Lawyer assistance programs are stepping up efforts to reach attorneys with alcohol, drug and mental health problems amid signs that pressures in the profession may be taking a rising toll.

“My sense is that things have gotten worse, and my view is shared by various people in the field,” said Patrick Krill, director of the legal professionals program at the Hazelden Betty Ford Foundation, a network of addiction treatment centers, which is conducting a wide-scale study of the problem with the American Bar Association.