ebook img

Research Update (2009 January): Substance Use in the Workplace PDF

2009·0.27 MB·English
Save to my drive
Quick download
Download
Most books are stored in the elastic cloud where traffic is expensive. For this reason, we have a limit on daily download.

Preview Research Update (2009 January): Substance Use in the Workplace

HaZeLDeN Research Updateis published bythe Butler Center for Research to share significantscientific findings from thefield ofaddiction treatment research. RESEARCH U PDATE BUTLER CENTER FOR RESEARCH iANUARY 2009 THEHAZELDENEXPERIENCE Substance Use in the Workplace Hazeldencommissionsnationwidesurveysofhuman resourceprofessionalstobetterunderstandthepressures companiesfacerelatedtoemployeesubstance use. Inaddi Contraryto negative and stereotyped images, the majority of peuple with substance use prob tion, a research projectontreatmentoutcomesforemployees lems are gainfullyemployed, equatingto millions of people in the workforcewith problematic withalcohol and/ordrugdependencewasconducted by alcohol ordrug use. These substance use problems, in turn, impactthe workplace. Prevention, Hazeldenstaffand published in a scientificjournal.The intervention, and treatment improve lives, productivity, and health. resultsaresummarized inthisissue. QUESTIONS&ANSWERS Prevalence of Substance Use in the Workplace Question:Whatcananemployerdotopreventsubstance Accordingto the latest estimates, 62% ofadults in the U.S. with substance use problems are useamongtheworkforce? employed full-time. Among heavy drinkers, 79% are employed full or part-time and among adultswho use illicitdrugs, approximately75% are employed (SAMHSA, 2008). This translates Answer.Materialsarereadilyavailabletofostera drug-free into millions ofemployees who may be engaging in illicitdrugor problematic alcohol use. workenvironment.TheSubstanceAbuseand Mental Health Rates of problematic substance use vary byoccupation (Frone, 2006; Larson et al., 2007). ServicesAdministrationoffersafreeDrug-FreeWorkplaceKit Highest rates of illicitdrug useare typicallyfound amongthose in food service, construction, ontheirWebsite.Organizationsrequiredtoabidewiththe arts, design, entertainment, sports, and media occupations (see Figure). Similar patterns are Drug-FreeWorkplaceActof1988canfind additional materi found amongthose with rieevyulcutiul use problems (Frone, 2006b). alsthroughtheU.S. DepartmentofLabor’sWebsite. Use ofsubstances mayoccurwhile on thejoboroff. Based on a national survey, Frone (2006) HOWTO USETHIS INFORMATION estimated thatover 2 million Amercans used illicitdrugs duringwork hours during the prior — Employers:Implementeffective prevention programs year. Approximately3 million workers used an illicitdrugwithin two hours of reportingto work atyourworksite. Referemployeeswith substance and over2 million Lised illicitdrugs during lunch breaks. Over 7% ofAmericans reported using use problemstoassessmentand treatment. alcohol duringtheworkdayand 9% reported having worked duringa hangover (Frone, 2006b). — HumanResourceProfessionals: Encourage leadersat yourcompanyto implement preventionand inter Impact on Employment Functioning vention programs. Askfortrainingto identifyand intervenewith employeeswho may beexperienc Alcohol and drug use has a negative impacton worker productivity, whetherthe use occurs off ingsubstance use problems. Supporttreatment thejob oron. A nationwide surveyofover300 human resources professionals found 67% be effortsamongemployeeswith alcohol and/ordrug lieve substance use is one ofthe most serious issuestheyface amongthe workforce (Hazelden, dependence. 