting to become coaster" of AIDS. Insomnia, anxiety, and depression as well better. as other symptoms can occur. These are sometimes treated Previous Experiences With AIDS with antidepressant and antipsychotic medications. This There is a continuum of illness related to HIV infection. will result in mood and behavior changes, as well as side Terminology varies widely, but those with physical symptoms effects. usually suffer from AIDS-related complex (ARC) or AIDS. The term ARC refers to a person who has been infected by HIV and who has at least two well-defined symptoms of im- PSYCHIATRIC COMPLICATIONS AND munodeficiency combined with at least two laboratory ab- BEHAVIORAL PROBLEMS normalities. As yet, there is no way to predict if a person with Certain individuals are more likely to handle the personal ARC will go on to develop AIDS. The diagnosis AIDS is re- crisis of an AIDS diagnosis better than others. Pre-existing served for those with. life-threatening opportunistic compli- mood disorders such as depression and certain personality cationssuch as tumors and infections caused by HIV. These

SEPTEMBER 1987 THE ALMACAN 29 occur in about four to 15 percent of those infected. From a An assessment ofanindividual's internal orexternal locus biologic point of view, clear distinctions between AIDS and of control is important in determining to what extent inter- ARC are not possible. ventionwill be required. Some PWA's can be assisted in de- Someone with a diagnosis of AIDS may have had ARC for veloping amore internal focus. People who resolve their some time. The diagnosis then represents a shift into a more personal crisis surrounding diagnosis and decide to "fight serious phase of the illness. It may be easier far this indi- back" by improving their health through diet, exercise, and vidual to accept the diagnosis than someone who.is im- a more positive attitude wil I tend to enjoy the added benefit mediatelydiagnosed as having AIDS. of shifting their locus of control towards a more internal state. Doing something positive for oneself generally results in a feeling of greater mastery over one's health, "Patients may obsessively review their past in an atfiempt to understandwh~t RECOMMENDATIONS FOR WORKING WITH PWA'S they rY~ay have done to 'deserve' Dilley, et. al. (1984) have formulated a number of recom- AIDS." mendationswhich are appropriate for those people working with PWA's: 1) Those coming into contact with PWA's should examine In actual fact, many people who are diagnosed suspect their own attitudes and feelings in several areas; specifically, the fact even. before the results are in. This is often due to pre- they must confront damaging stereotypes of homosexual or vious recurrent physical illnesses. drug-abusing patients and their own personal apprehen- Perceptions of the Syndrome Consequences sions abouttheillness, includingtheirown potential suscep- These vary from a fatalistic approach( "everyone dies from tibility to it. This is particularly importantforcounselors who it eventually")to a complete denial( "it can't happen to me"). may have difficulty revealing their biases towards the client. A realistic approach that emphasizes living rather than wait- In other words, the counselor, who is expected to be impar- ing to die is probably the healthiest view under the circum- tial, may convey a double message of acceptance and rejec- stances. However, not everyone is capable of adopting this tion. These issues can seriously distort or cloud an effective attitude. Fear of physical incapacity, mental deterioration, assessment and counselling relationship. or syndrome consequences such as loss of bowel control may be significant issues for clients. Reactions of Significant Others and the Public "Doing something positive for oneself The quality of personal support systems, includingfamily, generally results in a feeling of greater friends and fellow employees, varies widely. Disclosure of a over one's health." diagnosis of AIDS may strengthen or diminish bonds with mastery others. Predicting how others will react can be a severe problem for some, and considerable support may be needed 2) Counselors should be aware of their personal doubts or for someone to discuss the disease with someone who he anxieties aboutworkingwith people havingatransmissible, thinks should know. In any case, disclosure and decisions life-threatening condition. The degree of acceptance is al- regarding whom to tel I are generally stressful events. In addi- ways acontinuum and knowing at what point one becomes tion to the clients concerns, the EAP counselor may be uncomfortable is useful. called upon to cope with the reactions of family, friends and 3) Given the social isolation frequently experienced by co-workers. these people, it is necessary to determine to what extent, if any, one may be willing to become involved in care and LOCUS OF CONTROL Locus ofcontrol relates to beliefs about internal versus exter- Guenther Krueger is a therapist working in nal control of reinforcement. It is assumed that individuals private practice in Vancouver, Canada. He develop an expectancy regard i ng thei r abi I ity to control thei r has been involved in health care for over 10 recently he has been working People who believe that the events in their lives are a years. Most lives. with AIDS Vancouver conducting support _ `E^ result of their own behavior and/or personality characteris- groups for AIDS caregivers. Mr. Krueger has tics are said to have an "expectancy of internal control," a bachelor's degree in nursing from McGill while people who believe events in their lives to be a func- University and an M.Ed. degree in counsel- tion ofluck, chance,fate, powerful others or powers beyond ling psychology from the University of their control or comprehension are said to have an "expec- British Columbia. tancy of external control" (Harre &Lamb, 7 983).

3U THE ALMACAN SEPTEMBER 7987 "Degree of acceptance is always a REFERENCES continuum and knowing at what Berger, J.R. (19£37). Neurological complications of human point immunodeficiency virus infection. Postgraduate Medicine, one becomes uncomfortable is useful." 81,72-79. Dilley, J.W., Ochitill, H.N., Perl, M., & Volberding, P.A. (1984). Findings in psychiatric consultations with patients support beyond a professional relationship. It is easy to with Acquired Immune Deficiency Syndrome. American develop an overextended relationship, Journal of Psychiatry, 142, 82-85. 4) Don't underestimate the role of the volunteer. One ex- Gallo, R.C. (1987). The AIDS virus. Scientific American, ample ofthe many programs that local organizations offer is 256, 47-56. a "buddy" system, whereby an appropriate volunteer will Harre, R. &Lamb, R. (Eds.), (1983). The Encyclopedic visit someone and accompany them on medical visits, shop- Dictionary of Psychology. Cambridge, MA: MIT Press. ping, etc. and generally give them some empathic support. It Holland, J.C., & Tross, S. (1985). The psychosocial and is necessary to have some familiarity with both the formal neuropsychiatric sequelae of the Acquired immunodefi- and informal resources that are emerging to assist people ciency Syndrome and related disorders. Annals oflnternal with AIDS and ARC and their families. Medicine, 103, 760-764. 5) There is no room in the care of AIDS patients for moral Nichols, S.E. (1985). Psychosocial reactions of person with posturing. Dealings with PWA's must be nonjudgmental the Acquired Immunodeficiency Syndrome. Annalsofln- and objective. ternal Medicine, 103, 765-767. The EAP counselor has a crucial role in the intervention of persons with ARC and AIDS. A thorough assessment based on sound information can provide the framework for effec- tiveclient support and assistance. ❑

~-~~ ~; ;> ~~ Many rehabs think the EAP's job is finished when he or she refers a patient. Not so. Smithers' counselors are trained to report fully and report often to the referral source. Smithers Alcoholism Treatment Center, a division of St. Luke's/Roosevelt Hospital, 428 West 59 Street, New York, NY 10019 212/554-6491 .ic;nH n~~~~e~i~~ea Smithers

SEPTEMBER 1.987 THE ALMACAN 31

v UPDATE ON CERTIFICATION

Certified Employee Assistance Professionals—September 1, 1987

e are very proud to present the first Certified Em- The following I fisting of Certified EAPs is classified by state ployee Assistance Professionals. The Employee and city in the hopes that it can be readily referenced. Sub- Assistance Certification Commission (EACC), ap- sequent generations of the CEAP listing will be published proved the issuance of over 1,500 certificates for this first annually by EACC. The first CEAPdirectory will be available group during its September 10-12, 1987 meeting, in following the November 21, 1987 examination. The regis- Washington, D.C. tration deadline for that test is October 10, 1987. ❑

SCOTTSDALE PARK EL CAJON ALASKA BUENA MORKISSEY, LINDA J. ECKLUND,JAMES N. TREGER, ROCHELLE ANCHORAGE TEMPE BURBANK EL CERRITO LOGAN, DARRYL R. PATTERSON, JOSEPH W. CULLEN,WILLIAM J. KOVED, LESLIE ROTH, JAMES J. ROE, G.M. WILLIS, NORMAN ALABAMA SMITH, JON ROSE, CHARLES K. EL SEGUNDO SANMAN, LOUIS F. BIRMINGHAM TUCSON DURSTHOFF, LEONARD C. BURLINGAME THOMAS, SYLVIA B. DUPREE, RICHARD W. GUEST, JACK W. JORGENSEN, DONALD G. BARSI, RALPH HUDDLESTON, FRANK W. FORTPAYNE KENNY, RAYMOND V. COMBS, BILL McCREA, JOAN NAPPIER, VIVIAN SPIRE, DAVID A. DONNELLAN,JOHN G. SORENSEN, LAVONNE ). MARSHALL SPACE FLIGHT CENTER CANOGA PARK FONTANA CALIFORNIA McDEVITT, TERRENCE F. HOLMAN, RON O'HARE, BARRY M. JAMIN, BEN RICHMOND, JEANNE D. AGOURA HILLS FOSTER CITY SYLACAUGA PHILIPS, ELAINE CARLSBAD MORA, GEORGE C. NIMAN, BARRY J. HUMPHRIES, LAMAR ALAMEDA SUTTON, ERIC FREMONT SQUIRE, LAURA ANDERSON, PATTY L. ARKANSAS CHATSWORTH DANIELS, WILBURN H. ALAMO CALHOUN, DEWEY E. MITROFF, MICHAEL CONWAY BENZLER, SYLVIA K. CLOVIS FRESNO NEAL, KAREN Y. ALTADENA NIELSEN, KAREN J. GREEN, ALVIN E. LITTLE ROCK PRICE, MARION L. COLFAX GARDEN GROVE CARRUTH,BRUCE ANAHEIM DeWOODY, RICHARD AGUILAR, ANTHONY C. TUNE, ERNEST W. ZISFIKA, RONALD L. ARMAUMELLE CONCORD GLENDALE APTOS MARTONE, KATHY J. BETZENDERFER, MARY J. SWEARINGEN, ROBERT W. GARNER, EDWARD A. NORTH LITTLE ROCK CORONA GOLFfA ATASCADERO MEYERS, LOUIS E. WILLIAMS, CAROLANN GILMOUR, BETTY L. JALBERT, BRIAN N. PINE BLUFF COSTA MESA IRVINE BAKERSFIELD COLEMAN,JOHN W.H. FINNEY, MARY LOU MEZERA, NANCY DECKER, JAMES T. TEXARKANA CULVER CITY LA CANADA BERKELEY CORNELIUS, JOE C. MOORE, GAIL L. FLYNN, MATT HOFFMAN,CAROL SCHUETZ, NANCY LEHMER, MEGAN LA HABRA ARIZONA PETERSON, RAOUL C. DEL MAR MIDDLETON, DORENA L. STEINMAN, SANDY CLEARY, PAUL E. TRUCHON, DANIEL O. FLAGSTAFF BISHOP DARTENAY, JAMES F. LAVING,JOHN HIRSHBERG, LINDA LA ~OLLA RICKORDS, RALPH E. CLARK, ANN D. PHOENIX DIAMOND BAR BRIDGEVILLE BUNN, GERALD A. BINICKI, JOSEPH R. GREENLEAF, PAMELA JANOWITZPRICE, BEV SWEENEY, PATRICK LOMA LINDA LEE, CARROL E DOWNEY GOODCHILD, GREG MARTIN, THOMAS R. APPEL, LYNNE PRESNALL, LEWIS F. SCOTT, JOEL E.

32 THEALMACAN SEPTEMBER 1987 LONG BEACH SWEGAN, WILLIAM E. PASADENA REDONDO BEACH COLLINS, KENNETfi R. SWINK, PHILIP N. GILLIGAN, MARY BUCK, WILLIAM FLYNN, JOHN H. TATE, BENNETT). SIMS, FRED MILLER, VALERIE A. JONES, DOROTHYJ. TEMER, ROBERT G. WALSH, DONALD E. REDWOOD CITY WITNAUERSMITH, NANCY ONTARIO PIEDMONT WAPNER, ROGER H. LOS ALTOS HILLS GOYA, BRUCE Y. JARDINE, EDITH L. RICHMOND RUZICKA, ALICE G. ORANGE PLEASANT HILL QUIRK, NIKA LOS ANGELES HUNEYCUTT, NORMAN N. GORDON, LORRAINE WILLIS, KATHY L. CARSON,JOANNE L. [3ATESOLE, KATHLEEN PLEASANTON RIVERSIDE DUNNIGAN, JAMES F. NEELEY, MICHAEL K. TUTTLE, DURKIN, WILLIAM G. PHYLLIS CAGNEY, TAMARA BRUNER, ROBERT MARVIN A. MANCHESTER, JEFFREY R. FISHMAN, OXNARD SACRAMENTO FLETCHER, DRUCILLA BURNS, LAUREL POWAY GOODMAN, RAY A. BREINING, BERNARD G. RICHESIN, ELEANOR GOULD, GARY M. MAKI, BERNARD A. HILL, LAWRENCE G. JETT, KATHRYN P. HAZEN,BRUCE PANORAMA CITY QUARTZ HILL JONES, MERRILY K. MCGANN,SUZANNEC. PETENBRINK, NANCY A. BAILEY, HERMAN MAGUIRE, DOUBLAS K. CHARLES MULLIGAN, JAMES MCLEOD, ROBERT W. PARAMOUNT RANCHO PALOS VERD STIRLING, GORDON D. MURRAY, GARETH TERRY, ROBERT BOSE, HERMAN KLOCK, JOANN PATRICK, MILES ZIEGLER, DAVID M. PORTER, GLORIA J. SCHROEDER, DEBORAH M. STARK, RICHARD C. MANHATTEN BEACH CASE, GREGORY S. MARINA Naples Research and Counseling Center offers KRASOWSKI, JOHN a strong foundation for a. new life. MILL VALLEY We believe that the commitment to •Member of the American Hospital MCGARRY,JOSEPH J. change requires a strong foundation of Association purpose. This is the groundwork we MILLBRAE build on at Naples Research and ~. NAPLES RESEARCH MILLHOLLON, SUSAN E. Counseling Center, the nation's most & COUNSELING CENTER MODESTO comprehensive system for the treatment of addictive disorders. SCHLAEPFER, MADELYN A. • J.C.A.H. accredited An affiliate of WI~MAC Health Care... MT VIEW • Clinically driven 12 step program Partners in Family Progress. LANE, BARBARA • Completely confidential 9001 Tamiami Trail South • 64 beds for treating food addiction Naples, Florida 33962 NORTH HOLLYWOOD • 28 beds for treating chemical Outside Florida 1.800.722.0100 CROSSEN, JAMES dependency Within Florida 1.800.282.3508 NORTHRIDGE ...... ~,.,.--...... ~,..,,,,,. _,.e esteewt ` r DAVENPORT, BILL f ;~ NOVATO 7C~,' ',- WHITMORE, MAUREEN „ ~ 3 ~iQ'~~d~o OAKLAND /~~,diy~ ARMSTRONG, REBECCA J. „ ~~ :' ~, _ COUGHLIN, ANN DEMASTERS, J. NEIL h e dc~,~ .. . FOGARTY, ELLEN B. ,°.xa GAGNET, C. W. ~.t e ryON ` O'DONNELL, JAMES ~: PHILLIPS, PHILLIP D. STUART, BARBARA T.

