U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
Center for Substance Abuse Prevention
The presentations herein are those of the authors and may not necessarily reflect
the opinions, official policy, or position of the Center for Substance Abuse
Prevention (CSAP), the Substance Abuse and Mental Health Services Administration
(SAMHSA), the Public Health Service, or the U.S. Department of Health and Human
Services.
All material appearing in this book, except quoted passages from copyrighted
sources, is in the public domain and may be used or reproduced without permission
from CSAP or the authors. Citation of the source is appreciated.
CSAP Production and Editing Officer:
Joan White Quinlan
Robert W. Denniston
Director, Division Public Education and Dissemination
Charlie Williams, CEAP
Public Health Advisor, Workplace Community Prevention Branch
CSAP Mission Statement
The Center for Substance Abuse Prevention (CSAP) supports and promotes the
continued development of community, State, national, and international, comprehensive
prevention systems. CSAP strives to connect people and resources with effective
and innovative ideas, strategies, and programs, aimed at reducing and eliminating
alcohol, tobacco, and other drug (ATOD) problems in our society. CSAP’s prevention
programs and models, tailored to specific cultures and locales, capitalize on
broad-based community involvement and enhanced public and professional awareness
of prevention.
Introduction
Alcohol and other drug abuse (AOD) in the workplace can adversely affect
the ability of a business to provide quality services to its customers. This
pamphlet is intended to be used as a quick and easy reference guide to low-cost
steps an employer can take to prevent workplace-related AOD problems. Smaller
businesses in particular, many of which are in the service sector, will find
this information useful as a guide to readily available resources. These
resources can help them prevent AOD-related problems that can adversely
affect their company’s ability to provide quality customer services.
[Place for the name and address of your company/chamber/organization]
In the past, the focus has been on things like train derailments or the
Valdez incident. No one is pointing the finger at service-oriented businesses,
where the problem is hard to detect. -Owner of a chain of automobile repair shops in Texas
FACT:About 10 million Americans (5 percent of the population) are
heavy drinkers, defined as drinking five or more drinks per occasion on
five or more days in the past 30 days (1992 National Household Survey on
Drug Abuse, Substance Abuse and Mental Health Services Administration
(SAMSHA)).
In a company with 10 employees, just 1 employee with an alcohol or other drug
problem can be devastating to productivity and profits.
Getting Started
Small service-oriented businesses that employ young people in entry-
level jobs are extremely vulnerable to alcohol and other drug problems.
As every employer knows, people don’t leave their personal problems at
home when they come to work. Large numbers of employees abuse alcohol
and other drugs.
According to the 1992 National Household Survey on Drug Abuse (NHSDA) by
SAMHSA, illegal drug use is greatest among employees in the
construction, wholesale trade, and retail trade industries. This survey
also found that illegal drug use is highest in the 18- to 24-year-old
age group, many of whom are just entering the small business workforce.
FACT: The majority (66.5 percent) of current (past month) illicit drug
users 18 or older are working either full-time or part-time (1992 NHSDA).
FACT: Alcohol and other drug use costs American businesses an estimated
$102 billion every year in lost productivity, accidents, employee
turnover, and related problems (Economic Costs of Alcohol and Drug Abuse
and Mental Illness: 1987, ADAMHA, 1990).
Since Congress passed the Drug-Free Workplace Act in 1988, many businesses have
taken the first steps to establish a safe, drug-free workplace. You don't have to
start from scratch. There are many simple and inexpensive ways to begin to develop
a drug-free workplace. The important things are to become informed, make a
commitment, and get started.
When Service is Your Business
He was our bookkeeper for just six months, and that was two years ago --
but we’re still coming across mistakes he made. -Manager of a pharmacy in Oregon
Owners and managers of service-oriented businesses often say they do not
need a drug-free workplace program because they do not really have a
problem. Yet an employee with an alcohol and other drug problem can be
a hidden time bomb. Employees who deal with cash, numbers, and
customers can keep such a problem hidden for years. They may not be
injuring anyone physically, but their impact can be devastating.
