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DRUG-FREE SAFETY PROGRAM
EMPLOYEETRAINING 2019
PRESENTER: DR. MARTINA MOORE, PH.D., LPCC-S,
LICDC-CS, CEAP, SAP
Drug-Free Safety Program
EmployeeTraining Course
Benefits
â€ĸ The Drug Free Safety Program (DFSP) is
designed to reduce the risk of workplace
accidents and injuries attributed to use of alcohol
and other drugs.
â€ĸ The DFSP can help employers achieve both long-
range safety and cost-saving benefits.
Impact of Drug Abuse on Safety
â€ĸ Accidents
Users are three to four times
more likely to have an accident
on the job, and five times more
likely to file a workers’
compensation claim
â€ĸ Medical Claims
Substance users file 300
percent to 400 percent more
costly medical claims
Impact of Drug Abuse on Safety
Absenteeism
Users are absent an average of three weeks or more
per year and are tardy three times more often than
non-users
Why DoYou Need A
Drug Free Safety Policy?
â€ĸ Productivity — Substance
users are 33 percent to 50
percent less productive
â€ĸ EmployeeTheft — An
estimated 50 percent to 80
percent of all pilferage, theft
and loss is due to substance-
using employees
Benefits of a Drug Free Safety Workplace
â€ĸ Promotes wellness
â€ĸ Ensure employees are aware of dangers
â€ĸ Preserve investor or shareholder interest
â€ĸ Increase employee moral, motivation and productivity
â€ĸ Result in better customer services
Substance Use Disorder: Using a substance to
modify or control mood or state of mind in a manner
that is illegal or harmful to oneself or others.
Potential consequences of disorder include:
ī‚§ Accidents or injuries
ī‚§ Blackouts
ī‚§ Legal problems
ī‚§ Poor job performance
ī‚§ Family problems
ī‚§ Sexual behavior that increases the risk of HIV
infection
What is Substance Use Disorder?
Substance Use Disorder
Definition
â€ĸ Patterns of using that give rise to health problems,
marital, social, financial, legal or any other area of life.
â€ĸ A disease that is characterized by abnormal seeking
and consumption of drugs that leads to a lack of
control over using the drug.
Substance Use Disorder
Facts
ī‚•Patterns of using that give rise to health problems, marital, social,
financial, legal or any other area of life.
ī‚•Repeated use in situations that are physically hazardous – like
drinking and driving
ī‚•When a person has recurrent legal problems such as arrest for
disorderly conduct
Substance Use Disorder
Effects
ī‚•People who suffer from Substance Use Disorder often have ongoing
social, work and interpersonal issues.
ī‚•Disorders make this problem worse and can cause even more problems
with others causing:
ī‚•Verbal arguments
ī‚•Physical fights
ī‚•Alienation
Real Facts:
Alcohol
Americans die from alcohol poisoning each day -
Death rate is highest among men 45-54
Alcohol poisoning deaths are concentrated
among middle aged adults
22 million Americans engage in binge drinking
Binge drinking (women 4 or more, men 5 or
more) can result in death
2,221 Americans died in 2010-2012 from Binge
Drinking
According to the Department of
Labor: More than 14 percent of
Americans employed full & part-
time report heavy drinking - five
or more days in the past 30 days.
Unfortunately – Drinking is much
more common in the workplace
than ever before
Real Facts:
Alcohol
According to the Center for Disease Control:
Of all workplace drug users - 52% are daily users
ī‚§ 12 million Americans use marijuana
ī‚§ 1.7 million Americans use cocaine
ī‚§ Drug-using employees are 2 times more likely to
request early dismissal or time off
ī‚§ Drug- using also are 2.5 times more likely to have
absences of eight days or more
ī‚§ Three times more likely to be late for work
Real
Facts:
Substance
Employees who test positive for drugs are 60%
more likely to be responsible for:
ī‚§ Accidents
ī‚§ Use more sick time
ī‚§ Have more unexcused absences
Real
Facts:
Drug Use
Annual cost to employers of on-the-job substance
use is estimated to be
One hundred billion dollars
$100,000,000,000
Due to:
ī‚§ Lost productivity
ī‚§ Theft
ī‚§ Accidents
Real
Facts:
Cost
Getting Clean & Sober is. . .
â€Ļâ€Ļâ€Ļ.Easier said than done!
ī‚§ Most people don’t quit using alcohol or drugs
overnight
ī‚§ Getting sober is a gradual process that can take
weeks, months or even years
ī‚§ Many people struggle with lapses and relapses
throughout the course of their recovery journey
Getting
Clean &
Sober
There are certain steps that anyone struggling
with an addiction must take to quit including:
ī‚§ Committing to quitting
ī‚§ Determining and setting goals
ī‚§ Choosing a treatment plan
ī‚§ Getting support during treatment
ī‚§ Planning to live an addiction-free life
LET’STALK ABOUT DRUGSâ€Ļâ€Ļ..
Commonly Used Drugs
ī‚§ Cocaine
ī‚§ Marijuana
ī‚§ Marinol
ī‚§ Opiates
ī‚§ Narcotics
ī‚§ Amphetamines
ī‚§ Methamphetamine
ī‚§ Barbiturates
ī‚§ Benzodiazepines
ī‚§ Synthetics
ī‚§ Alcohol
ī‚§ Sizzurp/Purple
Drank/Lean
ī‚§ Krokodil
COMMONLY USED DRUGS
COCAINE
ī‚§ Coke
ī‚§ Crack
ī‚§ C
ī‚§ Candy
ī‚§ Blow
ī‚§ Britney
ī‚§ Flake
ī‚§ Powder
ī‚§ Rock
ī‚§ Snow
ī‚§ Nose Candy
Street Names for CocaineCommonly
Used Drugs:
Cocaine
Physical Effects of Cocaine
ī‚§ Constrict
blood vessels
ī‚§ Dilate pupils
ī‚§ Increase body
temperature
ī‚§ Increase heart
rate & blood
pressure
ī‚§ Cause
headaches
Physical Effects
ī‚§ Restlessness
ī‚§ Anxiety, panic & paranoia.
ī‚§ Body and muscle tremors
ī‚§ Blurred vision and vertigo and light sensitivity
ī‚§ Seizures
ī‚§ Comas
ī‚§ Death
All effects can occur on first use
Commonly
Used Drugs:
Cocaine
COMMONLY USED DRUGS:
CANNABINOID MARIJUANA
Street Names for
Cannabinoid I Marijuana
ī‚§ Joint
ī‚§ Wet
ī‚§ Weed
ī‚§ Brownies
ī‚§ Trees
ī‚§ Dope
ī‚§ Hydro
ī‚§ Mary Jane
ī‚§ THC
ī‚§ Chronic
ī‚§ Cush
ī‚§ Pot
ī‚§ Hydro
ī‚§ Blunt
Commonly
Used Drugs:
Cannabinoid
Marijuana
Commonly Used Drugs:
Cannabinoid Marijuana
īļ Marijuana is usually smoked as a cigarette (joint) or in a
pipe.
īļ It is also smoked in blunts, which are cigars that have
been emptied of tobacco and refilled with a mixture of
marijuana and tobacco.
īļ Blunts allow for marijuana's active ingredients with
nicotine and other harmful chemicals.
īļ Marijuana can also be mixed in food or brewed as a tea.
īļ Marijuana smoke has a pungent and distinctive, usually
sweet-and-sour odor.
Effects on Daily Life
ī‚§ Research clearly demonstrates that marijuana
has the potential to cause problems in daily life
or make a person's existing problems worse.
ī‚§ Several studies associate workers' marijuana
smoking with increased absences, tardiness,
accidents, workers' compensation claims, and
job turnover.
