This document discusses the importance of having a drug and alcohol policy in the workplace. It outlines key elements that should be included in a policy, such as education programs, testing protocols, and consequences for testing positive. The document also presents a scenario where an employee's work performance declines and they report having a drug dependency. It argues that occupational health can play an important role by providing case management, clear advice to employers, and ensuring employees receive appropriate treatment and support. Engaging occupational health services can help create a holistic approach to managing substance abuse issues in a way that prioritizes both treatment and workplace safety.