Workplace Issues

Substance Use in the Workplace
Impact and Cost of Substance Use in the Workplace

The impacts of substance abuse and problem gambling can affect the workplace in many ways. It affects not only the individual, but also the co-workers and the business directly. Early intervention reduces the impact on an individual's health and other major life areas. Early intervention will save the company money and provides a better chance of success for the troubled employee. Some of the specific impacts can be felt in these areas:

Affected Person Co-workers Business/Workplace
Increased illness Covering for the person Increased absenteeism
Increased accidents/self-injury Increased number of interpersonal conflicts Increased accidents and possibly death rates
Problems with family, friends, co-workers, legal issues, financial issues Reduced morale Increased costs (insurance, worker's compensation, cost of temporary staff)
Loss of wages or job Increased stress Reduced productivity of all
Loss of self-esteem/respect Unsafe work environment Damage to equipment
  Increased risk of injury Loss of customers/business
    Company theft

Although it is hard to measure the true economic costs of workplace substance use in Canada, it has been estimated that annual productivity losses are as high as $11.8 billion ($4.1 billion for alcohol and $823.1 million for illegal drugs)1. There are significant human and economic costs, both direct and indirect.

1 Alcohol, Drugs and Gambling in the Workplace, AADAC, 1998.

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Signs and Symptoms
Abuse of alcohol and other drugs affects people :

Emotionally: Some emotional effects may be as follows:

  • aggression
  • burnout
  • anxiety
  • depression
  • paranoia
  • denial.

Behaviorally: Behavioral effects can be evident in:

  • slow reaction time
  • impaired coordination
  • slowed speech
  • irritability
  • excessive talking
  • inability to sit still
  • limited attention span or
  • poor motivation and low energy levels.

Physically: Physical effects can be mild or more severe and can include:

  • drastic weight loss/gain
  • sweating
  • chills
  • dilated pupils
  • unsteady gait
  • smell of alcohol or solvents
  • and muscle weakness.

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Fitness for Work

Whose job is it? The bottom line - the troubled employee is responsible for change; whereas the leader focuses on whether the employee is "fit" for work. The leader's role is to identify the impact on performance, identify and recommend sources of assistance for the employee. A leader can promote 'fitness for work' philosophy in the organization and ensure necessary discussions and training occurs.

The main focus of the 'fitness for work' philosophy is on the employee's ability to do his or her job. Leaders should not be put in the position of making value judgments about what's "right" or "wrong" in an employee's personal life. The fitness for work approach provides a framework for dealing with situations in a proactive manner. Leaders don't have to play the role of counselor, medical professional or law enforcement. Their job is to focus strictly on whether the employee is 'fit' to perform his duties, not to figure out the cause of the behavior change. Diagnosing is left to the professionals.

An unfit worker needs to be removed from the work site - it is not safe for the individual, co-workers or the company. A clear company policy should be communicated to all staff, outlining expected behaviors on the job.

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Policies and Testing

Effective policies find a balance between the needs of the organization and the desire to support and assist the troubled employee. They reflect both employee and union involvement and include clear and specific standards and responsibilities. The consequences for policy violation need to be clearly described and all policies communicated to staff and reviewed regularly. Developing an alcohol and drug policy is one important aspect of ensuring fitness for work. Many companies are reviewing and upgrading their existing policies as they are concerned about the liabilities associated with not taking appropriate, responsible action to prevent problems, accidents, and death.

Drug and alcohol testing can be one part of an overall fitness for work approach. Each organization will have to determine whether this is something they want to include in their company policy. Companies are now giving serious consideration to alcohol and drug testing as one component of the company policy.

Some considerations before deciding whether to test or not are as follows:
  • Testing should be part of a comprehensive alcohol and drug policy
  • Decisions are needed on who to test, under what circumstances, for what substances, using what technology and what to do with the results
  • Testing may be beneficial in some situations, such as after an accident or incident
  • Positive drug tests cannot determine the level of impairment at the time the sample was taken, or whether or not the employee used on the job
  • Testing cannot differentiate between occasional and addictive use
  • Testing is not the only option or answer to reducing substance use in the workplace

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Basic Steps for Intervention

The overall goals of intervention are to maintain a productive, safe workforce and to return employees to full productivity.

Step 1: Observation and Gathering Facts - be aware of any changes in your employees

Step 2: Produce Accurate Documentation - who, what, where, when, how

Step 3: Offer of Assistance Meeting - corrective discussion takes place and offers of assistance are made

Step 4: Follow-up - to ensure progress is being made, to offer encouragement and further direction and assistance.

Remember, as a leader, you should not need to worry about diagnosing an employee's condition. Your job is to track performance, identify problems, and offer an appropriate level of support.

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Demographics and Groups of Concern

Canadian surveys that have been conducted, indicate that alcohol and other drugs are being used by individuals in all industry sectors.2 Substance use is at levels that lead to unacceptable impacts on health and safety and they can include prescribed drugs, legal drugs, and illegal drugs. Substances of concern in the workplace often include stimulants, depressants, hallucinogens, cannabis, narcotics and inhalants.

Studies have indicated that certain groups have higher than average rates of use for substance use/gambling. Generally, these industries include construction, utilities, forestry/mining, wholesale/retail trade, public administration and finance/insurance/real estate industries.

Some of these industries have a higher concentration of young, single, males (the demographic group profiled as at-risk for substance use). Other environmental factors associated with higher substance abuse include: travel, working long hours, shift work, working at remote sites, or work that involves entertaining clients. 3 The widespread acknowledgement of the prominent place alcohol, in particular, holds in some business and social circles is troublesome for employees who struggle to control their intake and for those returning to work after rehabilitation.

2 Barb Butler and Associates (www.butlerconsultants.com)
3 AADAC - landscape document - Jan to get details

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Return to Work Strategies

When an employee has sought help for his/her addiction, perhaps through a residential rehabilitation program, and is now ready to return to work, what are some things to keep in mind? The addiction treatment may have consisted of a series of sessions with a counselor, or it may have included attending a program on an out-patient or in-patient basis. Recovery is an ongoing process that continues long after the program is complete. Studies have shown that the following supportive measures can be
of benefit. 4

A workplace can support an employee during this time by:
  • Developing education programs about alcohol, other drugs and gambling for all staff (it is difficult for the returning employee when supervisors/co-workers are not knowledgeable about addiction).
  • Recognize the needs of recovering employees when planning social events
  • Develop and follow clear policies that encourage early recognition of troubled employees and that support them through long-term recovery
  • Identify resources available for assistance (such as EAP or other community resources)
A supervisor is often concerned about how to best support the returning worker. There may be concerns about work performance and safety as well. Supervisors can:
  • Show support and remind the employee they are missed and valued by the organization
  • Meet with employee before they return to work if possible
  • Update the employee about any changes that have taken place
  • Discuss and deal with fears/concerns the employee has about returning to work
Co-workers may be uncomfortable or nervous about the employee coming back. There may have been interpersonal conflicts, issues of enabling and covering up for the employee, and resentment because the employee was not carrying his own weight. Generally co-workers care and want success for their returning colleague. Ways in which co-workers can assist are to:
  • Offer support and encouragement (but not counselling)
  • Do not enable the recovering worker (cover up or ignore situations)
  • Allow them to carry their own workload and make decisions
  • Remind the recovering worker about the help available, should he/she need it. Continue to include the co-worker in social activities, but support their decisions if they decline (especially if alcohol is being served).

4 AADAC Workplace Information series Newsletter (1998)

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