Commonly Used Drugs: Cannabinoid Marijuana
Physical Effects of Marijuana
ī‚§ Impaired Memory
ī‚§ Animated behavior
ī‚§ Bloodshot eyes
ī‚§ Lack of coordination
ī‚§ Loud talking
ī‚§ Euphoria (relaxation)
ī‚§ Hallucinations
ī‚§ May cause cancer
Commonly
Used Drugs:
Cannabinoid
Marijuana
COMMONLY USED DRUGS:
MARINOL/MEDICAL MARIJUANA
What is Marinol/Medical Marijuana?
ī‚§ Marinol is often called “the medical
marijuana”
ī‚§ Marinol is a member of the family of drugs
known as cannabinoids
ī‚§ Its chemical composition is similar to that
of tetrahydrocannabinol (THC), the active
ingredient in marijuana
Commonly
Abused
Drugs
Marinol/Medical
Marijuana
ī‚§ Is produced as capsules or as a powder
ī‚§ Marinol capsules are red, white, and orange in
color and are circular shaped
ī‚§ Capsules are typically 2.5mg, 5mg, or 10mg and
bear the imprint of a “UM” or “RL”
ī‚§ The powder form is white in color and is similar,
in appearance, to cocaine and
methamphetamine.
Commonly
Abused
Drugs
Marinol/Medical
Marijuana
What is Marinol/Medical
Marijuana?
â€ĸLegal Uses
â€ĸ Cancer/Chemotherapy -Treats symptoms of nausea
and vomiting after other medications are proven
ineffective
â€ĸ HIV/AIDS – Sometimes prescribed as an appetite
stimulant
â€ĸ THC stimulates the appetite and reduces
nausea/vomiting by binding to special receptors
found in the central nervous system
Commonly Abused Drugs :
Marinol/Medical Marijuana
ī‚§ Abdominal Pain
ī‚§ Dizziness
ī‚§ Drowsiness
ī‚§ Nausea/Vomiting
ī‚§ Euphoric
“marijuana like
high”
ī‚§ Elevated or
Relaxed Mood
ī‚§ Trouble
concentrating
ī‚§ Decreased
Coordination
ī‚§ Confusion
ī‚§ Head Ache
ī‚§ Unusual tiredness or
weakness
Commonly
Abused
Drugs
Marinol/Medical
Marijuana
Physical Effects
Severe Side Effects
ī‚§ Abnormal thinking
ī‚§ Behavioral changes
ī‚§ Fast or irregular
heart beat
ī‚§ Hallucinations
ī‚§ Memory problems
ī‚§ Severe allergic
reactions
ī‚§ Depression
ī‚§ Seizures
ī‚§ Vision changes
ī‚§ Severe dizziness
ī‚§ Severe mood
changes (feelings
of anxiety
ī‚§ Panic
ī‚§ Parinoia
Commonly
Abused
Drugs
Marinol/Medical
Marijuana
Is Marijuana Harmless?
â€ĸ Marijuana is the most widely used
illegal drug.
â€ĸ More young people go into treatment
for marijuana use than for all other
illegal drug use combined.
â€ĸ Marijuana use affects nearly every
organ system in the body. It can have
a profound impact on people’s
education, employment, and personal
life.
Matrix IOP 10-38
Marijuana
FACTS
â€ĸMarijuana is a controlled substance, like heroin and LSD.
â€ĸMarijuana (except for medical use) has been illegal in the
United States since 1937.
â€ĸMarijuana is a schedule one drug.
Marijuana: Short-Term Effects
While Under
Influence:
ī‚§ Relaxed, euphoric
feelings
ī‚§ Increased heart rate
ī‚§ Poor balance and
coordination
ī‚§ Slow reaction time
ī‚§ Disorientation
ī‚§ Panic
After Effects:
ī‚§ Sleepiness
ī‚§ Depression
ī‚§ Distrust
10-40
Marijuana and Driving
Marijuana is a factor in many fatal car crashes.
Driving ability is impaired for hours even after the high fades.
Rebuttable Presumption
The law specifies that marijuana is
covered under “rebuttable
presumption.”
In general, this means that an
employee whose injury was the result
of being intoxicated or under the
influence of marijuana is not eligible
for workers’ compensation.
Rebuttable Presumption
This is the case regardless of whether the
marijuana use is recommended by a
physician.
While the law does not specifically
address reimbursement for medical
marijuana recommended for injured
workers, Ohio law already has rules and
statutes in place that limit what
medications are reimbursable by BWC.
The law specifies that marijuana is
covered under “rebuttable presumption.”
Ohio BWC
â€ĸ The administrator of workers' compensation may still
grant rebates and discounts on premium rates to employers
that participate in a drug-free safety program.
â€ĸ An employer maintains the right to defend against
workers' compensation claims where use of medical
marijuana contributes to or results in injury. (Rebuttable
Presumption)
Employers
Rights
â€ĸ Employers are not required to permit or
accommodate an employee's use, possession, or
distribution of medical marijuana.
â€ĸ Employers could still maintain drug-free safety
policies, and patients fired for marijuana use would
be ineligible for unemployment compensation.
â€ĸ Employees cannot sue employer for an adverse
employment action.
Positive Results
If someone takes a prescribed medication for a valid medical condition, MRO
may review that as negative and person likelyADA protected
Not true for Marijuana. Positive is still positive even with a prescription
Under the new Ohio law, employers have the option to prohibit medical
marijuana use or to treat medical marijuana similar to the way they treat the
use of legally prescribed drugs.
Drug Free Safety Policy
Your company has the right in its Drug Free Safety Policy to
determine if medical marijuana will be considered with the
following two options:
Two options:
Option A: No tolerance
Option B: Treat as they would other
prescribed medications and/or narcotics
COMMONLY ABUSED
DRUGS
OPIOIDS
Opiates
ī‚§ Depressants
ī‚§ Short Acting
ī‚§ Intense High
ī‚§ Mimics Dopamine
Commonly
Abused
Drugs:
Opiates
Street Names for Opiates
ī‚§ Opium
ī‚§ Heroin
ī‚§ Fentanyl
ī‚§ Codeine
ī‚§ Oxycodone
ī‚§ Hydrocodone
ī‚§ Morphine
ī‚§ China
Commonly
Abused
Drugs:
Opiates
How are Opioids Abused?
ī‚§ Opioids can be taken orally, or the pills
may be crushed and the powder
snorted or injected.
ī‚§ Overdose deaths have resulted from
slow-release Oxycontin when injected.
ī‚§ Injection and snorting allows for rapid
release into the bloodstream and is too
difficult to counteract potential
overdose.
COMMONLY ABUSED
DRUGS
HEROIN
Ohio
Statistics
Heroin
Heroin
â€ĸ According to the Centers for
Disease Control and Prevention
Ohio had the second-highest
number of drug overdose deaths
nationwide in 2014.
â€ĸ In March of 2016, 60 minutes
reported that 23 people on average
in Ohio are dying from heroin
overdoses weekly.
Heroin
â€ĸ Heroin is an opiate drug that is
synthesized from morphine.
â€ĸ A bag contains 100mg of powder, only a
portion of that is heroin.
â€ĸ Pure heroin is a white powder with a bitter
taste.
â€ĸ Today, heroin is more pure (95%) making
it more addictive and more deadly.
Heroin (continued)
ī‚§ Heroin can be injected, snorted/sniffed, or
smoked—routes of administration that rapidly
deliver the drug to the brain.
ī‚§ Heroin abuse is associated with serious health
conditions, including fatal overdose,
spontaneous abortion, and—particularly in
users who inject the drug—infectious diseases,
including HIV/AIDS and hepatitis.