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SEPTEMBER 1987 THE ALMACAN 33 SAN BERNARDINO SOUTH PASADENA BOULDER FAIRFIELD LEERSKOV, WILLIAM SANDRA, PATRICIA A, FISCHER, MAXINE S. PRIOR, RUTH M. MAYNARD, JOHN B. SAN SPRING VALLEY FARMINGTON DIEGO SCOTT, ROGER L. ANGELLEVY, PENNY CASINELLI, DENISE WILKINSON, LINDA POPE, HENRY J. CURTIN, SUSAN STOCKTON GREENWICH ESPINOZA, ANTHONY D. COLORADO SPRINGS GARLAND, DIANE JONES TORRES, JOE, JR. CARMICHALL, STEVEN TUREK, DONALD J. HEIDEL, STEPHEN H. STUDIO CITY CITY HAMDEN KRNICH, NICHOLAS M. COMMERCE PANTTAJn, LEE A. ANTIN, COLLA NADINE HOOVER, PAUL E. HOEY, WILLIAM E. ELLIS, PATTI KAVANAUGH, RONALD F. RHODES, SHARON A. DENVER ROGERS, DUANE SUNNYVALE HARTFORD TI-IOMAS, LAURNA BELLAMY, BETTIE WILLIAMS, fLOR[NZA UNGER, ARLENE K. FLANSBURG, LOYAA M. BUEHLER, DONNA HEISE, HERMAN J KINYON, RICK I. THOUSAND OAKS SAN FRANCISCO HUTCHINGS, CALVIN L. MURPHY, KEVIN R. BAILEY, NANCY DORRIS, CAROL JONES, JENNIFER L. PERI_A, MARGARET C. BATCHELOR, SUSAN K. MATTHEWS, LYNN KING KRAFT, EDWARD J. PILKINGTON, CHARLES F. YOSKOWITZ, CAROL M. COBBS, GEORGE TOLUCA LAKE PETERS, ROBERT J. DAVIDSON, NATHAN S. VALDEZ, ROMAN MERIDEN DOLAN, HELEN HISAYASU, LINDA K. WARREN, BETTY GftEENE, CATHLEEN CARROLI_, WILLIAM TUSTIN ENGLEWOOD HEALY, CANDACE M. CLARK, RONALD G. gIBBY, CANDACE KLEIN, PHYLLIS FORQUER, MARGARET j. CASH, JOY C. MIDDLETOWN KNUDTSON, WILLIAM FT. COLLINS BLACKWOOD, FRANCES N. NUERNBERGER, GUENTHER A. TWIN PEAKS SLADE, ROBERT RILEY, JOHN D. POWELL, CHARLES K. MILFORD SMITH, LINDA GOLDEN HARRIGAN, JACQUELINE WALL, CATHERINE E. VALLEJO BRIDGES, JENNIFER MURRAY, ROBERT L. WE6B, MICHAEL A. KEENEY, KATHLEEN LITTLETON N. GRANBY SAN JOSE VAN NUYS AKERLUND, KATHRYN M. LEHRMAN,IANICE K. ATKINSON, GARY D. BURGESS, MICHAEL DANA HANNER, DAVID L. DORRIS, ROBERT T. WESTMINSTER NEW BRITAIN LEA, PATRICIA E. SANCHEZ, PAUL MILLS, LEONARD L. HOEY, MATTHEW T. PAPPALARDO, FRED J. STEVENSON, CAROLE A. NIANTIC SAN LEANDRO VENTURA CONNECTICUT SANFORD, ROY V. DE FRANCO, LISA BARKER, PATRICK ANSONIA NORTH HAVEN SAN RAMON CANCHOLA, JOSEPH A. CUMMINGS, PETER FUTSCHIK, JOSEPH E. IERARDI, JOSEPH 1. ANDERSON, LYN F, VISTA BETHEL NORWALK SANTA ANA SMITH, HERBERT S. FORISTALL, JOHN BOHL, GORDON G. CARSON, DAVID WATSONVILLE BLOOMFIELD OLD GREENWICH SANTA BARBARA RADOV, ANEITA S. JACK50N, KATHLEEN KING, EDWARD IMAi, WILLARD POWELL, DAVID ). SULLIVAN, ADOLPH J. WESTLAKE VILLAGE pLAINVILLE BRIDGEPORT SANTAMONICA FOREMAN, 1EDDIL= PHILLIPS, DEANE NLATI, PATT WASSELL, GEORGE W. NUZZ0,105EPH P. HEALY, WILLIAM W. PICASCIA, SUSAN WHITTIER CANAAN ROWAYTON SEBASTOPOL STUART-LANGNER, BARBARA HOWLAND,JOHN V. MC CULLOUGH, CAROL GUNNERSEN, UWE WOODLAND HILLS COLCHESTER STAMFORD SHERMAN OAKS RUDD, FRANKLIN RISTAU, STEPHEN BERNSTEIN, MARY MULLADY, SARAH GRANDE, GERRE EAST HARTFORD ROSTA, JOYCE A. KOCHIK, ~ucv A. COLORADO FILLORAMO, THOMAS LEVY,)OANN LUCILLE STRATFORD AURORA MOSELEY, M. SIMI VALLEY GftIFFITH, CHESTER F. THORPE, PATRICIA TESTANI, HARRY A. COE, ROBERTA

34 THE ALMACAN SEPTEMBER 1987 TORRINGTON LAKE WORTH ORLANDO GEORGIA LUSSIER, JAMES E. WILSON, JERRY DIEBLER, SCOTT P. GARVEY, JAMES E. WALLINGFORD LARGO ATHENS KINZLER, GERALD P. BURCH,KAREN WEGNER BUTLER, JOAN G. ROMAN, PAUL M. LAZUK, A.J. PALM BAY MAITLAND ATLANTA PREZIOSO, THERESA I. WATERBURY ALLEN, JOHN D. BLYTHE, BRUCE T. COPES, RUTH B. PALM COAST FOERSTER, DAVID W. MARGATE FOSTER, KINNANE, PATRICIA HUGHES, RICHARD P. TODD C. MCCAMPBELL, DAVID S. GRIMES, HOWARD C. WESTPORT POMPANO BEACH GROEPPER, RICHARD C. MERRITT ISLAND FRANCEK, JAMES L. CONNELLY, JANET MCCOY, R. SCOTT ANDREWS, JACK G. PLLLIGRINO, JOHN F. WETHERSFIELD TALLAHASSEE PERRYMAN, WILLIAM MIAMI CALLAGHAN,JOHN A. RABAUT, CHARLES P. PIERCE, WILLIAM BABENDEREftDE, FRED A. PORTER, JEAN WOODBRIDGE BROOKS, ISAAC TAMPA REAVES, ). GRAHAM OSBORNE, JAMES W. CULLEY, PAULA J. ADAMS, BOB H. DAWSONVILLE FERRO, MARIA J. CHALLENGER, BARCLAY R. MOREHOUSE, MARY DISTRICT OF COLUMBIA SANCHEZ-SMITH, CHERI DICKMAN, FRED ). SCHREIBER, DUANE A. GAINESVILLE I UCKEK, RUBERT BARKIN, AMY C. DINKA, NANCY BILLUPS, BONITA G. VIVIAND, HELEN BROWN, ALPHA LOHN,TERESA S. COYLE, HARRY DANIEL, MALVA FFUFR, BARBARA A. GRACE, GRACE N. KURUTZ,JOHN G. DCC MAST, DR. DALE A. MCKINLEY, ROBERT STARR, RICHARD "The Employee and Fnmily Assistance Comna~ay" WOODS, WILLIAM WHY DO THESE LEADERS [N EMPLOYEE DEPENDENT CARE ASSISTANCE COME TO DCC FOR THEIR DEPENDENT CARE INFORMATION AND EDUCATION PROGRAMS? American Management Association General Re Services Corporation DELAWARE Aema Life and Casualty 1. C. Industries Bankers Trust Joseph E. Seagram &Sons WILMINGTON Champion International Corporation Lenox Hill Hospital Chase M~nh~tt~n Bank Levi Suuuss &Company LANK, BERNICE H. Clairol Nabisco Brands Crocker /Wells Fargo Banks Norwalk Hospitll Dow Jones &Company Polaroid Corporation FLORIDA E. I. Du Pont de Nemours & Lo. Prudential [nsur~nce Company F M C Corporation Quaker Oats Company ALTAMONTE SPRINGS Gam~ett Company U.S. Chamber of Commerce General Electric Credit Co~paation U.S. [nsurance Goup )OHANNSSON, STEFAN BF,CAUSF, DCC IS THE LEADER IN PROVIDING COMPANY-WIDE CH/I.D CARE and COOPER CITY ELDERCARE INFORMATION AND EDUCATION PROGRAMS. CHESSER, WALTER C. OUR DEPENDENT CARE INFORMATION AND EDUCATION PROGRAMS FEATURE THE VIDEOTAPES Ind PRINTED EMPLOYEE EDUCATION SERIES CORAL GABLES " HOW TO FIND AND EVALUATE HIGH KIRCHNER, PHAELA B. QUALITY CHILD CARE" "HOW TO FIND AND RODRIQUEZ, LUIS J. EVALUATE HIGH QUALITY ELDERCARE" VICK, CHEKIE A. DCC ALSO PROVIDES A NATIONWIDE TOLL-FREE DEPGNUENT CARE /NFORMATION PHONE GINS THAT CONNECTS YOUR FORT LAUDERDALE EMPLOYEES WITH THEIR LOCAL RESOURCES FOR CHILD CARE and ELDERCARE ASSISTANCE. DECOTEAU, DAVID R. TALK TO THE LEADER IN CHILD CARE AND ELDERCARE FT. MYERS INFORMATION AND EDUCATION PROGRAMS MORAN,JOHN M. DCC JACKSONVILLE ~• ~~ APPLEBY, ROBERT J. P.O. BOX 27A3,WESTPORT, CT, 06880 FREEMAN, LESLIE A. (203) 324-5488 PERSICO, CYNTHIA BRINGING CORPORATE AMERICA AND'fHEIR FAMILIES'COGETHGR~ Look for our videos at the ALMACA Conference Film Festival

SEPTEMBER 1987 THE ALMACAN 35 HAPEVILLE BLOOMINGTON HAZEL CREST SPRINGFIELD MCMAHON,JOHN T. REHAGEN, GERALD A. LEWIS, JUDIIH A. HAMILTON, JEANNE HOPEVILLE BURR RIDGE HINSDALE VILLA PARK WHITED, DENNIS L. PEIRCE, CORING R. OURSLER, FLOYD UHRIK, STEVEN MARIETTA CARPENTERSVILLE HUBBARD WOODS WADSWORTH BERGSTEDT, JAMES E. SKILES, THOMAS O. KELLY, RAYMOND J. VASQUEZ, MARY MCDONOUGH CHICAGO LA GRANGE PARK WAUKEGAN JAMES, EMILY AVERY, LINDA G. CULLEN-BENSON, SCOTT KENNY, PATRICK J. BENSON, PATRICIA A. RIVERDALE BROMLEY, CHARLENE LANSING WILLOW SPRINGS MITCHELL, WILLIAM S. BUTLER, LOUIS WHITEHEAD, THELMA ZARAGOZA, ARTHUR CAMPBELL, NEDRA A. ROME LEMONY WILMETTE CLARK, LEIGHTON WATSON, MARY DYME, BERNARD S. ROMEY, BYRON LIGETT, SHARON F. MOTANKY, GUY ROSWELL GOUBEAUX, THOMAS LONG GROVE HAMMER, O. LAWRENCE WEINSTEIN, STEPHANIE TURCOTTE, RICHARD NAUGHT, STEVEN M. KANG, MARY WOOD RIVER SMYRNA HEWETT, PAUL C. MATTESON )ESKEY, MYRA CRAUSE, PHILIP DUKE, DONNA LANDESMAN, TOBY DE, ROSH J. STOCKBRIDGE LYNCH, VINCENTJ. MORTON GROVE INDIANA MANNING, DONALD A. BROWN, DEBRA DAVIS BAKER, RICHARD MILLER, LEO C. ANDERSON STONE MOUNTAIN MITCHELL, RAYMOND NAPERVILLE SCHINDERLE, JACK W. MOORE, ELIJAH CAMERON, WILLIAM GRUBMAN, JANICE R. BEECH GRIDLEY, ELLEN M. ONINES, VIRGINIA L. GROVE WHALEY, A. KAY PILAT, JOANNE M. OAK PARK HERRON, JAMES P. SILA, RO MONAGHAN,SHEILA SIZEMORE, JOHN A. BLOOMINTON HAWAII STACY, DELORES E. OAKBROOK TERRACE STURDEVANT, BOYD STEWARD, ROBERT H. BLAINE, JEFFREY N. CAMP H.M. SMITH STRODEN, MICHAEL J. BROWNSBURG CHAPPELL, STEPHEN F. SULLIVAN, JEANNE PARK RIDGE HESS, PHILIP A. TAYLOR, ROBERT CLARNO, JOHN C. HONOLULU COLUMBUS TEITELMAN, ANDREW C. REDDY, BETTY BAROZZI, RONALD THOMAS, MARY BETH TAYLOR, CARVEL U. MORRIS, RAYMOND VOELKER, MONICA K. PAWNEE FORT WAYNE IOWA CHICAGO HGTS. SMITH, MARTHA J. ARNOLD, GEORGE D. WEAVER, DEE DAVENPORT PEORIA HAMMOND CROWLEY, THOMAS J. DANVILLE FINNEGAN, WILLIAM GRABELLE, JEROME A. MUSCATI NE CRAWLEY, CARNICE GUSTAFSON, DENNIS W. MCGINNIS, DAN MILLER, RICHARD A. STRELLA, REBECCA V. DOWNS PEORIA HEIGHTS NADON, PAUL SIOUX CITY CARSTENS, PHYLLIS A. HAYES, BREE A. SEARCY, JOHN B. YAGER, JAMES 1. LENNON, RICHARD C. EVANSTON ROCK ISLAND INDIANAPOLIS WATERLOO BAREWIN-RILEY, BARBARA FERRIS, THOMAS S. GELBERD, SEWELL F. MARSDEN, BARBARA GREENE, DENNIS DARK, HANK SCHLEICHER, WILLIAM LISCOMB, LLOYD ROCKFORD SPORE, RONALD C. NEWLAND, MARVIN IDAHO BELL, CAROL VAN, DERR FAIRVIEW HEIGHTS KYLE-RIMKUS, LINDA K. WEINSTEIN, SHELDON M. COEUR D'ALENE HARTING, JAMES 1. SCHAUMBURG JEFFERSONVILLE MONTGOMERY, MARILYN E. GENEVA HUTCHISON, M. LOUISE DENSFORD, MARY VINCENT, MARY V. HUTCHISON, ROBERT D. ILLINOIS WASIECKO, REGIS G. NEW ALBANY HAMPSHIRE CARPENTER, BARBARA S. SKOKIE AURORA KILGUS, RICHARD H. COX, JAMES MCLAREN, RICHARD L. KAUFFMAN, ROBERT L.

