What's Happening?
Paychex has identified three primary reasons why employees underutilize Employee Assistance Programs (EAPs), despite a significant need for mental health support. According to a Prudential study cited by Paychex, 55% of employees with EAP access have
never used it, and nearly a third of those indicated they needed help. The main barriers include concerns about confidentiality, employees forgetting the EAP exists, and a lack of trusted individuals promoting its use. Many employees mistakenly believe that employers can access their personal information if they use the EAP, fearing it could negatively impact their job security. Additionally, EAP information is often provided only during onboarding, leading to employees forgetting about the resource when they eventually need it. Finally, in small businesses, employees are more likely to trust their owner or direct supervisor, whose personal endorsement of the EAP carries more weight than general flyers or communications.
Why It's Important?
The underutilization of EAPs has significant implications for U.S. businesses, particularly small businesses, and their employees' well-being. Paychex's 2026 Priorities for Business Leaders report indicates that burnout and stress have contributed to voluntary separations for one in four business leaders. These departures incur substantial costs beyond just an empty position, as existing staff must cover the workload during recruitment, interviewing, and training of replacements. For small business owners, this often means taking on additional responsibilities themselves. Furthermore, employees frequently bring personal problems, such as divorce, illness, or debt, to their employers, who are not equipped to provide counseling. An effective EAP can offer qualified support, allowing employees to address personal challenges and employers to focus on business operations, ultimately improving retention and reducing the financial and operational burdens associated with employee turnover.
What's Next?
To address these issues, Paychex suggests several practical fixes. To combat confidentiality concerns, employers should clearly communicate what information is shared by the EAP provider, emphasizing that personal details remain private. Regular, simple reminders about the EAP's existence and services are crucial, moving beyond just onboarding. This can include quarterly reminders tailored to seasonal stressors like holiday bills or tax season, and utilizing various communication channels. Lastly, owners and supervisors are encouraged to casually and frequently mention the EAP in team meetings, using simple scripts to check in with employees and refer them to the program without prying. These proactive steps aim to normalize EAP use and ensure employees feel comfortable and informed about accessing available mental health resources.
Beyond the Headlines
The challenges in EAP utilization highlight broader societal issues regarding mental health stigma and workplace support. The fear of being labeled a 'problem employee' or concerns about privacy underscore a persistent stigma around seeking mental health assistance, even when confidential resources are available. This situation also points to the evolving role of employers in employee well-being, moving beyond traditional benefits to actively fostering a supportive environment. The emphasis on trusted individuals, like supervisors, promoting EAPs suggests that leadership's direct involvement is critical in destigmatizing mental health support. This shift could lead to more integrated and empathetic workplace cultures where mental health is openly discussed and supported, potentially influencing long-term employee engagement and productivity across various U.S. industries.