ī‚§ Mixing heroin, pain meds, cocaine,
amphetamines, alcohol, or benzos can result in
lethal overdose.
Commonly
Abused
Drugs:
Heroin
Medication
Assisted
Treatment
(MAT)
Methods:
ī‚§ Methadone
ī‚§ Suboxone
ī‚§ Vivitrol
ī‚§ Agonist - activates opioid receptors.
ī‚§ Abuse of methadone is possible.
ī‚§ Addicts may alternate between opioids and
methadone or sell their excess take home
supply.
ī‚§ Methadone treatment follows structural
procedures such as required daily visits.
ī‚§ Methadone treatment should be considered a
longer term treatment because there is a high
probability in relapse to opioids if ending
treatment in less than a year.
Medication
Assisted
Treatment
Methadone
Medication AssistedTreatment (MAT)
ī‚§ Partial agonist - activates opioid receptors but
produces a diminished response.
ī‚§ Taking this with central nervous system
depressants such as alcohol, sedatives and
tranquilizers is really dangerous.
ī‚§ This can even be more addictive than opiates
that patients are trying to become freed from.
ī‚§ Although it does not have similar narcotic
effects that some opiates have, it does have a
lightly nostalgic and calming opiate euphoric
effect.
Medication
Assisted
Treatment
Suboxone
Medication AssistedTreatment (MAT)
ī‚§ Antagonist – blocks opioid receptors interfering
with the reward effects.
ī‚§ Naltrexone blocks the euphoric and sedative
effects of drugs such as heroin, morphine, and
codeine.
ī‚§ It works differently in the body than
buprenorphine and methadone, which activate
opioid receptors in the body that suppress
cravings.
ī‚§ Naltrexone binds and blocks opioid receptors,
and is reported to reduce opioid cravings.
ī‚§ There is no abuse and diversion potential with
naltrexone.
Medication
Assisted
Treatment
Vivitrol
Naltrexone
Medication AssistedTreatment (MAT)
Commonly
Abused
Drugs
Amphetamines
â€ĸStimulant
â€ĸShort Acting
â€ĸIntense High
â€ĸMimics Dopamine
Street Names for Amphetamines
ī‚§ Uppers
ī‚§ Speed
ī‚§ Meth
ī‚§ Crank
ī‚§ Crystal
ī‚§ Rippers
ī‚§ Dexies
ī‚§ Black Beauties
ī‚§ Oranges
ī‚§ Snap
ī‚§ Truck Driver
ī‚§ White Cross
ī‚§ Bath Salts
Commonly
Abused
Drugs
Amphetamines
ī‚§ In the “fight or flight” response to stress, the
adrenal glands, produce the hormone
adrenaline.
ī‚§ Making a person feel stimulated and ready
to either fight or run.
ī‚§ Amphetamines are chemically similar to
adrenaline.
ī‚§ They are used for alertness, excitation,
euphoria, and to suppress appetite.
How they work?Commonly
Abused
Drugs
Amphetamines
Severe Physical Effects
ī‚§ Loss of Appetite
ī‚§ Anxiety
ī‚§ Irritability
ī‚§ Rapid Speech
ī‚§ HandTremors
ī‚§ Mood Elevation
Commonly
Abused
Drugs
Amphetamines
The Dangers
ī‚§ Over the course of time and abusers of
amphetamines will develop tolerance,
and have to use increasing amounts to try
to bring about the same effects.
Over the Rainbow
ī‚§ Judy Garland was taking 40 Ritalin tabs a
day in 1968. TheWizard of Oz star died of
a drug overdose on June 15, 1969.
Commonly
Abused
Drugs
Amphetamines
Uses
ī‚§ Many stimulant drugs have a calming
affect in children and adults who suffer
from ADD or ADHD if taken in small
doses.
ī‚§ In children, amphetamines can help
focus attention and control
hyperactivity.
Commonly
Abused
Drugs
Amphetamines
What is Methamphetamines?
Chemicals are extracted from
each of those products in order
to produce methamphetamine.
Commonly
Abused
Drugs
Methamphetamines
Methamphetamine Ingredients
Meth lab chemicals
ī‚§ Ephedrine
ī‚§ Pseudo ephedrine
ī‚§ Alcohol
ī‚§ Toluene
ī‚§ Ether
ī‚§ Sulfuric Acid
ī‚§ Methanol
ī‚§ Lithium
Obtained From
ī‚§ Cold a allergy medicine
ī‚§ Cold and allergy medicine
ī‚§ Rubbing alcohol
ī‚§ Brake Cleaner
ī‚§ Engine Starter
ī‚§ Drain Cleaner
ī‚§ Gasoline additive
ī‚§ Camera Batteries
Other Methamphetamines
ī‚§ Table salt or Rock Salt
ī‚§ Gasoline
ī‚§ Muriatic Acid
ī‚§ Campfire Fuel
ī‚§ PaintThinner
ī‚§ Acetone
ī‚§ MSM (cutting agent)
GRAPHIC PICTURES
FOLLOW
FACES OF METH USERS
FACES OF METH USERS
FACES OF METH USERS
“Meth Mouth”
Affects of Meth inYour Mouth
AFFECTS OF METH INYOUR SKIN
AND ARMS
â€ĸStimulant
â€ĸShort Acting
â€ĸIntense High
â€ĸMimics Dopamine
Commonly
Abused
Drugs
Phencyclidine
(PCP)
Commonly
Abused
Drugs
Phencyclidine
(PCP)
Street Names
ī‚§ PCP
ī‚§ Rocket Fuel
ī‚§ Angel Dust
ī‚§ Super Grass
ī‚§ KillerWeed
ī‚§ Devil Stick
ī‚§ Embalming Fluid
Common Symptoms
ī‚§ Decreased heart rate,
ī‚§ Decreased blood pressure,
ī‚§ Flushed skin
ī‚§ Numbness
ī‚§ Disorientation
ī‚§ Convulsions
ī‚§ Coma
Commonly
Abused
Drugs
Phencyclidine
(PCP)
Street Names
ī‚§ Downers
ī‚§ Dolls
ī‚§ Reds
ī‚§ Tuinal
ī‚§ Rainbows
ī‚§ Yellows
ī‚§ Blues
ī‚§ Goofballs
ī‚§ M&M”s
ī‚§ Red Devils
ī‚§ Barbs
Commonly
Abused
Drugs
Barbiturates
Commonly Abused Drugs
Barbiturates
Common Symptoms
â€ĸDepression
â€ĸDecreased alertness
â€ĸSlurred speech
â€ĸDrowsiness
â€ĸConfusion
â€ĸDeep sleep
Commonly Abused Drugs
Benzodiazepines
Street Names
â€ĸ Valium
â€ĸ Librium
â€ĸ Downers
â€ĸ Tranqs
Common Symptoms
ī‚§ Slurred Speech
ī‚§ Disorientation
ī‚§ Drunken Behavior
(without alcohol odor)
Commonly Abused Drugs
Benzodiazepines
Commonly Abused Drugs
MDMA/Ecstasy
Street Names:
ī‚§ X
ī‚§ XTC
ī‚§ E
ī‚§ Molly
ī‚§ Club
ī‚§ Hug
ī‚§ The Love Drug
About MDMA | Ecstasy
ī‚§ MDMA is classified as a "club drug."
ī‚§ In the past few years, however, MDMA abuse
has spread to a wide range of other settings and
demographic subgroups.
ī‚§ Despite growing evidence of its potential
harmful effects, MDMA still has a deceptive
reputation as a "safe" drug among its abusers.
Commonly
Abused
Drugs
MDMA/
Ecstasy
MDMA significantly impairs:
ī‚§ Memory and information processing
ī‚§ Interferes with performing skilled activities,
such as driving a car
ī‚§ For moderate exposure to the drug, many
MDMA abusers report: Nausea, confusion,
anxiety, restlessness, irritability, sleep
difficulties, panic attacks and depression.