2007) with consequences related to absenteeism, reduced productivity, and a negative impact on theircompany’s reputation. CONTINUEDFROMLEFT Workerswith illicitdrugand/or heavy alcohol use have higher rates ofjob turnoverand absen is also implicated in fatal occupational injuries with teeism compared to those with no illicitdrugor heavyalcohol use (SAMHSA, 2008) and are approximately 5% oftoxicology reports positive for more likelyto experiencejub-reated injuries (Spicer, M liar, & Smith, 2003). Substance use alcohol and/orotherdrugs (Greenberg etal., 1999). Figure.Percentageofadult,full-timeworkersusingillicitdrugs Not surprisingly, thesework-related consequences inthepastmonthbyoccupationalcategory have an economic impact. For2002, the latest year Psodpaeparaiinnandnaming 174 forwhich data are available, the Office of National Constructionandextraction 15.1 Ado,design.entedainmentspods.andmedia 12.4 Drug Control Policy (2004) estimated the economic Salesandieiatedoccupations 9.6 impactof illicitdrug use at $128.6 billion dollars in tn,faKatron,maintenanceandrepain 9.5 Fan’ing.fishing,endi”cj 8.7 lost productivityalone. Latest estimates for alcohol- t,aop:datonandmaterixi-moving .— —984 Buildingandgroundsclearingandmentenance I 82 related lost productivity and earnings, updated for DiiCeanPderasIomnaininoat,reatiavnedssueprvpiecde , 7.75.7 1998, top $134 billion a year (Harwood, 2000). Paodc.t_i c. ,i,uns 74 Liie.physical,andsociatscience , 7 Enginee,ing.archdecture,andsurueynro 69 Mathematicalandcompute,ncinntintn 6.9 Prevention and Intervention in the Workplace 2n”egom’ii 61 Heaitiicampaactdioneasandtechnicaioccupations 6.1 Common workplace strategies include employee Frnanciaioccupations 4.9 Source bisonatat 2007;SPJIIMSA education and awareness campaigns, drugtesting, Legeioo,cpatroas 4.8 Education,training,andlibrary 4.1 and Employee Assistance Programs. While formal Csannriunityandoociainervi000 , 4 Frotecticeservice 34 , 0 2 4 B B tO 2 4 8 16 20 sCONTNUEDONBACK <CONTINUEDFROMFRONT Substance Use in the Workplace HZLDN evaluations ofthese programsare few, a handful ofstudies have found positive outcomes. Workplaceswith drugtesting programs have 24% less drug usage than workplaces without drugtesting, and employeesatdrug-testingworkplaces are 38.5% less likelyto be chronic References drug users (French etal., 2004). Howeser, the extentto which drugtestingcauses a deterrent effectamongdrug-usingapplicants is unknown. 1. Bennett,I.B.,xtal.12004).TxaniAwareness,problemdrinking saddrinkingclimate:Workplacesocialhealthprnnrotioninapolicy context.AmericanJournalofHealth Pronrohon, 19121,103—113. Peer-based prevention programs show promise. PeerCare combines random drug testingwith 2. Bennett,).B.,&Lehman,W.E.K.120011.)iorkplacesubstance non-punitive reactionstothose with substance use problems (Milleretal., 2007). The program abusepreventionarrdhelpseeking:Comparingteam-orientedand reduced injury rates byone-third in a large transportation company. This equated toan esti intnrmatiniraltraining.JournalofOccupationalHealthPsychology, 6(3),243—254. mated $48 million in savings. The program was costeffective, as well. 3. Bennett,3.B..