4. Benefits
âĸ 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.
âĸ The DFSP can help employers achieve both long-
range safety and cost-saving benefits.
5. Impact of Drug Abuse on Safety
âĸ Accidents
Users are three to four times
more likely to have an accident
on the job, and five times more
likely to file a workersâ
compensation claim
âĸ 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?
âĸ Productivity â Substance
users are 33 percent to 50
percent less productive
âĸ EmployeeTheft â 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
âĸ Promotes wellness
âĸ Ensure employees are aware of dangers
âĸ Preserve investor or shareholder interest
âĸ Increase employee moral, motivation and productivity
âĸ 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
âĸ Patterns of using that give rise to health problems,
marital, social, financial, legal or any other area of life.
âĸ 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
īPatterns of using that give rise to health problems, marital, social,
financial, legal or any other area of life.
īRepeated use in situations that are physically hazardous â like
drinking and driving
īWhen a person has recurrent legal problems such as arrest for
disorderly conduct
12. Substance Use Disorder
Effects
īPeople who suffer from Substance Use Disorder often have ongoing
social, work and interpersonal issues.
īDisorders make this problem worse and can cause even more problems
with others causing:
īVerbal arguments
īPhysical fights
īAlienation
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 â 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. . .
âĻâĻâĻ.Easier said than done!
ī§ Most people donât 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
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
īļ Marijuana is usually smoked as a cigarette (joint) or in a
pipe.
īļ It is also smoked in blunts, which are cigars that have
been emptied of tobacco and refilled with a mixture of
marijuana and tobacco.
īļ Blunts allow for marijuana's active ingredients with
nicotine and other harmful chemicals.
īļ Marijuana can also be mixed in food or brewed as a tea.
īļ 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 âthe medical
marijuanaâ
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 âUMâ or âRLâ
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. âĸLegal Uses
âĸ Cancer/Chemotherapy -Treats symptoms of nausea
and vomiting after other medications are proven
ineffective
âĸ HIV/AIDS â Sometimes prescribed as an appetite
stimulant
âĸ 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
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?
âĸ Marijuana is the most widely used
illegal drug.
âĸ More young people go into treatment
for marijuana use than for all other
illegal drug use combined.
âĸ Marijuana use affects nearly every
organ system in the body. It can have
a profound impact on peopleâs
education, employment, and personal
life.
Matrix IOP 10-38
38. Marijuana
FACTS
âĸMarijuana is a controlled substance, like heroin and LSD.
âĸMarijuana (except for medical use) has been illegal in the
United States since 1937.
âĸMarijuana 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 ârebuttable
presumption.â
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 workersâ 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 ârebuttable presumption.â
43. Ohio BWC
âĸ The administrator of workers' compensation may still
grant rebates and discounts on premium rates to employers
that participate in a drug-free safety program.
âĸ 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
âĸ Employers are not required to permit or
accommodate an employee's use, possession, or
distribution of medical marijuana.
âĸ Employers could still maintain drug-free safety
policies, and patients fired for marijuana use would
be ineligible for unemployment compensation.
âĸ 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
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
âĸ According to the Centers for
Disease Control and Prevention
Ohio had the second-highest
number of drug overdose deaths
nationwide in 2014.
âĸ In March of 2016, 60 minutes
reported that 23 people on average
in Ohio are dying from heroin
overdoses weekly.
53. Heroin
âĸ Heroin is an opiate drug that is
synthesized from morphine.
âĸ A bag contains 100mg of powder, only a
portion of that is heroin.
âĸ Pure heroin is a white powder with a bitter
taste.
âĸ Today, heroin is more pure (95%) making
it more addictive and more deadly.
54. Heroin (continued)
ī§ Heroin can be injected, snorted/sniffed, or
smokedâroutes of administration that rapidly
deliver the drug to the brain.
ī§ Heroin abuse is associated with serious health
conditions, including fatal overdose,
spontaneous abortion, andâparticularly in
users who inject the drugâinfectious 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 â 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 âfight or flightâ 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)
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
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 ânot for human consumptionâ 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:
âĸ Barbiturates (central
nervous system
depressants)
âĸ Propoxyphene (Darvon)
âĸ Methadone
âĸ Benzodiazepine (Valium,
Librium, etc.)
âĸ Methaqualone
âĸ Ecstasy
âĸ 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 companyâs
safety or work rules
Testing Programs
95. Testing Programs
Reasonable Suspicion
âĸIf 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
âĸ Pattern of borrowing money from co-
workers
âĸ Change in appearance
âĸ Unexplained crying spells
âĸ Taking extra smoke or bathroom breaks
âĸ Unusual isolation from peers
âĸ Problems concentrating
âĸ Odor ofAlcohol or Marijuana
âĸ Wearing sunglasses
âĸ Slurred speech
âĸ 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 ârandomsâ 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).
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.
106. SAP
Safety
Sensitive
Employees
Can Only:
See a qualified SAP
Must follow all of the SAPâs 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