Commonly
Abused
Drugs
MDMA/
Ecstasy
Common Symptoms
ī‚§ Inability to sleep
ī‚§ Low Appetite
ī‚§ High Blood Pressure
ī‚§ Fainting
ī‚§ Nausea
ī‚§ Hallucinations
ī‚§ BlurredVision
ī‚§ Sweating
Commonly
Abused
Drugs
MDMA/
Ecstasy
Street Names
ī‚§ Brew
ī‚§ Booze
ī‚§ Drink
ī‚§ Juice
ī‚§ Moonshine
ī‚§ Toddy
ī‚§ Liquid courage
Commonly
Abused
Drugs
Alcohol
Common Symptoms
ī‚§ Slurred Speech
ī‚§ Disorientation
ī‚§ Damage the heart
ī‚§ High blood pressure
ī‚§ High Heart Rate
ī‚§ High BodyTemp.
ī‚§ Nausea
ī‚§ Sweating & Shaking
ī‚§ Major Mouth and
Dental problems
ī‚§ Alcohol Odor
ī‚§ Unsteady Gait
ī‚§ Obnoxious
ī‚§ Rapid Speech
ī‚§ Cocky
ī‚§ Impaired judgment
ī‚§ VeryTalkative
ī‚§ Blackouts
Commonly
Abused
Drugs
Alcohol
Sad Facts
ī‚§ Alcohol Poisoning (AP):
ī‚§ 6 Americans die each day
ī‚§ Death Rate highest among men 45-54
ī‚§ Middle age adults
ī‚§ Binge Drinking can result in death
ī‚§ Areas of brain shuts down
Commonly
Abused
Drugs
Alcohol
Serious Side Effects
ī‚§ Tachycardia
ī‚§ Hypertension
ī‚§ Confusion or Psychosis
ī‚§ Nausea
ī‚§ Convulsions
ī‚§ Labeled “not for human consumption” to get
around laws prohibiting sales or possession
Commonly
Abused
Drugs
Bath Salts
Over the Counter Drugs
ī‚§ Many over the counter and prescription
medications contain alcohol and/or other
ingredients that can be addictive:
ī‚§ Antihistamines: (Benadryl, Actifed, Coricidin,
Dimetapp, Excedrin PM, Sleepeze Sinutab)
ī‚§ Combinations: Cough medicines which usually
contain alcohol with antihistamines (Nyquil,Vicks)
ī‚§ Weight ControlTablets which contain
amphetamines and usually a sedative or
tranquilizer (Dexatrim)
Commonly
Abused
Drugs
Over the
Counter
Kinds of Medicine Used
ī‚§ Many over the counter and prescription
medications contain alcohol and or other
ingredients that can be addictive.
ī‚§ Mouth Wash which contains alcohol.
ī‚§ Inhalants: Neosynephrine nose spray and drops.
ī‚§ Vitamin Elixers: Read the labels! Some contain
high concentration of alcohol.
Commonly
Abused
Drugs
Over the
Counter
EmployersTest for the Following Drugs:
ī‚§ Cocaine (and its derivatives, including crack cocaine)
ī‚§ Cannabinoids (THC/marijuana, hash)
ī‚§ Opiates (heroin, codeine, etc.)
ī‚§ Amphetamines (central nervous system stimulants)
ī‚§ Phencyclidine (PCP)
ī‚§ MDMA/Ecstasy
Testing Programs
Testing Programs EmployersTest for the
Following Drugs:
â€ĸ Barbiturates (central
nervous system
depressants)
â€ĸ Propoxyphene (Darvon)
â€ĸ Methadone
â€ĸ Benzodiazepine (Valium,
Librium, etc.)
â€ĸ Methaqualone
â€ĸ Ecstasy
â€ĸ Alcohol
When Would I beTested?
ī‚§ Pre-Employment / New Hire
ī‚§ Reasonable Suspicion / Observed Behavior
ī‚§ Post Accident
ī‚§ Return to Duty
ī‚§ Follow Up
ī‚§ Random (subject to policy)
ī‚§ Promotion (optional)
Testing Programs
Reasonable Suspicion
ī‚§ Observed behavior (direct observation
of drug or alcohol use)
ī‚§ A pattern of abnormal conduct
(frequent absenteeism, excessive
tardiness)
ī‚§ Repeated violations of the company’s
safety or work rules
Testing Programs
Testing Programs
Reasonable Suspicion
â€ĸIf employer has reasonable cause to believe that an
employee is impaired by drugs or alcohol while on
company premises or while working.
The following is a list of some common suspicious
behaviors you may see in a substance user
(this list is not all inclusive):
ī‚§ Excessive absences / tardiness
ī‚§ Pattern of being absent on or after payday
ī‚§ Employee verbalizes multiple family or personal
issues as the cause for excessive absence or
tardiness
ī‚§ Problems staying awake on the job
ī‚§ Consistently having problems completing job
responsibilities
Questionable
Behaviors
More Questionable Behaviors
â€ĸ Pattern of borrowing money from co-
workers
â€ĸ Change in appearance
â€ĸ Unexplained crying spells
â€ĸ Taking extra smoke or bathroom breaks
â€ĸ Unusual isolation from peers
â€ĸ Problems concentrating
â€ĸ Odor ofAlcohol or Marijuana
â€ĸ Wearing sunglasses
â€ĸ Slurred speech
â€ĸ Prolonged lunch hours
Post Accident- Any employee involved in an
accident resulting in:
ī‚§ Fatality
ī‚§ Bodily injury requiring medical attention off-site
ī‚§ Vehicular damage in apparent excess of chosen
dollar amount
ī‚§ Non-vehicular damage in apparent excess of
chosen dollar amount
ī‚§ If medical treatment is sought after work hours
or on the weekend, a drug test must be taken
immediately upon employer notification of the
injury
Testing
Programs
Types ofTests
ī‚§ Employees who have previously tested
positive and entered a rehabilitation
program.
ī‚§ Must have a negative test prior to returning
to work.
ī‚§ Subject to “randoms” for a period following
return to work.
Types ofTest
Return to Duty
Testing
Programs
Types of Programs
Random
ī‚§ An unannounced test that occurs at a pre-
determined frequency among randomly
selected employees.
ī‚§ This includes equal probability of selection
each time testing occurs.
ī‚§ Unannounced test of all employees, or all
those in a classified group (i.e. safety
sensitive).
THETESTING SITE
The
Testing
Process
Private Location
May be observed
Split Sample
MRO
VerifiedTest
Testing Positive:
ī‚§ A certified or licensed clinician will
complete an assessment.
ī‚§ If treatment is recommended, the EAP
assessor will make the appropriate
referral.
ī‚§ All recommendations must be adhered
to as outlined by the assessor and the
treatment agency.
What Happens if Test is Positive?
Testing Positive: EAP Services
Employee Assistance Programs
ī‚§ Return to duty or fitness for duty will be
determined by the assessor or treatment
counselor / facility.
ī‚§ Must have a negative drug test before
returning to work.
DOT SAP
â€ĸEmployees who fall under safety
sensitive functions.
â€ĸLet’s review!
SAP
Safety
Sensitive
Employees
Can Only:
See a qualified SAP
Must follow all of the SAP’s recommendations
SAP recommendations cannot be overturned
Employee cannot return to duty until all SAP
recommendations are complete
Must adhere to a random testing schedule for up to
five years determined by the SAP
Where Can I Get Help?
ī‚§ Your Employee Assistance Program (EAP)
ī‚§ Your Human Resource or EAP Program Manager
ī‚§ Voluntary request help of Supervisor / Manager.
