Prevention in the workplace of the use of alcohol and drugs SUBJECT AREA 2 The reference framework – Practical examples The practice of the CGTP-IN General Confederation of Portuguese Workers National inter-union association Giorgio Casula Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Strasbourg Prevention in the workplace of the use of alcohol and drugs 1. General considerations Health and Safety at Work (HSW) in Portugal A decline in the last two years, despite the progress made in previous years; HSW still seen as a cost factor by the majority of companies; Job uncertainty and social and domestic situations increase the risks in the workplace; Portugal is still one of the European countries with the highest rates of occupational accidents and fatalities . Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Strasbourg Prevention in the workplace of the use of alcohol and drugs Healthcare in Portugal In recent years, the austerity policy has affected all ministries, including the Health Ministry; Reorganisation of public health bodies and their staff. Because of low salaries, doctors and nurses are leaving the country; Huge increase in the number of patients per GP; rising costs and increased use of medicines; This, together with the rising cost of living, means that people take less care of themselves. Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Strasbourg Prevention in the workplace of the use of alcohol and drugs 1. General considerations The reference framework – Very good and appropriate regulatory framework; Individual health is at the centre of all policies; All treatment is patient-centred; Diagnosis, risk analysis, complementarity between various stakeholders (public and private) and the authorities; Very good progress made in this question by the Drug Dependence and Addiction Institute (IDT) / Department for Action on Addictive Behaviours (SICAD); The Euridice project has helped considerably! Major contribution from the social partners Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Strasbourg Prevention in the workplace of the use of alcohol and drugs The reference framework Importance of an integrated plan, imposing a link between public agencies and between the latter and private bodies; Importance of a link, including at local level, with all the relevant stakeholders; In the workplace, ensure that workers and their representatives participate and contribute; Importance of a link with occupational physicians and ensuring an open corporate culture (still too infrequent). Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Strasbourg Prevention in the workplace of the use of alcohol and drugs The reference framework – problems to be overcome At structural and policy level In Portugal there is a need for closer links between the Labour Inspectorate (ACT) and the authority responsible for health at work (Directorate General of Health + SICAD). The reduction in funding for the HSW policy means that little progress can be made in support of prevention or intervention measures. Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Strasbourg Prevention in the workplace of the use of alcohol and drugs The reference framework – problems to be overcome At structural and policy level In Portugal, reduced importance placed on HSW as a result of: a reduction in the operational conditions of the ACT; a reduction in the number of labour inspectors; a transfer of responsibilities to local health centres (for primary occupational health care) opting to privatise health care and HSW services – with its risks and consequences Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Strasbourg Prevention in the workplace of the use of alcohol and drugs The reference framework – problems to be overcome At structural and policy level An enormous amount of work needed to convince workers; and companies too, with the cost involved seen as an additional obstacle; Addiction and alcoholism still not accepted as an illness by most people; Problem of trust and confidentiality; Important for everyone in the company to work together Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Strasbourg Prevention in the workplace of the use of alcohol and drugs 2. The HSW prevention activity of the CGTP-IN The importance of HSW for the CGTP-IN 1- Our role as a social partner 2- Awareness-raising campaigns and training 3- Election of workers’ HSW representatives 4- The “Stress in the workplace” project 5- Action in the context of the Labour Inspectorate 6- The Euridice project on drug dependence and addiction Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Strasbourg 2. The HSW prevention activity of the CGTP-IN The importance of HSW for the CGTP-IN Undertaking research – Taking action – Alerting – Proposing Improving the quality and extent of our action 1 – Our role as social partner: * An HSW department * Member of 3 European tripartite organisations; OSHA/ European Agency For Safety at Work (Bilbao) Advisory Committee on HSW (Lux) European Foundation for the Improvement of Living and Working Conditions (Eurofound) (Dublin) * Member of the Portuguese Advisory Council on HSW Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Strasbourg 2. The HSW prevention activity of the CGTP-IN 2- Awareness-raising campaigns and training -- National seminars - Regional workshops - 3 thematic brochures - Three handbooks: • Workers participation in HSW • The process for electing workers’ HSW representatives • Risk assessment handbook Website, Freephone and e-Newsletter http://www.cgtp.pt/seguranca-e-saude Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Strasbourg 2. The HSW prevention activity of the CGTP-IN 3 - Election of workers’ HSW representatives Since 2004 - A handbook for the election of workers’ HSW representatives - Numerous sectoral/occupational information sessions - National awareness-raising activities (trade union delegates, workers’ representatives or candidates to be workers’ representatives) - Training courses. Results - In 2012: 33.8% in municipal councils, 14.7% in large undertakings, -9.7% in hospitals, and only 2.3% in SMEs - CGTP-IN elected representatives: average of 85% of the total number Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Strasbourg 2. The HSW prevention activity of the CGTP-IN 4 – The “Stress in the workplace” project Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Strasbourg 2. The HSW prevention activity of the CGTP-IN 4 – The “Stress in the workplace” project In partnership with the Portuguese Trade Confederation (CCP) and with the support of the Labour Inspectorate (ACT): Framework agreement Study on the causes and effects of stress in the service and road transport sectors, with a view to identifying measures to reduce the risks of stress in the workplace; Awareness-raising seminars; Learning kit Training courses Publicity Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Strasbourg 2. The HSW prevention activity of the CGTP-IN 5- Action in the context of the Labour Inspectorate (ACT) -Since 2010 – Specific support for preventing drug addiction and dependence in the workplace Awareness-raising campaigns; seminars; training courses; fact-sheets; 3 key union sectors: railways, road transport; chemicals and metallurgy Huge demand from universities Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Strasbourg 2. The HSW prevention activity of the CGTP-IN 6- Origin European project, set up by the “Cooperativa Marcella” – Italy. Being run in 6 European countries / in Portugal since 2001 Objectives • To prevent and take action to combat smoking and addiction to alcohol and other substances. • To promote a healthy lifestyle and habits – health education • To change attitudes and behaviour and reduce risk factors. Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Strasbourg 6- Objectives To reduce the consumption of tobacco, alcohol and other substances in the workplace (cf. the positive effects for the individual and the company) To foster greater awareness of the dangers of consuming substances which can lead to dependence. To foster a healthy social and working climate at work. • Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Strasbourg 6- The players – the partnership Initially / 2001-2002 (only prevention) CGTP-IN; Municipal councils: Seixal and Loures Companies: Yasaki Saldano; Luis Simao Transport Company; Hovione Farmaciência - Workers with their works councils and unions Support from the European Euridice Programme Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Strasbourg 6- The players – the partnership Since 2003 (action in addition to prevention) - CGTP-IN – the co-ordinating body IDT/SICAD – Technical and scientific support Specialists from the local and regional drug addiction centres and health authorities (CAT and ARS) Sectoral trade unions, members of the CGTP-IN Organisations in the areas in which the project is run Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Strasbourg 6- The players – local partners Municipal Councils: Seixal, Loures, Águeda, Venda Novas, Sesimbra Companies: Alentejo Water Board Yasaki Logica Saica Pack In total more than 8,500 workers (male and female) Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Strasbourg 6- Working groups CGTP-IN The company’s trade union (Union Committee) IDT/SICAD and teams from local and regional health authorities (ARS) and integrated response centres (CRI) Representatives of the municipality or the company (HR, HSW, health office or occupational physician) Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Strasbourg 6- Methodology - Preparatory and co-ordination meetings with the main persons responsible in the partnership; - Publicising the project in the organisation (municipal council or company); - Use of a questionnaire; - Dissemination of the results to workers; - Definition of action appropriate to the results obtained from the questionnaire. - Use of a possible second questionnaire - Assessment and prospects (finalisation or continuation). Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Strasbourg 6- Practical action taken - Publication of information material (see appendices); Awareness-raising among workers and management / numerous contacts with workers and the Union Committee; Significant involvement of representatives of management and HR; Considerable readiness to offer assistance in problem cases without excluding people, and making all players aware of their responsibility; Recommendation or self-recommendation for voluntary treatment with the support of the occupational physician and the company; Help with parenting education requested by some workers Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Strasbourg 6- Changes that have taken place 1- Dependence/addiction seen as an illness and treated as such in companies; 2- Incorporation of a training module in the ongoing CGTPIN trade union training; 3- Pioneer project in Portugal: the Euridice methodology gradually incorporated and reproduced by the IDT/SICAD; 4- Importance of building trust and ensuring confidentiality for there to be voluntary participation; 5- Information on the action is given in broader union meetings and those interested can contact the union committees or their occupational physician. Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Strasbourg Prevention in the workplace of the use of alcohol and drugs The practice of the CGTP-IN General Confederation of Portuguese Workers National inter-union association Giorgio Casula: giorgio.casula@cgtp.pt HSW Department of the CGTP-IN Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Strasbourg Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Strasbourg Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Strasbourg Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Strasbourg Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Strasbourg Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Strasbourg Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Strasbourg