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ICAAD 2018
Addiction in the Workplace
Quest Diagnostics
• Methamphetamine use has risen 64 percent between 2012 and 2016,
according to Quest Diagnostics. This is after a four-year period in
which positive tests plateaued, between 2008 and 2012.
• In 2016, 4.2 percent of all urine tests came back positive, up from 4.0
percent in 2015 and the highest rate since 2004's 4.5 percent,
according to the company.
• According to Quest Diagnostics, the positivity rate for cocaine in post-
accident urine drug tests was more than twice that of pre-
employment drug tests, and also was higher than the rate in random
drug tests.
•
The City Risk Factors
• High pressure
• Long hours
• Financial gain (security)
• Stress – Breakdown of Connection
• Peer Pressure (alcohol-Cocaine-Sex)
• Plateau in Career
We are not as clever as we think we are
Homo Erectus 1.1 Million years
• Survival because of Connection
• Disconnection =Death
• Tribe = Security, intimacy, Sex, Survival !
• 70K years ago Need for Cognitive reasoning and problem solving
• Lost the ability to use limbic brain
• Lost connectedness
Legacy for Addiction
•Sensitivity
•Developmental trauma
•Disconnected
The answer?
•Stop the Using
• Rehab, AA, Na etc
•TAKE A HISTORY
• Therapist identify developmental milestones
•Reduce Trauma
• Somatic Experiencing, EMDR, Trauma Workshops
Continued Recovery
•Aftercare
•Post trauma aftercare
• Fellowships / Support groups
•Become Reconnected
•Talking about trauma Does not reduce
trauma

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DR NEIL BRENER, DR GILL MACLEOD AND DAVID SMALLWOOD - ADDICTION IN THE WORKPLACE - “OUT OF THE SHADOWS”

  • 1. ICAAD 2018 Addiction in the Workplace
  • 2. Quest Diagnostics • Methamphetamine use has risen 64 percent between 2012 and 2016, according to Quest Diagnostics. This is after a four-year period in which positive tests plateaued, between 2008 and 2012. • In 2016, 4.2 percent of all urine tests came back positive, up from 4.0 percent in 2015 and the highest rate since 2004's 4.5 percent, according to the company. • According to Quest Diagnostics, the positivity rate for cocaine in post- accident urine drug tests was more than twice that of pre- employment drug tests, and also was higher than the rate in random drug tests. •
  • 3. The City Risk Factors • High pressure • Long hours • Financial gain (security) • Stress – Breakdown of Connection • Peer Pressure (alcohol-Cocaine-Sex) • Plateau in Career
  • 4. We are not as clever as we think we are Homo Erectus 1.1 Million years • Survival because of Connection • Disconnection =Death • Tribe = Security, intimacy, Sex, Survival ! • 70K years ago Need for Cognitive reasoning and problem solving • Lost the ability to use limbic brain • Lost connectedness
  • 6. The answer? •Stop the Using • Rehab, AA, Na etc •TAKE A HISTORY • Therapist identify developmental milestones •Reduce Trauma • Somatic Experiencing, EMDR, Trauma Workshops
  • 7. Continued Recovery •Aftercare •Post trauma aftercare • Fellowships / Support groups •Become Reconnected •Talking about trauma Does not reduce trauma