Employee Assistance Program

Life Happens. We’re Here to Help.

What Sets EFR Apart

Already have our EAP?

24/7/365 Accessibility

You can reach us 24 hours a day, 7 days a week, 365 days a year. Challenging situations are a part of life, which is why a masters-level clinician will always be ready to take your call.

Connect with Masters-Level Counselors

We only hire behavioral health experts with at least a master’s degree when it comes to connecting through telephonic services or our website chat feature. These professionals are well-equipped to address all needs.

Expansive Provider Network

We have more than 7,000 counseling providers in our national provider network, ensuring quality assistance and services wherever you are.

We've Been Here Awhile

EFR was established in 1964 by Dorothea Tone and Anna Meredith in Des Moines, Iowa. EFR has more than 50 years experience serving those who need it most, both in the local community and across the country.

Full-Service EAP

We offer an EAP that provides support for all of life’s challenges, while integrating wellness programming that optimizes employees’ overall well-being.

High-Touch EAP

Our dedicated account managers are driven to help our clients meet the needs of their employees by offering EAP support through frequent communication and engagement efforts.

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So this is what an EAP should be. I’m SOLD!

Our Employee Assistance Program is the right thing to do for your employees and for your business.

Our EAP helps employees manage life’s challenges so they can reach their full potential on and off the job. Our focus is on helping people overcome life’s challenges; when employees receive the help they need with struggles in- and outside of work, they can better focus on their job and be more productive. Having an EAP is not only healthy for your employees, but also for your business’ bottom line.

Statistically Speaking

Having an EAP is a cost-effective investment that not only improves the lives of employees, but also their performance at work. When employees have the resources available to address stressors in their personal life, they are able to focus more of their attention on their duties in the workplace and not as much on what happens when they go home.


Of adults will experience a mental illness in their lifetime

1 in 5

Americans will experience a mental illness

in a given year


Of those will also

experience a substance

abuse disorder


Needing mental health treatment don’t

get help


of U.S. workforce not engaged at work 


lost annually from absenteeism


lost annually in productivity


lost annually from turnover

Trauma in Early Life Can Increase Health Risks

An adverse childhood experience is defined in ACEs research as:

  • Divorced parents
  • Sexual abuse
  • Substance abuse within household
  • Physical neglect
  • Emotional neglect
  • Mentally ill parent
  • Incarcerated parent
  • Physical abuse
  • Domestic violence
  • Emotional abuse

Two-thirds of all adults

experienced at least one childhood



Twenty percent of all adults

experienced 3 or more childhood



more likely to have depression


more likely to abuse alcohol


more likely to attempt suicide

Scientific research has correlated trauma with physical and mental health problems in adulthood.


Adults who experience 4 or more childhood traumas are more than twice as likely to experience severe health conditions, such as asthma, arthritis, COPD, stroke, or heart or kidney disease.

Increased Health Risks Lead to Higher Treatment Costs for Chronic Conditions


$5,220 annually
$10,710 + mental illness

105% cost increase


$3,730 annually
$10,030 + mental illness

169% cost increase


$11,650 annually
$18,870 + mental illness

62% cost increase

Congestive Heart Failure

$9,770 annually
$17,200 + mental illness

76% cost increase


$3,840 annually
$10,980 + mental illness

186% cost increase


$5,480 annually
$12,280 + mental illness

124% cost increase