&Lehman,0.E.K.120021.Supervisortolerance rosponsivenesstosubstanceabaseandworkplaceprevention Team Awareness (Bennett & Lehman, 2001, 2002; Bennettetal., 2004) and the Healthy training:Useatacognitive nappingtool.HealtlrEducationResearch, Workplace (Cook etal., 1996, 1996b, 2004) programs also decrease alcohol use and improve 17111,27—42. functioning. These programs are delivered to employees in small groupformats. 4. Cook.R.F.,utal.12004).Thepreverrtionofsabstunceabuseamong constructionworkers:Atieldtentotasocialcognitiveprogram.Journal ofPrimrraryPrevention,25131,337—358. Web-based prevention programscan be helpful aswell. Doumas and Hannah (2008) randomly 5. Cook,R.F..Back.A.S.,&Trudeau,3.119961.Preventingalcoholuse assigned 18—to 24-year-old employeestoa Web intervention, toa Web intervention plusa problemsarrrongblue-collarworkers:AtiedtestnttireWorkingPeople 15-minute motivational interview, ortoa control condition. TheWeb intervention assessed alcohol program.SubstanceAbaseandMisuse,31131,255—275. useand provided personalized feedback on thequantityand frequencyofdrinking. Compared 6. Cook,0.F.,Back,A.S.,&Trudeau,i.)1996b1.Sobutanceahuuepre ventianintheworkplace:Recentfindingsandanexpandedcnmrcepfuai tothecontrol condition, thoseassigned tothe Webconditions reported substantial decreases in mode).JournalofPrinraryPres’entmorr, 16)31.319—330 weekend drinking, drinkingto intoxication, and consumption levels one month later. 7. 000mas,0.1,1.,&Hannah.E.120081.Preuentinghigh-riskdrinking inyouthintheworkplace:Asnob-basednormativeteedbackprogram. JournalofSubsfanceAbuseTreatment,34,263—271. Prevention programs like these can be helpful forthe overall workforce. When specific employ ees experience problematic use, mostare referred to an EmployeeAssistance Program (EAP) 8. French,M.T.,Rvebuck,M.C.,&Alexandre,P.K.12004).Tntesternst totest:Dosnrkpiacedrugtestingprogramsdiscnurageempiuyeedrug thattypicallyoffersassessment, briefcounseling, and referralto moreextensive care. Unfortu use?SocialScienceResearch,33,45—63. nately, research data on the impactof EAPs is scarcewith fewstudies examiningsubstance use 9. Frene,1,1.8.120061.Prevalenceanddistributionotillicitdrugusein thewnrktorceandinthesnorkptuce:Findingsandinspiicatinnstwoma problems specifically (Merricketa)., 2007). U.S.nationsIvurvey.JournalofAppliedPsychology91141.056—869. 10. Frone,11.R.l2006hl.Prevalenceanddistrihutivnofalcoholoneand Treatmentforemployees with substance dependence is effective. A study by Slaymakerand imnpairoreetintireworkplace AU.S.nationalsurvey.JournalofStudies Owen (2006) examined 212full-timeemployees in residential treatment. Substantial improve ofAlcohol,67147—156. mentswere made in substance use and legal, psychiatry, and family/social functioning from 11. Greenberg,1,1..Hamilton,R.,&Tescano,0.119991.Analysisoftoxicol ogyrepnrtutronitire1993—94censusoffataloccupatinnal iniorieu. baseline tothe 6—and 12-month follow-ups. Significantdecreases werefound in the percent CompensationandMarkingComrditions,26—28.Availableonline: age ofthe samplewith unplanned absences from work duringtheyear beforetreatment (78%) littp:1/a,w.his.gno/it/uvhwc/cbarO832.pdt tothe one-yearfollow-up (30%). The numberofemployment problem daysalso dropped from 12. Har’,snnd,H.120001.Updatingestimrratosoftireeconomiccostsof alcoholabusein tireUmotedStates.Estimates,updaterrrefhrods,and pre-treatment (5.20days) toone year (0.14 days). data.ReportpreparedtortheNationalInstituteonAlcoholAboseand Alcoholiunr.NatinmralInstitutesofHealth,DepartmentutHealthand