Productivity Loss Associated with Substance Use, Physical Health, and Mental Health

  • Robert M. Bray
  • Laurel L. Hourani
  • Jason Williams
  • Marian E. Lane
  • Mary Ellen Marsden


Because the military depends on the productivity of individuals and teams of personnel for successful mission accomplishment, it is vital to understand and minimize factors contributing to productivity loss. This chapter examines the extent to which work productivity is impacted by substance use, physical health, and mental health problems. It first presents trends in overall productivity loss as well as trends in productivity loss associated with substance use, physical health, and mental health from 1995 to 2008. It then introduces and examines a health and behavioral health model of productivity loss that integrates the key concepts and measures of substance abuse, physical health, and mental health considered in Chaps.  3,  4, and  5 with an emphasis on how they relate and converge to impact productivity among active duty personnel. The model provides a comprehensive assessment of how health and behavioral factors, taken together, affect productivity in the military. The chapter concludes with a recap of the overall picture of productivity loss in the military and implications for resources and force readiness.


Mental Health Physical Health Mental Health Problem Illicit Drug Productivity Loss 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Robert M. Bray
    • 1
  • Laurel L. Hourani
    • 1
  • Jason Williams
    • 1
  • Marian E. Lane
    • 1
  • Mary Ellen Marsden
    • 1
  1. 1.RTI InternationalResearch Triangle ParkUSA

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