36 THE ALMACAN SEPTEMBER 1987 NEWBURGH WICHITA METAIRIE O'BRIEN, DONALD R. BROWN, DANNY C. MCGEENEY, TEKRENCE J. WICKRAMASEKERA, ANTHO O'CONNOR, THOMAS P. MCADAMS, WILLIAM 5. WOODS, JAMES C. O'Sf IEA, DONALD F. SULLIVAN, FRANCIS M. SOUTH BEND KENTUCKY NEW ORLEANS WOYCt IIK, JANIC[ P. KLAUS-HAGAN, ALBERTA DOOLEY, MICHAEL I. CORBIN BRAINTREE GUNNING, WALLACE E. SR. ODOR, DAVID R. FLEMMING, JOHN F. KANSAS RIVER RIDGE FRANKFORT CAMBRIDGE STRICKLAND, JOHN F. EL DORADO LONG, MARGARET M. CONNORS, ~oHN ). FISCHER, RONALD W. SHREVEPORT LACOUTURE, RICHARD LOUISVILLE RESTEGHINI, LOUIS KANSAS CITY MIDDLETON, REECE BANTA, FRANK CHICOPEE BAIRD, CHERYL J. BUNDY,JAMES V. CROPPER, MASSACHUSETTS O'CONNOR, EDWARD F. LENEXA HAS A. FORMAN, GEORGE TETRAULT, ROBERT R. AMHERST CORDRAY, TERRY L. LAMPTON, PATRICK T. CONCORD PENNA, JOAN S. BISIEWICZ, ALAN MISSION GOUDEY, JANET J. PERKINS, ALFRED L. ARLINGTON HILL, JIM B. PERKINS; GEORGE )AFFE, JONATHAN H. EAST BOSTON OLATHE PETERSON, STEPHANIE YOCHUM, FORREST RAFFERTY, ELINOR M. FROCK, MARY A. AUBURN O'CONNOR, EDWARD J. FALMOUTH OVERLAND PARK LOUISIANA DOUGHERTY, DEBORAH C. READY, RICHARD H. AUBURNDALE TIDD, RILL. BATON ROUGE MAHAN,JOHN T. JEFFERSON MANN, SALLY PRAIRIE VILLAGE GOOCH, LARRY BELCHERTOWN GUSTAFSON, ROSLYN M. LAWRENCE WOLF, JEFFREY H. HIDALGO, DON SAWYER, RONALD W. TABER, ROBERT D. SHAWNEE MISSION CAMPBELL BELMONT LEXINGTON BROUS, JAMES T. SUTHERInND, RICHnRD W. WRIGHT, CHARLES J. FEINSTEIN, BARBARA B. TOPEKA LAFAYETTE BOSTON LOWELL HEYDE, SHERRY L. POWERS, TOM H. CAREY, MARGARET C. WEAVER, ANTHONY C. COLLIER, ANN T. SHEEHAN, GLENICE M. MAUREPAS GIBBONS, AUSTIN V. INNES, THEODORE J. MCGOVERN, JOSEPH M.

The 13th EAP Institute This year's theme is A Management Training Institute EAP Case Management: for the EAP Specialist People,Programs, ar~d Costs

Seminars •Management •Consultation and Referral •Organization Development •Training •Fundamentals March 20-24, 1985 Atlanta, Georgia ~ For more information, please contact: Sponsors ~~~ Education Extension Services Human Resources Management Programs, /CC Georgia Institute of Technology Georgia Tech Education Extension Services, Atlanta, Georgia 30332-0385 and the Georgia ALMACA Chapter 404/894-2547

SEPTEMBER 1987 THE ALMACAN 37

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LYN N WESTBORO MILLERSVILLE BELLEVILLE KELLY, CECIL A. TURGEON, CANDACE GRAY, CONNIE M. BRAAT, PAUL C. SULLO, FRANK WESTFIELD PIKESVILLE BLOOMFIELD HILLS TREMBLAY, PETER KELLY,IAMES T. BAUTZ, ALBERT J. TRIPP, DEIORES MARBLEHEAD WESTFORD ROCKVILLE DEARBORN CHAPLIK, JEAN M. JOHNSON. VICTORIA CAMERON, MIRIAM K. BLUMBERG, ERIC S. MAYNARD GODWIN, DONALD F. PASCO, THOMAS J. WESTWOOD DAVIDSON, BRUCE M. SULLIVAN, BRENDAN F SILVER SPRING DETROIT MEDFORD COOPERMAN, GERALDINE ABBEY, W. JOHN WEYMOUTH MURRY, VERONICA J. LOBE,)ON K. AUSTIN, ROWLAND L. SNYDER, MARIE SITAR, MARY A. COCKERHILL, JEAN N. ANDOVER CULVER, FRANK W. WORCESTER TAKOMA PARK RYAN, MARY A. DARICK, ARLENE BELLOWS, PAUL F. GRAY, MURIEL DAMS, COLLIER. NEWTON CARBONE, JAMES J. ROBERT WESTMINSTER DORAN, G. FRANCES, DAVID JERNBERG, PAMELA W. LANIER, DANIEL LLANO, FELISE IOHI IACONO, DAVID J. MARTIN,IAMES NO. QUINCY SHEA, JOHN J. MATLAS, TOM GOLDSTEIN, MELISSA N. JERNBERG, WILLARD R. MAINE MC DONALD, JAMES M. NORTHBORO` NADOLSKI, JFROME N. MARYLAND BANGOR SANDERS, ALBERT H. GOLDENBERG,)ONAS B, TOLBERT,)EWELL KARRIS, POLLY M. PITTSFIELD BALTIMORE MOSHER, DANA FARMINGTON HILLS NEWHALL, GEORGE B. HINMAN, JOHN B. BLEGEN, RACHEL D. HORNYAK, MYRON D. CANROLL, E. BKIEKLEY NIZNIK, BARBARA R. QUINCY HARRISON, FREDERICA C. FLINT BATH MORRISSEY, JAMES W. HOOPER, THOMAS G: WRIGHT, DIANNE E. SPINKS, WILLIAM M. LEMMON, JOSEPH S. MCLEAN, GEORGE M. MCKENNA, PHILIP J. GARDEN CITY RANDOLPH HALLOWELL MIRANDA-EVANS, VALETTA L. KEHRER, CHARLES R. RICHARDS, JAMES P. MOONEY, PEGGY M. LOOMER, EARLE R. PARKER, KEVIN GRAND RAPIDS SAUGUS MURPHY, JAMES J. O'HAIR, JAMES R. RENAUD, EDWARD J. JOHNS, EDWIN L. MERCER, DAVID G. PUGH,THOMAS STREET, ELIZABETH B. REAGAN. MICHAEL SENFLUG, JOSEPH C. SO. BOSTON PORTLAND GROSSE ILE REID, JOHN ~. CHEVYCHASE LIBBY, STANLEY D. CAUDEL, DEE ANN SPRINGFIELD CRAWFORD, LINDA SANFORD GROSSE POINT PARK L~A[3KIEWICZ, MARJORIEn. CLARKSVILLE FEENEY, JOHN P. PALMISANO, BETTY M. CLAUSEN, JERRY S. WILLIAMS, CHARLES E. MURPHY, FREDERICK H. SO PORTLAND HAMTRAMCK PECK, WAYNL T. COLLEGE PARK RIC[, TI ICODaRE I<. HOOPER, GERALDINE O'CONNOR, RO[3ERT E. HILDEBRAND, JOANNE WAYNE LANSING SUDBURY ELLICOTTCITY MILLER, STEPHEN W. [3ANG5, REX C. KAGEY, ROBERT J. HOVMAND, BEVERLY HALL, JO R. WALTHAM EMMITSBURG MICHIGAN LIVONIA HENDERSON, RICHARD N. HEUBUSCH, PATRICIA B. ADA HERON, PATRICK). KAPOPOULOS, ERNESTJ. NEAL, PATRICIA H. GAITHERSBURG SANDERS, RICHARD PLYMOUTH WAREHAM LIVINGSTONE, DAVID ADRIAN MOSS, MARIA M. LEAVER, DONALD P. GLEN BURNIE SERAFIN, JOSEPH PONTIAC SERAFIN, MARY ANN WATERTOWN KASUDA, PATRICIA MONTAGUE,1AMES ALMONT MAHONEY, HOWARD L. HAVRE DE GRACE ROCHESTER HILLS BOLLAERT, RICHARD L. WEST SPRINGFIELD HUS6ANDS, WALTER T. DAWSON, KATHLEEN ANN ARBOR HOURIHAN, MICHAEL LAUREL ROYAL OAK BERNSTEIN, JESSE TEEMS, LISA LEVITY, DONALD

38 THE ALMACAN SEPTEMBER 1987 SAGINAW MINNEAPOLIS MAUK, LEE ST. CLOUD HOLIDAY, ALFREDIA BLONIGEN, HERBERT J. SELVIK, RICK WIENER, A. SUSAN SELLS, ANN CAMBELL, JOSEPH C. ROCHESTER ST. PAUL CHOLLET, MERLE SAINT JOSEPH TOOLEY, CONSTANCE L DONOVAN, PAULINE EBERTOWSKI, SHERYL A. HART, CATHY L. HOUDEN, LINDA SHOREVIEW HYATT, DR. KENNETH D. HOVE, BARBARA MANSERGH, NANCY S. SOUTHFIELD FOSS, PATRICK W. JARCHO, PAUL O'NEILL, JOHN T. COMSTOCK, DEBORAH J. MOOLINSKI, GERALD E. STERLING HEIGHTS AZAR, CEZAR DAHMEN, JOSEPH G. TECUMSEH PAVELKA, JAMES THREE RIVERS FINAZZO, MICHAEL TRAVERSE CITY EAP BASICS (First Day) FORSYTHE, JEFFREY M. —How to write the policy statement, the employee brochure and the supervisor's guide. TROY — How to develop the EAP implementation schedule and train supervisors. FRANCEK, THOMAS D. — How to develop a case management system and reporting format. WATKINS, GEORGE T. —How to monitor treatment and aftercare. — How an labor management deal UTICA to ensure effective interface and with issues of confidentiality. MONDAY, LARRY). A 55-page workbook with samples, outlines and format is provided. WARREN EAP CONSULTING (Second Day) ENSLEY, ROGER W. — How to add EAP Consulting to your practice to compensate for LEONARD, ROBERT L. dwindling client dollars. WEST BLOOMFIELD — How to acquire commercial accounts. — How to prepare a proposal, write the contract and dose POSEN, STEVEN J. the sale. — How to find and qualify good prospects and spot a bad consulting YPSILANTI opportunity. ACTON, WILLIAM C. How to value your services and establish fees. SKIVER, THOMAS A 54-page workbook which includes a field tested proposal and sample contract is provided. MINNESOTA SEMINAR LEADERS The Jernberg Corporation is internationally recognized in Employee AUSTIN Assistance Programming and has served diverse industries throughout the WAGENAAR, GARY United States and Canada. Their growth can be attributed to their unique capability to deliver EAP COTTAGE GROVE services to companies of any size, fulfilling the client's needs within their economic parameters. ROWLEY, RICHARD P. EAGAN CITIES AND DATES HORSTMAN, GLENN G. —New York, NY (September 18-19) —Washington, DC (November 6-7) —Chicago, IL (October 9-10) —Los Angeles, CA (November 20-21) EDEN PRAIRIE —San Francisco, CA (October 23-24) —Ft. Lauderdale, FL (December 4-5) WENZEL, LEE SEMINAR FEES FOREST LAKE EAP BASIC (First Day) S225 JAMISON, SHIRIEYA. EAP CONSULTING (Second Day) S225 FRIDLEY EAP BASICS &CONSULTING (Both Days) 5400 MERRIMAN, TERREL FOR MORE INFORMATION AND REGISTRATION LONG LAKE TOLL FREE (800) 343-3028 The Jernberg Corporation PREREGISTRATION IS HALLSON, BONNIE L. CALL: IN CANADA (800)633 -0097 WRITE: 390 Main Street REQUIRED. SEATING IN MASS.(617) 754-1770 Worcester, MA 01608 WILL BE LIMITED.

