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Introduction
Background
The abuse of drugs and alcohol
is widespread in our society and affects us all in many ways. It contributes
to crime and to the costs of our already overburdened health care system
and financially strapped social welfare system.
A recent Gallup poll indicates
that public concern about the drug abuse problem remains high. According
to the poll, drug abuse rates second only to violent crime as the issue
Americans consider the most serious facing the nation. Ninety-four percent
of the respondents to the poll considered the problem a crisis
or serious. When explicitly asked about several issues, respondents
expressed greater concern about the drug problem than about health care,
the welfare system, the federal budget deficit, public education, societal
moral values, the economy and unemployment.
Although federal, state, and local
efforts have begun to show encouraging results, the problem of drug and
alcohol abuse remains a serious issue. We need to address the drug abuse
issue in all segments of our communities, especially the workplace. The
workplace is probably the only consistent arena where we have our adult
population as a captive audience and can influence their attitudes about
drugs and alcohol, provide information and resources to help them and
their family members, and intervene on behalf of those in need of help.
We know that adult drug users are
more likely to be employed than unemployed. According to the Department
of Health and Human Services 2001 National Household Survey released
in September 2002, almost 76.4 percent of all adult illicit drug users
were employed. Some other statistical highlights from the survey show
that in an average month:
22 million Americans engaged
in binge drinking
15.9 million Americans were current
users of illicit drugs;
12 million Americans were current
users of marijuana;
1.7 million Americans were current
users of cocaine;
12.9 million Americans had five
or more drinks per occasion, five or more times a month.
According to the Department of
Labor, the annual cost to American employers of on-the-job substance
abuse is estimated to be one hundred billion dollars ($100,000,000,000).
This figure includes lost productivity, theft, accidents, and additional
health-care costs. Studies reported by the Institute for a Drug-Free
Workplace show:
Of all workplace drug users who
test positive, 52 percent are daily users;
Employees who test postive for
drugs were 60 percent more likely to be responsible for plant accidents,
use a third more sick leave, and have many more unexcused absences;
One national automobile manufacturer
reports that drug-using employees averaged 40 days of sick leave each
year, compared with 4.5 days for non-users;
The state of Wisconsin estimates
that expenses and losses related to substance abuse average 25 percent
of the salary for each worker affected.
A study conducted from by the
U.S. Postal Service provided conclusive evidence that drug using employees
perform poorly compared to non-using employees. During the study period,
the Postal Service hired job applicants regardless of whether they passed
or failed their drug tests. The two groups of employees (those who failed
the drug tests and those who passed) were then closely monitored. The
results indicated that employees who tested positive for marijuana had
55 percent more industrial accidents than the group of non-using employees.
They also had 85 percent more injuries, a 55 percent greater discipline
rate, and a 78 percent increase in absenteeism. For the cocaine-positive
group, absenteeism was l45 percent higher and there were 85 percent more
injuries.
Drug and alcohol abuse is a bottom-line
issue for employers, and no workplace is immune to it. Employers have
a vested interest in eliminating the problem. Recognizing the importance
of protecting their bottom lines against drug and alcohol abuse, employers
have begun implementing drug-and-alcohol-free workplace programs. The
impetus for these programs has grown tremendously in the past few years.
They have spread from the federal government and large corporations to
small and medium-sized businesses. In addition, the expansion of private-sector
programs has been driven by several mandates: Department of Transportation
and Nuclear Regulatory Commission regulations for those industries; Department
of Defense regulations for their contractors; the Drug-Free Workplace
Act of 1988, requiring many federal grantees and contractors to provide
drug-free workplaces; and several State Workers Compensation insurance
incentives.
Details
These guidelines intend to prevent
substance abuse among the workforce and within the workplace, and where
a problem may exist--to encourage those who abuse drugs and/or alcohol
to seek help in overcoming their problem. Toward this end, these guidelines
provide a full continuum of substance abuse education, prevention, intervention
and treatment resources and include:
a policy statement;
an employee orientation and drug-awareness education program and
supervisor training;
an employee assistance program, including intervention and treatment
referral components;
information about drug testing;
information about legal issues;
information about compliance with federal and state mandates; and
resources to assist employers in maintaining a drug-and-alcohol-free
workplace.
For the purposes of these guidelines, drug abuse is defined as
any activity involving illegal drugs,

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