The Drug Free Workplace
EAP Works a division of North Pines Center, Inc.
CEO, Ken Scroggs LPC, LCSW, LMFT, CEAP
770-449-1111
Ken Scroggs LPC, LCSW, LMFT,
CEAP 1
Primary Objectives
1. Provide a safe, healthy, and secure workplace;
2. Ensure that all employees perform their job duties in a safe, efficient and productive manner;
3. Ensure equipment and facilities do not pose undue risk or harm: a. Properly maintained, and b. Operated appropriately
4. “Drug and Alcohol Free Workplace” policy protects health, safety, & welfare of employees and citizens
Ken Scroggs LPC, LCSW, LMFT,
CEAP 2
Training Objectives
By the end of this class, you will be able to:
1.
Effectively discuss Drug Free Workplace policy
2.
Identify signs and symptoms of possible drug use and alcohol misuse
3.
Know how to document behaviors leading to
“reasonable suspicion”
4.
Know the legal issues surrounding this policy
5.
Use the Employee Assistance Program, EAP, as a valuable referral source
Ken Scroggs LPC, LCSW, LMFT,
CEAP 3
For Your Safety These Tests Have
Been Made Legal
1.
Pre-Employment
2.
Random (optional, check with your HR dept)
3.
After-Care
4.
Return to Duty
5.
Reasonable Suspicion
6.
Post Accident
7.
Consent
Ken Scroggs LPC, LCSW, LMFT,
CEAP 4
Substances We Test For &
Related Indicators
1.
Marijuana (slow reaction time/lack of coordination)
2.
Cocaine (dilated pupils/runny nose)
3.
Amphetamines (restless/talkative)
4.
Methamphetamines (nervousness/excitement)
5.
Opiates (restlessness/drowsiness)
6.
Phencyclidine (lack of concentration/mood swings)
7.
Alcohol (staggering/slurred speech)
8.
Other controlled substances
(drowsiness/jitters/impaired vision)
Ken Scroggs LPC, LCSW, LMFT,
CEAP 5
What Is Reasonable Suspicion?
Circumstances that would cause a reasonable person to believe that it is more likely than not that a person has used drugs or misused alcohol in violation of the policy.
Factors include: job performance, speech, appearance, behavior, odor, pattern of unsafe behavior, demonstrably unsafe behavior for which there is no reasonable explanation, direct observation, credible information provided by others, possession of substance, etc.
Ken Scroggs LPC, LCSW, LMFT,
CEAP 6
Who Will Be Randomly Tested?
Know if your policy includes Random
Testing
Most policies include
CDL Employees
Safety Sensitive
Employees
Check with HR Dept
Ken Scroggs LPC, LCSW, LMFT,
CEAP 7
SUPERVISORS ARE THE
FRONT LINE!!!
Responsible for:
Realizing and recognizing potential problem(s)
Looking for indicators
We rely on you for:
Documenting changes over time
Having multiple indicators, since taken alone, each indicator could be caused by something other than substance abuse
Ken Scroggs LPC, LCSW, LMFT,
CEAP 8
Prohibited Conduct
1.
Unauthorized use, possession, sale, or solicitation,
2.
Hindering, obstructing or refusing to undergo a drug or alcohol test,
3.
Tampering with a sample,
4.
Impaired ability to satisfactorily or safely perform job duties,
5.
Abusing or misusing prescription drugs or over the counter medication.
Ken Scroggs LPC, LCSW, LMFT,
CEAP 9
Your Responsibility
Job Performance/Workplace Behavior
Process:
1.
Observe Behavior
2.
Immediately document behaviors observed
3.
Talk privately to employee about concerns and observation
4.
Let employee respond
5.
Ask to submit to “fitness-for-duty” urine screening test
6.
Maintain Confidentiality
Ken Scroggs LPC, LCSW, LMFT,
CEAP 10
If Employee Refuses To
Test
1.
Explain that action is in violation of policy
2.
Ask to submit to test again
3.
Explain that refusal will lead to termination for insubordination
4.
Always contact Human Resources!
Ken Scroggs LPC, LCSW, LMFT,
CEAP 11
Responsibility
1.
Supervisor or designee should transport persons to testing facility
2.
