Understanding and Managing Addiction in the Workplace

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1 Presents Understanding and Managing Addiction in the Workplace October 8 th, 2013 Mani Alcaide, RN, CPMHN(c) Manager of Intake & Assessment Services Bellwood Health Services Inc. These materials may not be reproduced without permission from Bellwood Health Services Inc

2 What to Expect Today What is addiction? Pre-disposing factors Overview of various addictions Impact on the workplace Safety and other performance issues Helpful tools and resources Benefits of Addressing the Issue

3 What is Addiction?

4 Addiction A Brain Disease American Society of Addiction Medicine Definition: Addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry individuals pathologically pursue reward and/or relief by substance use and other behaviors.

5 Addiction A Brain Disease Chronic brain disease, which requires treatment, management and monitoring over a lifetime, Addiction is comparable to other chronic conditions such as cardiovascular disease or diabetes Addictive behaviors are the manifestations of disease, not the cause

6 What is Addiction? An uncontrolled dependence that continues in spite of causing physical, psychological, social and spiritual harm. People are driven by a powerful force of physical and psychological dependence, into a spiral of escalating use.

7 Pre-disposing Factors Genetic re-neurotransmitters and receptors Psychiatric Environment past and present Preceding and/or consequences of addiction

8 Physical Pre-disposing Factors Family history Genetic endorphins Disease causing pain Social Trauma, PTSD Codependency Money, supply Psychological Abuse Rejection

9 Addictions

10 Various Addictions 5 basic drug classes and alcohol Acting out behaviours (Process Addictions): Pathological gambling (Sports Pools) Sex addiction Eating disorders Shoplifting Workaholic Cross-addictions Concurrent disorders

11 Impact on the Workplace

12 Addiction in the Workplace 76.8% of people with alcohol and drug addictions are employed. (Substance Abuse and Mental Health Services Administration, 2004)

13 Impact on the Workplace Affects all levels frontline staff to CEOs Over 60% know someone who has reported for work under the influence of alcohol or drugs - Addiction in the Workplace Survey. Centre City, MN: Hazelden Foundation, 2003).

14 Addicted Employees Report that prior to treatment, they were absent, late or unproductive 34-43% of their working days every second or third day. - Bellwood Outcome Research, 2013

15 What are the signs Lateness Absenteeism Decreased quality and productivity Changes in mood and functioning Increases in accidents or near misses Isolating

16 Conspiracy of Silence It s none of my business. Let s just not talk about it.

17 Safety Implications Accident/Error Risk being impaired/hung over/ in withdrawal while at work Crime possession, selling, theft, fraud

18 Safety Implications Impact can be far-reaching Hazard to: Self Other Employees Communities

19 Productivity Implications Annual productivity costs to Canada due to alcohol and illegal drug abuse = $11.8 billion - The Costs of Substance Abuse in Canada, 2002, Rehm et al, 2006

20 Productivity and Safety Implications Workers with addictions: Function at about two thirds of their capability In particular, those who use drugs, are 3 times more likely to be late for work Are 3.5 times more likely to be involved in a workplace accident compared to employees without an addiction. Slavit, et al. (2009). An employer s guide to workplace substance abuse: Strategies and treatment recommendations. Washington, DC

21 Workplace Morale Implications Increased stress and workload for other employees Picking up the slack Employees concerned but afraid to speak up Hoping that employer will intervene

22 Financial Implications Costs of decreased productivity of addicted workers Increased disability/ WSIB costs Increased costs associated with accidents, errors, clean-up, damaged equipment, lawsuits, reputation, etc.

23 Simple Screening Tools CAGE TACE (for pregnant women) AUDIT (MOT) High Risk Drinking Levels: Male: >5 per day, or >14 per week Female: >4 per day, or >7 per week Binge 5 or more in last 30 days

24 CAGE Effective 1 Minute Screener C - Cut Down A - Annoyed G - Guilty E - Eye Opener Do CAGE before asking quantities or frequencies 2 or more

25 Testing Urine Drugs of abuse screen Toxicology Add alcohol Immune Assay, GC / MS Creatinine Random (legal)

26 Early Intervention is Better

27 Types of Intervention Comment from colleague or supervisor expressing concern A structured interview

28 Benefits of Addressing the Issue

29 Improved Safety Prevention of accidents and errors on the job Improved health and functioning of employees Reduced risk of injury to employees/ community

30 Improvement in Productivity Source: 6-month follow-up study of Bellwood clients admitted from (N=691)

31 Impact on the Bottom Line Reduced costs due to productivity drain on company Reduced costs associated with dismissal, arbitration, hiring and training Reduced costs of repairs, clean-up from accidents Reduced risk of liability/lawsuits from accidents

32 Proactive Employers Minimize Productivity Losses

33 Responsible Care The ethics and principles of Responsible Care are aligned extremely well with effective approaches for workplace management of addiction Costs and benefits of treatment

34 Appropriate Attention and Accommodation Involvement of Occupational Health Team Referral for appropriate assessment, and treatment Safety Sensitive Assessment if appropriate Know the outcomes/success rates of your EAP, and what they can provide. Return to work accommodation

35 Treatment Success Rates

36 Aftercare Is Key To Success Working a program of recovery in Aftercare is the highest predictor of success. Recovery Rates with Aftercare

37 Recovery Status By Aftercare Support Usage Source: 6-month follow-up research study of clients admitted from (N=367).

38 Employer Referred Outcomes Recovery Rates with Employer Referral and Involvement

39 Bellwood Health Services

40 Accredited with Exemplary Standing by Accreditation Canada

41 Bellwood Services Treatment Programs for: Alcohol & Drugs Gambling & Gaming Sex Addiction Eating Disorders & Addiction PTSD/ Trauma & Addiction Family Education & Support Program Continuing Care/Aftercare Intervention training

42 Treatment Services Individual Counselling Residential/Day Treatment Programs Outpatient Groups NEW! Intensive Outpatient Program for Alcohol and Drugs

43 Bellwood Services Treatment Approach Eligibility Referral Process Intake & Assessment Process

44 Corporate Services Special Program Features: Safety Sensitive Assessments & Consultation Priority access to treatment Employer education and training program Workplace Interventions Return to work contracts Return to work planning Alcohol Breathalyzer Testing Supervised Urine Drug Screening and Testing Hair Sample Test

45 Questions and Discussion

46 Residence Day Seminar in Register Online! November 21 st, 2013

47 Connect with Bellwood

48 Contact Information Mani Alcaide, RN, CPMHN(c) Manager of Intake & Assessment Services Bellwood Health Services Inc , Toll Free /blog

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