FACT: Drug users at a minimum consume almost twice the medical benefits
as nonusers, are absent 1.5 times as often, and make more than twice as many workers’
compensation claims.
FACT: Among 20- to 34-year-old full-time employed Americans, 20.2
percent used an illicit drug in the past year and 9.5 percent used an
illicit drug in the past month, including significant marijuana and
cocaine use.
I was at a meeting of my business association and we got around to
talking about the drug thing. I said, "All the big companies in town
are doing drug testing. And they’re firing people or not hiring them in
the first place. Guess where those people are coming to work. To us."
We decided we had to do something just to protect ourselves.
-Owner of a discount store in South Carolina with 30 employees, most of
them unskilled and under 25 years old
Potential Benefits of a Drug-Free Workplace
Reduced absenteeism, tardiness, sick leave, and personal time off
Reduced employee discipline problems
Reduced workers’ compensation costs
Improved customer satisfaction
Increased productivity
Improved employee morale and motivation
Improved community image
For More Information . . .
Drugs at Work is a video that describes the costs of alcohol and
other drug abuse in the workplace and provides examples of current programs in
government and private companies. Call the National Clearinghouse for Alcohol and
Drug Information (NCADI) at 800-729-6686 to request a copy. The cost of this video
is $12.50. NCADI accepts VISA of MasterCard, checks, and purchase orders (minimum
of $25). Ask for inventory number VHS02 when placing your order.
The First Step: A Clear Policy
You have probably heard about companies that offer so many benefits that
employees rarely leave. For owners and managers of small businesses, it’s a
different story. Providing even the most basic benefits is not easy for small
businesses. Health care and workers’ compensation costs are soaring.
Working toward making your workplace drug-free does not have to drain your
company’s budget. You can take a number of small steps with little or no cost that
could save you money. They will also improve with health, morale, and well-being
of your employees.
The first and most important step is to develop a policy that makes your position
about alcohol and other drug use in the workplace very clear. As the owner of a
business, you have clear guidelines on attendance, performance, conduct, and even
smoking in the workplace. But do you have a policy that tells your employees not
to use drugs?
It is the greatest thing you can do for yourself and your employees, and it
doesn’t have to cost a lot. The most expensive thing you can do is nothing. -Owner of a small manufacturing firm in Georgia employing young people
A well-designed policy should:
Explain why a policy is needed and important -- that is, describe the goal
of a drug-free workplace.
Make it clear that alcohol and other drug use on the job violates company
policy and will not be tolerated.
State specific consequences for violating the policy.
Define specific ways for employees and family members to obtain help for
alcohol, drugs, or family problems.
If screening is part of the program, share how, when, and under what
conditions employees will be tested for alcohol and/or drug use.
Once a policy is adopted, all employees will know what you expect from them
and what they can expect from you. A sample policy is included for your adaptation.
We try to help our workers. Given the nature of our industry, we
recognize that some people are going to have problems. We’re concerned
about working with our people and not just pushing them out, because we
know if we did that we’d be pushing out a lot of them.
-Manager of a chain of fast-food restaurants in New York
Sample Policy
Your Company’s Letterhead
(Name of Business) is committed to providing a safe work environment and to
fostering the well-being and health of its employees. That commitment is jeopardized
when any (Name of Business) employee uses illegal drugs or alcohol on the job, comes
to work with these substances present in his/her body, or possesses, distribute, or
sells drugs in the workplace. (Name of Business) has established the following
policy with regard to alcohol and other drugs to ensure that we can meet our
obligations to our employees, shareholders, customers, and the public.
The goal of this policy is to balance our respect for individuals with the need
to maintain a safe, productive, and drug-free environment. The intent of this policy
is to offer a helping hand to those who need it, while sending a clear message that
illegal drug use and alcohol abuse are incompatible with working at (Name of
Business).