Testing
Positive
What is
EAP?
A confidential counseling and
referral service that helps
employees and their families
deal with personal problems.
A tool to assist supervisors in
dealing with individuals whose
personal problems may interfere
with their job performance.
Alternative to Dismissal
ī‚§ A supervisor, can request that an
employee seek EAP intervention.
ī‚§ Employee participation is voluntary.
ī‚§ The employee or any family member
can call EAP for services.
ī‚§ When validated through action, the
EAP is an alternative to dismissal.
EAP
Programs
Facts About EAP
ī‚§ Free of charge
ī‚§ Eligible to
Employees &
Immediate Family
ī‚§ Confidential
ī‚§ 24-hour availability
ī‚§ Qualified
Counselors, Close
to Home
ī‚§ Resource for
Information
ī‚§ Assessment,
short-term
counseling
ī‚§ Referral and
follow-up
QUESTIONS?
Contact us anytime!
Phone:
216-404-1900
866-340-6267
Website:
www.moorecounseling.com
â€ĸ

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2019 Drug Free Workplace 2-Hour Employee Training

  • 1. DRUG-FREE SAFETY PROGRAM EMPLOYEETRAINING 2019 PRESENTER: DR. MARTINA MOORE, PH.D., LPCC-S, LICDC-CS, CEAP, SAP
  • 3.
  • 4. Benefits â€ĸ The Drug Free Safety Program (DFSP) is designed to reduce the risk of workplace accidents and injuries attributed to use of alcohol and other drugs. â€ĸ The DFSP can help employers achieve both long- range safety and cost-saving benefits.
  • 5. Impact of Drug Abuse on Safety â€ĸ Accidents Users are three to four times more likely to have an accident on the job, and five times more likely to file a workers’ compensation claim â€ĸ Medical Claims Substance users file 300 percent to 400 percent more costly medical claims
  • 6. Impact of Drug Abuse on Safety Absenteeism Users are absent an average of three weeks or more per year and are tardy three times more often than non-users
  • 7. Why DoYou Need A Drug Free Safety Policy? â€ĸ Productivity — Substance users are 33 percent to 50 percent less productive â€ĸ EmployeeTheft — An estimated 50 percent to 80 percent of all pilferage, theft and loss is due to substance- using employees
  • 8. Benefits of a Drug Free Safety Workplace â€ĸ Promotes wellness â€ĸ Ensure employees are aware of dangers â€ĸ Preserve investor or shareholder interest â€ĸ Increase employee moral, motivation and productivity â€ĸ Result in better customer services
  • 9. Substance Use Disorder: Using a substance to modify or control mood or state of mind in a manner that is illegal or harmful to oneself or others. Potential consequences of disorder include: ī‚§ Accidents or injuries ī‚§ Blackouts ī‚§ Legal problems ī‚§ Poor job performance ī‚§ Family problems ī‚§ Sexual behavior that increases the risk of HIV infection What is Substance Use Disorder?
  • 10. Substance Use Disorder Definition â€ĸ Patterns of using that give rise to health problems, marital, social, financial, legal or any other area of life. â€ĸ A disease that is characterized by abnormal seeking and consumption of drugs that leads to a lack of control over using the drug.
  • 11. Substance Use Disorder Facts ī‚•Patterns of using that give rise to health problems, marital, social, financial, legal or any other area of life. ī‚•Repeated use in situations that are physically hazardous – like drinking and driving ī‚•When a person has recurrent legal problems such as arrest for disorderly conduct
  • 12. Substance Use Disorder Effects ī‚•People who suffer from Substance Use Disorder often have ongoing social, work and interpersonal issues. ī‚•Disorders make this problem worse and can cause even more problems with others causing: ī‚•Verbal arguments ī‚•Physical fights ī‚•Alienation
  • 13. Real Facts: Alcohol Americans die from alcohol poisoning each day - Death rate is highest among men 45-54 Alcohol poisoning deaths are concentrated among middle aged adults 22 million Americans engage in binge drinking Binge drinking (women 4 or more, men 5 or more) can result in death 2,221 Americans died in 2010-2012 from Binge Drinking
  • 14. According to the Department of Labor: More than 14 percent of Americans employed full & part- time report heavy drinking - five or more days in the past 30 days. Unfortunately – Drinking is much more common in the workplace than ever before Real Facts: Alcohol
  • 15. According to the Center for Disease Control: Of all workplace drug users - 52% are daily users ī‚§ 12 million Americans use marijuana ī‚§ 1.7 million Americans use cocaine ī‚§ Drug-using employees are 2 times more likely to request early dismissal or time off ī‚§ Drug- using also are 2.5 times more likely to have absences of eight days or more ī‚§ Three times more likely to be late for work Real Facts: Substance
  • 16. Employees who test positive for drugs are 60% more likely to be responsible for: ī‚§ Accidents ī‚§ Use more sick time ī‚§ Have more unexcused absences Real Facts: Drug Use
  • 17. Annual cost to employers of on-the-job substance use is estimated to be One hundred billion dollars $100,000,000,000 Due to: ī‚§ Lost productivity ī‚§ Theft ī‚§ Accidents Real Facts: Cost
  • 18. Getting Clean & Sober is. . . â€Ļâ€Ļâ€Ļ.Easier said than done! ī‚§ Most people don’t quit using alcohol or drugs overnight ī‚§ Getting sober is a gradual process that can take weeks, months or even years ī‚§ Many people struggle with lapses and relapses throughout the course of their recovery journey
  • 19. Getting Clean & Sober There are certain steps that anyone struggling with an addiction must take to quit including: ī‚§ Committing to quitting ī‚§ Determining and setting goals ī‚§ Choosing a treatment plan ī‚§ Getting support during treatment ī‚§ Planning to live an addiction-free life
  • 21. Commonly Used Drugs ī‚§ Cocaine ī‚§ Marijuana ī‚§ Marinol ī‚§ Opiates ī‚§ Narcotics ī‚§ Amphetamines ī‚§ Methamphetamine ī‚§ Barbiturates ī‚§ Benzodiazepines ī‚§ Synthetics ī‚§ Alcohol ī‚§ Sizzurp/Purple Drank/Lean ī‚§ Krokodil
  • 23. ī‚§ Coke ī‚§ Crack ī‚§ C ī‚§ Candy ī‚§ Blow ī‚§ Britney ī‚§ Flake ī‚§ Powder ī‚§ Rock ī‚§ Snow ī‚§ Nose Candy Street Names for CocaineCommonly Used Drugs: Cocaine
  • 24. Physical Effects of Cocaine ī‚§ Constrict blood vessels ī‚§ Dilate pupils ī‚§ Increase body temperature ī‚§ Increase heart rate & blood pressure ī‚§ Cause headaches
  • 25. Physical Effects ī‚§ Restlessness ī‚§ Anxiety, panic & paranoia. ī‚§ Body and muscle tremors ī‚§ Blurred vision and vertigo and light sensitivity ī‚§ Seizures ī‚§ Comas ī‚§ Death All effects can occur on first use Commonly Used Drugs: Cocaine
  • 27. Street Names for Cannabinoid I Marijuana ī‚§ Joint ī‚§ Wet ī‚§ Weed ī‚§ Brownies ī‚§ Trees ī‚§ Dope ī‚§ Hydro ī‚§ Mary Jane ī‚§ THC ī‚§ Chronic ī‚§ Cush ī‚§ Pot ī‚§ Hydro ī‚§ Blunt Commonly Used Drugs: Cannabinoid Marijuana
  • 28. Commonly Used Drugs: Cannabinoid Marijuana īļ Marijuana is usually smoked as a cigarette (joint) or in a pipe. īļ It is also smoked in blunts, which are cigars that have been emptied of tobacco and refilled with a mixture of marijuana and tobacco. īļ Blunts allow for marijuana's active ingredients with nicotine and other harmful chemicals. īļ Marijuana can also be mixed in food or brewed as a tea. īļ Marijuana smoke has a pungent and distinctive, usually sweet-and-sour odor.
