Creating An Industry Drug-Free Program ScreenSafe Inc. Program Administrators 1 Our National Substance Abuse Problem • The Social Costs of illicit drug abuse add up to $110 billion each year • U.S. drug users spend substantially more than $63.2 billion annually to purchase drugs • There are more than 1 million drug arrests each year - half of all arrestees test positive for illicit drug use 2 Drug Use and Alcohol Abuse: Consequences 1.4 million arrests for driving while intoxicated 4 in 10 fatal motor vehicle accidents involve alcohol 3 Drug Use and Alcohol Abuse: Consequences Among employed adults, the highest rates of current drug use and heavy drinking are reported by; • • White, non-Hispanic males 18-25 years old 4 Drug Use and Alcohol Abuse: Prevalence According to the 2004 Household survey, 75.2 % of those who used illegal drugs in the past month are employed. 5 Illicit Drug Use by Industry • By occupation, the highest rates of current drug use and heavy drinking were reported by those employed as • Food preparation workers, waiters, waitresses and bartenders (19%) • Construction workers (14%) • Service occupations (13%) • Transportation/material moving workers (10%). 6 Postal Service Study A U.S. Postal Service study indicated that employees who tested positive on their preemployment drug test were : 77% more likely to be discharged within the first three years of employment absent from work 66% more often than those who tested negative. 7 Postal Service Study The study estimated that the U.S. Postal Service would have saved approximately $52 million within two years, if it had just screened out positive job applicants. 8 The Program Tri-Counties SMACNA along with SMWIA Local # 273 have formed a partnership to address the problems caused by drug and alcohol abuse 9 Goals and Objectives Recognition of the problem; Development of a comprehensive policy; Educate Participants; Promote the Member/Employee Assistance Program (M/EAP); Implement a fair and respectful drug testing program that conforms to Federal drug testing standards. 10 Key Policy Issues Contractor participation and commitment is critical. Participant education. Supervisory training. Drug testing. 11 Policy Requirements and Prohibitions The use of alcohol or drugs by employees during working hours on the job site or on company property (including company vehicles) is absolutely prohibited. Participants are required to submit to drug and/or alcohol testing in accordance with this policy. 12 Policy Requirements and Prohibitions No participant will be tested for alcohol unless a reasonable suspicion exists that the person is under the influence of alcohol, or they are involved in an OSHA recordable on the job accident. Participants subject to this policy continue to have access to the usual protections provided as part of their union membership. 13 Policy Requirements and Prohibitions All participants shall be considered part of the testing pool and will be tested over a 2 year period. Participants will be selected randomly from the 50% pool. Participants who complete the testing process will not be returned to the 50% pool. At the same time there will be an ongoing 10% pool. 14 Testing Procedures Names picked from the random pool. ScreenSafe through the Union finds out where the union member is working. Designated (Company or Union) Representative called and informed to expect a fax regarding participants being tested. 15 Testing Procedures ScreenSafe makes calls to Designated Representative in the AM. Forms sent to Designated Representative: Testing Procedures for the Sheet Metal/ScreenSafe Drug Free Program List of Collection Sites By the end of the business day, the Designated Representative informs participant that his/her name has been selected. 16 Testing Procedures If participant is unemployed they will receive $50.00 from the program for testing. Participants are given until end of next business day to take test. 17 At the Collection Site Authorization for Consent to Drug Analysis and Authorization of Release of Results for testing Release of Information Signed for Medical Review Officer (MRO), M/EAP and ScreenSafe 18 At The Collection Site Participant Signs Consent Forms Collection Site Technician faxes Consent and Release Form Back to ScreenSafe 19 Testing Procedures If the test is negative, no further action is taken. If the test is positive, the Medical Review Officer (MRO) calls participant to validate reason for positive. If no valid reason found, participant is in violation of policy. 20 Testing Procedures Testing will also be done when there is “reasonable suspicion”. Accelerated testing (follow-up) takes place once a participant has been noncompliant. It is based on M/EAP evaluation. 21 Testing Procedures Safeguards Integrity of specimens insured by utilization of one collection procedure at all sites All labs have DHHS certification All positives confirmed by GC/MS MRO reviews all drug test positives 22 Testing Procedures – Safeguards Urine samples separated into two containers at time of collection Other forms of testing for participants with confirmed medical conditions 23 Testing Occasions Portability These provisions will apply to those individuals working under the portability rules. All traveling craftpersons will be subject to: Initial testing Random testing – 10% pool 24 Testing Occasions Portability Craftperson will be allowed to report to work immediately after providing proof of taking required urine test. If the Craftsperson is non-compliant for any prohibited substance results in immediate termination. Craftperson who is non-compliant must wait 30 days to test again in order to work in the jurisdiction. 