Effect of declining mental health service use on employees of a large corporation

This study examines concurrent changes in use of mental and general health services and in annual sick days among 20,814 employees of a large corporat ion. From 1993 to 1995 mental health service use and casts declined by more than one-third, more than three times as much as the decline in non-mental health service use. However, employees who used mental health services sho wed a 37 percent increase in use of non-mental health services and signific antly increased sick days, whereas other employees showed no such increases . Savings in mental health services were fully offset by increased use of o ther services and lost workdays.