{"id":4065,"date":"2018-06-28T15:26:35","date_gmt":"2018-06-28T19:26:35","guid":{"rendered":"https:\/\/www.healthadvocate.com\/site\/?p=4065"},"modified":"2020-01-14T17:11:38","modified_gmt":"2020-01-14T22:11:38","slug":"employers-must-be-aware-of-drug-abuse","status":"publish","type":"post","link":"https:\/\/www.healthadvocate.com\/site\/article\/employers-must-be-aware-of-drug-abuse","title":{"rendered":"Employers must be aware of drug abuse"},"content":{"rendered":"<p><strong>By Chrstine Hansen | <em>The Daily Record <\/em>(Md.)<br \/>\n<\/strong><\/p>\n<p>In a 2017 survey conducted by the National Safety Council, a nonprofit organization dedicated to eliminating preventable deaths at work, more than 70 percent of employers in the U.S. have been impacted by prescription drugs. The prescription drug epidemic in the U.S. is far-reaching, and costs organizations billions of dollars each year. Yet, only 19 percent of employers feel extremely prepared to deal with prescription drug misuse, according to the survey.<\/p>\n<p>Navigating Maryland laws regarding drug abuse is somewhat tricky, says Brian Markovitz, a Beltsville-based labor and employment attorney at Joseph, Greenwald &amp; Lake. While Markovitz largely focuses on helping victims who have suffered severe injustice in the workplace, he says when it comes to drug abuse in the workplace, employers should take immediate action.<\/p>\n<p>\u201cIf you have anyone abusing drugs, you fire them. If they are currently abusing drugs, you can\u2019t have someone working there. You just don\u2019t know what they will do,\u201d Markovitz says. Under current Maryland law, employers can drug test their employees, as long as it is a \u201clegitimate business reason.\u201d The law dictates the procedures for testing, confidentiality and other procedures. However, the Americans with Disabilities Act has provisions that may protect workers who have been rehabilitated or in recovery.<\/p>\n<p>\u201cYou cannot discriminate against anyone because they used to be a drug abuser,\u201d says Markovitz. \u201cIf they have a history, and they are rehabilitated, they are protected by the ADA.\u201d Markovitz says the courts are not super clear on what constitutes being in recovery or rehabilitated, especially how long of a period an employee has not been on drugs. That\u2019s why he says it needs to be addressed on a case by case basis. Employers also have to keep liability in mind.<\/p>\n<p>\u201cThese drugs in particular are so addictive, and it takes a certain amount of income to keep getting these drugs. Sometimes people are so desperate, they will do things you don\u2019t want,\u201d Markovitz says.<\/p>\n<p>Bert Alicea, a licensed psychologist and vice president of employee assistance programs at West\u2019s Health Advocate Solutions says employers should not only make their drug policies clear, but to also make all resources \u2013 wellness programs and services \u2013 easily available so employees know how and where to access them.<\/p>\n<p>He and his colleague, Dr. Raffi Terzian, a board-certified emergency physician, senior vice president of clinical operations and senior medical director at Health Advocate, recently presented at the Society for Human Resource Management\u2019s annual conference on the topic of opioids and the workplace.<\/p>\n<p>\u201cA lot of attention has been placed on the opioid crisis and it\u2019s a critical public health problem \u2013 specifically, prescription opioid use, misuse and abuse,\u201d Terzian says.<\/p>\n<p>Alicea and Terzian recommend employers develop clear guidelines on their drug policies. Eighty-one percent of employers lack a comprehensive drug-free workplace policy, according to the National Safety Council survey. That shouldn\u2019t prevent employers from developing guidelines says Alicea. The U.S. Department of Transportation has one of the best.<\/p>\n<p>\u201cDOT\u2019s guidelines really are the gold standard of guidelines. It includes clear policies on testing and is a legal- and federally-mandated policy,\u201d Alicea says.<\/p>\n<p>What makes the Department of Transportation\u2019s drug testing policy stand out is its inclusion of the testing of opioids. According to the National Safety Council\u2019s survey, 41 percent of those who drug test all employees are not testing for synthetic opioids at all.<\/p>\n<p>Recognizing the signs of opioid use and abuse are key. Employers should provide training programs for managers and supervisors and provide a safe anonymous place for all staff to report potential issues.<\/p>\n<p>\u201cTurn this from an \u2018I\u2019 issue into a \u2018we\u2019 issue. It takes a village \u2013 not just the chief \u2013 to raise levels of awareness,\u201d Alicea says.<\/p>\n<p>Alicea believes employers should, in addition to substance abuse training, consider adding \u201creasonable suspicion\u201d training for managers and supervisors. This training prepares supervisors on how to appropriately and effectively identify possible substance abuse in the workplace, and what to do when they suspect it. Reasonable suspicion training also helps mitigate potential liability for companies. While slurred speech, staggering walk, lack of concentration and sleepiness may be signs of substance abuse or misuse, there may be other signs an employee is struggling, such as excessive tardiness or absences.<\/p>\n<p>Overall, an ounce of prevention is worth a pound of cure, says Marc Engel, a Bethesda-based partner and employment attorney at Lerch Early Brewer. Engel represents for-profit and nonprofit employers in employment claims, and with more than 30 years of litigation and counseling experience, is a sought-after speaker on employment issues.<\/p>\n<p>\u201cEmployers need to be careful. It\u2019s a delicate balance of empathy for an employee versus taking appropriate steps to ensure an employee\u2019s actions do not harm them or others in the workplace,\u201d he says.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Chrstine Hansen | The Daily Record (Md.) In a 2017 survey conducted by the National Safety Council, a nonprofit organization dedicated to eliminating preventable deaths at work, more than 70 percent of employers in the U.S. have been impacted by prescription drugs. The prescription drug epidemic in the U.S. is far-reaching, and costs organizations [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":3559,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[5],"tags":[93,60,92,48,49],"class_list":["post-4065","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-article","tag-bert-alicea","tag-opioids","tag-raffi-terzian","tag-shrm","tag-society-of-human-resource-management"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.9 (Yoast SEO v26.9) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\r\n<title>Employers must be aware of drug abuse | Health Advocate<\/title>\r\n<meta 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