25 Policy Violations Policy Violations can include; Having a positive test result. Failing to take a test as scheduled Failure to call the MRO Failing to keep a scheduled appointment with M/EAP or Failing to participate in and/or complete the assigned treatment or education program 26 Policy Violations Policy Violations can include (continued); Substituting another substance or specimen Providing a dilute specimen for a second time without a valid medical explanation Providing a urine specimen which shows the presence of an adulterant 27 Consequences Upon a first notice of unavailability the participant; will be referred to the M/EAP for evaluation must complete recommended treatment or education program An apprentice or participant in training shall be referred to the training coordinator and action could include referral to M/EAP, disciplinary action or cancellation from the training program 28 Consequences (con’t) The participant will be placed in an accelerated testing program. Participant may choose to wait out 30 days. Participant may not work and will not be reinstated until a negative urine test is received. The participants may only wait out on the first non-compliance, any preceding noncompliances the participant would be required to attend the M/EAP 29 Consequences Local Upon a second notice of unavailability from the preceding first within a 2 year period the participant; will be referred to the EAP for evaluation must complete recommended treatment or education program will be placed in an accelerated testing program. 30 Consequences (con’t) An apprentice or participant in training shall be referred to the training coordinator and action could include referral to EAP, disciplinary action or cancellation from the training program 31 Consequences Upon a third notice of unavailability from the preceding second within a 2 year period the participant; will be referred to the EAP for evaluation must complete recommended treatment or education program prior to returning to work. will be placed in an accelerated testing program. 32 Consequences (con’t) Will be suspended for 30 days. Will be required to sign a “1st Letter of Understanding”. 33 Consequences Upon a fourth notice of unavailability from the preceding second within a 2 year period the participant; will be referred to the EAP for evaluation must complete recommended treatment or education program prior to returning to work. will be placed in an accelerated testing program 34 Consequences (con’t) Will be suspended for 180 days. Will be required to sign a “2nd Letter of Understanding”. 35 Consequences Upon a fifth notice of unavailability from the preceding second within a 2 year period the participant; will be referred to the EAP for evaluation must complete recommended treatment or education program prior to returning to work. will be placed in an accelerated testing program 36 Consequences (con’t) Will be suspended for 1 year. Will be required to sign a “3rd Letter of Understanding”. 37 Post-Accident Testing Post accident testing may be done when employees are involved in a work related accident or incident that results in a fatality, a lost time injury, OSHA recordable incident or significant property damage or monetary loss. Post Accident testing is done at the employers expense and the employer is entitled to the results. 38 Designated Representative Responsibilities Register names of new employees with ScreenSafe. Send names of people who have left the company. Information Needed: Name, social security number/union card number, address, city, state, zip, and phone number For people who work 20 hours or more per week and are not a part of another union or bargaining unit. Notify people who need to test 39 Designated Representative Responsibilities After employee notified “Notification Form” must be faxed to ScreenSafe with time and date the person was notified Remind employee They need a picture I.D. or be accompanied by a foreman. They need to test before the end of the next business day. They should keep receipt or give to Designated Representative They need to inform the testing site that they are testing through ScreenSafe/Sheet Metal They need to give their UNION CARD NUMBER if they are a union member 40 Designated Representative Responsibilities Non-Compliant Participants When you are notified about a non-compliant person this information must remain confidential. A non-compliant person is not allowed to work until ScreenSafe faxes a copy of the “Release to Work” form to you. The person must be removed from duty immediately. Please discretely notify the person they are non-compliant. Quietly and calmly explain to them that you were notified of their non-compliance from ScreenSafe and they must leave the job site immediately. Inform the person they need to call ScreenSafe 877/727-3369. 41 CONCLUSION Our approach is always fairness and objectivity for the employee and for the employer. Our intention is always to help. Our goal is always to assist in providing a safe and drug-free workplace. 42 Implementation of Program Decide upon a “Helping Program/M/EAP” Register all contractors Identify “Designated Representatives” at all the contractor sites. Enroll all contractor employees in program. Participant education Supervisory training Initiate testing 43 Member Assistance Program BEAT IT! (800) 828-3939 44 THE ROLE OF THE SUPERVISOR 45 Supervisor Responsibilities Identify Assess and clarify Document Get Help/Consult Take Action Refer Follow-up 46 Identify The supervisor must notice a change in… Performance Attendance Safety Behavior 47 Identify Examples of Common Performance Problems: Poor attendance - tardiness, unexplained absences, long lunches Mistakes and missed deadlines Co-worker or customer complaints How do I decide if I should sent someone for a “reasonable suspicion” test? 48 Reasonable Suspicion 49 “Levels of Proof ” Defined by the courts Proof Beyond a Reasonable Doubt Clear and Convincing Evidence Preponderance of Evidence Balancing the proof 51% or more Probable Cause Facts that show more likely