The Biology Brief
Issue #5 · The System Problem Edition · Week 5

Your EAP Is Not a Strategy

Six percent utilization. That's the average. Here's why that number is a symptom, not a solution.

📖 ~1,000 words ⏱ 5 min read By Sarah Scahill, RN
Six percent utilization. That's the average. Here's why that number is a symptom, not a solution.
This Week's Big Idea

**The gap between what organizations spend on wellness and what their

workforce actually needs is enormous — and growing.**

The average EAP utilization rate in Canadian organizations sits at

approximately 6%. That means 94% of the people who may need support are

not accessing it — while the organization continues paying for a

service and calling it a wellness strategy.

This is not a criticism of EAPs. They serve a real purpose for acute,

individual crises. The problem is the fundamental misclassification:


The Science You Need

What the evidence says actually works.

A landmark review by Maslach & Leiter (2022) synthesized four decades of

burnout intervention research. Their conclusion was unambiguous:

individual-level interventions produce short-term relief at best.

Organizational-level interventions — structural, cultural,

leadership-level — are what produce lasting change.

The evidence-supported organizational interventions include: workload

management protocols with genuine enforcement, meaningful autonomy over

work processes, regular validated wellness measurement with results fed

back to leadership, leadership development specifically targeting


The HR & Legal Landscape
This Week's Action

Pull the cost of your EAP contract for the last year. Divide by the

number of employees who actually used it. Calculate the

cost-per-utilizer. Then compare that to what a structural assessment

and targeted intervention would cost. I will bet the math surprises

*Where the science of the human body meets the practice of
Sarah Scahill
RN · MHS · CPHR Candidate · CDMP · CCHNC-C
Founder, ExecRN Integrative Health Solutions
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