  • 29. Effects on Daily Life ī‚§ Research clearly demonstrates that marijuana has the potential to cause problems in daily life or make a person's existing problems worse. ī‚§ Several studies associate workers' marijuana smoking with increased absences, tardiness, accidents, workers' compensation claims, and job turnover. Commonly Used Drugs: Cannabinoid Marijuana
  • 30. Physical Effects of Marijuana ī‚§ Impaired Memory ī‚§ Animated behavior ī‚§ Bloodshot eyes ī‚§ Lack of coordination ī‚§ Loud talking ī‚§ Euphoria (relaxation) ī‚§ Hallucinations ī‚§ May cause cancer Commonly Used Drugs: Cannabinoid Marijuana
  • 32. What is Marinol/Medical Marijuana? ī‚§ Marinol is often called “the medical marijuana” ī‚§ Marinol is a member of the family of drugs known as cannabinoids ī‚§ Its chemical composition is similar to that of tetrahydrocannabinol (THC), the active ingredient in marijuana Commonly Abused Drugs Marinol/Medical Marijuana
  • 33. ī‚§ Is produced as capsules or as a powder ī‚§ Marinol capsules are red, white, and orange in color and are circular shaped ī‚§ Capsules are typically 2.5mg, 5mg, or 10mg and bear the imprint of a “UM” or “RL” ī‚§ The powder form is white in color and is similar, in appearance, to cocaine and methamphetamine. Commonly Abused Drugs Marinol/Medical Marijuana What is Marinol/Medical Marijuana?
  • 34. â€ĸLegal Uses â€ĸ Cancer/Chemotherapy -Treats symptoms of nausea and vomiting after other medications are proven ineffective â€ĸ HIV/AIDS – Sometimes prescribed as an appetite stimulant â€ĸ THC stimulates the appetite and reduces nausea/vomiting by binding to special receptors found in the central nervous system Commonly Abused Drugs : Marinol/Medical Marijuana
  • 35. ī‚§ Abdominal Pain ī‚§ Dizziness ī‚§ Drowsiness ī‚§ Nausea/Vomiting ī‚§ Euphoric “marijuana like high” ī‚§ Elevated or Relaxed Mood ī‚§ Trouble concentrating ī‚§ Decreased Coordination ī‚§ Confusion ī‚§ Head Ache ī‚§ Unusual tiredness or weakness Commonly Abused Drugs Marinol/Medical Marijuana Physical Effects
  • 36. Severe Side Effects ī‚§ Abnormal thinking ī‚§ Behavioral changes ī‚§ Fast or irregular heart beat ī‚§ Hallucinations ī‚§ Memory problems ī‚§ Severe allergic reactions ī‚§ Depression ī‚§ Seizures ī‚§ Vision changes ī‚§ Severe dizziness ī‚§ Severe mood changes (feelings of anxiety ī‚§ Panic ī‚§ Parinoia Commonly Abused Drugs Marinol/Medical Marijuana
  • 37. Is Marijuana Harmless? â€ĸ Marijuana is the most widely used illegal drug. â€ĸ More young people go into treatment for marijuana use than for all other illegal drug use combined. â€ĸ Marijuana use affects nearly every organ system in the body. It can have a profound impact on people’s education, employment, and personal life. Matrix IOP 10-38
  • 38. Marijuana FACTS â€ĸMarijuana is a controlled substance, like heroin and LSD. â€ĸMarijuana (except for medical use) has been illegal in the United States since 1937. â€ĸMarijuana is a schedule one drug.
  • 39. Marijuana: Short-Term Effects While Under Influence: ī‚§ Relaxed, euphoric feelings ī‚§ Increased heart rate ī‚§ Poor balance and coordination ī‚§ Slow reaction time ī‚§ Disorientation ī‚§ Panic After Effects: ī‚§ Sleepiness ī‚§ Depression ī‚§ Distrust 10-40
  • 40. Marijuana and Driving Marijuana is a factor in many fatal car crashes. Driving ability is impaired for hours even after the high fades.
  • 41. Rebuttable Presumption The law specifies that marijuana is covered under “rebuttable presumption.” In general, this means that an employee whose injury was the result of being intoxicated or under the influence of marijuana is not eligible for workers’ compensation.
  • 42. Rebuttable Presumption This is the case regardless of whether the marijuana use is recommended by a physician. While the law does not specifically address reimbursement for medical marijuana recommended for injured workers, Ohio law already has rules and statutes in place that limit what medications are reimbursable by BWC. The law specifies that marijuana is covered under “rebuttable presumption.”
  • 43. Ohio BWC â€ĸ The administrator of workers' compensation may still grant rebates and discounts on premium rates to employers that participate in a drug-free safety program. â€ĸ An employer maintains the right to defend against workers' compensation claims where use of medical marijuana contributes to or results in injury. (Rebuttable Presumption)
  • 44. Employers Rights â€ĸ Employers are not required to permit or accommodate an employee's use, possession, or distribution of medical marijuana. â€ĸ Employers could still maintain drug-free safety policies, and patients fired for marijuana use would be ineligible for unemployment compensation. â€ĸ Employees cannot sue employer for an adverse employment action.
  • 45. Positive Results If someone takes a prescribed medication for a valid medical condition, MRO may review that as negative and person likelyADA protected Not true for Marijuana. Positive is still positive even with a prescription Under the new Ohio law, employers have the option to prohibit medical marijuana use or to treat medical marijuana similar to the way they treat the use of legally prescribed drugs.
  • 46. Drug Free Safety Policy Your company has the right in its Drug Free Safety Policy to determine if medical marijuana will be considered with the following two options: Two options: Option A: No tolerance Option B: Treat as they would other prescribed medications and/or narcotics
  • 48. Opiates ī‚§ Depressants ī‚§ Short Acting ī‚§ Intense High ī‚§ Mimics Dopamine Commonly Abused Drugs: Opiates
  • 49. Street Names for Opiates ī‚§ Opium ī‚§ Heroin ī‚§ Fentanyl ī‚§ Codeine ī‚§ Oxycodone ī‚§ Hydrocodone ī‚§ Morphine ī‚§ China Commonly Abused Drugs: Opiates
  • 50. How are Opioids Abused? ī‚§ Opioids can be taken orally, or the pills may be crushed and the powder snorted or injected. ī‚§ Overdose deaths have resulted from slow-release Oxycontin when injected. ī‚§ Injection and snorting allows for rapid release into the bloodstream and is too difficult to counteract potential overdose.
  • 52. Ohio Statistics Heroin Heroin â€ĸ According to the Centers for Disease Control and Prevention Ohio had the second-highest number of drug overdose deaths nationwide in 2014. â€ĸ In March of 2016, 60 minutes reported that 23 people on average in Ohio are dying from heroin overdoses weekly.
  • 53. Heroin â€ĸ Heroin is an opiate drug that is synthesized from morphine. â€ĸ A bag contains 100mg of powder, only a portion of that is heroin. â€ĸ Pure heroin is a white powder with a bitter taste. â€ĸ Today, heroin is more pure (95%) making it more addictive and more deadly.