It is a violation of our policy for any employees to possess, sell, trade, or
offer for sale illegal drugs or otherwise engage in the use of illegal drugs or
alcohol on the job.
It is a violation of our policy for anyone to report to work under the influence
of illegal drugs or alcohol -- that is, with illegal drugs or alcohol in his/her body.
It is a violation of our policy for anyone to use prescription drugs
illegally. (It is not a violation of our policy for an employee to use legally
prescribed medications, but the employee should notify his/her supervisor if the
prescribed medication will affect the employee’s ability to perform his/her job.)
Violations of this policy are subject to disciplinary action ranging from a
letter of reprimand, to suspension from work without pay, up to and including
dismissal.
It is the responsibility of our supervisors to counsel employees whenever they
see changes in performance or behavior that suggest that an employee has an alcohol
or other drug problem. Although it is not the supervisor’s job to diagnose the
employee’s problem, the supervisor should encourage such an employee to seek help
and tell him/her about available resources for getting help. Because all employees
are expected to be concerned about working in a safe environment, they also should
encourage their fellow employees who may have an alcohol or other drug problem to
seek help.
For More Information . . .
Additional sample policies from existing programs in a variety of industries
and settings may be obtained by calling the Center for Substance Abuse
Prevention’s (CSAP) Workplace Helpline 800-WORKPLACE.
Next Steps
Sure I’d do something if it didn’t take a lot of money. Who wouldn’t?
But right now I’m struggling just to provide my employees with a decent
health plan.
-Owner of a dry goods store in Vermont
A policy is only the first step. Here are some other steps you can take to become
better informed:
Ask owners and managers of other service-oriented businesses how they are dealing with
alcohol and other drug use in the workplace.
Talk with local business groups like the Chamber of Commerce to see what
kinds of drug-free workplace programs, policies, and resources they can
recommend. Many community-based coalitions have made drug-free
workplaces a high priority and have developed initiatives with local
chambers of commerce throughout the country.
Ask your health insurance agent about coverage for alcohol and other
drug-related problems for your employees and their family members.
Join with other employers who have already purchased employee assistance program
(EAP) services. Costs vary but are usually in the range of $15 to $25 per employee per
year.
Ask your employees for their input on the new program. One way to do this is
to hold a brown bag lunch for your employees to increase their awareness and
support for a drug-free workplace.
Call the health or human resource department of large companies in your
area. Seventy-five percent of large businesses (1,000 or more employees) are
doing something, including offering EAP services to their employees and their
family members, and many are willing to assist smaller businesses in addressing
the problem.
Find out what your community and business groups are doing to help prevent
alcohol and other drug problems in your community.
Elements of a Comprehensive Drug-Free Workplace Program
A clear, consistent policy.
Training for supervisors about the company’s program.
Education for employees about the company’s program and about the effects of AOD abuse.
Access to an employee assistance program.
Identification of illegal drug use, including a drug testing program, if appropriate.
You do not have to implement all of these elements at once, but you can take that
first step.
One Example of a Business Owner Taking Charge
Chamberlain Contractors is an asphalt paving company with approximately 70
employees, located in Laurel, Maryland. According to its president, Harold Green,
the company developed its EAP through the "back door" -- a safety awareness
program. In the late 1980’s the company had high workers’ compensation costs
and frequent vehicular accidents: in 1987, for example, the company’s workers’
compensation costs were $97,000. In 1991, those costs were $22,000, and the
company had gone for more than two years with neither a vehicular accident nor
an on-the-job injury. This dramatic drop corresponded to the establishment
of an EAP.
The company holds quarterly half-day meetings with all employees during which
safety and EAP issues are discussed. These meetings give employees the opportunity
to voice concerns and express their expectations of the EAP. According to Green, a
strong case can be made for the argument that EAPs save small businesses
money. Managers must support the program, and employees must play a strong
role in its development and implementation.
