For those struggling with conditions like depression, anxiety, and substance abuse, Balance provides a confidential pathway to comprehensive, accessible resources and services.


About Balance

Your pathway to better mental health and well-being.


The Johns Hopkins Advantage

For over 125 years, Johns Hopkins Medicine has led the way in both biomedical discovery and health care, establishing the standard by which others follow and build upon. This is one of many faculty-developed programs, protocols and services provided by Johns Hopkins HealthCare Solutions to improve health outcomes and reduce the cost of care.  At Johns Hopkins, we know it takes a team to provide great care.


Did You Know?

  • 20% – 30% of employees and their dependents struggle with a behavioral health condition such as stress, depression and substance abuse.
  • 30% – 40% of the U.S. population experiences mental health and substance misuse disorders at some point.
  • 50% of these individuals require professional care.
  • Only 40% of adults who have a mental illness reported receiving any sort of service for their mental illness in the prior 12 months.
  • 10% of workers are classified as heavy alcohol users.
  • Mental health conditions and substance abuse frequently co-occur with chronic medical conditions like diabetes, which can double if not triple an individual’s health care costs.
  • 60% – 80% of workplace accidents are attributed to stress, and it’s estimated that more than 80% of doctor visits are due to stress.

Behavioral Health Costs by the Numbers

  • $811 per month – the average cost of treating a person with diabetes (w/out complications).
  • $1,775 per month – the average when that person has a serious and persisting mental illness.
  • $1,848 per month – the average cost for that person with co-morbid substance use disorders.
  • 500 million – estimated workdays lost annually due to alcohol abuse.
  • 2x as likely – employees who use drugs are twice as likely to request early dismissal or time off.
  • 2.5x as likely – employees who use drugs are two and half times more likely to have 8 or more absence days.
  • $2.5 trillion – estimated cost of mental disorders globally.

Impact on Work

  • Unlike costly physical illnesses like cancer, where expenses are largely hospital-based, mental health costs are often indirect, such as not being able to work.
  • More days of work loss and work impairment are caused by mental illness than by other chronic health conditions, including arthritis, asthma, back pain, diabetes, hypertension and heart disease.
  • Behavioral health issues can account for 30% or more of the disability burden for the typical employer.
  • 53% of employers found that return to work is more difficult for employees suffering from psychiatric disorders than for general medical disability.

2014 Milliman, Inc. report Economic Impact of Integrated Medical-Behavioral Healthcare: Implications for Psychology
Journal of Occupational and Environmental Medicine


About Balance

The Johns Hopkins Balance program provides employees experiencing a mental health condition, or at risk, with a comprehensive approach to care.


ASSESSMENT:  Employees take a confidential behavioral health assessment, which determines where they are on their journey to good mental health.

Based on the assessment score, a clinical care coordinator may complete additional assessments.

REFERRAL:  The clinical care coordinator uses the assessment to connect the employee to the appropriate resources for care.

CARE COORDINATION:  The coordinator follows up with the employee to ensure the care she or he is receiving is their best fit.



Meet the Faculty

Matthew E. Peters, M.D., assistant professor of psychiatry and behavioral sciences at the Johns Hopkins School of Medicine. His clinical specialty is in adult psychiatry, cognitive decline in older adults, and behavioral sciences. He is an associate editor for the International Review of Psychiatry and a managing editor of the Johns Hopkins POC-IT Psychiatry Guide.






Dr. Paul Kim is an assistant professor in the Department of Psychiatry and Behavioral Sciences at the Johns Hopkins University School of Medicine. He attends on the Young Adult inpatient unit and Mood Consultation Clinic at the Johns Hopkins Hospital. He also conducts basic science research studying the role of neuroinflammation and neurodevelopment in neurological and psychiatric disorders. He is a managing editor and contributor of the Johns Hopkins POC-IT Psychiatry Guide. ​