Exper Tox Workplace Trends Update 2010


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  • In October, 2007 the Department of Labor reported that about 147,000,000 people are working. About a 6.5% chance… Discuss internet checking if drug test/where these people then go
  • Potency is increasing due to improved indoor cultivation – moving plants from outdoors to indoors
  • Important to know prescription may clear us positive drug results; however, the MRO will also check to ensure the concentration of the drug in a person’s system matches the prescribed dosage
  • Other ingredients include kitty litter, charcoal lighter fuel This is becoming one of the worst drug trends. Conroe highest population of meth labs. Discuss residue and case.
  • Synthetic opioids include hydrocodone (Vicodin), hydromorphone, oxycodone (Oxycontin), oxymorphone, Tramadol, meperedine
  • Specimens – discuss each, detection periods Oral Fluid Urine Hair/Nails Quest Diagnostics released a recent report that hair reveals 10 times as many job applicants and employees taking cocaine and meth than found in previous urine drug tests
  • Exper Tox Workplace Trends Update 2010

    1. 2. <ul><li>Misconception: </li></ul><ul><li>Drug Testing by Employers </li></ul><ul><li>Is Really Just For Safety Reasons </li></ul>
    2. 3. <ul><li>Drug Use and Abuse in the Workplace: </li></ul><ul><li>Decreases productivity </li></ul><ul><ul><li>2.2 times more likely to ask for early dismissal or time off </li></ul></ul><ul><ul><li>2.5 times more likely to be absent 8 or more days </li></ul></ul><ul><ul><li>3 times more likely to be late for work </li></ul></ul><ul><ul><li>Marijuana biggest culprit – “laid back, dude” </li></ul></ul><ul><ul><li>Function at about 67% of capacity </li></ul></ul>
    3. 4. <ul><li>Drug Use and Abuse in the Workplace: </li></ul><ul><li>Negatively affects the work environment and culture </li></ul><ul><ul><li>Feelings of “picking up the slack” </li></ul></ul><ul><ul><li>Behavior </li></ul></ul><ul><ul><li>Affects on customers </li></ul></ul><ul><ul><ul><li>Decreased trust in company </li></ul></ul></ul><ul><ul><ul><li>Credibility issues </li></ul></ul></ul><ul><ul><li>Increased employee turnover </li></ul></ul>
    4. 5. <ul><li>Drug Use and Abuse in the Workplace: </li></ul><ul><li>Increased Risk, Claims and Negative </li></ul><ul><li>Financial Impact </li></ul><ul><li>3.6 times more likely to be involved in a workplace accident </li></ul><ul><li>5 times more likely to file a worker’s comp claim </li></ul><ul><li>Cost employers 2 times as much in medical claims </li></ul><ul><li>Increased incidents of theft and embezzlement </li></ul><ul><li>Increased chances of sexual harassment claims </li></ul><ul><li>Increases in other claims and litigation </li></ul>
    5. 6. <ul><li>According to the Substance Abuse & Mental Health Administration (SAMHSA): </li></ul><ul><li>18 to 25 years old </li></ul><ul><li>Less educated </li></ul><ul><li>Male </li></ul><ul><li>Divorced or Never Married </li></ul><ul><li>White </li></ul><ul><li>Low Paid </li></ul><ul><li>Note: This is General </li></ul><ul><li>Different Drugs Each Have Their Own Demographics </li></ul>