SEPTEMBER 1987 THE ALMACAN 39

j MISSOURI NEBRASKA MATTHEWS CEDAR GROVE CRICKENBERGER, GEORGE SNIDER, GEORGE M. COLUMBIA ALLIANCE RALEIGH CHERRY HILL [3ROCKETT, JOHN L. SANDVIK, LOREN R. HOSOKAWA, PASCOE FELTS, LUCIE L. PIERCE, JOAHNE S. LINCOLN GRIG[REIT, HUGH R. COLLINGSWOOD EARTH CITY BRENNAN, KRISTINE N. RICKENBACKER, BARNEY L. NESTOR, JAMES E. BOYKIN, FRANK E. KYSTER, THEODORE L. TIMBERLAKE, LINWOOD L. SINGLEY, LORI MENKIN, RANDI K. UNTZ, KAREN M. NORTH PLATTE WALL, D. SCOTT DAYTON GRANDVIEW BAILEY, JIM D. RESEARCH TRIANGLE PARK HAGUE, RUTH N. GRESSHALL, NANCY K. OMAHA 6URKE, ~oHN ~. DEPTFORD KANSAS CITY BEERMANN, BETH SALISBURY BUKNHAM, LEM BRANT, CHIEF DES MARTEAU, AL WEANT, WILLIAM F. WHELAN, RICHARD T. GARNER, BRIAN D. MA CALDWELL, STEVEN SIMCOSKY, H. KENT GOODMAN, RONALD J. DOVER R06ERTS, DEWOLFF F. NORTH DAKOTA BAUM, DOUGLAS 5. KIRKWOOD I SORENSON, DARRELL D. MUG,JANET H. 'SPENCER, CALVIN ). FARGO EAST WINDSOR WHALEN, JAMES P. KIPPLEY, WILLIAM W. SPRINGFIELD BROWN, DEBRA AZER MYER, HARRY WURZBURGER, HARVEY F. PAPILLION MANDAN WORKING, LYLE A. ELEFSON, RICHARD D EAST BRUNSWICK ST. ANN BURK, RACHELLE SCHMELTZ, JOHN T. NORTH CAROLINA NEW HAMPSHIRE COHEN, LOUISE G. ST. CHARLES EDISON ASHEBORO FREMONT BECKMAN, MARDEE IACONA, VINCENT DURBAN, CHARLES L. BETTS, JACQUELYN WATJFN, AUnRFY FAIRFIELD ST. LOUIS ASHEVILLE MANCHESTER CRESCI, SHIRLEY BAILEY, JUNE H. ROSEN, MARVIN E. BEEBE, MICHAEL B. fAIRLAWN BARNETT, LARRY CHARLOTTE NASHUA BARRICK, AUSTIN MCELLIGOTT, JOHN R. BAXTER, JAMES A. BRAWLEY, BARBARA W. KOTOPOULIS, WILLIAM B. FORTNER, JAMES P. COOK, WILLIAM RYAN, CANDACE J. FANWOOD COULTER, JOE FOX, THOMAS J. 6[NQV[NGO, DAVID G. CRAWFORD, GEORGE ROCHESTER FRESSOLA, ALFONSO J. GALLAGHER, JAMES GOUL[T, THOMAS J. JORDAN, SUSAN H. OUELLETTE, HENRY J. -I[LLAN, RICHARD T. KELLNER, KAREN FORT DIX HOBART, TIMOTHY K. LABOUNTY, MICHELE F. NEW JERSEY VAUGHN, MORRIS JOHNSON; WARREN F. MITCHELL, CI-IAKLES A. FORT LEE LEBER, JOHN A. PRICE, MICHAEL R. ASBURV PARK STOVER, REBECCA MAGRUDER, DONALD W. BRYANT, ARTHUR T. HEINSIUS, RICHARD [. MCCARTHY, TERI SULLIVAN, NAN E. O'FLAHERTY, JOHANNA BASKING RIDGE MCCAULE-Y, LAWRENCE P. CULLOWHEE GLEN RIDGE RISINGER, JAMES M: FOURES, MARY HUGHES, KATHRYN L. SHELLHAMM[R, EVELYN MCMASIER, ~oHN ). DOUGHERTY, SHARON A. SMITFI, DANI[L C. 'DURHAM HAMPTON STEWART, CAROL BEDMINSTER CATES, A. RONEY CALIENDO, DANIEL J. TESSON, PATRICIA R. FANJOY, FLOYD H. HUNTER, ROY K. WILSON, IRVIN E. RANCK, MARLYN BLOOMFIELD HIGHLAND PARK UNIVERSITY CITY GREENSBORO MCGURK, FRANCIS E. BOWDEN, JEFFREY MCLEOD, JOYCE L. FIEDLER, NANCY HODGKINS, NELSON B. BOONTON PONTIER, SCOTT J. MILLER, MARK S. MACWRIGHT, CLARK MONTANA SAWYER, THEODORE HILLSDALE TROTTER, JACQUELINE W BOUND BROOK JENNEY, JOAN W. BILLINGS HILLSBOROUGH THOMPSON, EDWARD C. HOBOKEN DALY, SHERRY K. TAYLOR, CHUCK BRIDGEWATER KING, JACK LAKE LURE SHIGEKANE, JOAN KINCHELOE, ROBERT S.

40 THE ALMACAN SEPTEMBER 1987 IMLAYSTOW N PALMYRA WARREN FELIX, DEBRA REGAN, KATIE CIURLINO, RICK LYON, JUDITH H. GOLDST[IN, BETTY HUDSON HENRY L. JERSEY CITY PATERSON WAYNE TRAYNOR, JOHN P. DE MEO, ANTHONY L. KELLY, EILEEN P. BRINK,IOHN M. BROOKLYN DUNKIN, WILLIAM S. KEYPORT PENNSAUKEN SAN DIN, DONALD AHERN, JAMES DESMOND, THOMAS C. DONAHUE, MAUREEN C. ARONOFF, MORTON WEST ORANGE BENSMAN, MARCIE LAMBERTVILLE PINE HILL BARRETT, CODY BRITT, PATRICIA RILEY, KIT FORMAN, GEORGE L. CARDENAS, FIDEL WILDWOOD EVANS, ANDERSON LAWRENCEVILLE PISCATAWAY HUDSON, THOMAS J. FUCHS, KENNETH I. BAKEK, THOMAS 5. LYNN, ROBERT L. HIBBERT, ELI O. TRACEY, JOAN A. WILLINGBORO RICHARD LEONIA KILEY, WESTRATE, RONALD M. CROMPTON, PAULA. LE, SCHACK BOGGIA, SUSAN K. LIEBERMAN, MORRIS B. PLAINFIELD LIVINGSTON NEW MEXICO MITCHELL, EDWARD N. GRAY,SANE A. PITSELOS, JOHN CRYSTAL, KAREN PRINCETON ALBUQUERQUE REICHENBERG, RAYMOND MADISON ROBINSON, HOLLY NIERCE, WENDY L. KELLY, JAMES M. SHEFELMAN, CAROLYN WELLES, TIMOTHY W. RAMSEY SANTA FE STANDORA, JOAN E. MARLTON SULLIVAN, KATHLEEN A. BERMAN, NEIL M. i THOMAS, WILLIAM C. WARD, JOHN P. LUSCKO, PEGGY RINGOES WERTHEIM, JOAN H. MAYWOOD NEVADA MACRI, DONNA BUFFALO SCHIFRIEN, BRUCE D. ROEBLING CARSON CITY CARTER, EDWARD T. MEDFORD GIBBON, JACK JONES, CAROL A. PEAL, SHnRYN ZIPES, SUZANNE NOWAK, RANDOLPH ). SEWELL WEIR, LAWRENCE (:. METUCHEN NEW YORK ZISKOWSKI, CAROLYN E. ZAWIER, EDWARD W. NEDER, MARY ANN CARMEL SOMERSET ALBANY MONTCLAIR MAHONY, PAUL F. MALLOW, ORR )EANNIE RYFRS, WILLIAM R. KANE, WILLIAM J. FORGET, DANIEL P. SHIRLEY, CHARLES E. SOMERVILLE LAVELLE-MCDONALD, MORRIS PLAINS CAZENOVIA BEIDEL, BERNARD [. MARGUERITE K. COWDEN, RICHARD C. KRUMHOLZ, ESTELLE I. BORSUK, RENEE MYLES, BROTHER WISHNOFF, DR. ROBERT MORRISTOWN BRESNAHAN,JEREMIAH P. CENTERPORT GOLDSTEIN, MARSHA GAETA, EUGENE R. BABYLON CONWAY, THOMAS K. HOFMANN, JOSEPH J. SOUTH ORANGE CLARK, THOMAS J. CLINTONDALE YOUMANS, ELIZABETH A. L. BILLS, PAULA BEACON FOLEY, JOSEPH M. MURRAY HILL PLONA, STAN T. GREENE, ESSIE 5. COBLESKILL BEHRMAN, NAOMI SPARTA BELLMORE CALDERON, CARLOS M. NEW BRUNSWICK HARRISON, ANNE L. ~/HITE, STEPHEN J. COMMACK BAXTER, ANN K. SPRING LAKE HEIGHTS gETHPAGE LOMBARDO, WILLIAM A. BLACHER, MARILYN GAETA, JOSEPH DANKO,RON CONLEY, THOMAS L. CROTON ON HUDSON SUMMIT DEVINE, JAMES F. NEWARK KEMP, JOHN B. WILSON J. ALLEN, BINGHAMTON CLUTF, JEAN E. EASTCHESTER GALLAGHER, HUGH J. SUSSEX O'DONNELL, WILLIAM 1. LAUPHEIMER, A. N. KUNZE, MARIANNE DOUCETTE, GREGORY W. BLASDELL REILLY, WILLIAM A. ELMHURST GERALD~NE TRENTON BECK, JOSEPH STAADECKER, DIAMOND, MICHAEL O. WHEELER, CATHERINE B. NUTLEY BLOOMINGBURG MANSDORF, IRWIN J. UPPER MONTCLAIR HARRINGTON, JOANNA KESSELL, ROBERT G. FARMINGDALE KEARNEY, ANTHONY H. BRONX CONNELLY, EDWARD W. NESS, LANCE M. CALLAHAN, KATHRYN F.

SEPTEMBER 1987 THE ALMACAN 41 FARMINGTON LITTLE NECK CATANI, SUSAN H. SPITZ, RUTH ADELE FOSTER, ALAN SCHWEITZER, PETER 1. CAVASENO, VICTORIA H. STEIGER, JOHN F. CODY, SEAN STRATTON, MARGUERITE FLORAL PARK LIVERPOOL COHEN, DR. MARK STRAUSSNER, LALA A. BRADY, THOMAS F. MILLER, EILEEN R. CONWAY, JEANNE B. STUMP, WILLIAM YOST, WILLIAM H. CROWLEY, MICHAEL J. SUSSAL, CAROL FWSHING DINEEN, RICHARD A. TRAMM, MADELEINE L COLEMAN, RONALD LONG BEACH DOLAN,~oHty ). WALLACE, NANCY E. FLYNN, JOHN E. COSGROVE, DEBORAH A. DOWLING, VINCENT WARD, GERARD RILEY, DENNIS DREW, PATRICIA F. WETZEL, RAYMOND A. MANHASSET SANDERS, PETER A. DUANE, MARY ELLYN WILLIAMS, JOHN H. SENZER, CARRIE ELLIOTT, EARTH WILLIAMS, TERENCE FOREST HILLS ELLIOTT, T.J. MANLIUS WILSON, EVELYN S. McSHANE, GEORGE FISHER, CAROLYN ZEIDEL, ALVIN A. ANDREWS, ELLEN FITZGERALD, JAMES 1. FULTON NEWBURGH MARCY FITZPATRICK, WILLIAM HUNT, DONALD T. GARAMELLA, GLENN DAVIS, EARL WATSON,STANLEY E. GARLAND, CLIO GLENS FALLS NORTH BELLMORE MARLBORO GOLDMAN,JUDITH P. BRIGGS, RICHARD C. GREENSTEIN, MARTIN H. QUIRKE, JOHN M. PORCELLI, DONNA M. GREAT NECK GREY, LUCILLEA. OCEANSIDE PORCELLI, VINCENT F. GRODY, DEBORAH CHERNO, DONNA MASSAPEQUA GUASTELLA, CARMELO F. LOWELL, JOAN B. MCWILLIAMS, JOHN A. HAMBURG HENNESSY, JOHN J. ADAMS, JUDITH E. HOROWIT7, TORY M. HANSON, STEVEN W. PLEASANT VALLEY MAYBROOK HUESTIS, HENRY J. STEEPEN, BOYLERGRACE BAXTER, JAMES N. HALL, BARBARA J. HUNT, JEFFREY HEMPSTEAD JACOBSON, GLORIA PLEASANTVILLE MELVILLE )ENNINGS, JAMES E. CAKSUN, DANIEL J. SPRAGUE, JANET S. KARABIN, ALFRED J. KRAVEC, STEPHANIE HICKSVILLE LACKS, HAZEL POUGHKEEPSIE MIDDLETOWN LENAHAN, RAYMOND CARNEY, THOMAS F. FLEMING, CAROLINE A. NICHOLS, SUSAN NOLL, FREDERICK E. LEONHARD, EDWARD A, LIGHTMAN, ROBIN QUEENS VILLAGE HIGHLAND MONSEY ELLEN LURIE, POLIVY KINNIER, JOAN V. ONDERDONK, CAROLE J. EUSTACE, ROBERT A LYNCH, WILLIAM ZEIF, SUZANNE R. MARCUS, LAURA LANDAU REGO PARK HOLLIS HILLS MASTERSON, RICHARD P. GREENE, ELIZABETH D[ELY, JOI IN C. MONTGOMERY MAZZELLA, ANTHONY J. OVENS, RICHARD E. MCCARTHY, DOLORES RHINEBECK HORSEHEADS MCLOUGHLIN, RICI IARD SPOOL, ROGER PRATT, GORDON MT. KISCOE MCPHILLIPS, JIM NAGLE, MARCIA E. MEGLEY, DAVID J. RICHMOND HILL HUNTINGTON MINTURN, STERLING M. N. TARRYTOWN DUFFY, JAMES DUGGAN, MAUREEN H. MOLLOY, DANIEL). LASALLE, ANNIE K. RIVERDALE HYDE PARK MURRAY, JOSEPH A. NANUET MYERS, HAROLD C. SALTZBERG, MARJORIE LANG, ROBERT G. O'DONNELL, JAMES E. DEMING, PATRICIA ROCHESTER JACKSON HEIGHTS PECKER, JERRY S. NEW HYDE PARK PENN, MERRILL DIMARIA, JOSEPH F. COHEN, HAROLD PETROPOULOS, ALICE W. REED, GUY KEVIN FLEMING, CLAIRE JAMAICA POLLIO, ROBERT VENEZIA, ANTHONY M. POPE, MAC NEW ROCHELLE RYE CHRISTENSEN, NORMAN C. QUINN, GAIL FARRELL, JOHN F. BERN, DEBORAH A. REICH, STEPHEN SFiERMAN, PAULA. POUNDS, RICHARD REICHMAN, WALTER VAN, JONES NEW YORK SCARSDALE RICCOBONO, PHILIP L. ANDERSON, JACK P. MAJOR DEVEAUX, CAROLY KINGSTON BAILEY, GEORGE SCANLON, WALTEK F. SCHMI IL, HAKOLD V. COYLE, LAWRENCE M. BLAUFARB, PHYLLIS SETAUKET SHAY, DAVID MCGINN,~OHN~. BRODEGAARD, NALDA ALBANO, SANTO ). BROWNLEE, WM. HARRY SMITH, LAURA LAKE MOHEGAN CARROLL, PATRICK J. SOUND BEACH MAHONEY, FRANCIS J. CASEY, ANNE E. JOHNSON, ROBERT A. CASOLARO, VINCENT

42 THE ALMACAN SEPTEMBER 1987 SOUTH NYACK UNIONDALE WESTBURY OHIO KANNRY, SYBIL WOLFF, BARBARA EISENBERG, LAWRENCE AKRON SPRING VALLEY VALLEY COTTAGE WESTHAMPTON BEACH HOOVER, THOMAS O. LEYDEN, JAMES L. PAUL, STEWART R. HARRIS, CHRISTINE KOVACFi, JAMS D. VALLEY STREAM WHITE PLAINS STATEN ISLAND gAY VILLAGE DORSEY, ALBERT H. DEMEO, CAROL MERTZ, JEANNE STOjKOV, LINDA )ONAS, PHILIP D. GRIFFIN, RAYMOND A. WACCABUC KUBINSKI, WILLIAM P. KIRTSOS, WILLIAM E. BEACHWOOD CAROL PAPPAS, KATHLEEN HILLENBRAND, MORRIS, WILLIAM ANGELOTTA, W. JOHN NOLL, ANN L. WHITSELL, CHARLES E. WALLKILL NORGREN, DAVID D. CINCINNATI , STONY BROOK CLARK, JOAN K. O'BRIEN, WILLIAM M. BAUM, RICHARD METIVIER, MARION E.T. WARWICK ROONEY, GERARD M. BERTE, EDWARD R. SCHILLER, GEORGE H. SUFFERN BOARDMAN, EMILY B. DUNN, SANDRA A. WAGMAN,IACQUELINE HEYNE, ROLAND KAPLAN, JUNE WATERTOWN WWGDALE MANGAN, JOHN SYRACUSE f30YER, LUCIA D. RAZUM, STEPHEN M. ROGER, GEORGE RO[3[RTS, JOHN L. BERNARDON, GIO WATERVLIET GILLIGAN, M. VERONICA YONKERS CLEVELAND ALVIS, JACK E. MCCABE, JAMES BOHN, JOHN TONAWANDA KATHLEEN W. MORRISON, BULLOCK, PHYLLIS A. DOUCET, KENNETH L. TROY, WILLIAM D. YOU KNOW US FOR OUR EAP MATERIALS. WE ALSO PRODUCE CHILDREN'S PREVENTION PROGRAMS. MEET A FEW OF Ol1R ~~STARS."