Employee must not eat or drink anything once notified
3.
Employee should be taken within 2hours after notification
4.
Employee cannot opt out of test once notified
Ken Scroggs LPC, LCSW, LMFT,
CEAP 12
Behaviors to Anticipate
Denial
Denial of problem
Claims someone is after him/her
Threats
Threatens to go to attorney
Makes scene
Threatens to quit
Rationalization
Makes excuses for behavior
Angry Outburst
Becomes angry
Crying
Screaming
Yelling
13
3.
4.
1.
2.
5.
Remember These 5 Steps
Know importance of your role
Know policy to explain to employees
Recommend EAP counseling also
Focus on job performance issues and/or behavioral concerns
Follow up with employee
Ken Scroggs LPC, LCSW, LMFT,
CEAP 14
Alcohol Testing Procedures
Breathalyzer used to determine if alcohol is present in the body and the concentration level:
First test is a screening test
Second test is a confirmation test
Alcohol Concentration level:
.01 or higher (retest)
Alcohol Concentration level
.04 or higher
Presumed violation, severe disciplinary action
Medical Review Officer (MRO) is not
Drug Testing Procedures
Urinalysis done to detect drug use
Sample provided by employee
Temperature of sample taken
Sample observed for impurities/discolorations
Sample sealed, tagged, and initialed
Sample sent to NIDA approved lab for testing
Chain of Custody & Control form completed, Medical Review Officer involved
Screening test on sample
16
Important Things To Know!
Alcohol test results of .04 or higher
Employee presumed to be in violation of policy
Any detectible amount of drugs creates presumption employee is in violation of policy
Discipline for any violation of policy is gross misconduct and will result in severe disciplinary action
After testing for reasonable suspicion, send home on paid leave until HR notify director of results
SEEK EMPLOYEE CONSENT BEFORE
TESTING!!! (If Reasonable Suspicion or
Random Selection, you do not need consent, but nice to ask)
Ken Scroggs LPC, LCSW, LMFT,
CEAP 17
Silence Is Golden
Only authorized person(s) will be notified of test results
Violation of confidentiality is considered gross misconduct and appropriate disciplinary action will follow
Ken Scroggs LPC, LCSW, LMFT,
CEAP 18
Testing Facility Location
Check with your HR dept for the approved testing location
Most often the company provides you the paperwork to take with you to the testing site
Ken Scroggs LPC, LCSW, LMFT,
CEAP 19
Effective Supervisor
Guidelines
Be Attentive
Accidents
Frequent lateness
Mood swings
Observant
Specific aspect of job performance lacking
Immediately Document
Focus on Job Performance
Don’t judge (don’t accuse, review observations/concerns)
Don’t diagnose
Don’t counsel
Don’t make promises
20
Effective Supervisor
Guidelines
Be Thoughtful
Stay non-judgmental
Recognize employee’s point of view
Be straightforward
Stick to facts
Don’t get sidetracked
Be Consistent
Follow same procedures for everyone
Ken Scroggs LPC, LCSW, LMFT,
CEAP 21
Effective Supervisor
Guidelines, con.
Maintain Confidentiality
Talk privately to employee
Keep conversation private
Don’t review or discuss circumstances with anyone who does not have a need to know
Refer
Encourage using EAP counseling benefits for personal problems; alcohol, drugs, divorce, grief, parenting, etc.
Follow Up
Assess employee’s work performance for a period of time. One year is often recommended
Ken Scroggs LPC, LCSW, LMFT,
CEAP 22
What Must Be Evaluated
To make a reasonable suspicion determination, a supervisor must evaluate:
Specific, contemporaneous and articulate observations concerning appearance, behavior, speech, or body odors of the employee consistent with possible drug use or alcohol misuse
Ken Scroggs LPC, LCSW, LMFT,
CEAP 23
Typical Supervisory
Concerns
Loss of employee confidence/support
Jeopardizing employee’s ability to make a living
Do not like confrontation
Possible loss of productivity
Lack of training
Fear of personal safety
Ken Scroggs LPC, LCSW, LMFT,
CEAP 24
Training Will Include
Role and responsibility of supervisors
How to recognize signs and symptoms of drug use
How to recognize signs and symptoms of alcohol misuse
Short-term indicators
Long-term indicators
Initiating, substantiating and documenting
Employee Intervention
Record keeping/documenting event
Ken Scroggs LPC, LCSW, LMFT,
CEAP 25
Short-Term Objective Facts
Observable physical evidence (drugs and paraphernalia)
Symptoms of drug use and/or alcohol misuse
Unstable walking
Poor physical coordination
Bloodshot or watery eyes
Hand tremors
Ken Scroggs LPC, LCSW, LMFT,
CEAP 26
Short-Term Objective Facts
(cont.)