  • 54. Heroin (continued) ī‚§ Heroin can be injected, snorted/sniffed, or smoked—routes of administration that rapidly deliver the drug to the brain. ī‚§ Heroin abuse is associated with serious health conditions, including fatal overdose, spontaneous abortion, and—particularly in users who inject the drug—infectious diseases, including HIV/AIDS and hepatitis. ī‚§ Mixing heroin, pain meds, cocaine, amphetamines, alcohol, or benzos can result in lethal overdose. Commonly Abused Drugs: Heroin
  • 56. ī‚§ Agonist - activates opioid receptors. ī‚§ Abuse of methadone is possible. ī‚§ Addicts may alternate between opioids and methadone or sell their excess take home supply. ī‚§ Methadone treatment follows structural procedures such as required daily visits. ī‚§ Methadone treatment should be considered a longer term treatment because there is a high probability in relapse to opioids if ending treatment in less than a year. Medication Assisted Treatment Methadone Medication AssistedTreatment (MAT)
  • 57. ī‚§ Partial agonist - activates opioid receptors but produces a diminished response. ī‚§ Taking this with central nervous system depressants such as alcohol, sedatives and tranquilizers is really dangerous. ī‚§ This can even be more addictive than opiates that patients are trying to become freed from. ī‚§ Although it does not have similar narcotic effects that some opiates have, it does have a lightly nostalgic and calming opiate euphoric effect. Medication Assisted Treatment Suboxone Medication AssistedTreatment (MAT)
  • 58. ī‚§ Antagonist – blocks opioid receptors interfering with the reward effects. ī‚§ Naltrexone blocks the euphoric and sedative effects of drugs such as heroin, morphine, and codeine. ī‚§ It works differently in the body than buprenorphine and methadone, which activate opioid receptors in the body that suppress cravings. ī‚§ Naltrexone binds and blocks opioid receptors, and is reported to reduce opioid cravings. ī‚§ There is no abuse and diversion potential with naltrexone. Medication Assisted Treatment Vivitrol Naltrexone Medication AssistedTreatment (MAT)
  • 60. Street Names for Amphetamines ī‚§ Uppers ī‚§ Speed ī‚§ Meth ī‚§ Crank ī‚§ Crystal ī‚§ Rippers ī‚§ Dexies ī‚§ Black Beauties ī‚§ Oranges ī‚§ Snap ī‚§ Truck Driver ī‚§ White Cross ī‚§ Bath Salts Commonly Abused Drugs Amphetamines
  • 61. ī‚§ In the “fight or flight” response to stress, the adrenal glands, produce the hormone adrenaline. ī‚§ Making a person feel stimulated and ready to either fight or run. ī‚§ Amphetamines are chemically similar to adrenaline. ī‚§ They are used for alertness, excitation, euphoria, and to suppress appetite. How they work?Commonly Abused Drugs Amphetamines
  • 62. Severe Physical Effects ī‚§ Loss of Appetite ī‚§ Anxiety ī‚§ Irritability ī‚§ Rapid Speech ī‚§ HandTremors ī‚§ Mood Elevation Commonly Abused Drugs Amphetamines
  • 63. The Dangers ī‚§ Over the course of time and abusers of amphetamines will develop tolerance, and have to use increasing amounts to try to bring about the same effects. Over the Rainbow ī‚§ Judy Garland was taking 40 Ritalin tabs a day in 1968. TheWizard of Oz star died of a drug overdose on June 15, 1969. Commonly Abused Drugs Amphetamines
  • 64. Uses ī‚§ Many stimulant drugs have a calming affect in children and adults who suffer from ADD or ADHD if taken in small doses. ī‚§ In children, amphetamines can help focus attention and control hyperactivity. Commonly Abused Drugs Amphetamines
  • 65. What is Methamphetamines? Chemicals are extracted from each of those products in order to produce methamphetamine. Commonly Abused Drugs Methamphetamines
  • 66. Methamphetamine Ingredients Meth lab chemicals ī‚§ Ephedrine ī‚§ Pseudo ephedrine ī‚§ Alcohol ī‚§ Toluene ī‚§ Ether ī‚§ Sulfuric Acid ī‚§ Methanol ī‚§ Lithium Obtained From ī‚§ Cold a allergy medicine ī‚§ Cold and allergy medicine ī‚§ Rubbing alcohol ī‚§ Brake Cleaner ī‚§ Engine Starter ī‚§ Drain Cleaner ī‚§ Gasoline additive ī‚§ Camera Batteries
  • 67. Other Methamphetamines ī‚§ Table salt or Rock Salt ī‚§ Gasoline ī‚§ Muriatic Acid ī‚§ Campfire Fuel ī‚§ PaintThinner ī‚§ Acetone ī‚§ MSM (cutting agent)
  • 69. FACES OF METH USERS
  • 70. FACES OF METH USERS
  • 71. FACES OF METH USERS
  • 73. AFFECTS OF METH INYOUR SKIN AND ARMS
  • 74. â€ĸStimulant â€ĸShort Acting â€ĸIntense High â€ĸMimics Dopamine Commonly Abused Drugs Phencyclidine (PCP)
  • 75. Commonly Abused Drugs Phencyclidine (PCP) Street Names ī‚§ PCP ī‚§ Rocket Fuel ī‚§ Angel Dust ī‚§ Super Grass ī‚§ KillerWeed ī‚§ Devil Stick ī‚§ Embalming Fluid
  • 76. Common Symptoms ī‚§ Decreased heart rate, ī‚§ Decreased blood pressure, ī‚§ Flushed skin ī‚§ Numbness ī‚§ Disorientation ī‚§ Convulsions ī‚§ Coma Commonly Abused Drugs Phencyclidine (PCP)
  • 77. Street Names ī‚§ Downers ī‚§ Dolls ī‚§ Reds ī‚§ Tuinal ī‚§ Rainbows ī‚§ Yellows ī‚§ Blues ī‚§ Goofballs ī‚§ M&M”s ī‚§ Red Devils ī‚§ Barbs Commonly Abused Drugs Barbiturates
  • 78. Commonly Abused Drugs Barbiturates Common Symptoms â€ĸDepression â€ĸDecreased alertness â€ĸSlurred speech â€ĸDrowsiness â€ĸConfusion â€ĸDeep sleep
  • 79. Commonly Abused Drugs Benzodiazepines Street Names â€ĸ Valium â€ĸ Librium â€ĸ Downers â€ĸ Tranqs
  • 80. Common Symptoms ī‚§ Slurred Speech ī‚§ Disorientation ī‚§ Drunken Behavior (without alcohol odor) Commonly Abused Drugs Benzodiazepines
  • 81. Commonly Abused Drugs MDMA/Ecstasy Street Names: ī‚§ X ī‚§ XTC ī‚§ E ī‚§ Molly ī‚§ Club ī‚§ Hug ī‚§ The Love Drug
  • 82. About MDMA | Ecstasy ī‚§ MDMA is classified as a "club drug." ī‚§ In the past few years, however, MDMA abuse has spread to a wide range of other settings and demographic subgroups. ī‚§ Despite growing evidence of its potential harmful effects, MDMA still has a deceptive reputation as a "safe" drug among its abusers. Commonly Abused Drugs MDMA/ Ecstasy
  • 83. MDMA significantly impairs: ī‚§ Memory and information processing ī‚§ Interferes with performing skilled activities, such as driving a car ī‚§ For moderate exposure to the drug, many MDMA abusers report: Nausea, confusion, anxiety, restlessness, irritability, sleep difficulties, panic attacks and depression. Commonly Abused Drugs MDMA/ Ecstasy
  • 84. Common Symptoms ī‚§ Inability to sleep ī‚§ Low Appetite ī‚§ High Blood Pressure ī‚§ Fainting ī‚§ Nausea ī‚§ Hallucinations ī‚§ BlurredVision ī‚§ Sweating Commonly Abused Drugs MDMA/ Ecstasy
  • 85. Street Names ī‚§ Brew ī‚§ Booze ī‚§ Drink ī‚§ Juice ī‚§ Moonshine ī‚§ Toddy ī‚§ Liquid courage Commonly Abused Drugs Alcohol