"MORV/NA'S ~ r. "" FRBLES" \` ~ DRUC ° ~' ~~~~~ >~ "T00 MUCH OF EDUCATION — ~ ~ ~`• ANYTHING GRADES 3-5 ~ , ~.~ IS NO GOOD"~ „ ~wr ALCOHOL o ~ ~~~'; ~ ~~+~ ~ ~ ~ EDUCATION — M~ ~ GRADES 2-3 ~~• ~~ ~^~ M~ .~~ it ~

FLI LEARNING SYSTEMS, INC.

SEPTEMBER 1987 THE ALMACAN 43 CONWAY, TIMOTHY J. RILEY, G. WILLIAM PORTLAND HARRISBURG HANNAN, PAUL ALLEN, LOUISE YOUNG, PATRICIA C. MAJCEN, JUDITH O. TOLEDO BERG[R, JOHN M. MA)CEN, KENNETH J. MYERS, RUTH A. KING OF PRUSSIA COPP, JAMES M. REED, PHILIP C. OVENDEN, GEOFFREY B. EDWARDS, NANCY C. JONES, LESTER RODERICK, GLENN E. PALMER, TOM O. FRIEDMAN, BETTY SHANAHAN, WILLIAM J. LAFAYETTE HILL TURNER, SANDRA P. GINSI3ERG, MITCHELL J. WRITTEN, BARBARA C. CLEVELAND HEIGHTS HORTON, MARY P. HALL, ALBERT C. UNIVERSITY HEIGHT (ONES, TERRY ANNICH, LOTS H. LANCASTER LEE, GREGORY M. RUI3INS, LOREL KABB, GREER M. MAHONEY, PATRICK J. WHITMER, CHARLES R. COLUMBUS WARREN MC KITRICK, STAN A. WOLF, ROBERT B. MUCCIGROSSO, DONALD. ANTHONY, FLOYD E. BARRATT, JOHN C. LEBANON NELSON, ANNE JILI. FLENCH, PHILLIP V. WILLOUGHBY HILLS WALEWSKI, SUSAN LEAR, JOHN K. ROSEBURG MCNALLY, PATRICK REED, MARY MALVERN WALKER, LORRAINE P. PARTRIDGE, ROBERT W. YOUNGSTOWN CLAYMAN, BARBARA H. RODRIGUEZ, RICHARD H. WEST LINN TOWER, BARBARA DURKIN, GEORGE SCHMALSTIG, GEORGE M. pOPPLETON, DAVID E. STRAIGHT; PHILLIS MEDIA WEHRLE, THOMAS F. OKLAHOMA MEYER, ALBERT J. WEINBERG, SANFORD PENNSYLVANIA ORWIGSBURG WILLIAMS, LARRY D. BARTLESVILLE ALLENTOWN BIGGS, PAUL GAFFNEY, ABBY M. DAYTON MCANDREW,JOSEPH L. PAOLI CLOSE, CHRISTINE L. EDMOND AMBLER LINDSLEY, CHARLOTTE PIERCE, ROBERT APPIS, CAROLINE B. ~/OHL RICHARD E. THORPE, ELIZABETH D. PENDEL IDABEL BEAVER FALLS DEFIANCE FLANAGAN, JAINE CHANDLER, ROSS NORTON, DANA A. MUELLER, MARY PHILADELPHIA OKLAHOMA CITY BENSALEM DELAWARE BRADY, JOHN A. CANNON, SUZANNE R. OSTER, LINDA BRILL, PETER L. RICE, CARYL ANN KRISTIC, STEVE L. SMELA, JOSEPH J. BETHEL PARK CURRAN, JOSEPH FAIRFIELD DORLAND, GEORGIA M. BEST, STEVEN W. SHAWNEE WILLARD, RONALD D. FIERRO,CATHERINEA. GORMAN,JOHN T. HAMILTON DYER, DON R. BETHLEHEM HUSHION, WILLIAM F. WALKER, MARK COMBS, MICHA[L L. TULSA KIENLEN, JOAN C. K[LECHI THOMAS C. FAIR, GARY E. BUTLER LUNDGREN, WILLIAM S. LOVELAND HECK, PAUL BOES, CAROLE M. MURGITROYDE, THOMAS P HUNTER, CHARLES M. SAPP, CHARLES S. WILLIAM E. WILLIAMS; SMITH, MICHAEL CAMP HILL SULLIVAN, DAVID W. MANSFIELD HAGEN, JAMES L. WARDEN, CLYDE A. WESTON, LLOYD DREWS, MAXIE OREGON CORAOPOLIS WRIGHT, PAMELA A. MARIETTA MERLE, MARY M. ALOHA PITTSBURGH KIMMEL, MARJORIG A. GIBBON, MYRA T. DANVILLE BALAGUR, CONN B. JILL MCDONALD BEAVERTON . WESTFALL, JON D. BROWN, ELIZABETH H. BURGESS, KENNETH M. SAMPSON, THOMAS DOWNINGTOWN SULLIVAN, JOANNE M. GEBLER, MAUREEN F. NEW CONCORD CORBET BOWERS, LEE A. HEATH, MARY C. KOSKO, PATRICIA BARBER, WILLIAM DUNCANSVILLE DAVIS, JIM D. MAJEWSKI, ALEX NEWARK EUGENE KUHN, RONALD V. MCDONALD, JAMES P. MORREN, ELKE S. BILLOW, JAMES E. TAYLOR, ROBERT N. EASTON FRANCIS, JAMES W. TYRFE, KATHLEEN J. WAHL, GAIL ZEEMAN, KOCH, MARJORIE VICTOR M. WHALEN, JOHN D. LAKE OSWEGO ERIE SPRINGFIELD READING HONIG, JULIE ELLEN NUTTER, JAMES W. COLLINS, CHARLES YOST, ROBERT S GUSTAFSON, NANCY K.

44 THE ALMACAN SEPTEMBER 1987 MEMPHIS SELLERSVILLE SOUTH DAKOTA CLEVELAND MCGARVEY, LESLEY L. DEAL, CAROLYN S. ADAMS, SANDY F. ABERDEEN WYNN, LARRY CALLIHAN, SUSAN K TOBYHANNA HALEY, PATRICIA D. CLAYMORE, BETTY MCCAULEY, DANIEL J. COLLEGEDALE NUNNERY, MARY J. PIERRE MCCOLPIN, DANIEL SCHIMENTI, JOYCE P. WYOMISSING JORGENSON, GLENN L. ZANONE, DIANNE DELAPP, GREGORY P. DELANO WHITEHEAD, SHERRY NASHVILLE YARDLEY BURGER, FRANK TENNESSEE FRANKLIN MC ERLEAN, KICHARD FLETCHER, JEFFERSON C. ANTIOCH BRUCE, CHARLES H: HARRISON, PATRICIA O. MULLOY, JOHN RHODE ISLAND FRECKMAN,IACK G ERMANTOW N REYNOLDS, MARGARET L. BARTLETT WALKER, JACK CRANSTON SHOEMAKE, BILLYE L. MINDERMAN, PATRICK HERMITAGE STEINKERCHNER, ADDESSi, FRANK RAYMOND BRENTWOOD SCHRADER, BARBARA L PROVIDENCE TRICE, ELLEN REIBER, CONRAD A. STEWART, HARRIET W. TUCKER, PATRICIA J. POWERS, ANNE E. WILTSIE, THEODORE E. CHATTANOOGA JACKSON WARWICK PARKER, GEORGE R. EICKHOFF, ANDRE W. MACDONALD, ROBERT W. KNOXVILLE WOONSOCKET RANDOLPH, W. DON RAFFERTY, EILEEN M.

SOUTH CAROLINA AIKEN People Caring for People MURDOCK, BARBARA W. PARKS, BEVERLY B. With Love and Understanding. CHARLESTON BUTZON, JONATHAN H. "Through many years of experience WITT THOMAS H. we've discovered that `Recovery' is the COLUMBIA most rewarding profession that there is." BROACH, JANICE A. LAKE, DONALD W. J.F. Emmert, Executive Director, CTC EASTOVER ❑ Inpatient and Outpatient chemical OMER. BARBARA B. dependency treatment services based on the GREENVILLE Charlotte 12 Step Program of AA BERRY, WILLIAM W. Extensive aftercare planning and MURPHY, CARL Treatment ~ involvement GREENWOOD °Full-time medical staff of MD and RNs THOMPSON, LEE W. Center ❑ Four-day family program IRMO Recovery Management — BAILEY, WILLIAM E. P.O. Box 240197 ~ Executive program for the MONCKS CORNER 1715 Sharon Road West a specialized alcoholic executive PEELER, H. JAMES Charlotte, NC 28224 (704) 554-8373 -year follow-up with treatment NORTH CHARLESTON ❑Intensive one outcome evaluations —data available GAINEY, SARAH L. JCAH Accredited on request SPARTANI3URG Licensed by the State of to the needs of the patient JEPSEN, DARRELL L. ❑Sensitive North Carolina professional Member: NAATP, AHA, and the referring ADPA ❑Warm, friendly and attractive environment

SEPTEMBER 1987 THE ALMACAN 45 __ GLASS, TEXAS GEORGE S. SALT LAKE CITY ROANOKE HARWELL, ROBERT CASE, PAULETTE DEVILBISS, DANIEL W. ALVIN HUNGERFORD, LYNN E. MCGEE, TRISHA LOBELLO, KATHERINE D. KLEIN, JOHN ARMSTRONG, JESSE A PATRICK, PAT SANDY VIENNA ARLINGTON RAPPAPORT, GOLDIE B. PANOS, ANGELEA ANDERSON, JOANN M. REYNOLDS, DEBRA COYLE, AMY BUNKER, ROBERT A. SCHAEFFER, JOHN W. WEST BOUNTIFUL FEAZELL, CARANN S. DUQUETTE, WALTER O. SCHNEIDER, KRISTINE SEARLE, CHERYL RAE JESKO, JOE VAN KLEEF, GRETCHEN VIRGINIA BEACH AUSTIN WETCHER, KENNETH WEST VALLEY RAPPOLD, PATRICIA A. WHITE, PATRICK COWAN, TERRANCE CROWLEY, JAMES WILSON, WILLIAM T. y~/OODBRIDGE HAMM, FRANCES B. WINDHAM, DOROTHY E. MOBLEY, WILLIAM R. LEFAVE, ANDREW G. ZAUDERER, SHARON VIRGINIA PATTERSON, C.E. FLFWFI_LFN, SID R. STARR, ANN ALEXANDRIA VERMONT IRVING BANCROFT, RONALD D. BAYTOWN SHELBURNE HAMLIN, KAREN R. SUESS, ROBERT L. ARLINGTON HUBBARD, MARY L EDWARDS, EMILY L. BEDFORD STAYER, BONNIE L. CHRITTON, GEORGE A. WOODCOCK BRENDA K DELANEY, THOMAS J. BLACK, MARY P. FEERST, DANIEL ~NASHINGTON LONGVIEW BRYAN HARRINGTON, SCOTT BELLEVUE BRIDGES, PERRY P. PHILLIPS, DONALD A. BLAIR, BRENDAR GILLIGAN, JAMES D. STINER, LINDA S. CHARLOTTESVILLE DALLAS EVERETT LUBBOCK BODKIN, CATHERINE BEAMISH, CHRISTOPHER IACKSON, THERESA C. DETHLEFS,WILLIAM W. BORSH, JOSEPH P. BACHELOR, SHEENA FOSTER, CHARLOTTE D. GREEN, JOSEPH H. CHESTER LYNNWOOD PEDDICORD, ORENF W HARRIS, JUDIE. FOULKE, DOUGLAS SALISBURY, PAMELA ~UALLS, JOHNIE P. MARSHALL iUDDUTH, ANN B. FAIRFAX SEATTLE PORTER, BETH R. FRANZEN, CAROL E. JEER PARK KINSEY, JENNIFER NORTH RICHLAND HILLS HAMPTON, GORDON A. fOWNSEND, JANICE M. LYNCHBURG KELLY, OWENS, TYRONE MERLENE E. SHUMWAY, W. DALLAS-FORT WORTH AIRPORT GRAWGEK, CHARLES A. GARY RICHARDSON MOCK,SUSAN S. STEPHERSON, LEM GALLON, JOHN J. BASWELL, SULASKI, CYNTHIA A. SHEARER, DAVID R. CATHY D. MIDLOTHIAN BERRY, JANE TOLPINGRUD, DUANE R. .L PASO STEVENS, THOMAS R. PREVATT, BRUCE C. ZEHNDEK, CYNTHIA =AWCETT,JOHN J. SAN ANTONIO NEWPORT NEWS TACOMA GERALD, MARILYN J. MELTON, CLIFFORD B. COLLINS, ELAINE J. CURTIS, HARRY L. :ULESS MINTER, JOHN A. NORFOLK VANCOUVER >MITH, GARY B. SHERMAN CAMP, GENE F. FREELAND, NANCY W. MAULL, ROBERT =ORT WORTH HICKS, MIKE OAKTON SHAW, SUSAN S. >KINNER, RONALD E. STAFFORD JONAS,1oHN ). BOTCHER, PATRICK D. DEPOE, JAMES v11CHALSKI, LOUIS R. RICHMOND WISCONSIN 'CANT, TIMOTHY D. THE WOODLANDS AGEE, THOMAS CAMPBELL, JACK W. pppLETON =T.SAM HOUSTON HOFER, JANET CHA60T,JOANN P. HUTTING, THOMAS J. ~HATINSKY, B.J. TYLER EMMONS,[MILY BIG BEND ,;ALVESTON HOPKINS, JOHN C. GRAY, JANICE M. HODGES,JAMES L. STEIN, MARVIN E. :HESNEY, ALAN KAVANAUGH, EDWARD P. CAMPBELLSPORT ,;LADEWATER UTAH LAMPERT, EVELYN K. MCALLISTER, JANE M. ENGELHART, CHARLES A. ~HC~LARS, MARTY M. OGDEN PETRAITIS, JOHN A. EAU CLAIRE 10U5TON NASFELL, RITAM. REDMOND, BILL SINSABAUGH, LARftY RAMSEY, EDWARD L. 3ASTIAN, JON D. WEINSTEIN, CARLTON H.

