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© 2019 National Safety Council

Drugs in Your Workplace?What You Need to Know

Julian Hoffman

Senior Government Affairs Manager

National Safety Council


PREVENTABLE

DEATHS

ELIMINATINGIN OUR LIFETIME,

WE ARE COMMITTED

TO


ONE PREVENTABLE

DEATH OCCURS

EVERY


Drug Overdose Deaths of Working Age Population

Ages 15-64

All other ages

95%


Opioids At Work Employer Survey Takeaways –2019

75% of employers

have been impacted by

employee opioid use


Opioids At Work Employer Survey Takeaways – 2019

Only 19% say they are

entirely prepared to deal

with opioid use in the

workplace


Opioids At Work Employer Survey – 2019

West

North

South

East

21%

26%

17%

36%

Region

Industry

Industrial(Manufacturing (21%), Construction (11%), Transportation &

Warehousing (7%), Utilities (5%), Mining & Oil & Gas Extraction (2%))

45%

Public & Social Services(Health Care & Social Assistance (10%), Education (7%), Public

Administration (6%), Accommodation & Food Services (2%))

24%

Professional Services(Prof., Scientific & - Technical Services (8%), IT (4%), Finance &

Insurance (3%), Real Estate (2%), Telecommunications (1%))

18%

Retail & Wholesale(Retail Trade (3%), Wholesale Trade (2%))

6%

Other(Agriculture (2%), Waste (2%), Non-Profit (2%), Arts, Entertainment &

Recreation (1%), Building Services (1%))

7%

526Employers with decision

making authority about

opioid-related issues/policies.

Organization Size

14%

24%

15%19%

28%

50 to 99 employees 100 to 249 employees 250 to 499 employees 500 to 1,000 employees Over 1,000 employees


11% 13% 16% 19% 19% 24% 26%

50% 47% 42% 42%49%

32%

48%

38% 39% 40% 39%30%

43%

23%

I Don't Know Not a Concern Minor Concern Major Concern

Concern Regarding Substances In The WorkplaceOpioids Are Among The Most Concerning Substances To Employers

Q8. How concerned are you about each of the following substances having a negative impact on your workforce?Base: 526 | All Respondents

88% 86% 83% 80% 79% 74% 71%

Total

Concern

AlcoholPrescription

opioids

Other illicit

drugs

Marijuana /

Cannabis

Anti-anxiety

medications

Heroin /

Fentanyl

Prescription

Stimulants


Workplace Incidents Related To Opioid Usage

Q11. Which of the following are you aware of having occurred in your workforce? All information is kept strictly confidential.

Base: 526 | All Respondents

Three Quarters Of Employers Have Experienced The Effects Of Opioid Usage

37%

37%

30%

30%

22%

18%

18%

18%

17%

14%

8%

25%

Positive drug test results for illicit opioid use

Legal employee use of opioid pain relievers at work

Family member of employee affected

Absenteeism or missed work

Impaired or decreased job performance

Arrest (on/off job)

Illicit employee use of opioids at work

Complaints to HR or negative impact on morale

‘Near miss’ or injury

Borrowing or selling opioids at work

Opioid overdose

None of the above

75%… have been affected in some way

by employee use of opioids

38%… have experienced absenteeism or

impaired worker performance

31%… have experienced a near-

miss/injury, overdose or arrest

Facts about the impact of

opioids on US Employers


Key Findings – Balanced Team Approach

Different job roles impact perception of opioids in the workplace.

Recommendation: when developing policies and programs to address opioids in the workplace, representatives from all three teams –management, HR, and safety – should be equally represented to identify areas of concern for the organization.


Key Findings – Legal Opioids ConfuseEmployers do not

understand how to

address legal opioid

use. Employers who

see legal opioid use

as a sign of addiction

consider themselves

better prepared, yet

this attitude is

concerning.


Although employers indicate high interest in prevention options, 2 in

5 employers have not taken any of these actions.

Recommendation: discuss alternative pain management options with

patients to empower them to make safe, healthy decisions.

Key Findings – Prevention Options


Employers and Treatment for OUD

• Employers are uncertain how to navigate treatment for opioid use disorder via their health insurance.

• Barriers exist to providing full coverage of all options. 40% of employers have not tried to increase access to treatment, and those who have experienced barriers.

• Employers do not seem to understand that the duration of treatment can vary dramatically from a medical standpoint, impacting return to work policies.


Key Findings – OUD Treatment

Employers are uncertain how to navigate treatment for opioid use disorder via their health insurance.


Key Findings – OUD Treatment Options

Barriers exist to providing full coverage of all options. 40% of employers have not tried to increase access to treatment, and those who have experienced barriers such as those mentioned here.


Key Takeaways – 2019

76%don’t train employees

to identify signs of misuse.


Response To Substance MisuseDifferent Drugs Lead To Different Reactions Among Employers

Ignore the problem 10% 9% 5% 4% 14% 4% 3% 2% 1%

Return them to position after

treatment41% 39% 39% 44% 27% 31% 25% 25% 22%

Ensure they are carefully

monitored for rest of employment31% 31% 26% 24% 27% 16% 17% 15% 17%

Relocate to position of lesser

responsibility9% 8% 8% 5% 7% 6% 6% 4% 5%

Dismiss them 9% 13% 21% 23% 24% 43% 49% 54% 55%

Prescription

OpioidsAlcohol

Prescription

Stimulants

Benzo-

diazepines

Legal

Marijuana

Illicit

MarijuanaIllicit

Opioids

Heroin,

FentanylOther Illicit

Drugs


Key Findings – Return To WorkEmployers do not seem to understand that the duration of treatment

can vary dramatically from a medical standpoint.


Defining Recovery

“People can and do recover. Recovery from substance use disorders has had several definitions. Although specific elements of these

definitions differ, all agree that recovery goes beyond the remission of symptoms to include a positive change in the whole person. In this

regard, “abstinence,” though often necessary, is not always sufficient to define recovery. There are many paths to recovery. People will choose their pathway based on their cultural values, their psychological and behavioral needs, and the nature of their substance use disorder.”

-Jerome Adams, Surgeon General of the United States


Recovery Friendly Workplaces

• Recognizes recovery as a strength, and intentionally embracing andhiring people in recovery

• Safe, healthy, and supportive space for employers and employees inrecovery, and employers and employees who aren’t in recovery


Substance Use Cost Calculator

An easy-to-use toolproviding businessleaders with specificinformation about thecost of substance use intheir workplace based onsize of employee base,industry and state.


Workers Comp

http://safety.nsc.org/workerscomp

http://safety.nsc.org/workerscomp


Warn Me LabelsEmployers order these labels to hand out in their workforce. Thisprovides a platform to initiate a conversation with employees.


The Warning Label


OPIOIDS AT WORK EMPLOYER TOOLKIT

The Opioids At Work Employer Toolkit is a free resource NSC developed to take employers step by step as they navigate through the opioid crisis.

The full version of the Employer Toolkit is due to be released in September 2019.


Employer Toolkit – Update Coming Soon

Contents will include:

• Clear policies

• Employee Education

• Supervisor Training

• Employee Assistance Program (EAP)

• Drug Testing


KEY STEPS FOR EMPLOYERS

• Support from senior leadership is essential

• Engage and educate your workforce

• Pay attention to workforce needs- data surveillance

• Increase depth of healthcare plans and PBM programs


KEY STEPS FOR EMPLOYERS

• Increase positive and stigma free work culture

• Engage HR for passionate & comprehensive polices

• Create a safe work environment

• Engage managers and supervisors


[email protected]@NSCSafety

NSC.org

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