    6. 7. <ul><li>Industries With The Highest Rates of Illicit Drug Use: </li></ul><ul><li>Food Preparation Workers </li></ul><ul><li>Waiters/Waitresses/Bartenders </li></ul><ul><li>Construction Workers </li></ul><ul><li>Those that work in Transportation/Material Moving </li></ul>
    7. 8. <ul><li>14.8 Million Americans Are Illicit Drug Users </li></ul><ul><li>77% Are Employed </li></ul><ul><li>(That is 9.4 Million People) </li></ul><ul><li>So, what are your chances of hiring someone with a substance abuse problem? </li></ul>
    8. 9. <ul><li>Most commonly abused drugs in the workplace, according to the DEA: </li></ul><ul><li>Marijuana (THC) </li></ul><ul><li>Amphetamine/Methamphetamine </li></ul><ul><ul><li>Including ADHD Drugs </li></ul></ul><ul><li>Barbiturates </li></ul><ul><li>Benzodiazepenes </li></ul><ul><li>Opioids </li></ul><ul><ul><li>Prescription Drug Abuse </li></ul></ul><ul><li>Over-The-Counter Medications </li></ul>
    9. 10. <ul><li>Most highly abused illicit drug </li></ul><ul><li>Potency is increasing </li></ul><ul><li>Over 25 million individuals age 12 or older used marijuana in 2007 </li></ul><ul><li>Highest use age group: 18 – 25 </li></ul>
    10. 11. <ul><li>Stimulants </li></ul><ul><ul><li>Appetite Suppression </li></ul></ul><ul><ul><li>Euphoria </li></ul></ul><ul><ul><li>Increased Focus </li></ul></ul><ul><ul><li>Used on college campuses during finals </li></ul></ul><ul><li>Includes: </li></ul><ul><ul><li>Adderall </li></ul></ul><ul><ul><li>Ritalin </li></ul></ul><ul><ul><li>Phentermine </li></ul></ul>
    11. 12. <ul><li>Stimulant </li></ul><ul><ul><li>Increases alertness and energy </li></ul></ul><ul><ul><li>Induces euphoria </li></ul></ul><ul><ul><li>Enhances self-esteem and sexual pleasure </li></ul></ul><ul><ul><li>“ Tweaking” </li></ul></ul><ul><ul><li>“ Meth Mouth” </li></ul></ul><ul><li>Biggest Problem – Usually Entire Families are Hooked </li></ul><ul><li>Many times “home cooked” </li></ul><ul><ul><li>Ephedrine and Pseudoephedrine (eg Sudafed, Contac) </li></ul></ul><ul><ul><li>Red Phosphorous </li></ul></ul><ul><ul><li>Iodine </li></ul></ul><ul><ul><li>Other “ingredients” </li></ul></ul><ul><ul><li>Think “Breaking Bad” </li></ul></ul>
    12. 13. <ul><li>Faces of Meth: </li></ul>
    13. 14. <ul><li>Faces of Meth: </li></ul>
    14. 15. <ul><li>Depressants </li></ul><ul><li>Usually prescribed as “sleeping pills” </li></ul><ul><li>Includes </li></ul><ul><ul><li>Phenobarbital </li></ul></ul><ul><ul><li>Amobartibal (Amytal) </li></ul></ul><ul><ul><li>Pentobarbital (Nembutal) </li></ul></ul><ul><ul><li>Secobarbital (Seconal) </li></ul></ul>
    15. 16. <ul><li>Depressants </li></ul><ul><li>Prescribed For: </li></ul><ul><ul><li>Anxiety </li></ul></ul><ul><ul><li>Sleep Disorders </li></ul></ul><ul><ul><li>Muscle Relaxant </li></ul></ul><ul><li>Includes but not limited to: </li></ul><ul><ul><li>Alprazolam (Xanax) </li></ul></ul><ul><ul><li>Bromazepam </li></ul></ul><ul><ul><li>Lorazepam (Ativan) </li></ul></ul><ul><ul><li>Diazepam (Valium) </li></ul></ul><ul><ul><li>Flunitrazepam (Rohypnol) </li></ul></ul><ul><ul><li>Oxazepam (Serax) </li></ul></ul>