An analysis of498 outpatientsfound substantial reductions in absenteeism, productivity prob HainanServices.Rocknille.MD:NatinnalInstitutesntHealth.Available oehne:http://pubs.niuaa.nih.gov/pxbhcatinnu/ecoaomic-2000/ lems, and workplaceconflict amongthose who attended at leasttwo months ofcare (Jordan et alchnlcnst.pdt al., 2008). Returns on investmentwere conservatively estimated from 23% amongemployees 13. HazeldenFoundation.12007/. Sobstanceaboseandaddictionamong mostserious rorkplaceisuuea.Anailable:lrttp//,o,wi.haroldvv.org/ with an income of$45,000 peryearto 64% amongthose earning $60,000 peryear. web/pubhc/200lworkplucesurney.pago. 14. Jordan,N.etal.12008).Economicbenetitotchienricaldependency Summry treatmentinnmnplnyers.JournalofSubstanceAbuseTreatment.34, 311—319. Illicitdrugand heavyalcohol use is problematic amongthe American workforce and causes 15. Larson.S.L.etal.128071. Parkersobstancewoearidworkplace substantial consequences. Workplace prevention and intervention programs are effective in policiesandprogramsIDHHSPublicationNa.SI/A07-4273,Analytic SerienA-29l.Hockonlie,MD:SubstanceAbuueandMentalKealth addressingsubstance use problems amongemployees. Treatmentforalcohol and drug de ServicesAdreinistralien,OfficeofAppliedStudies. pendence is alsoeffective in improvingworker productivityand health. While few, cost-benefit 16. 1,lerrick.E.S.Letal.120071.RevisitingEnrpluyeeAssistancePro studies have demonstrated an economic benefitto employerswho implement programs and gramsandsubstanceuseproblemsintireworkplace:Keyissuesand aresearchagenda.PsychiatricServices,591101, 1262—1264. supporttreatmentforemployees. 17. ETHer.T.R..Zaloshoja,E..&Spicer,R.S.)2807).Ettectiveneuuuud benetit-custofpeer-loanedworkplacesubstanceabusepreventinn coupledwithrandomtesting.AccidentAmmalysisaridProvonhion,39, 565—573. 18. Office0)NatinimslDrugCuntrulPulicy.120041. TIreecononriccostsof hazelden.org tdivruegOaffbicuoseutiitiIrtiemePrUersnidteedntStlaPtmesrb,li1c9at9io2n—N20u.022.07V3la0n3tm1i.rmAgvtnani.laDblCe:oEnxlienceu: ttp:1/waw.wbitelmousodrugpolicy.gun/publications/ecunomic_cost BUTLER CENTER FOR RESEARCH JANUARY 2C 19. Slaymaker,V.i.,&Owen,P.L.12006).Enrplnyedmenandsources substanceabusers:Jobtroublesandtreatmentoutcumimes.Journalof SubstanceAbuseTreatment.31,347—354. The ButlerCenterforResearchinformsand improves recoveryservicesandproducesresearch thatben<fito thefieldofaddicuon treaursent.We Irededicatedto conductingclinicalresearch. 20. Spicer,8.S.,Miller,T.R.,&Smith,0.S.120031.Workersubstancerise, wnrkplaceproblemsandtheriskofoccupationalinjury:Amatched collaboratingwithexternal researchers. aend communicatingscientificfindings. cuse-cuntrulstudy.JournalofStudiesonAlcohoi,54,570—578. ValerieSlaymaker,Ph.D..EeecutiaeDirector Ifyouhatequestions,orwouldliketorequestcopiesofResearchUpdate. 21. SubstanceAbuseandMentalHealthServicesAdminiatratiurm.12U081. Resultsfrom fire2007NationalSorroyonDrugUseandHealth: pleasecall800-257-7800ext.4405,[email protected]. Nationalfindings(OfficeofAppliedStudies,NSOUHSeriesH—34, orwriteBC4.P.O.Box11.CenterCity.uN 55012-0011. DHHSPublicationNo.SMA08-43431.Rockville,MO:Aatimnr. 102009HuzeidenFoundur:un HazerdenandIheHazeiden necareregmtnred rradm<arkuofrheHazeidenFvoedarion. BcRRu3o1109

See more

The list of books you might like

Most books are stored in the elastic cloud where traffic is expensive. For this reason, we have a limit on daily download.