Combative behavior
Unusual restlessness
Disorientation
Dilated or constricted pupils
Slow reactions or slurred speech
Ken Scroggs LPC, LCSW, LMFT,
CEAP 27
Long-Term Objective Facts
Due to lack of frequent contact by supervisors, long-term indicators are more reliable when documenting performance or behavior problems associated with illicit drug use or alcohol misuse. However, long-term indicators may not, alone, be grounds for reasonable suspicion.
Ken Scroggs LPC, LCSW, LMFT,
CEAP 28
Long-Term Objective Facts
(cont.)
Work performance problems (quality and quantity)
Personality changes
Moodiness
Aggressiveness
Depression
Fearfulness
Paranoia
Anxiety
Chronic problems
Tardiness
Absenteeism (Mondays, after holidays, and paydays)
29
Long-Term Objective Facts
(cont.)
Chronic problems (cont.)
Leaves work without notice
Accidents
Poor judgment
Difficulty in concentrating
Gives improbable excuses for absences
Personal hygiene and physical appearance
Social withdrawal
Isolation
Overreaction to criticism
Lack of eye contact
Ken Scroggs LPC, LCSW, LMFT,
CEAP 30
Effects of Alcohol
Consumption
Flushing
Dizziness
Dulling of senses
Impairment of coordination, reflexes, memory, and judgment
Loss of inhibitions
Staggering
Slurred speech
Double Vision
Sudden mood changes
Unconsciousness
31
Alcohol Consumption Health
Risks
Alcoholism
Cancers or the liver, stomach, colon, larynx, esophagus, and breast
Brain damage
High blood pressure, heart attacks, and strokes
Stomach and duodenal ulcers
Colitis
Alcohol hepatitis and cirrhosis of the liver
Impotence and infertility
Birth defects and
Fetal Alcohol
Syndrome
Premature aging
Kidney damage
Pancreas damage
Ken Scroggs LPC, LCSW, LMFT,
CEAP 32
Effects of a Hangover
Headache
Nausea
Dizziness
Dry throat
Eye ache
Shaking
Ken Scroggs LPC, LCSW, LMFT,
CEAP 33
Skills Impaired by Alcohol
Use
Vision – ability to see the whole field of vision
Reaction time – ability to recognize and respond quickly
Concentration – attention span is limited
Coordination - ability to physically control a vehicle is affected
Reflexes - the body’s ability to respond to the brain’s commands is slowed
Ken Scroggs LPC, LCSW, LMFT,
CEAP 34
Skills Impaired by Alcohol
Use (cont.)