than not that a crime was committed Reasonable Suspicion Hunch 50 Reasonable Suspicion is something more than a hunch. U.S. Supreme Court 51 Reasonable Suspicion To be more than “a hunch” one or more of the following facts should be present; Suspicious Signs Symptoms commonly associated with use Evidence of drug or alcohol use at work Suspicious Behaviors associated with possible use Physical symptoms that could indicate drug or alcohol use 52 Reasonable Suspicion Suspicious Signs Presence of Drug or Alcohol containers or paraphernalia Odor of Marijuana Smell of Alcohol Unusual amount of breaks or restroom visits Member in unauthorized areas 53 Reasonable Suspicion Symptoms associated with drug & alcohol use; Slow reactions Poor Coordination Work site sleeping or fatigue Delayed or erratic decision making or judgment Confusion Loss of concentration, difficulty learning Carelessness Intoxicated behavior 54 Reasonable Suspicion Physical symptoms that could indicate drug or alcohol use; Bloodspots on shirt sleeves Tremors Slurred or racing speech Staggering walk Poor balance Dilated or Constricted Pupils Nausea 55 Reasonable Suspicion (Department of Transportation) The Employer determination that Reasonable Suspicion exists must be based on specific, contemporaneous, articulable observations concerning the appearance, behavior, speech or body odors of the driver. 56 Reasonable Suspicion Specific: must be clearly distinguishable Contemporaneous: happening as you observe them Articulable: be able to clearly describe the observation NOTE: Second hand observation is not acceptable 57 Reasonable Suspicion When a supervisor observes signs and symptoms that lead them to believe that the Member may not be in a condition where they can safely and effectively perform their duties, that constitutes reasonable suspicion. Reasonable Suspicion testing does not require certainty. However, mere “hunches” are not sufficient to meet the standard. 58 Is It More Than A Hunch? Compare against the known pattern – is this usual behavior/performance? Does this behavior/performance fit with company standards? Interview the person to detect other signs of impairment. Does a second, manager or supervisor reach the same conclusion? 59 Protocols to Clarify What documentation must be completed? What are the protocols for testing? Collection site location? Transportation & supervision to the collection site? Transportation home? Who get results? Procedures for results; positive or negative 60 Assess and Clarify ►Assess ►Clarify Does the Member have the … Does the Member understand the …. Ability Performance Standards Training Company Policies Skills Motivation 61 Document Supervisors must document: Workplace Behavior Workplace Performance • Documentation must be: – Factual and specific – Objective – Timely – Discussed 62 Documentation down the facts – only! Do not assume anything Do not generalize what you observed The document must be kept confidential Write 63 Documentation Instead of saying: “ I suspect this Member (driver) is using alcohol” Write: Member has difficulty concentrating Member seems uncoordinated Employee’s breath smells like he has been drinking beer 64 Documentation Instead “The of saying: Member acts like he’s on drugs.” Write: Member is talking in short clipped sentences Member is speaking really fast Member has difficulty looking me in the eye Member is trying to avoid me 65 Get Help / Consult Use the available resources Supervisor Human Resources MAP Security 66 Take Action #1: Just Do It Interview the Employee: Get yourself ready Excuses Emotions - i.e. anger, tears Avoid personal entanglement 67 Take Action #2 Explain your concerns Review your documentation Seek Member acknowledgement or “buy in” 68 Take Action #3 Develop a plan of action for improvement Detail specific consequences for success or failure Set a date for followup discussions 69 Reasonable Suspicion Testing Confront the employee Ask the Member to come into an office or at minimum, somewhere away from the operations and other employees. Explain to the Member that you believe that the Member is under the influence and you want them to get tested. If the Member agrees, have him/her sign a consent form and assign someone to escort the Member to the clinic. 70 Reasonable Suspicion Testing Confront the employee The escort will remain with the Member until the tests are complete. The escort will bring the tested Member back to the work site where proper arrangements will be set up for the tested Member to get home. If the Member refuses, treat it as a positive test. 71 Refer to the MAP Employees may have problems for which you cannot offer assistance… REFER • Use the interview as an opportunity to refer the Member to the MAP 72 Commitment to Confidentiality Supervisors Problems should only be discussed on a “need to know” basis If an Member chooses to disclose concerns to his/her coworkers that is his/her decision 73 Commitment to Confidentiality MAP MAP is confidential resource Contact and cooperation 74 Recognize Your Limits Supervisors can control: approach and attitude preparation presentation of concerns feelings setting time allocated 75 Recognize Your Limits Supervisors cannot control employee’s attitude employee’s feelings outcome of the interview employee’s performance employee’s problems employee’s job security 76 Follow-Up Accurate performance appraisals and fair treatment Time to adjust to doing things differently Respect for his or her privacy 77 Follow - Up If you follow-up with an Member after a corrective action interview you convey two messages: You are serious You are paying attention to the situation 78 Do’s and Don’ts DO’S Take prompt action Use your resources DOCUMENT Refer Focus on job performance and work place behavior • DONT’S – Ignore – Delay – Moralize – Enable – Give in – Diagnose – Rely on magic 79 QUESTIONS 80