Abstract
Maresfield Enterprises estimated that the functioning of 35% of its workforce was com promised by alcohol and/or drug abuse. To address decreased productivity and professional ism and increased absenteeism and theft, and out of real concern for some of its most valued employees, the corporation expanded employee medical benefits to cover the inpatient treat ment of substance abuse. Maresfield Enterprises believed that this was a reasonable and responsible investment in one of its most valued assets: its employees. Insurance premiums increased, and hospital admissions increased, but productivity did not. Absenteeism re mained high. What went wrong?
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