dealing with addictions in the workplace march 2012
TRANSCRIPT
Dealing with addictions in the workplace
by Toronto Training and HR
March 2012
Contents3-4 Introduction to Toronto Training and HR5-6 Definitions7-9 Disregarding beneficial interventions10-11 Primary motivators12-13 Chronic pain14-15 Risk factors16-17 Treatments at the acute phase18-22 Recent cases23-24 Drugs25-26 The big five27-28 Job performance indicators29-30 The nature of addiction31-32 Continuum of substance use33-34 Causes of addiction35-37 Who is the substance abusing or
dependent employee?38-39 Signs and symptoms40-41 Workplace factors associated with higher levels of addiction42-43 Options available44-46 Legal drugs that can impair reaction time 47-48 Drug testing49-50 Conclusion and questions
Page 3
Introduction
Page 4
Introduction to Toronto Training and HR
• Toronto Training and HR is a specialist training and human resources consultancy headed by Timothy Holden
• 10 years in banking• 10 years in training and human resources• Freelance practitioner since 2006• The core services provided by Toronto Training and HR
are:- Training event design- Training event delivery- Reducing costs- Saving time- Improving employee engagement &
morale- Services for job seekers
Page 5
Definitions
Page 6
DefinitionsWhat is an addiction?
SubstanceSubstance useSubstance abuseSubstance dependence
Page 7
Disregarding beneficial interventions
Page 8
Disregarding beneficial interventions 1 of 2
50% of all medications are not taken as prescribedOnly 20% of people follow their doctor-recommended low-salt diet35% of deaths can be attributed to smoking, poor diet, inactivity and alcohol—behaviours that are well known to be unhealthy
Page 9
Disregarding beneficial interventions 2 of 2
Only 3% of the population routinely follows four primary healthy behaviours (not smoking, maintaining a healthy weight, being active and eating five servings of fruits and vegetables daily)
Page 10
Primary motivators
Page 11
Primary motivatorsPleasureAvoidance of pain
Page 12
Chronic pain
Page 13
Chronic painThe prevalence of chronic pain in the general population has been estimated at about 30%One in eight workers loses five hours per week of productive time (excluding missed days) from painReduced productivity while at work, combined with lost workdays, equated to $61.2 billion in estimated lost productivity for the U.S.
Page 14
Risk factors
Page 15
Risk factorsTRANSITION FROM ACUTE PAIN TO CHRONIC PAIN TO LONG-TERM DISABILITYFear-avoidanceCatastrophizing (focusing on negative outcomes)Other physical or mental health comorbiditiesLack of social supportJob dissatisfactionSubstance abuse Compensation status
Page 16
Treatments at the acute phase
Page 17
Treatments at the acute phase
DECREASE PAIN, INCREASE FUNCTION AND LESSEN DISABILITYMedical managementPatient educationNutrition counsellingPhysiotherapyBiofeedbackOccupational therapyPsychological counselling
Page 18
Recent cases
Page 19
Recent cases 1 of 4Syncrude v Donald (ALBERTA)
Page 20
Recent cases 2 of 4LOCKERBIE caseFactors the Court sets out to evaluate whether a company has an “employment” relationship with an individual under human rights laws, i.e., whether that person can sue for employment discrimination:The existence of another employer;Who controls and directs the work;Who pays the wages and does the payroll;
Page 21
Recent cases 3 of 4LOCKERBIE caseWho the individual perceives to be his employer; andThe extent to which the individual is part of your organization
Page 22
Recent cases 4 of 4Irving Pulp & Paper, Limited v. Communications, Energy and Paperworkers Union of Canada (NEW BRUNSWICK)
Page 23
Drugs
Page 24
DrugsBarbiturates and benzodiazepinesCocaine, methamphetamine and other stimulantsMarijuana and hashishNarcotics and opioids
Page 25
The big five
Page 26
The big fiveAlcoholCocaineGamblingMarijuanaSex
Page 27
Job performance indicators
Page 28
Job performance indicatorsGeneralLatenessAccidentsMoraleAbsenteeism
Page 29
The nature of addiction
Page 30
The nature of addictionPhysical factorsPsychological factorsSocial factorsSpiritual
Page 31
Continuum of substance use
Page 32
Continuum of substance useUseMisuseAbuseDependencyAddiction
Page 33
Causes of addiction
Page 34
Causes of addictionBiological predispositionSocial primingEarly childhood attachmentTrauma experiencesBio psychosocial model encompasses all elements and recognizes synergistic interaction between them
Page 35
Who is the substance abusing or dependent
employee?
Page 36
Who is the substance abusing or dependent
employee? 1 of 2The vast majority of substance dependentpeople hold down employmentMost of these people are not identified as having aproblem (est. 70% remain unnoticed)Have higher rates of absenteeism, presenteeism, accidents, illness and disability claimsCan make the workplace vulnerable to theft/fraudor costly mistakes
Page 37
Who is the substance abusing or dependent
employee? 2 of 2Often negatively impact morale amongst teams(“covering”)Contribute to higher rates of turnover amongst employeesMay impair the company reputation or “brand” ifaddiction is public
Page 38
Signs and symptoms
Page 39
Signs and symptomsObviousSubtle signsBehavioural and healthPerformance
Page 40
Workplace factors associated with higher
rates of addiction
Page 41
Workplace factors associated with higher rates
of addictionRepetitive jobs with little sense of control/inputWorking independently or with little directsupervisionCo-workers who condone or encouragesubstance useJobs that allow the employee to be highly mobileHigh stress jobs with no opportunity todebrief/receive supportLack of official policy or company position onsubstance use
Page 42
Options available
Page 43
Options availableThe substance abusing employeeThe dependent employeeFor all substance involved employees
Page 44
Legal drugs that can impair reaction time
Page 45
Legal drugs that can impair reaction time 1 of 2
Anti-anxiety medicationAmphetaminesBarbituratesStimulantsNarcotic pain medicationsBlood sugar medicines
Page 46
Legal drugs that can impair reaction time 2 of 2
AntidepressantsTranquilizersAnti-seizure medicinesSedativesMedicines containing alcoholAntihistamines
Page 47
Drug testing
Page 48
Drug testing ReasonablenessTesting prior to employment“For cause” testingTesting on a random basisWhat policies should containPolicy breaches
Page 49
Conclusion and questions
Page 50
Conclusion and questionsSummaryVideosQuestions