Working within an integrative framework of human resource management (HRM) in context (Jackson & Schuler, 1995), and theorizing from an integrated institutional and resource dependence perspective (Oliver, 1991), this study investigated whether factors in the internal and external organizational environments are associated with the presence of a counseling/rehabilitative response by employers to identified employee substance abuse. Data were collected at two points in time from a sample of 342 private sector worksites in the state of Georgia. The results of ordered logistic regression analysis suggest that variables from both the internal and external organizational environments are related to a rehabilitative response by management to employee substance abuse.