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Substance Abuse


Substance Abuse When it Affects the Workplace Information provided by the Maine Office of Substance Abuse Objectives Effects of substance abuse on the workplace ... – PowerPoint PPT presentation

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Title: Substance Abuse

Substance Abuse When it Affects the Workplace
Information provided by the Maine Office of
Substance Abuse
  • Effects of substance abuse on the workplace
  • Prevention strategies for employers to address
    substance abuse issues
  • Roles of Local Coalitions, Prevention and
    Treatment Providers
  • Future Possibilities for Businesses and
    Communities to Address This and Other Health

What are S.A. Effects?
  • Personal Experience
  • Statistics what does research tell us?
  • Cost to Society
  • Cost to Businesses

  • Nationally, 73 of all illicit drug users (11.4
    million) aged 18 and older (8.3 million adults)
    were employed in 1997. This includes 6.7 million
    full-time workers and 1.6 million part-time
  • National Household Survey on Drug Abuse,
    August 1998

  • Of the 16.6 million illicit drug users aged 18 or
    older in 2002, 12.4 million (74.6 ) were
    employed either full or part time.

  • 2004 Maine General Population Drug and Alcohol
  • Among recent binge drinkers (those who have
    participated in binge drinking in the past
    month), male respondents in the 18 to 20 year old
    group had the highest binge drinking rate of
  • 68.3 21-24, 64.5 25 to 29, 54.4 30
    to 49, and 45.1 50 to 64).

  • Of respondents who have worked in the past 12
    months, the highest prevalence rates of
    respondents feeling the effects or after-effects
    of alcohol while at work occurred in the 21 to 24
    year old group (13.8) and the 18 to 20 year old
    group (10.8). Rates for the other age groups
    decreased with age (7.5 25 to 29, 3.9 30 to
    49, and 1.8 50 to 64).

Cost To Society
  • National Institutes of Health reported that
    alcohol and drug abuse cost the economy 246
    billion in 1992.
  • In 2000, the total estimated annual cost of
    substance abuse in Maine was 618 million. Based
    on 2000 Census, that's 484 for every man, woman,
    and child in Maine.

  • 2000 total costs related to lost productivity
    were an estimated 97.4 million, representing 16
    of the total cost of substance abuse in Maine.

Cost to Business
  • Alcohol / drug abuse has been estimated to cost
    American businesses 81 billion dollars in lost
    productivity per year37 billion to premature
    death 44 billion to illness of these combined
    costs, 86 are attributed to drinking.

  • 1 in 5 workers report that they have had to work
    harder, redo work or cover for a co-worker or
    have been put in danger or injured as a result of
    a fellow employees drinking.

  • Up to 40 of industrial fatalities and 47 of
    industrial injuries can be linked to alcohol
    consumption and alcoholism.
  • Workers who reported using illicit drugs were 2 x
    as likely to have had 3 or more employers in the
    past year and had 2 or more illnesses or injury
    related days out of work.

  • Workers with past month illicit drug use were
    also 2.5 x more likely to have skipped 2 or more
    work days in the past month, compared to those
    who did not use.

2005 Hazelden "Making Recovery America's
Business" Survey
  • 57 percent of employees dealing with addiction in
    their family - missed a deadline or had their
    attendance suffer as a result
  • 46 percent said they had made errors in judgment
    they would not have otherwise made
  • 14 percent said they had been so distracted that
    they forgot safety or security procedures at work

Maine Treatment Data System (TDS)
  • A computer data system that tracks the publicly
    funded substance abuse treatment services in
    Maine (17,500 clients/year), or
  • http//

  • The Maine Treatment Data System (TDS) 2000 2005
  • 4.5 increase in the number people being treated.
  • 23 were employed full time, 7 part-time, and 2
    irregularly employed (less than 17 hours).
  • Treatment increased 10 for full-time and 7 for
    parttime and irregular employees.
  • EAPs Referrals for full time employees, 40 were
    for drug treatment and 60 for alcohol
  • Employer referrals of fulltime employees, 54
    were for drug treatment and 46 for alcohol.

  • TDS confirms
  • Alcohol is the most prevalent substance being
    treated for
  • Opiates - 2nd
  • Marijuana - 3rd
  • Heroin/Morphine - 4th
  • Cocaine/Crack - 5th
  • 10 decrease in those seeking treatment for
    alcohol and increases for treatment of
  • Marijuana (25),
  • Cocaine/crack (49)
  • Heroin/morphine (44)
  • Oxycontin (98)
  • Methamphetamine / speed (50).

  • Maines Workforce AttitudesAbout Worksite Drug

  • 2004 ME General Population Survey
  • When asked would you want to work for an
    employer that tests its employees for drug or
    alcohol usage following a work-related accident
  • 44.7 would be more likely
  • 45.5 would make no difference
  • 7.9 and 1.9 indicated that they were less
    likely and didnt know / refused respectively.

  • When asked would you want to work for an
    employer that tests its employees for drug or
    alcohol usage on a random basis
  • 33.4 would be more likely
  • 52.6 that it would make no difference
  • 12.6 and 1.5 indicated that they were
    less likely and didnt know / refused

  • Workforce Access to Employee Assistance Programs

  • 98 of Maine businesses have 99 or fewer
    employees and employ 44 (214,177) of Maines
    working population
  • 45 of the employees (96,380) do not have access
    to an EAP or counseling program for employees
    with an AOD related problem through their
  • Another 16 of the employees (34,268) dont
    know if they have access to an EAP or
    counseling program for employees

  • 2 of Maine businesses have 100 or more employees
    and employ 56 (272,589) of Maines working

Workplace Prevention Strategies to Address
Substance Abuse Issues
Drug Free Workplace Act
  • The Drug-Free Workplace Act of 1988 requires some
    Federal contractors and all Federal grantees to
    agree that they will provide drug-free workplaces
    as a precondition of receiving a contract or
    grant from a Federal agency.