46 THE ALMACAN SEPTEMBER 1987 HARTFORD SOUTH CHARLESTON WYOMING SHIELDS, JAMES R. BANONIS, BARBARA C. CHEYENNE MADISON WEIRTON CARSON, R. JOHN MILLER, GREGG VILLEREAL, GARY L. PILSTER-PEARSON, S.R. MARSHFIELD International CEAPs DE BARTOLO, R. VANCOUVER QUEBEC MILWAUKEE AUSTRALIA BEACONSFIELD ARMITAGE, ROBERT BRONECKI, RICHARD J. VICTORIA ADDIE, JOHN N. BARAN, DON BROOKS, JOHN A. BITTEN, CHRISTOPHER K. STOLA, SUSAN MONTREAL BURTT, RICHARD L. BLANCHARD, DANIEL CONGER, JOHN H. BRANDY, JACQUIE L. ROY-BRISBOIS, MARIE DONISI, ANTHONY CANADA GRANT, GEOKGE pOINTE CLAIRE EDMUNDS, RALPH E. MAURER, LYNCH GORSKI, MARY ANN BRITISH COLUMBIA PARRISH, WELLINGTON BREGENT, LEOPOLD HALLING, SUSAN ALDERGROVE ROZECKI, WILLIAM A. NOVA SCOTIA H,4NKE5, RALPH R. JOHNSON, GORDON G. THOMSON, HILARY D. HASSLER, NICHOLAS G. HALIFAX MCCREERY, PATRICK BURNABY VICTORIA FITZPATRICK, E.T. RENFRO, OLLIE P. BURKE, TERENCE M. STEWART, DUNCAN M. HOOPER, NORMA WENZEL, DAVID H. BUSHNELL, JOANNE. ONTARIO CARLBERG, KAREN K. OAK CREEK DON MILLS IRELAND STICKLAND, BRYAN J. KRAUS, JOSEPH J. PIGOTT, PAULINE WATERFORD DELTA PALMYRA KINGSTON QUINLAN, MAURICE MCNEIL, JOHN LOHMAN, KEITH D. WESTON, KENNETH LIONS BAY PORTAGE OTTAWA PUERTO RICO BROUGHTON, BRENDA MCCULLOCH, JOANN CORNEIL, WAYNE D. RIO PEIDRAS NEW WESTMINSTER

RACINE TORONTO ALMODOVAR, EDGAR R. - BROOK, MARGARET E. CHRISTENSEN, JON STEPHEN, HELEN J. KLARREICH, SAMUEL H. WEST GERMANY STEVENS POINT FORT COQUITLAM SASKATCHEWAN REGINA WILLIAMS, ALICE E. BARNES, RICHARD BILIK, SARAH THREE LAKES YOXALL, ROBERT HOWARD, BART FISHER, EDWIN M. ZBRZEZNY, ULI KORTES, JAMES R. RICHMOND WAUKESHA KEIS, ARLENE CRITES, GARY G. FROHLING, JON B. WAUSAU CEAP Test Notification BIERMAN, MARY E. WINDLAKE The next test sitting for the CEAP Certification is November 21, 1987. MUCHA, RONALD A. APPLICATION DEADLINE IS October 10, 1987. WISCONSIN RAPIDS For information and application, write or call: DEAN, RICHARD 1. Professional Testing Corporation WEST VIRGINIA 121 1 Avenue of the Americas 15th Floor CHARLESTON New York, NY 7 0036 SUTTON, LINDA A. (212) 790-9283 CLARKSBURG BRAKE, NORMAN L. To qualify for the ALMACA member's reduced fee, individuals mus( be a member of record of ALMACA National on or before October 1, 1987.

SEPTEMBER 1987 THE ALMACAN 47 IN THE MA1LBAG

can offer to solve organizational prob- ROMAN CITES MISLEADING " ..our primary lems with employee alcohol and drug HEADLINES CONCERNING promoting abuse. USCD COMMENTS concern is We see three steps in dealing with In June 1987 a conference at the Uni- and conducting quality the problem of work organizations' versity of California at San Diego in- relationships on all full involvement in relationships with cluded presentations of some of the re- external contractors: a much higher search which I and Professor Terry aspects of EAPs, level of awareness among company Blum have been conducting. Thiscon- including external and union decision-makers about what ferencewas attended by a large number providers, avoiding at EAPs are and what they can offer beyond of practitioners and for nearly every- clinical services to employees; written one in attendance it was a highly re- all costs the promotion goals for what a work organization can wardingexperience, bringing together of anyone's vested expect an EAP service to accomplish; for the first time perspectives on both interests." and implementation of these two steps EAP interventions and workplace pre- through designating awell-informed vention strategies. and conscientious "liaison" officer Several publications carried reports basis of our research, we have noted (with such appointments representing of the conference and we are concerned the casual and haphazard way in which the interests of both management and that our co)leagues in ALMACA may many companies administertheir con- labor) who routinely monitors the con- have been misled about what we said tracts for services from external EAP tractor's performance and knows how atthe meeting, particularly in regard to providers. While our recent research to assess whether the services pro- external providers of EAP services. has been limited to privatesectorcom- vided are meeting the company's goals While the content of the stories in the panies, we are certain that these prob- in supporting the contract. Added to U.S. Journal on Alcohol and Drugs lems of contract administration are these steps is consideration of the and the Alcoholism Report were gen- found in public sector organizations kinds of training and education that erally accurate, the headlines used in and among unions which contract for the EAP community could provide to the former publication were particu- external services. Far from "blasting" these liaison personnel to enhance larlymisleading. external EAP providers (as the head- their skills in working as partners with From the headlines, it would appear lines indicated), we are concerned contractual EAP providers. that we are totally critical of external with the low level of awareness within Our research revealed externally- EAPs, viewing them as "ripoffs." On the many workplaces about what EAPs based EAPs were achieving what we

at Gracie Square Hospital* Breakthrough at Gracie Square Hospital If you need choices, call Breakthrough. We are represents choices to those afflicted by alcohol Choices. and cross addiction problems in their own lives, IS Ch01CeS, as well as to corporations and organizations with troubled employees. Breakthrough From detoxification to flexible rehabilitation stays, at Gracie Square Hospital including through convenient Outpatient alternatives and family counseling, the diversity of Breakthrough is available to meet need with choices that suit (212) 988-4400 the person and their circumstances, including Inpatient Services Outpallent Alcoholism Services their health insurance coverage. 420 East 76th Street 421 East 75th Street o~#patient Care New York, NY 10021 New York, N Y 10021 'JCAH accre0ited, licensed by the New York Sate Division of Alcoholism and the New York State Division of Substance Abuse

48 THE ALMACAN SEPTEMBER 1987 BREAK FREE! Addiction Treatment Without Withdrawal Symptoms New,innovative outpatient treatment combines counseling with electro-acupuncture. Does regard as excellent results in providing We emphasized the current need for not use addictive drugs. Prevents comprehensive services to supervisors higher quality and indepth oppor- withdrawal symptoms. Con- and union representatives. Many of tunities for organizational consumers trols stress, depression, and all these were integrated into organiza- to learn about EAP potentials and alter- addictions. Does not interfere tional functioning through the liaison natives through channels that are rela- with work schedule and pro- officers and/or through the contrac- tively free of promotional and self- ductivity. Particular success with multiple addictions. Trans- tors' placement in the organization of serving interests. cutaneous Electronic Nerve a qualified EAP professional who can Speaking for ourselves and for other Stimulation (TENS)treatment work with the organization in roles EAP researchers, our primary concern is also available. other than individual counseling. is promoting and conducting quality We have no doubts that the growth relationship on all aspects of EAPs, in- For information or to arrange a free consultation, call: of EAPs would not have been possible cludingexternal providers, avoiding at without external service providers. To all costs the promotion of anyone's (212) 714-0140 cite only two examples, it is obvious that vested interests. We are deeply con- smaller workplaces would not have cerned that media presentations may ADDICTION the opportunity to provide their em- inadvertently affect these goals. TREATMENT ployees with EAP services were it not for external providers. Second, and Sincerely yours, INSTITUTE less obvious, external providers offer Paul M. Roman 290 Fifth Avenue ~~ budgetary flexibility to companies and Institute for Behavioral Research New York, N.Y. 10'001 unions of all sizes where a freeze on University of Georgia new positions or the effort required to create new slots would make it simply impossible for these firms to launch an internal program. Thus it is disturbing to be posed as unreasonable critics of EDGEHILL NEWPORT external EAP providers, however inadvertently this may occur through the 200 Harrison Avenue media. Newport, RI 02840 External EAP providers operate in a free market system and often in highly (401) 849-5700 competitive situations; they do not (Toll Free) 1-800-252-6466 however constrain any employer or union to sign or renew a contract. Whi le our data revealed great variabi I- Detoxification Family Program ity in what most EAP professionals In-Patient Treatment Adolescent Treatment would regard as the quality of exter- Out-Patient Treatment ACOA Program nally-based services, there is a strong core of highly responsible external Assessment, Evaluation Intervention Service providers of EAP services who consti- and Referral tute in many ways one of the specialty's greatest strengths. The relationships between contractors and organizational clients raise many complex theoretical, opera- tional and ethical issues, but quality control cannot be solely designated as a contractor's responsibility, The responsibility for quality in EAP services must be placed in large part with those who are the organizational consumers '` ~ 1 of services, which was a major em- _.~- --d phasis in our San Diego presentations.

SEPTEMBER 1987 THE ALMACAN 49

l RESEARCH ISSUES

Hair Analysis for Drug Testing: Is It Viable? by Rosa Jordan try). Studies conducted by the Baum- Psychemedics "Still others in gartners, as well as data subsequently Santa Monica, CA published by independent laboratories counseling are in the U.S. and abroad, have con- concerned about firmed that drugs metabolized by the ith increasing frequency, potential damage to the body become embedded in hair, and employee assistance pro- remain there, in proportion to the grams are being caught counselor-client amount used, for the life of the hair. squarely in the middle of the drug test- relationship as a result Such permanency makes hair analy- ing controversy. The reasons com- of requiring an sis adetection method which cannot panies want their employees tested for be evaded by washing or chemically drugs, the reasons employees oppose individual in treatment treating the hair, flushing the body, or testing, and the ways in which EAPs to undergo the indignity abstaining from drugs for a few days might use testing, are worthwhile. prior to a scheduled test. The non- What has not proven worthwhile in of providing urine ephemeral nature of drugs in hair most corporate/EAP applications are specimens." makes it possible for any test result the drug tests now in widest use. which is questionable to be duplicated, thus providing absolute protec- test, is not a particularly useful tool tion to employees from the types of either for diagnosing the extent of an false positives (as may result from DRUG SCREENING LIMITATIONS individual's drug use at the onset of specimen contamination or mixed-up The technological limitations of today's treatment or for monitoring progress. samples) which other test methods most common drug screening methods Still others in counseling are con- cannot identify. Drug substances place everyone involved in a difficult cerned about potential damage to the which currently can be identified by situation. Employers, even if they test counselor-client relationship as a re- RIAH"" include heroin/morphine, extensively by urinalysis and utilize sult of requiring an individual in treat- cocaine, marijuana, quaaludes and costly backup tests, have not necessar- ment to undergo the indignity of pro- PCP. Additional substances will be ily identified their drug-abusing em- viding urine specimens. added upon completion of further re- ployees. Evasion is simply too easy. search and field studies. On the other hand, employees who While this technological advance- submit to drug testing have no guaran- THE HAIR ALTERNATIVE ment will impact EAPs charged with tee that they will not become the vic- One solution for EAP professionals administering drug screening tests, of tims of a false positive result. (Despite facing this dilemma, will be found in a more interest to rehabilitation profes- assurances of urinalysis reliability, new technology known as RIAHs'", a sionals is that RIAH="' is a test which studies have shown the error rate to be test based not on body fluids but on can provide quantitative information anywhere from 5% to more than 50%. hair. The results of some 700 tests in a on drug use over a period oftime. Hai r And wh i le there are further assurances variety of clinical/rehab settings indi- grows an average of/z inch per month, that errors can be caught by confirm- cate that the test: thus it is possible, by analyzing the ing every positive result by method, (1) cannot be evaded; hair in sections which correspond to the fact is that errors resulting from (2) can verify non-use as wel I as use; particular periods (e.g., the past specimen contamination cannot be (3)can distinguish between light/oc- month, two months, six months)to tel identified by any of the confirmation casional use and chronic/heavy use; not only what drug was taken, and methods now in use.) As the contro- (4) can show when the drug was whether in large, medium or small versygrows, EAPs find it difficult to uti- used; amounts, but during what time frame, lize drug tests in any capacity without (5) can be duplicated in case of and whether occasional ly or frequently. giving rise to these and other fears. question; and Even without indulging in the debate (6) can be done on samples which over the dependabilityof urinalysis re- may be obtained with ease and cer- Rosa /ordon, formerly a freelance writer sults, many treatment professionals tainty in anon-intrusive fashion. from British Columbia, currently have concluded that a drug test which RIAH`^' was developed in 1977 by works for Psychemedics, adrug testing is easy to evade, and which only de- Annette Baumgartner and her hus- firm in Santa Monica, California, tects cocaine, heroin or PCP if used band, Dr. Werner Baumgartner (both which holds exclusive license to the within two or three days before the researchers in the field of biochemis- RIAH~'" technology.

