Recent
Abuse of prescription drugs in the workplace has a high cost for employers, often contributing to workplace accidents and injuries.
amenic181/FreeDigitialPhotos.net

Drug Abuse Costs Employers $81 Billion Per Year

The American Association of Occupational Health Nurses (AAOHN) and the American College of Occupational and Environmental Medicine (ACOEM) are collaborating on a study of workplace health and safety issues associated with worker impairment from the use of marijuana and other drugs. 

The groups hope to provide education and recommendations aimed at raising awareness and 
better understanding of worker impairment.

According to the National Council on Alcoholism and Drug Dependence Inc. (NCADD), drug abuse costs employers $81 billion annually. Some 70 percent of the estimated 14.8 million Americans who use illegal drugs are employed, and workers who report having three or more jobs in the previous five years are about twice as likely to be current or past year users of illegal drugs as those who have had two or fewer jobs. 

View the photo gallery Drug Abuse in the Workplace here.

Citing changing societal attitudes toward marijuana, including its increasing use for medicinal purposes and new state-decriminalization laws, ACOEM and AAOHN leaders said the occupational health profession can play an important role in helping the U.S. workplace prepare for the potential impacts of these trends.

“Twenty states and the District of Columbia have enacted laws to legalize medical marijuana and two states have approved its recreational use by adults,” said AAOHN President Pam Carter, RN. “With growing advocacy, other states seem ready to follow. Mainly because of such rapid change, both of our associations believe it is time to address workplace health and safety concerns when workers have impaired functioning from this and other drugs.”   

Drug use, abuse or addiction among employees and their family members can cause expensive problems for business and industry, ranging from lost productivity, absenteeism, injuries, fatalities, theft and low employee morale, to an increase in health care, legal liabilities and workers' compensation costs.

In addition, according to NCADD, drug abuse can cause problems at work including:

  • After-effects of substance use (withdrawal) affecting job performance.
  • Preoccupation with obtaining and using substances while at work, interfering with attention and concentration.
  • Illegal activities at work including selling illegal drugs to other employees.
  • Psychological or stress-related effects due to drug use by a family member, friend or co-worker that affects another person's job performance.

“Marijuana is being viewed as a relatively harmless substance, but this may be a misconception by those who may be unaware of workplace safety issues that can arise when workers are under the influence of marijuana or other drugs,” said ACOEM President Ron Loeppke, MD. “To compound the issue, there is a dearth of scientific studies to support the nature of current marijuana products and their effect on workers.”  

AAOHN and ACOEM will form a collaborative task force over the next several months to examine current science related to marijuana use and determine evidence-based education and recommendations that can be offered to support occupational and environmental professionals who consult with employers regarding workplace health policies.

Indications of Possible Workplace Drug Problems

According to NCADD, the following job performance and workplace behaviors may be signs that indicate possible workplace drug problems:

  • Job performance.
  • Inconsistent work quality.
  • Poor concentration and lack of focus.
  • Lowered productivity or erratic work patterns.
  • Increased absenteeism or on the job “presenteeism.”
  • Unexplained disappearances from the job site.
  • Carelessness, mistakes or errors in judgment.
  • Needless risk taking.
  • Disregard for safety for self and others which can translate to on-the-job and off-the-job accidents.
  • Extended lunch periods and early departures.
  • Workplace behavior.
  • Frequent financial problems.
  • Avoidance of friends and colleagues.
  • Blaming others for own problems and shortcomings.
  • Complaints about problems at home.
  • Deterioration in personal appearance or personal hygiene.
  • Complaints, excuses and time off for vaguely defined illnesses or family problems.

Work can be an important place to address drug abuse issues and by establishing or promoting programs such as an EAP and a drug-free workplace program (DFWP), employers can help employees and their families through referrals to community resources and services.  Many individuals and families face a host of difficulties closely associated with drug use, and they bring these problems into the workplace, directly or indirectly. By supporting EAP and treatment, employers dramatically can assist in reducing the negative impact of drug use on the workplace, according to NCADD. 

Employers with successful EAPs and DFWPs report improvements in morale and productivity and decreases in absenteeism, accidents, downtime, turnover and theft.

Employers with longstanding programs also report better health status among employees and family members and decreased use of medical benefits by these same groups.

 

Sneezing From Covid
Pichaya P | Dreamstime

Your Safety Culture Has a Virus!

Terry Mathis will deliver a presentation on this topic at the Safer Safety Leadership Conference, on November 10, 2020. Register now to attend this virtual event dedicated to developing and sustaining a culture of workplace safety.


