ABSTRACT

Motivating alcohol abusers to enter treatment, comply with recommendations, and make significant changes in their behavior is no easy task. In the West, professionals learned the importance of motivation early on, and they learned it first from those recovering in Alcoholics Anonymous. Early occupational alcoholism programs used job performance and disciplinary steps to motivate problem drinkers to take action. The threat of job loss proved significant in breaking through denial and in motivating clients to begin a recovery process. This approach was incorporated into the Employee Assistance Program (EAP) and EAP professionals have used job performance and disciplinary steps to motivate those with many types of personal issues. In the Russian Federation, no such history exists. This workplace-based alcohol intervention program is a first for Russia, and it uses the work performance approach successfully deployed in the West for many decades.