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Objective: The aim of this study is to determine if a proactive employer-sponsored mental health program closed gaps in detection and treatment of mental health conditions., Methods: Of n = 56,442 eligible, n = 8170 (14.5%) participated in the optional screening. Participants with mental health risk were offered care concierge services including support, care planning, and connection to care. Difference in behavioral health care utilization, diagnoses, and prescriptions were evaluated postintervention through claims analysis., Results: Compared with controls (n = 2433), those receiving concierge services (n = 369) were more likely to fill mental health prescriptions (adjusted hazards ratio [HR], 1.2; 1.0-1.5; P = 0.042), use professional mental health services (adjusted HR, 1.4; 1.1-1.8; P = 0.02), and use new mental health services (adjusted HR, 1.9; 1.2-2.8; P = 0.004) in the following 6 months., Conclusions: This proactive mental health program with care concierge services identified risk, connected individuals to mental health care, and facilitated mental health treatment, among program participants., Competing Interests: Conflict of Interest: M.S.F. and C.E.B. are employed by and has stock ownership in Quest Diagnostics. J.L.H. holds stock in and serves on the Board of Directors for Emvitals Inc. Emvitals was a paid vendor of Johns Hopkins Healthcare Solutions (JHHS) and provided the Emvitals technology platform, which was white labeled by JHHS, and sold to Quest Diagnostics in support of its employee well-being programs; we were not paid for any aspect of the research analysis and research paper preparation. N.A.J. is employed by and owns stock in Emvitals Inc. M.E.P. engaged in this research as part of his faculty position at Johns Hopkins, but was previously an advisor for, and has stock ownership in, Emvitals Inc. J.I.H. and P.M.K. report no conflicts of interest., (Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American College of Occupational and Environmental Medicine.)

Objective: We asked whether the estimated 8-year risk of diabetes could be reduced within the first 2 years of a digital Diabetes Prevention Program (dDPP) in a workforce population., Methods: Employees and spouses were eligible if they had prediabetes-range fasting glucose or hemoglobin A 1c and body mass index ≥25 kg/m 2 . Diabetes risk was assessed using the Framingham diabetes risk score in the year before and the 2 years after dDPP initiation., Results: Among participants completing at least nine dDPP lessons ( n = 286), diabetes risk decreased 5.3% the year after dDPP initiation, after a 5.4% increase the year before initiation (difference in differences, -10.6%; 95% confidence interval, -13.4% to -7.9%; P < 0.001), with risk maintained at reduced levels after the second year of the program., Conclusion: This dDPP reduced the estimated 8-year risk of diabetes over the first 2 years of the program., Competing Interests: Conflict of Interest: C.E.B., M.J.M., A.R.A., M.S.F., and R.J.L. are employed by Quest Diagnostics and receive a salary., (Copyright © 2022 American College of Occupational and Environmental Medicine.)