I think something as simple as signs saying "No use of drugs or alcohol
allowed" can make a difference. People obey "No smoking" signs, but
often they aren’t even aware of an alcohol or drug policy. -Organizer of drug-free workplace programs in Texas
For More Information . . .
Finding Solutions is a video that focuses on how to provide information to
employees, promote worker involvement in drug-free workplace programs, and build
on community linkages to prevent alcohol and other drug problems in the
workplace. Call NCADI at 800-729-6686 to request a copy. The cost of this video
is $12.50. NCADI accepts VISA of MasterCard, checks, and purchase orders (minimum
of $25). Ask for inventory number VHS07 when placing your order.
Common Concerns
Many owners of small businesses have a very small group health,
disability, or workers’ compensation plan. One or two people filing
claims can drive their costs way up. Bigger firms with larger profit
margins can handle it, but for a small employer it can be deadly.
-Manager of a company that provides security guards in California
What benefits will I see from setting up a drug-free workplace program?
Some of the benefits are economic. Employers frequently cite reductions in
workers’ compensation costs, for example. An effective program helps to cut back
on accidents, mistakes, and employee turnover. It can save an employer hundreds
or thousands of dollars every year. Other benefits are less tangible but just
as important; for example, an effective program can significantly improve the
climate of the workplace and employee morale.
What do I do if I am fairly sure an employee has an alcohol or other drug
problem?
Do not accuse the employee of having an alcohol or other drug problem. Address
the problem on the basis of the employee’s work performance and conduct. If you
have an alcohol and other drug policy in place, follow through on it objectively
and fairly for all employees. If you do not have a policy, you can stop the
employee from performing the job to protect the safety of other employees, the
public at large, or your company’s reputation. Call the CSAP Workplace
Helpline at 800-WORKPLACE to find out whether local, State, or Federal laws
apply to your situation.
I wanted to know what my rights were as opposed to the employee’s
rights. This business operates on a narrow profit margin. A lawsuit
from an employee could finish me.
-Owner of a convenience store in Massachusetts who learned about his
legal rights in a drug-related situation by consulting with a local EAP
consortium
Am I required to do drug testing?
The Federal Drug-Free Workplace Act does not require employers to do drug
testing. However, some Federal agencies, such as the Department of Transportation
and the Department of Defense, have specific drug-free workplace regulations
governing safety and security and many now require alcohol and other drug
testing.
If I do drug testing, how much is it likely to cost, and how do I find
a good drug testing laboratory?
Depending on the types of tests performed and number of substances being
tested for, drug testing costs between $20 and $50 per drug test. Drug testing
consortiums can help make drug testing services more affordable for smaller
businesses. Information about laboratories certified by the U.S. Department of
Health and Human Services may be obtained by calling the CSAP Workplace
Helpline at 800-WORKPLACE.
In retail establishment, one of the biggest problems caused by drug
users is petty theft. A lot of these employers believe you can get rid
of a troubled employee more easily than you can deal with the problem.
The only problem with that is the employer may face high turnover and
low morale as a result. That’s not good for business either. Beside,
if your salesperson is stoned all the time, it can drive away customers.
The cost of a substance abusers can put you out of business.
-Store manager in Wisconsin
What is an employee assistance program?
An EAP is a confidential service that helps employees deal with a variety of
personal problems that may be interfering with their work performance. Consulting
an EAP, as with any form of counseling, should be voluntary, although in many
cases managers and supervisors can strongly recommend that an employee seek
assistance from an EAP and tie this in with a performance evaluation. More
than ever before, EAP services are available to smaller businesses at affordable
costs.
EAPs aren’t just for alcohol and other drug abuse. Usually about 30
percent of the cases are directly drug-related. EAPs also deal with
personal, family, and financial problems. But when you scratch the
surface, you often find alcohol and other drugs are part of it. -CEO of a national EAP company
What is the role of supervisors and supervisor training?