50 THE ALMACAN SEPTEMBER 1987 Thus the test makes it possible for come. Hair analysis appears uniquely evaluators to objectively measure the suited for these purposes." level of drug use at the onset of the re- Indeed, pressures being brought to covery program, and to monitor the bear by insurance companies, utiliza- patient at selected intervals to deter- tion review boards, etc. for measurably mine whether drug use is increasing, cost-effective EAP programs is not decreasing, or remaining the same. i kely to go away. If uti I ized not on ly to .~afm_ is a nonprofit corporation Urinalysis, applied in the same way, monitor progress during treatment but who's main activity is sponsor- has little value in treatment, since it is also to monitor program effectiveness, ing workshops on the issues of easy to evade and thereby may con- RIAHsm can provide EAPs with data chemical dependency. at the tribute to denial. It is of even less value which will give corporate affiliates a workplace. in monitoring progress since, if not clearer picture of the cost effectiveness evaded, all urinalysis can tell about of rehabilitation as compared to hiring ~aL►rL is not a membership or- drug-using patients is that they are and training new personnel. There is ganization. Participants include continuing to use, which could lead to little doubtthat once companies begin representatives from labor, the conclusion that the treatment was to have such concrete data in hand, management and the health not effective. Hair analysis, on the their commitment to effective EAPs care field. Each chapter is ad- other hand, might show that while will increase. ❑ ministered by representatives drug use had not entirely ceased, it from the local community un- was steadily decreasing; thus the der the supervision of the na- mode of treatment was effective and tional PALM Board of Directors. should be continued. ~~ .~a(.m_ workshops are designed COST-EFFECTIVE MONITORING to provide practical information, not theory. They offer ac- "I see hair testing as an adjunct to what Orange County Employee Assistance Network we have now for evaluating patients tual application of techniques when they come in fortreatment," says that have proven effective in Leslie Damsky, a drug programming COUNSELING dealing with chemical depend- consultant and teacher of alcohol and PSYCHOLOGIST: non- ency at the workplace. drug studies of UCLA. "IYs an objec- profiremployee assistance tive way of monitoring progress, par- program seel5s Director. .~a.l►r~ workshops are held ticularly in out-patient programs, and Requires Ph.D.; eligible for monthly at locations through- for looking at what's needed in terms CA license. Prefer 2 ro 5 outthe country. For information of after-care, which is really the criti- about your nearest chapter, cal time in recovery. It could also be years EAP experience. DUTIES: supervise MA please call or write to our na- used in measuring program effective- tional office. ness." counselors; interact with This spring, Dr. Baumgartner was business community; asked to present testimony to a Con- manage staff; budget; PROBLEMS OF ALCOHOLISM gressional subcommittee on RIAHs"' contracts. Salary competitive. IN LABOR AND "Unemploying addicted individuals Closing date for resumes MANAGEMENT, INC. has potentially serious drawbacks," October 30. Apply to: DBA: PALM 2130 West Ninth Street, Dr. Baumgartner told the committee. Director, Orange County Room 105 "Among the choices we are left with is Employee Assistance rehabilitation. In par- Los Angeles, CA 90006 education and Networl5, 2110 E. First Street, ticular, we need to focus on more ef- Telephone (213) 738-PALM Suite 122, SANTA ANA, CA fective and more economical means for rehabilitation. For advances in 92705. Position begins January 1, 1988. Joy W. Ellis, Executive Director drug abuse rehabilitation, it is essen- Douglas K. M2guire, President tial that there be improvements in Phyllis J. Kelly, Sec./Tre~s. diagnosis, patient monitoring, and objective evaluations of treatment out-

SEPTEMBER 1987 THE ALMACAN 51 Best Wishes for Success to the Inland Emp ire Chap ter ~ and the ~

Marquis Hotel Palm Springs, California April 11, 12, 13, 1988

For Information, please contact: Bruce Goya Rehabilitation Counselor University of California-Riverside Riverside, CA 92521 (714) 787-3126 REGIONS AeVD CHAPTERS Portland .Conference: Best of the West!

n April 1, 1986, the Columbia ance Services, Wells Fargo Bank, San he has been signed on as the keynote River Chapter of ALMACA Francisco, CA, led a session on speaker of the ALMACA Annual Meet- proudly presented the fifth an- "Building Organizational Support ing Banquet in Chicago. nual ALMACA Western Regional and Influence." Dinner was followed by a musical Meeting in Portland, Oregon, the first In the South Galleria, "Taking Care dessert reception where new and old western regional meeting ever held of Caretakers," was presented with an ALMACA friends were encouraged to outside of California. introduction by Joanne Sullivan, mix and mingle. MSW, Pacific Northwest Bell, Port- land, featuring Thaddeus C. Achord, THURSDAY WEDNESDAY MD, PC, a psychiatrist, also from Port- The conference opened on Wednes- land. Following some morning aerobics day, April 1 with special interest meet- Then in the downstairs parlors; Terry sponsored by Employee Assistance ings. The first special interest group to Jones, Employee Assistance Services Services Enterprises(EASE) and a com- meet at 9 AM included Moderator Jim Enterprises' (EASE), Portland, and plimentary continental breakfast, Copp, ILWU-PMA Alcohol and Drug Cynthia Sulaski, MSW,of Resolutions, sponsored by Turnaround and Health Recovery Program; Tom Murgitroyd, Auburn, WA made a presentation of Systems Services, the technical por- AFL-CIO Representative, Valley Forge some interesting material entitled tion of the conference continued with Medical Center, Morristown, PA; "Training for the Trainers." "Organizational Change: Survival George Cobbs, ILWU-PMA Alcohol- At 6 PM on that first evening in Port- Tactics for the EAP," moderated by ism Program, San Francisco; Ann land, the Western Regional Confer- Ken Collins, LCSW, Chevron, USA, Coughlin, Professional Employees encesponsored alavish banquet in the and featuring presentations by Roger Union, Local No. 29, Oakland, CA; Hilton's State Ballroom. The banquet Wapner, Pacific Gas &Electric Co, and Nate Davidson, Alcohol Recovery will be well remembered as ALMACA's San Jose, CA; Patty Anderson, IAM, Program Operating Engineers, Local first introduction to a surprise keynote Local No. 562, PMC Corp., San Jose; No. 3, San Francisco, to talk about the speaker named Jeff Randell, of Playfair, and Charla Parker, Herrich Lifecare "Fears of Internal Labor EAPs." Inc., Berkeley, CA. Jeff had some sig- Systems, Berkeley, CA. At the same time, Nancy Edwards, nificant and entertaining points to "What EAPs Expect from Treatment MSW, EAP specialist, Portland Gen- make about the value of using humor Providers," was moderated by Jim eral Electric Company, Portland, and in the workplace. He did so by utiliz- Lehman, MS, Professional Employee Laurel Burns, RN, COHN, Proctor & ing several amusing games and vignettes. Advisement Program, Arvada, CO; Gamble Paper Products Co., Oxnard, Jeff so impressed ALMACA Executive Dave Dillingham, EdS, Adolph Coors CA led adiscussion entitled "EAP 101 Director Tom Delaney and President Co., Golden, CO and George Cobbs. The Basics." Gary Atkins, both of whom were sit- "ACOA's Co-Dependency in the After lunch, at 1:30, the ALMACA ting at the banquets head table, that Workplace: Issues for Organization, Columbia River Chapter presented the opening general session of the West- ern Regional Conference which in- cl uded awelcome and introduction by Columbia River Chapker Chairman Gregory Lee who served as conference chairperson. Greg is the director, EAP Services, St. Vincent Hospital and Medical Center, Portland. Also on hand with an "Update on National AL- MACA" was ALMACA President Gary Atkins. Following the general opening of the conference, three simultaneous sessions took place beginning at 2:45. First, in the Portland Hilton's North Galleria, AnneThureson, MSW,CAC, United Airlines EAP, Seattle, WA and Bryan Lawton, PhD, Employee Assist-

SEPTEMBER 1987 THE ALMACAN 53 Employees, and EAP" was the third topic examined on Thursday morning 988 ALMACA Conferences by Katie Evans, CPC Cedar Hills Hos- pital, Portland, who served as mod- S~)UTHFRN Rf_GIONAL CONfERFNCF, ~1,ir~h h-'i; Dr,i_i-_~I~ "1 r~-~r~ I in ..'I, ~.'~shvillc, erator and along with speakers Debra l E~nnc;~cce: cc~r~~aci (~c r frc~~_kii~ 1n t, ,?'12 1 ??. Weinberg, ACSW, EAP, A Program of WESTERNREGIO:~IALCONFERENCE,April 11 -1 S, i~:1arqui~ Fi~~tel i'~31r1i ~prir~~s, Family Services, Seattle, WA; and Cali{e,eni.i; c~mt;icl 1~ru~E~ C~~~~~,a ,1 1 .'R~r_~il ~h Marilyn Sponza, Kaiser Medical Cen- ENTRAL REGIONAL CONFERENCE, A11y ft I J, t I~ ill (~ g~~n~ ~' I ir~t~~l, ter, San Francisco, CA. ~Ylinni~apDlis. ~~liiin~,5r~ta; < ~~nt,~ct Glyn I lor~trYi~an E 1 ~ }.> ,-27'+~1 itlan°~i~ ,ti1.iii~t • ~ oniart kt~~~iii ~'~~1ich.~r~l (',~rk~ r '"i"'i2~;~i ?t~~:}. land. Then Thursday afternoon "Work- ing With the Differences: Special ~1?TH ALM,ACA ANNUAL MEETING, O~_tol,er l 3-i ` isona~~entur~c li~~t_+I, Lip, Populations," was moderated by Myra ~;elc~,iliii~rni;i, ~iita~~l lu~al~v~ti t~~a~ii~ ~(~~~ ;~'~~~ ~~~. R m ~` Gibson, Human Resources Group, Portland, working with Celina Brown, MA, MFCC; Pacific Gas &Electric JD, Oregon State Bar Professional Li- dees. But at 8:30, the hosting Colum- Company of Oakland, CA; ar~d Chris- ability Fund, Portland; Jerry Liefers- bia River Chapter sponsored a rock topher Eskali, PhD,of Republic Health bach, Edin Institute, Inc., Eugene, OR; and roll 50's sock hop featuring a per- Corp, of Portland. Tamara Cagney, BSN, MA, Health formingdisc jockey and some special "The EAP Role Following Assess- Matters, Pleasanton, CA; and Kath- fun and surprises. mentand Referral" was then taken up leen Handron, University of Califor- After breakfast on Friday, George in the South Galleria by Moderator nia, Lawrence Berkeley Laboratory. Watkins, editor, EAP Digest, Troy, MI Robert Maull, Health Systems Serv- From five to six thirty on Thursday led a discussion on the "Changing ices, Vancouver, WA; Millicent Bux- evening, several informal special in- Roles of the EAP Professional." Other ton, Merritt Peralta Institute, Oakland, terest meetings were held throughout speakers involved in the panel were CA; Gayle Lansky, RCSW, Columbia the hotel to give attendees a last Gary Atkins, ALMACA National Presi- EAPs, Portland; and Jon Smith, Ameri- chance to network a bit about topics in dent, who works for the Lockheed can West Airlines, Tempe, AZ. "Cur- which they were especially interested. Missile and Space Company, Sunny- rent EAP Issues," was the topic of the Dinner on this night was left to the vale, CA, and Lucy Kochik, of the Na- conversation taken up by Nina Robart, resourcefulness of individual atten- tional Broadcasting Company, Bur- bank, CA.

At the luncheon on Thurs- MUCH THANKS day ofthe Western Regional Conference Bob Maull in- In the final analysis, Conference Chair- troduced guest speaker man Greg Lee and his Columbia River Nancy Wilgenbusch, Ph.D., Chapter Committee did a fabulous job president, Marylhurst Col- lege, Portland. putting together the Portland meeting. Those who assisted in planning the Fifth Annual Western Regional Con- ference and their respective commit- teesincluded: Program: Joanne Sullivan; Robert Maull, Health Systems Services; Nancy Edwards, Portland General Electric; and James Copp, ILWU- PMA; Registration: Betty Friedman, Co- lumbia EAP; Jackie Farrah, Good Samaritan Hospital; Clare Matson, Good Samaritan Hospital; Louise

54 THE ALMACAN SEPTEMBER 1987 Allen, University of Portland; Susan Susan Stevens, Internal Relations, tion, Bruce Goya, Rehabilitation Shaw, Riverside East; and Marilyn Rancho Mirage, CA (800/854-9211). Counselor, University of California- Smith, also of the University of Port- Updates may be obtained by contact- Riverside, Riverside, CA 92521, or land; ingthe official public (iason person for phone 714/787-3126. ❑ Finance: Marilyn Nagel, CODA; conference information and registra- Mailing List: Julie Honig Murphy, Honig and Associates; Exhibits: Robert Hatch, Health Systems Serv- ~!Y ices; Promotion: Gayle Lansky, Co- lumbia EAP, James Gillen, Providence r' ry ~ ` ~ :'~ SOUTH OAKS HOSPITAL I. ;,. (The Long Island Home, Ltd.) Milwaukee Hospital; Bud Croft; ~`> Established 1882 Donna Weatherspoon, Portland Gen- eral Electric Company; Stanna McKit- Leonard W. Krinsky, Ph.D. rick, CODA; .~r~ Ex¢cutive Director Brochure: lane Griffin along with Linda Roise, St. Vincent Hospital and Comprehensive programs for the Medical Center, and Jill Nelson, treatment of alcoholism, compulsive Health Systems Services; Don Mussi- grosso, Oregon State Bar; gambling, eating disorders, Hotel and Site: Barbara Skorney, drug abuse, and mental illness Laurelhurst Manor; /Fundraising: Lynn Entertainment NATIONAL TOLL-FREE HELPLINE 1.800-732-9808 McClenahan, EASE; Judi Smith, Halla- day Park Hospital; and Julie Honig Murphy. • Inpatient detoxification Outside of the Columbia River • Inpatient rehabilitation, open and closed units Chapter, special thanks for active in- • Comprehensive adolescent program volvement in planning for the confer- • Active psychodrama programs ence are extended to Kenneth Collins, • Specialized treatment for Chevron USA; Sharon Rhodes, Health compulsive gambling & Human Resource Center, San • Eating disorders unit Diego, CA; Bonnie Forquer, OPC, • Family and "significant others' program Denver, CO; Judith Evans, ALMACA • Aftercare follow-up National Headquarters; Lucy Kochik, NBC, Burbank, CA; Roger Wapner, • Accommodation for patients of all religious groups PG&E, San Jose, CA; Larry Hill, Sac- ramento, Ca; Jon Smith, American • Licensed outpatient program including West Airlines, Tempe, AZ; and Jim services for children of alcoholics Lehman, Professional Employee Ad- • Complete EAP liaison and coordination of patient care visement Program, Arvada, CO. • Information, referral, and free consultation • Ongoing workshops in alcoholism, compulsive PLANS FOR PALM SPRINGS gambling, and family-related topics After much deliberation, it was finally • Training Program for Alcoholism Counseling decided in August to award the sixth and educational services through The annual Western Conference meeting Institute of Alcohol Studies at South Oaks to the Inlands Empire Chapter of AL- MACA. The meeting is scheduled to be held on April 11, 12, 13 and 14 at Sheila B. Blume, M.D., C.A.C. the Marquis Hotel, Palm Springs, Director of Alcohol9sm Programs California. Conference Cochairs are Gerry Hase, Hase and Associates, San L.I., New York 11701 516!264.4000 Bernardino, CA (714/888-0149), and 400 Sunrise Highway, Amityville,

SEPTEMBER 1987 THE ALMACAN 55 ALMACA INFOTRACKS '88 Central Conference to Minnesota Chapter

