Alcohol, Drugs and the U.S. Workplace: A Guide for Healthcare Providers, Safety Officers and Human Resource Managers


James W. Price
St. Mary’s Occupational Medicine Clinic, Indiana, US

Series: Substance Abuse Assessment, Interventions and Treatment
BISAC: SOC057000

Substance abusers exert a significant cost burden for employers. Evidence is mounting that worker substance abuse may have its greatest impact on productivity losses including increased absenteeism and short-term disability, higher turnover, and suboptimal performance at work. Full-time workers that reported using illicit drugs or abusing prescribed drugs were more likely to miss two or more workdays in the past month due to illness or injury and were more likely to have skipped one or more days of work in the past month. But what does one do to address this situation? The response is simple if a worker presents himself acutely intoxicated, but how does one handle off duty or chronic use of potentially impairing substances that may or may not affect job performance and safety? This book reviews the regulatory issues surrounding substance use in the workplace as well as drug and alcohol testing. The text examines the main substances of concern and discusses the literature related to disease based and patient based research considering workplace safety. The monograph ends by describing the evaluation of potentially impaired employees and how to gain objective evidence of their ability to function safely and also how to direct troubled employees toward helpful programs. (Imprint: Novinka )

Table of Contents

Table of Contents

Chapter 1 – An Introduction to Substance Use and Abuse (pp. 1-16)

Chapter 2 – The Government and Substance Use (pp. 17-26)

Chapter 3 – Drug and Alcohol Testing (pp. 27-34)

Chapter 4 – Alcohol (pp. 35-46)

Chapter 5 – Marijuana (pp. 47-54)

Chapter 6 – Benzodiazepines (pp. 55-60)

Chapter 7 – Opiates and Opioids (pp. 61-70)

Chapter 8 – Amphetamines (pp. 71-80)

Chapter 9 – Cocaine (pp. 81-86)

Chapter 10 – Inhalants (pp. 87-92)

Chapter 11 – Psychedelics and Club Drugs (pp. 93-100)

Chapter 12 – Preplacement Examinations and Fitness for Duty Evaluations (pp. 101-126)

Chapter 13 – Employee Assistance Programs (pp. 127-138)

Chapter 14 – Job Specific Review (pp. 139-296)


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