Perception - the brain’s ability to recognize visual images is slowed
Judgment - the person’s ability to understand what is going on is impaired
Comprehension - the brain’s ability to understand what is going on is impaired
Ken Scroggs LPC, LCSW, LMFT,
CEAP 35
Skills Impaired By A
Hangover
Concentration
Reflexes
Professionalism
Coordination
Judgment
Politeness
Perception
Comprehension
Ken Scroggs LPC, LCSW, LMFT,
CEAP 36
Effects Of Marijuana
Slows reaction time
Decreases awareness of the road
Decreases awareness of vehicle control
Reduces peripheral vision
Diminishes estimates of time and distance
Impairs coordination
Impairs judgment
Impairs concentration
Diminishes capacity to perform complex functions
Reduces short term memory
Reduces awareness and perception of diminished skill levels
Ken Scroggs LPC, LCSW, LMFT,
CEAP 37
Common Names For
Marijuana
Pot
Grass
Weed
Joint
Reefer
Dope
Roach
Hash
Bud
Mary Jane
Ken Scroggs LPC, LCSW, LMFT,
CEAP 38
Marijuana Use Facts
The amount of marijuana required to generate a high depends on:
THC content of the marijuana
Individual’s weight, height, and body type
Driving skills are impaired for 4 to 6 hours after smoking one joint, but some people show effects for up to 24 hours
The THC may stay in a person’s system for up to 30 days or longer
Ken Scroggs LPC, LCSW, LMFT,
CEAP 39
Health Risks of Cocaine Use
Accelerated heart rate
Constricted blood vessels
Dilated pupils
Increased blood pressure
Nasal congestion
Runny nose
Disintegration of mucus membranes of the nose
Addiction
Seizures
Cardiac arrest
Respiratory alert
Stroke
Death
Collapsed nasal septum
Ken Scroggs LPC, LCSW, LMFT,
CEAP 40
Personal Characteristics
Associated With Cocaine Use
False sense of power, control, alertness, well-being, confidence, and strength
Impulsive
Unpredictable
Paranoid
Reckless
Ken Scroggs LPC, LCSW, LMFT,
CEAP 41
After-Effects of Cocaine
Use
Restlessness
Anxiety
Depression
Exhaustion
Mental Fatigue
Irritability
Paranoia
Intensive craving for drug
Preoccupation with drug
Overall discomfort
Ken Scroggs LPC, LCSW, LMFT,
CEAP 42
Effects of Crack Use
Short, intense high
Abrupt halt to high
Deep depression
Intense craving for more drug
Ken Scroggs LPC, LCSW, LMFT,
CEAP 43
Common Names For Cocaine
Coke
Blow
Snow
Speedball
Flake
Crack
Freebase
Base
Rock
Snort
Eightball
Toot
Ken Scroggs LPC, LCSW, LMFT,
CEAP 44
Potential Victims of Cocaine
Use By CDL/Safety
Sensitive Employees
Passengers
Others on the road
Co-workers
Public confidence
Drug user
User’s family
User’s friends
Pedestrians
Society Ken Scroggs LPC, LCSW, LMFT,
CEAP 45
Effects of Amphetamine
Use
Restlessness
Irritability
Talkativeness
Tenseness
Hyperactivity
Violent behavior
Impaired judgment
False sense of alertness
Diminished concentration
Over self-confidence
Psychological addiction
Brain damage
Suicidal depression
Ken Scroggs LPC, LCSW, LMFT,
CEAP 46
After-Effects of
Amphetamine Use
Depression
Confusion
Intense Fatigue
Ken Scroggs LPC, LCSW, LMFT,
CEAP 47
Characteristics of
Methamphetamines
Synthetic drug
Stimulates movement and speed
Generates feelings of excitement
Results in nervousness, insomnia, and paranoia
Post use depression, fatigue, and inability to experience pleasure
Addictive
Ken Scroggs LPC, LCSW, LMFT,
CEAP 48
Amphetamines/Methamphetamines
Common Street Names
Speed
Uppers
Poppers
Meth
Bennies
Crank
White crosses
Ecstasy
Dexies
Crystal
Juice
Black beauties
Ken Scroggs LPC, LCSW, LMFT,
CEAP 49
Effects of Opiate Use
Relief of pain
Drowsiness
Restlessness
Indifference
Relaxation
Slow reflexes
Accident prone
Ken Scroggs LPC, LCSW, LMFT,
CEAP 50
Common Street Names for
Opiates
Heroin
Black tar
Tar
Opium
Horse
Morphine
Smack
Mexican brown
Tylenol-III
China white
Ken Scroggs LPC, LCSW, LMFT,
CEAP 51
Effects of Phencyclidine Use
Unpredictable behavior
Departure from reality
Memory loss
Diminished concentration
Decreased sensitivity to pain
Extreme violence
Distorts hearing, smell, taste, touch, and visual senses
Alters mood and consciousness
Disorientation
Disturbed perception
Impaired judgment
Temporary insanity
Suicidal behavior
52
Other Hallucinogens
LSD
Peyote
Mescaline
Psilocybin
Ken Scroggs LPC, LCSW, LMFT,
CEAP 53
Effects Common To All
Hallucinogens
Distorts reality
Unpredictable
Potential for flashbacks
Inability to perform job duties
Ken Scroggs LPC, LCSW, LMFT,
CEAP 54
Commonly Prescribed Drugs
Tranquilizers
Barbiturates
Narcotics
Hypnotics
Antihistamines
Ken Scroggs LPC, LCSW, LMFT,
CEAP 55
Employee Responsibility:
Prescription Drugs
Make sure their physician is aware of their medical history and any other drugs they are currently taking
Inform their physician about their job duties and ask if the prescribed drug will affect their ability to carry out these functions
Discuss other treatment options with their physician, if appropriate
Check warning labels
Ken Scroggs LPC, LCSW, LMFT,
CEAP 56
Employee Responsibility:
Prescription Drugs (cont.)