The ALMACA Minnesota Chapter The Minnesota Planning Committee will host the 1988 Central Region will be represented at the meeting of WILL MEMBERS BE PERMITTED Conference at the Hyatt Regency Central Region Chapter Presidents in TO BELONG TO MORE THAN Hotel, Minneapolis from May 8th to Chicago at the 1987 Annual Meeting ONE CHAPTER? the 11th. The announcement comes on Saturday, October 3rd to further It will continue to be the policy of Na- following an August 26th Minneapolis publicize the conference. tional ALMACA to maintain only one Chapter Meeting with ALMACA Exec- chapter listing for each member. Any utive Director Thomas Delaney. At member who wishes to join or partici- that meeting held in the corporate of- ALMACA Collection pate in more than one chapter's activ- fices of Deluxe Check Printing Corpo- of Chapter Dues ities may do so at the discretion of the ration, Minneapolis, it was reported second chapter. that the conference planning commit- Updated tee has been hard at work during the summer designing strategy for the ALMACA has been seekingthe most HOW WILL THE CHAPTERS BE springtime festivities. efficient manner in which to in- NOTIFIED OF INDIVIDUAL The meeting was hosted by Confer- itiatethe national collection of chapter PAYMENTS? enceCochairman Patrick Foss, EAPdi- dues. Although the actual method of In the past, a complete chapter mem- rector at Deluxe, who is a longtime implementation has not yet been final- bershiplist was provided to the chapter ALMACA member. Other conference ized and probably will not be until the presidents on a bimonthly schedule. cochairs are the president of Min- national conference in Chicago, a ten- Beginning with the September 1, 1987 nesota ALMACA, Connie Hallsome tative plan has been drafted: mailing, updated lists will be distri- Jones, and former Central Region buted monthly. Hopefully, the in- Vice-President Glen Horstman. Other STARTING DATE creased frequency of updates will members of the planning committee allow individual chapters the opportu- present at the meeting were Nancy ALMACA is tentatively planning to nity to clean-up any discrepancies or Mansergh of NCR Compton; Edward begin the collection process in early questionable chapter memberships Daugherty of Bermies Company; 1988. The proposed plan will align the before the national collection process Charles Johnson of the United Auto chapter dues billing date with that of actually begins. Workers, AFL-CIO; Clinton Berg of each member's national expiration In addition, following the start of na- Honeywell; and Lee Mauk of Metro- date. ALMACA plans to invoice each tional dues collection, aprint-out will politan Clinic. member for chapter dues at the same be distributed to all chapters listing the time the member is billed for national names of members who have paid membership dues. chapter dues during that month. MINNESOTA CALLS FOR PAPERS Thus, for example, any current The committee approved the release member who has a February 15, 1987, of a "Call for Papers" which will be expiration date would be assessed an WILL CHAPTERS BE REIMBURSED mailed from ALMACA national office appropriate amount for his/her na- IN A TIMELY MANNER? in the mid-September. The committee tional dues, plus an additional $25 for ALMACA plans to reimburse each plans to utilize the national office staff the optional chapter membership. chapter by the 15th of the month for to manage the registration and the amount of money received during exhibits. As with all ALMACA regional the previous month. conferences, the program content, IS THE CHAPTER MEMBERSHIP and speakers will be determined by MANDATORY? the regional committees. ALMACA can not require its members HOW WILL ALMACA COLLECT The Minnesota Chapter plans to pro- to belong to a local ALMACA chapter. CHAPTER DUES FROM NEW motethe conference in TheALMACAN, The main reason being that some AL- MEMBERS? local public relations opportunities MACANs do not reside in an area The current membership application such as participation in the form of a where an ALMACA chapter exists or does not list ALMACA's local chap- booth at the October 21 st through 23rd even close enough to an existing chapters. However, ALMACA is presently conference of the Minnesota Chemical ter to warrant the mandatory $25 designing a new application which Dependency Association, and with charge. Consequently, the decision to will list each ALMACA chapter by re- the active involvement of all chapters join an ALMACA chapter is left solely gion thus permitting new members in the Central Region. to the individual member. who are notfamiliarwithALMACAthe

56 THE ALMACAN SEPTEMBER 1987 chance to conveniently select from the courses on alcoholism/substance full array of chapters. A revised draft of abuse at Loop College, and on the Minutes of ALMACA the membership application will be graduate level at Roosevelt University. Annual Business Mtg available for inspection at the national He is a certified alcoholism counselor conference in Chicago. (senior) in the state of Illinois, and Nov.,1986 Dallas, Tx serves on the Board of Governors of The meeting was .opened by out- the Illinois Alcoholism CounselorCer- going president John J. Hennessy. UPGRADE OF THE ALMACA tification Board. The minutesofthe 1985 meeting were I.D. CARD presented by Dan Smith and accepted. Currently, ALMACA issues a member- Michael D. Houle, M.Ed, CAC has The Treasurer's Committee Report was ship I.D. card to each member. AL- accepted a position as Chicago presented by the executive director for MACA is now discussing the develop- District Manager of Parkside Medical the treasurer. The executive director ment of a new embossed card which Services Employee Assistance Pro- read a summary of the financial report would distinguish chapter members grams. Michael began his EAP experi- and stated that it had been published from non-chapter members with the ence at Kemper Group Insurance Cor- in the biennial report of ALMACA use of different colors and chapter poration. He assisted in coordinating which has been sent to the member- identification. The upgrade of the this nationwide program as well as de- ship. It was accepted. membership I.D. card will help chap- veloping attaining program for super- Jack Hennessy thanked the execu- ter officials identify chapter members visors/managers. tive committee for their support over more easily at local chapter functions. He spent four prior years as a ther- the past two years and then presented Further comments or questions may apist at Grant Hospital's Outpatient the new president of ALMACA, Gary be directed to Kathy LaTulippe at AL- Alcoholism Program. Atkins. Gary, in turn, presented the MACA Headquarters 703/522-6272. Michael Houle is a certified member new executive committee: Charles of IACCB (Illinois Alcoholism Coun- Pilkington, vice president of adminis- for selorCertification Board, Inc.). tration; Daniel C. Smith, vice presi- Services dent of operations; Candace Bibby, Marchesini 1 amen E. Lehman of the Professional treasurer; and Frank Burger, secretary. Employee Advisement Program, re- Next Thomas J. Delaney gave the Ed Marchesini, longtime ALMACA cently received the Daetwiler Distin- Executive Director's Report. (A copy friend and EAP pioneer, passed guished Service Award presented by of this report is available from Dick away on Saturday, July 18 of this year. the Colorado Chapter of ALMACA. Bickerton at the ALMACA Clearing- In his honor, a special memorial service This award is given by peers in theem- house.) The Executive Director's Re- has been scheduled for 10 AM on Thurs- ployee assistance field to the indi- portwas accepted. day, the 22nd of October, 1987. The vidual who has promoted and distin- New business included the consid- services will be held at the Episcopal guished themselves in the EAP field for eration of a bylaw amendment that Church of the Transfiguration located the past year in Colorado. would add Section 4. to Article VI of at 1 East 29th Street, Manhattan,(right Prior to joining PEAP,Jim developed the ALMACA Bylaws to make provi- off of Fifth Avenue). the Members As- sion for the employee assistance cer- sistance Program tification commission. The full text of ALMACANs for Yellow Cab Co- the proposed section was on the operative, Denver, agenda, which was available to all at- On the Move CO. He took his tendees. Avote was taken and a show EAP training at the of hands indicated a majority in favor Steven H.Haught, MS, CSAC, has been University of Utah of the acceptance of the amendment. named manager of the Midwest Re- Summer School (There was a question raised on the gion of Parkside Medical Services Em- and the NIAAA parliamentary procedure used, so to ployee Assistance Programs. Occupational Pro- assure that everything was done in a Steve has extensive experience in gram Consultants Course. He still proper manner, the vote was taken a the field of Alcoholism/Substance maintains his union membership in second time after allowing a chance Abuse. He has held positions as tech- the Independent Drivers Association for discussion; the results were the nical directorofalcoholand substance and is active in training other various same.) abuse for a variety of professional and union members in Colorado on drug, The meeting was adjourned after community groups. He also has taught alcohol, and EAP issues. asking for discussion. There was none.

SEPTEMBER 1987 THE ALMACAN 57

~ ' . ti

CONFERENCES AND WORKSHOPS

Diaz, MSW, LCSW, Rokelle Lerner, OCTOBER CCDP, and Patricia O'Gorman, Ph.D. JULY The Seventh Annual Fall Conference For more information or for registra- The 35th International Congress on on Alcoholism will be presented Oc- tion, contact U.S. Journal Training, Alcoholism and Drug Dependence tober 28-30, 1987 at the Cavalier Inc., Atlanta, 1721 Blount Road, Suite sponsored by the International Coun- Hotel, Virginia Beach, VA. It is being #1, Pompano Beach, FL 33069 or call cil on Alcohol and Addictions (ICAA) presented by Riverside Hospital Cen- 1-800-851-9100. is scheduled for Oslo, Norway, from terfor Alcohol and Drug Dependency, July 31 through August 6. The official U.S. Journal of Alcohol and Drug De- languages of the congress will be Eng- pendence, NAADAC, and Virginia DECEMBER lish and French with simultaneous Commonwealth University. The Southeastern Conference on AI- translation in the plenary sessions. Further information is available by cohol and Drug Abuse, SECAD 1987 Papers are being solicited by the contacting Riverside Hospital Center will be held December 2-6 at the Program Committee. Abstracts should for Alcohol and Drug Dependency, Radisson Hotel Atlanta. More infor- be sent no later than February 1988 to 500 J. Clyde Morris Blvd., Newport mation is available by contacting the National Directorate for the Pre- News, VA 23607, Phone 804/599- Charter Medical Corporation Addic- vention of Alcohol and Drug Prob- 2684 or 800/554-4646. tive Disease Division, P.O. Box 209, lems, Box 8152 Dep, N-0033, Oslo 1, Suite 701, Macon, GA, or call 1-800- Norway. 845-1567. NOVEMBER Marcus Grant of the World Health Or- ganization in Geneva will deliver the Illinois Offers keynote address at the 9th Annual Conference of Substance Abuse Li- Post Master EAP Certificate brarians and Information Specialists (SALTS) in Edmonton, Canada, Novem- The University of Illinois, Chicago stance abuse certification at the time ber 3-6, 1987. has announced plans to offer course of admission to the program can re- The theme of the conference is "Dis- work leading to a post master certifi- quest awaiver ofthe substance abuse semination of Information Between cate in EAP beginning this fall. Spon- course. Nations: A Support and Link to Activi- sored by the Jane Addams College of The apprenticeship is a 700-clock ties inthe Alcohol and Drug Field." An Social Work, the certificate is offered hour experience conducted in one or all day preconference workshop on to professionals interested in de- two employee assistance programs. November 3rd will focus on marketing veloping expertise in the employee Placement in two settings will pro- techniques for libraries and informa- assistance field. The program will as- vide students an opportunity to work tion services. sist experienced professionals in the indifferent model situations; such as Registration information is available transition from practice in the tradi- an internal corporate setting fol- from Bette Reimer, Conference Chair, tional domain of human services de- lowed by work with an EAP vendor. AADAC Library, 7th Floor, 10909 livery to practice in EAP. The apprenticeship can be com- Jasper Ave., Edmonton, AB T5J 3M9, R. Paul Maiden, coordinator of the pleted either concurrently with the Canada or Ginny Rolett, SALTS Chair, 28-quarter hour program, said that course work or upon completion of the Project Cork Resource Center, Dart- the program consists of three courses course requirements. The time span for mouth Medical School, Hanover, NH and an "apprenticeship" carried out the internship will be arranged to 03756, or Phone: 603/646-7540. in an appropriate EAP setting. The meet the needs of the individual. The U.S. Journal, Inc. in cooperation courses are: Substance Abuse in the Admission to the post master's pro- with Anchor Hospital, College Park, Workplace; Designing an EAP; and gram is open to those individuals who GA will sponsor the Second Annual Advance Practice and Issues in EAPs. hold an MSW degree or a master's Southeast Conference on Adult Chil- One course will be offered each degree in a related behavioral or social dren of Alcoholics on November 19- term beginning in the fall quarter. science. More information is available 22, 1987, at the Atlanta Hilton and Classes will be scheduled in the late by contacting R. Paul Maiden, Uni- Towers. Featured faculty members in- afternoon and evening to accom- versity of Illinois, Jane Addams clude Claudia Black, Ph.D., Father modate employed students. Appli- School of Social Work, Box 4348, cants who hold a Leo Booth, C.A.C. Sharon Wegscheider- recognized sub- Chicago, IL 60680,312/996-0036.❑ Cruse, M.A., C.A.C. Phillip Oliver-

58 THE ALMACAN SEPTEMBER 1987 -- -~== "When Love NotEvcou~h " —___ ~- -= ~_ is ~- -_ ~-~ Ps cholog ical E_ ~- ervices for For registration information, contact the Bennett Travel Bureau, Karl =~ -~- Adolescents Johansgt, 3, 0154 Oslo 1, Norway. .. _ - ---- Phone:(02) 20 90 90—Telex 71 397. Alcoholand Drug Abuse Hospitalization Depression Psychotherapy Hanley-Hazelden Suicidal Behavior Psychological Evaluations Center Learning Disabilities Educational Assessments at St. Mary's Managed by Directors: George Anderson, M.S.W., MA,MSW Hazelden Nancy Anderson, Foundation (Z13) Z08 -5069 1100 Glendon Avenue, Suite 2121, Los Angeles, CA 90044. 1. Enterin~;~,~u~s~~~_~~~n~i ~~<~:u~ inFlori~l~~ ~~~~i~ h :, ;5!~ yeartr~~,~t~r;~~i~t f~i~i~,r~. 2. N~-~i~~~rut'ii. ~~ri~:~~~t~_, i r~~1ir~~~ ~}x~riFi~~ creeds ~ •C 1':.~1'~. D DO ~. ~ °~~ni~,lcCecontir~~n~ni~~l THII~[~ YOU SHO IS <~~.~withspeciall~~~r~ilti HER. and women's prop r~ ~ ~ ~ ~ ~. FIRE 5. 66-bed treatment f~~~~ilir~ in serene, campus- li Ic~~ Call Nightingale instead. We're America's only drug and alcohol recovery setting. program created specifically to help female health care professionals and their 6. Aftercare resource employers. Our goal: to get your nurse straight and back to productive work. available around the And we're there for both of you right from the start. We'll explain all the country. options, then guide you through the tough phase of confronting 7. Follow-up of all pat i ~ ~ r ~ i your nurse and convincing her she needs treatment. at 1, 3, 6 and 12 mo ~ ~ ~ } ~ Once she's at Nightingale, we'll use our highly successful after discharge. rehabilitation program including individual counseling and group therapy to teach her how to live drug-free. And with our extensive Aftercare plan, you'll both get the support you need anley once she's back on the job. ~azelden Cents ~ There's no obligation, so call Nightingale today. It's the ~—,. St. I~1ary~ first thing to do to get help. For both of you. Call toll-free 24 hours a day, 7 days a week. In 5200 East Avenue Massachusetts 1-800-446-2022.Outside Massachusetts West Palm Beach, F t-s17-78s-3522. NIGHTINGALE 305-848-1666 Drug/Alcohol Recovery Program Patrick D. Griffin 77 Warren Street, Brighton, MA 02135

SEPTEMBER 1987 THE ALMACAN 59

'~ j PROiLEMS: SOLUTIONS: AlcohoUSubstance Abuse

Employee Burnout Executive Stress

Eating Disorders

Marriage and/or Family Arixiety Depression erSpeCti Sexual Dysfunction Grief Divorce

For help in finding solutions to these and other problems call Perspectives"' at (312)932 -7788. A private outpatient mental health facility that works with Employers and Employee Assistance Programs to provide quality treatment. 30 N. Michigan Ave., Chicago,Illinois 60602. 17W733 Butterfield Rd., Oakbrook Terrace,Illinois 60181. 2711 West 183rd St., Homewood,Illinois 60430.

Nonprofit Organization ~l~11]!l~'! U.S. POSTAGE PAID 1800 N. Kent Street Arlington, Virginia Suite 907 Permit No. 125 Arlington, Va. 22209