Drug Free Workplace Program
  • A comprehensive drug-free workplace program
  • a clear Policy
  • Employee Education
  • Supervisor Training
  • an Employee Assistance Program
  • and Drug Testing.

  • Although employers may choose not to include all
    five components, it is recommended that all be
    explored when developing a drug-free workplace
    program. Research shows that more components may
    lead to a more effective program.

Maine Requirements
  • Maine DOL requirements of employers who wish
    to conduct drug testing of employees (non-CDL)
  • Maine DOL BLS approved Drug Testing Policy
  • Maine Licensed EAP services
  • Use Maine DHHS Licensed Drug Testing Labs

Good Work! Resource KIT
  • The Bottom Line Impact
  • How Does Substance Abuse Affect A Companys
    Bottom Line?
  • Creating a Drug Free Workplace
  • Creating a Policy
  • Employee Assistance Program
  • How does an EAP support a Drug Free Workplace
  • FEE-FOR-SERVICE EAP How Small Employers Can
    Afford an Employee Assistance Program
  • Real Strategies used by Maine Employers
  • The Need and Development of a Drug Free Workplace
    Policy - Maine Veterinary Clinic Success Story
  • Creating a Drug Free Workplace Program -
    Mid-State Machine Products
  • Employees Benefit from a Community Assistance
    Program Bucksport Bay
  • Resources
  • Education Training
  • Additional Resources

DFWP Employee Education and Supervisor Training
  • Employer may set work time aside, if not work
    around the work day
  • Employee Orientation
  • Pre-Work Breakfast Trainings
  • Morning Breaks
  • Lunch and Learns
  • After-Work Dinner Trainings
  • Creative Education
  • Pamphlets in break room, with pay checks
  • In newsletters
  • Links on business website
  • Potty Press information posted in bathroom
  • Incentives raffles with entry being quiz

How Local Coalitions, Prevention and Treatment
Providers Can Assist Employers and Employees
  • Provide training and materials
  • Fee for Service - EAP
  • Referral for out-patient treatment
  • Provide parent education programs
  • Provide / support prevention programs for
  • For list of Prevention and Treatment providers
  • Or call OSA IRC 1-800-499-0027

Future Possibilities for Businesses and
Communities to Address This and Other Health
Fee for Service EAPs
  • Micro Businesses have 10 or less employees,
    make up 76 of Maines businesses
  • Work with private providers clinical counselors,
    clinical social workers, substance abuse
    counselors, psychiatric nurses, and
  • Negotiate costs Consultation of Policies and
    procedures, retainer fee, employee
    education/training, fee per individual service.

  • Initial Set-Up
  • 900.00 10 hours of consultation, EAP
    Policies and Procedures (One
    Time Cost)
  • 360.00 2 Two-Hour Prevention Education
  • 300.00 Retainer
  • Services (90/hour)
  • 270.00 3 EAP sessions, Employee 1
  • 180.00 2 EAP sessions, Employee 2
  • 90.00 1 EAP session, Employee 3
  • First Year Cost
  • 2,100.00 Total

  • So what is the Bottom Line?
  • On average 1 of 10 employees of Maine
  • company will have an alcohol problem if
  • total costs
  • The average cost of replacing an employee
  • National Safety Council estimate average cost of
  • lost-time injury

  • Potential Total Cost 44,163
  • Cost of Fee for Service EAP
    Potential Cost Savings 42,063
  • A potential cost savings ratio of 1 to 20, for
    every dollar put into prevention, there is a 20
    savings in potential costs.

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  • Bucksport Bay Healthy Community Coalition
    (Bucksport area) The coalition will establish
    a Community Assistance Program in conjunction
    with the Bucksport Bay Area Chamber of Commerce,
    based on the SAMHSA Model Program Healthy
    Workplace and the Bureau of Healths Good Work
    program. In addition, the coalition will
    continue implementing Communities Mobilizing for
    Change on Alcohol, including development of a new
    juvenile diversion program in partnership with
    the Bucksport Police Department and work on
    athletic policies.

  • Youth and Family Services Skowhegan
  • Healthy Workplace is a SAMHSA model program
    that will be delivered in western Somerset County
    in workplaces with a special emphasis on young
    adults ages 18-24. Program would provide
    materials and training and support to two pilot
    projectsinvolving the Madison and Skowhegan
    Chambers of Commerce.
  • Reduce inadequate skills to reduce alcohol
    and drug abuse, acceptance of excessive alcohol
    use and drug abuse and lack of confidence in
    ability to reduce alcohol and drug use.

Maine Resources
  • DOL BLS Wage and Hour Division
  • Good Work! Resource KIT www.healthymainepartn
  • Office of Substance Abuse Workplace

Federal Resources
  • SAMSHA Division of Workplace Programs
  • http//
  • SAMSHA Get Fit http//

  • U.S. DOL Working Partners
  • The NationalYouth Anti-Drug Media Campaign
  • Parents. The Antidrug
  • http//