  • 86. Common Symptoms ī‚§ Slurred Speech ī‚§ Disorientation ī‚§ Damage the heart ī‚§ High blood pressure ī‚§ High Heart Rate ī‚§ High BodyTemp. ī‚§ Nausea ī‚§ Sweating & Shaking ī‚§ Major Mouth and Dental problems ī‚§ Alcohol Odor ī‚§ Unsteady Gait ī‚§ Obnoxious ī‚§ Rapid Speech ī‚§ Cocky ī‚§ Impaired judgment ī‚§ VeryTalkative ī‚§ Blackouts Commonly Abused Drugs Alcohol
  • 87. Sad Facts ī‚§ Alcohol Poisoning (AP): ī‚§ 6 Americans die each day ī‚§ Death Rate highest among men 45-54 ī‚§ Middle age adults ī‚§ Binge Drinking can result in death ī‚§ Areas of brain shuts down Commonly Abused Drugs Alcohol
  • 88. Serious Side Effects ī‚§ Tachycardia ī‚§ Hypertension ī‚§ Confusion or Psychosis ī‚§ Nausea ī‚§ Convulsions ī‚§ Labeled “not for human consumption” to get around laws prohibiting sales or possession Commonly Abused Drugs Bath Salts
  • 89. Over the Counter Drugs ī‚§ Many over the counter and prescription medications contain alcohol and/or other ingredients that can be addictive: ī‚§ Antihistamines: (Benadryl, Actifed, Coricidin, Dimetapp, Excedrin PM, Sleepeze Sinutab) ī‚§ Combinations: Cough medicines which usually contain alcohol with antihistamines (Nyquil,Vicks) ī‚§ Weight ControlTablets which contain amphetamines and usually a sedative or tranquilizer (Dexatrim) Commonly Abused Drugs Over the Counter
  • 90. Kinds of Medicine Used ī‚§ Many over the counter and prescription medications contain alcohol and or other ingredients that can be addictive. ī‚§ Mouth Wash which contains alcohol. ī‚§ Inhalants: Neosynephrine nose spray and drops. ī‚§ Vitamin Elixers: Read the labels! Some contain high concentration of alcohol. Commonly Abused Drugs Over the Counter
  • 91. EmployersTest for the Following Drugs: ī‚§ Cocaine (and its derivatives, including crack cocaine) ī‚§ Cannabinoids (THC/marijuana, hash) ī‚§ Opiates (heroin, codeine, etc.) ī‚§ Amphetamines (central nervous system stimulants) ī‚§ Phencyclidine (PCP) ī‚§ MDMA/Ecstasy Testing Programs
  • 92. Testing Programs EmployersTest for the Following Drugs: â€ĸ Barbiturates (central nervous system depressants) â€ĸ Propoxyphene (Darvon) â€ĸ Methadone â€ĸ Benzodiazepine (Valium, Librium, etc.) â€ĸ Methaqualone â€ĸ Ecstasy â€ĸ Alcohol
  • 93. When Would I beTested? ī‚§ Pre-Employment / New Hire ī‚§ Reasonable Suspicion / Observed Behavior ī‚§ Post Accident ī‚§ Return to Duty ī‚§ Follow Up ī‚§ Random (subject to policy) ī‚§ Promotion (optional) Testing Programs
  • 94. Reasonable Suspicion ī‚§ Observed behavior (direct observation of drug or alcohol use) ī‚§ A pattern of abnormal conduct (frequent absenteeism, excessive tardiness) ī‚§ Repeated violations of the company’s safety or work rules Testing Programs
  • 95. Testing Programs Reasonable Suspicion â€ĸIf employer has reasonable cause to believe that an employee is impaired by drugs or alcohol while on company premises or while working.
  • 96. The following is a list of some common suspicious behaviors you may see in a substance user (this list is not all inclusive): ī‚§ Excessive absences / tardiness ī‚§ Pattern of being absent on or after payday ī‚§ Employee verbalizes multiple family or personal issues as the cause for excessive absence or tardiness ī‚§ Problems staying awake on the job ī‚§ Consistently having problems completing job responsibilities Questionable Behaviors
  • 97. More Questionable Behaviors â€ĸ Pattern of borrowing money from co- workers â€ĸ Change in appearance â€ĸ Unexplained crying spells â€ĸ Taking extra smoke or bathroom breaks â€ĸ Unusual isolation from peers â€ĸ Problems concentrating â€ĸ Odor ofAlcohol or Marijuana â€ĸ Wearing sunglasses â€ĸ Slurred speech â€ĸ Prolonged lunch hours
  • 98. Post Accident- Any employee involved in an accident resulting in: ī‚§ Fatality ī‚§ Bodily injury requiring medical attention off-site ī‚§ Vehicular damage in apparent excess of chosen dollar amount ī‚§ Non-vehicular damage in apparent excess of chosen dollar amount ī‚§ If medical treatment is sought after work hours or on the weekend, a drug test must be taken immediately upon employer notification of the injury Testing Programs Types ofTests
  • 99. ī‚§ Employees who have previously tested positive and entered a rehabilitation program. ī‚§ Must have a negative test prior to returning to work. ī‚§ Subject to “randoms” for a period following return to work. Types ofTest Return to Duty Testing Programs
  • 100. Types of Programs Random ī‚§ An unannounced test that occurs at a pre- determined frequency among randomly selected employees. ī‚§ This includes equal probability of selection each time testing occurs. ī‚§ Unannounced test of all employees, or all those in a classified group (i.e. safety sensitive).
  • 102. The Testing Process Private Location May be observed Split Sample MRO VerifiedTest
  • 103. Testing Positive: ī‚§ A certified or licensed clinician will complete an assessment. ī‚§ If treatment is recommended, the EAP assessor will make the appropriate referral. ī‚§ All recommendations must be adhered to as outlined by the assessor and the treatment agency. What Happens if Test is Positive?
  • 104. Testing Positive: EAP Services Employee Assistance Programs ī‚§ Return to duty or fitness for duty will be determined by the assessor or treatment counselor / facility. ī‚§ Must have a negative drug test before returning to work.
  • 105. DOT SAP â€ĸEmployees who fall under safety sensitive functions. â€ĸLet’s review!
  • 106. SAP Safety Sensitive Employees Can Only: See a qualified SAP Must follow all of the SAP’s recommendations SAP recommendations cannot be overturned Employee cannot return to duty until all SAP recommendations are complete Must adhere to a random testing schedule for up to five years determined by the SAP
  • 107. Where Can I Get Help? ī‚§ Your Employee Assistance Program (EAP) ī‚§ Your Human Resource or EAP Program Manager ī‚§ Voluntary request help of Supervisor / Manager. Testing Positive
  • 108. What is EAP? A confidential counseling and referral service that helps employees and their families deal with personal problems. A tool to assist supervisors in dealing with individuals whose personal problems may interfere with their job performance.
  • 109. Alternative to Dismissal ī‚§ A supervisor, can request that an employee seek EAP intervention. ī‚§ Employee participation is voluntary. ī‚§ The employee or any family member can call EAP for services. ī‚§ When validated through action, the EAP is an alternative to dismissal. EAP Programs
  • 110. Facts About EAP ī‚§ Free of charge ī‚§ Eligible to Employees & Immediate Family ī‚§ Confidential ī‚§ 24-hour availability ī‚§ Qualified Counselors, Close to Home ī‚§ Resource for Information ī‚§ Assessment, short-term counseling ī‚§ Referral and follow-up