    16. 17. <ul><li>Opioids in drug testing panels means “natural opiates” </li></ul><ul><ul><li>Morphine </li></ul></ul><ul><ul><li>Codeine </li></ul></ul><ul><ul><li>Heroin </li></ul></ul><ul><ul><li>Does not include semi –synthetic or synthetic opiates commonly used for pain management </li></ul></ul><ul><li>Used for: </li></ul><ul><ul><li>Pain </li></ul></ul><ul><ul><li>Cough </li></ul></ul><ul><ul><li>Diarrhea </li></ul></ul>
    17. 18. <ul><li>Be Aware of the Over-The-Counter Products </li></ul><ul><li>Hand Sanitizer </li></ul><ul><li>Dextromethorphan (cough/cold meds) </li></ul><ul><li>Inhalants/Volatiles </li></ul>
    18. 19. <ul><li>Five (5) Panel Drug Screen (DOT or Non-DOT) </li></ul><ul><li>Marijuana (THC) </li></ul><ul><li>Amphetamine/Methamphetamine </li></ul><ul><li>Cocaine </li></ul><ul><li>Opiates </li></ul><ul><li>Phencyclidine (PCP) </li></ul>
    19. 20. <ul><li>Ten (10) Panel Drug Screen </li></ul><ul><li>Five (5) Panel Drug Screen Plus </li></ul><ul><li>Barbiturates </li></ul><ul><li>Benzodiazepines </li></ul><ul><li>Propoxyphene </li></ul><ul><li>Methadone </li></ul>
    20. 21. <ul><li>Many commonly abused drugs if only a 5 panel is tested </li></ul><ul><li>Prescription Pain Medications </li></ul><ul><ul><li>Synthetic Opioids </li></ul></ul><ul><ul><ul><li>Hydrocodone (Vicodin®) </li></ul></ul></ul><ul><ul><ul><li>Oxycodone (OxyContin) </li></ul></ul></ul><ul><ul><ul><li>Hydromorphone (Dilaudid®) </li></ul></ul></ul><ul><ul><ul><li>Meperidine (Demerol®) </li></ul></ul></ul><ul><ul><ul><li>Fentanyl </li></ul></ul></ul><ul><li>Muscle Relaxants/Sleep Aids </li></ul><ul><ul><li>Ambien (A hypnotic, not a barbiturate) </li></ul></ul><ul><ul><li>Carisoprodol, aka Soma (A muscle relaxer) </li></ul></ul>
    21. 22. <ul><li>How do they get them? </li></ul><ul><ul><li>“ Doctor shopping” </li></ul></ul><ul><ul><li>Theft </li></ul></ul><ul><ul><li>Forged Prescriptions </li></ul></ul><ul><ul><li>Unscrupulous Physicians and/or Pharmacists </li></ul></ul><ul><ul><li>Internet Pharmacies </li></ul></ul><ul><ul><li>Friends and Family </li></ul></ul><ul><ul><li>Many pain medication abusers commit insurance fraud to fund their problem </li></ul></ul>
    22. 23. <ul><li>2007 Statistics </li></ul><ul><li>5.2% of pain med drug abusers stole them from friends and/or family </li></ul><ul><li>8.9% of pain med drug abusers bought them from friends and/or family </li></ul><ul><li>56.5% of pain med drug abusers were given the drugs from their friends and/or family </li></ul><ul><ul><li>Old and new prescriptions </li></ul></ul><ul><ul><li>From their “stock” </li></ul></ul>
    23. 24. <ul><li>“ Old School” Drug Testing Panels and Programs </li></ul><ul><li>Type of Specimens Tested </li></ul><ul><ul><li>Detection Periods </li></ul></ul><ul><ul><li>Adulteration Opportunities </li></ul></ul><ul><ul><li>“ Quick Kits” </li></ul></ul><ul><li>Program Administration </li></ul><ul><ul><li>Too much time between notice and drug test </li></ul></ul><ul><ul><li>Anticipated random testing </li></ul></ul>
    24. 25. <ul><li>References used from and Resources: </li></ul><ul><li>National Institute on Drug & Alcohol (NIDA) www.drugabuse.gov </li></ul><ul><li>SAMHSA, www.workplace.samhsa.gov </li></ul><ul><li>Dawn Mathis, Drug Enforcement Administration </li></ul><ul><li>ExperTox, Inc. </li></ul><ul><li>1803 Center Street, Suite A </li></ul><ul><li>Deer Park, TX 77536 </li></ul><ul><li>281-476-4600 </li></ul><ul><li>www.expertox.com </li></ul>