Effective supervision is one key to a drug-free workplace program. One of the
most important considerations is the need to focus on job performance and avoid
attempting to become a counselor or diagnostician. Supervisors should be able to
recognize patterns of behavior that might indicate employee problems -- and be
prepared to refer employees to appropriate sources of help. Training for
supervisors is essential for an effective workplace program.
We train supervisors in the skill of constructive confrontation. We
make it clear they’ve got to document the employee’s job performance and
keep a running account of what’s wrong. Then they set up a letter of
objectives stating what’s wrong and how to make it better. The
performance of a nontroubled employee will improve rapidly, but an
employee with an alcohol or drug problem won’t be able to manage so
well. That’s when the EAP comes in. If the employee says, "Do I have
to go?" we tell the employer the best response is, "You’ll go if you’re
smart." You make them an offer they can’t refuse. -EAP director in suburban Maryland
For More Information . . .
CSAP operates a Workplace Helpline (800-WORKPLACE, 9 a.m.-8 p.m. Eastern Time,
Monday-Friday) staffed by drug-free workplace specialists who can answer many of
your questions and provide you with individualized technical assistance.
Appendix A
Hotlines and National Resources
WORKPLACE HELPLINE
1-800-WORKPLACE
Center for Substance Abuse Prevention
Technical assistance for employers and community organizations, including:
CSAP’S NATIONAL CLEARINGHOUSE FOR ALCOHOL AND DRUG INFORMATION
1-800-729-6686 (se habla espanol) 1-800-487-4889 (TDD)
Center for Substance Abuse Prevention
More than 10,000 items on alcohol and other drug abuse (at no cost) including
all the CSAP drug-free workplace resources materials mentioned in this pamphlet.
Drug-free workplace videotapes -- employer and employee versions.
U.S. Department of Labor’s Substance Abuse Information Database (SAID) on floppy
diskette providing information about drug-free workplace programs.
CENTERS FOR DISEASE CONTROL AND PREVENTION
1-800-458-5231
1-800-243-7012 (TDD)
Information, publications, and referral on HIV/AIDS in the workplace
U.S. DEPARTMENT OF TRANSPORTATION (DOT)
1-800-225-3784
202-366-3784
DOT drug-free workplace transportation regulations and guidance documents
U.S. SMALL BUSINESS ADMINISTRATION (SBA)
202-401-3784
Information from the SBA that can help you implement a drug-free workplace program.
EMPLOYEE ASSISTANCE PROGRAMS
Employee Assistance Professionals Association, (EAPA), Arlington, Virginia
703-522-6272
Employee Assistance Society of North America, (EASNA), Berkley, Michigan
810-545-3888
Professional association representing EAP providers
Information about EAPs
Referrals to available EAP resources
STATE ASSOCIATIONS
202-783-6868
National Association of State Alcohol and Drug Abuse Directors, Inc.
(NASADAD)
Referrals to your State Government’s Alcohol and Other Drug Agency
Appendix B
References
Center for Substance Abuse Prevention
1993 Promoting Health at Work - "Substance Abuse Prevention: It’s
Your Business." Rockville, MD: U.S. Department of Health and
Human Services.
Hartwell, T.D., M.T. French, F.J. Potter, P. Steele, G.A. Zarkin, F. Nathaniel
1994 Prevalence, Cost and Characteristics of Employee Assistance
Programs. Research Triangle Park, NC: Research Triangle Institute (in press).
National Highway Traffic Safety Administration
1994 Press Release, Secretary Federico Pena.
Washington D.C.: U.S. Department of Transportation.
Rice, D.P., S. Kelman, L.S. Miller, and S. Dunmeyer
1990 The Economic Costs of Alcohol and Drug Abuse
and Mental Illness. Washington D.C.:
U.S. Department of Health and Human Services.
Substance Abuse and Mental Health Services Administration
1993 National Household Survey on Drug Abuse: 1992.
Rockville, MD: U.S. Department of Health and Human Services.