Addressing The Hidden Healthcare Costs in Your Workforce

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I see this issue pop up in the workplace in a thousand subtle ways. Maybe someone leaves early regularly to meet with their high schooler's principal. Maybe an employee is consistently late to work. Or increasing absenteeism. Or worse, presenteeism where your employee is physically at work, but not "mentally there" or very productive.

These can be signs that employees may be facing behavioral health issues such as depression, anxiety or substance use. Or that their spouse or child may be the one facing challenging times.

It’s not easy to identify behavioral health problems in the workforce. Many times even the employee’s closest family is unaware. Stigma and shame can keep employees from talking with their manager or with HR. It’s vital to help employees confront these issues if a business is going to protect its investment in staff, improve productivity and be a high-functioning, profitable enterprise.

Consider the facts:

It is estimated by the Centers for Disease Control (CDC) that one in six workers is dealing with behavioral health issues such as depression, anxiety and stress, and that about one in 10 have a substance-use disorder of some type, according to the National Institutes of Health (NIH). That means that between 10 to 15% of Hoosier employees could currently need behavioral healthcare.

So, what can Indiana employers do to help?

Look at the real costs.

Looking at your insurance costs won’t give you a true picture of how behavioral health is impacting your bottom line.

To get a clearer picture of the financial downside, use “The Real Cost of Substance Use to Employers.” This free online calculator was developed by The National Safety Council and the national nonprofit Shatterproof in collaboration with the independent research institution NORC at the University of Chicago. This will give you specific information about the cost of substance use (including prescription drug misuse, alcohol misuse, opioid and heroin addiction as well as misuse of other illicit drugs and marijuana) in the workplace based on size of your employee base, industry and state. Visit to see what substance use is truly costing your company.

Find a behavioral-health partner.

Just as employers have the opportunity to visit a professional to help develop and implement a wellness plan, the same should be true for behavioral wellness. Most HR departments are not comfortable addressing substance-use or behavioral-health issues and are reluctant to bring up the topic. Likewise, employees are hesitant to reach out for help because of stigma and a fear of losing their co-workers’ respect—or even their jobs.

A good first step is to talk to your benefits broker or EAP provider. You may also want to work with a substance-use treatment facility in your area to provide education to your HR staff and options to your employees. With the opioid crisis in full swing, treatment centers of all types are popping up throughout Indiana. To find a reputable, nationally accredited treatment facility, go to the National Association of Addiction Treatment Providers (NAATP) and use their addiction treatment provider directory at

Create a culture of acceptance.

Easier said than done. However, openly talking about behavioral-health issues and substance use is a great way to start a dialogue between employers and employees. Supporting a staff member’s behavioral health is not just about keeping a valuable asset, but also about sending a message across the organization about your values.  For information on how to talk about substance-use issues as well as find other valuable resources, visit Next Level Recovery Indiana at for facts, training, tools and resources.

Often employees are afraid to discuss a behavioral health issue they may be experiencing; therefore, their problems can spiral out of control. These issues may not only affect the performance of the individual employee but everyone in the organization.  Additionally, when employees return to work after having been treated for a medical issue, employers are often provided clear information on what accommodations need to be made to assist the employee with a successful transition.  It is often less clear on how to support someone who is recovering from a behavioral-health or substance-use disorder.

Often, managers and supervisors of people are not trained on how to identify employees at risk or how to have a conversation with someone about their behavioral health. Learning these skills, tackling any causes around work-related behavioral-health issues and developing a culture supportive of both physical and mental health well-being will not only boost employee engagement, it may save a life! From my perspective, that’s what we all should want for ourselves, our businesses and our state: a safe and healthy workforce.

Jeremy Watson is director of business programs at Fairbanks Treatment and Recovery Center.

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