I have worked with clients for the past 25+ years who desired to improve their safety culture. Some blamed their culture for less-than-stellar safety performance and others viewed cultural improvement as a pathway to excellence. Still others saw attention to culture as the latest fad in safety and wanted to be perceived as savvy to current trends. Few truly understood what a safety culture was or how to improve it, at least at first. Among the greatest realizations in this learning curve was the discovery of underlying influences that shaped the culture.

Many leaders described culture as “what people do when I am not watching” or “the way we do things around here.” But that is not culture; it is common practice. Culture is a by-product of other factors that form the reasons why common practice is what it is. These factors are often referred to as influences. 

Influences shape perceptions, beliefs, values, focuses and mindsets. When the influences are common with a group, they shape the culture. In general, to change a culture you must change the influences. Sometimes, the influences change themselves.

We have just experienced such an influence. We called it the COVID-19 pandemic. It changed our perceptions of risks, our beliefs of what is important, our values and priorities, our focus and mindset. These, in turn, changed many of our common practices. We can long for things to return to “normal” and they may to some extent. But the changes in our culture that the pandemic brought will have a lasting impact. The world may return to something resembling its previous condition, but the people in it will not do so completely. They will have been changed in ways that will continue to influence the culture into the future.

Before discussing some of the potential changes to be considered, remember that all cultures are unique. That means these changes will impact different cultures in different ways and to different extents. Unfortunately, that means that the culture will need to be assessed to determine how it has changed and its current condition. Even if the organization assessed the culture in 2019, it should not be assumed that the culture will automatically revert to its old self. This is not a phenomenon unique to COVID. Cultures can change over time, and especially after significant events, and need to be assessed periodically even during normal times. Unlike the usual safety culture assessment, post-COVID assessments need to also address specific areas that have a high likelihood of being impacted by the pandemic. Among those are the following:

Focus on Precautions

The triad of COVID prescribed precautions could have improved your culture’s ability to focus on specific improvements. Getting a majority of the world to distance, wear masks and sanitize their hands could have a lasting impact on safety cultures that could be redirected toward organizational-specific improvement targets. However, we also learned that a certain percent of people willfully disregarded these precautions and sometimes did so flagrantly. A good assessment could use compliance with COVID precautions as an indicator of willingness to focus on specific behaviors to address safety issues. Good assessments try to ask specific examples or parallel questions rather than hypothetical ones.

Social Distancing

The lack of close contact for months will almost certainly impact future cultural tendencies in one way or another. Measuring workers reactions to distancing through perception surveys or focus groups could create useful metrics for how the culture will react when the necessity of distancing is no longer an issue. Will COVID have changed the perception of personal space or not?

Working from Home

Realtors have reported a mass migration from downtown areas to the suburbs as people were allowed to work from home rather than report to an office. Polls indicate that working from home is positive for almost everyone who has been forced or volunteered into it. The common complaints involved family members and pets interfering with work, and most reported conquering those issues over time.

Virtual Meetings

While quarantine prevented normal in-person meetings, organizations used technology to address the issue. Zoom, Teams and other platforms were used to hold Internet meetings. This caused a period of adjustment with some organizations and individuals but seemed to work more smoothly over time. Even conferences went virtual and found attendance good and approval of the format quite acceptable. The savings in travel expense was also greater than some anticipated, and added to the acceptance of the practice. Several CEOs stated their initial skepticism over Internet meetings has dissipated and they are pleased with performance and willing to continue the practice. It is important to determine if your safety culture will accept or even embrace continued virtual meetings.

Less Direct Supervision

Distancing also meant distance between workers and their supervisors. Less direct supervision could have impacted future safety cultural norms, and it is important to determine exactly how and to what extent this has happened. There has been a trend toward less supervision and more independent work over the past decades. Has COVID reversed or reinforced this tendency? Also, supervisors had to learn new ways to impact performance. Will these continue or go back to old models?

Organizations have had to react to crises in the past, but most have been shorter lived and less impactful. Hurricanes and other weather events cause damage and despair, then have a recovery period and a return to something close to normal. The length and nature of this pandemic make it quite different from a weather event. Even if conditions do eventually return to a resemblance of what we used to call normal, people will have been changed. Having been ambushed by this event, many will be thinking of how to address a similar event in the future. Others will simply have learned alternate ways to get the job done and those ways will be incorporated into tomorrow’s safety culture. Assess the changes and adjust your safety strategy accordingly.

Terry Mathis, founder and CEO of ProAct Safety, has served as a consultant and advisor for top organizations the world over. A respected strategist and thought leader in the industry, Mathis has authored five books, numerous articles and blogs. EHS Today has named him one of the “50 People Who Most Influenced EHS” four times. He can be reached at info@proactsafety.com or (800) 395-1347.