Determine whether or not they should report to work
Take the medication exactly as prescribed
Ken Scroggs LPC, LCSW, LMFT,
CEAP 57
Skills Commonly Affected By
Prescription Drugs
Concentration
Coordination
Alertness
Judgment
Ken Scroggs LPC, LCSW, LMFT,
CEAP 58
Over-The-Counter Drugs
That May Impair
Performance
Antihistamines
Drowsiness
Slowed reactions
Impaired vision
Stimulants
Jitteriness
Diminished concentration
False sense of alertness
Irritability
Post-high fatigue
59
Responsible Use Of Over-
The Counter Drugs
Read label
Check for warnings
Consult with physician or pharmacist
Make informed decisions regarding fitness for work
Take as directed
Ken Scroggs LPC, LCSW, LMFT,
CEAP 60
Commonly Used Inhalants
Glue
Gasoline
Paint thinner
Cleaners
Ken Scroggs LPC, LCSW, LMFT,
CEAP 61
Effects of Inhalant Use
Drowsiness
Lightheadedness
Numbness
Irritability
Unpredictable behavior
Ken Scroggs LPC, LCSW, LMFT,
CEAP 62
FACT
The intent of the program, as it applies to reasonable suspicion testing, is to provide supervisors with another resource to help them ensure that safety-sensitive employees are fit for duty
Fitness for duty is a prerequisite for safety!
Supervisors are on the front-line in identifying substance abuse in the workplace
Supervisors are not expected to be police or experts in substance abuse
Supervisors are expected to protect the safety of the general public as well as employees
63
Fact (cont.)
The supervisors role is to help orient, train, and inform employees about the policy, and to determine when there is reasonable suspicion for testing
Supervisors are expected to determine fitness for duty, not what substances an employee may be abusing
Supervisors should not be concerned with the problems an employee is facing in his/her personal life unless it affects job performance and public safety
Ken Scroggs LPC, LCSW, LMFT,
CEAP 64
Fact (cont.)
Supervisors are expected to be able to articulate and substantiate specific behavioral performance or physical indicators of prohibited drug use and alcohol misuse, but it is not the supervisor’s responsibility to “diagnose” the individual
Supervisors must remember that a referral for a reasonable suspicion test is not an accusation. It is merely a request for objective data for use in identifying the underlying cause of observed behavior
65
Fact (cont.)
The interaction with the employee and all information about the test result should be handled with the strictest confidentiality, and with respect for the employee’s privacy
Ken Scroggs LPC, LCSW, LMFT,
CEAP 66
6.
7.
3.
4.
1.
2.
Wrap Up
5.
Why policy was changed
Legal concerns of policy
Review of revised policy
Steps to follow to report on-the-jobaccident
Drugs we test for and their effect on the body
Behavioral indicators to look for
Q & A
Ken Scroggs LPC, LCSW, LMFT,
CEAP 67
Always Remember
Contact the Human Resources Dept. for help and answers to your questions
EAP Works provides free, confidential counseling for employees and dependents – 770-449-1111
Ken Scroggs LPC, LCSW, LMFT,
CEAP 68
The Drug Free Workplace
EAP Works a division of North Pines Center, Inc.
Ken Scroggs LPC, LCSW, LMFT, CEAP
770-449-1111
Ken Scroggs LPC, LCSW, LMFT,
CEAP 69