1. …………………………………………………………………………..... 1 Kjetil Frøyland Managing Director, AKAN Workplace Advisory Centre June 2011 kjetil.froyland@akan.no Web: www.akan.nowww.akan.no Prevention of drugs at the workplace

2. …………………………………………………………………………..... 2 What is AKAN? An idealistic organization working on national level, situated in Oslo Founded in 1963 –by representatives from the Norwegian Confederation of Trade Unions [LO] and the Confederation of Norwegian Business and Industry [NHO]. –Today 3 members: LO, NHO, the Norwegian State AKAN's objective: –Prevent alcohol- and drug problems and addictive gambling in Norwegian enterprises. Develop methods for early intervention and enable employers and employees to take action. Provide help and assistance for employees already having developed a substance or gambling problem.

3. …………………………………………………………………………..... 3 Methods AKAN Workplace Advisory Centre Telephone counseling Outreach service: Guiding inside companies Seminaries (and conferences) Web-resources and information Projects and method-development www.akan.no

4. …………………………………………………………………………..... Telephone counseling 4

5. …………………………………………………………………………..... Reports from companies 2008 Problems reported from companies individual follow up NPercent of Cases Alcohol problems32689.6% Drug problems4412.1% Methadone2.5% Gambling/gaming61.6% Prescription drugs4612.6% Total424364

6. …………………………………………………………………………..... MenWomen What kind of problem?Alcohol problems21260272 79.4%61.9%74.7% Alcohol and prescription drugs112233 4.1%22.7%9.1% Illegal drug problems18422 6.7%4.1%6.0% Alcohol and illegal14216 5.2%2.1%4.4% Prescription drugs358 1.1%5.2%2.2% Gambling314 1.1%1.0%1.1% Alcohol, illegal drugs and prescription drugs 213.7%1.0%.8% Methadone112.4%1.0%.5% Illegal drugs and prescription drugs 112.4%1.0%.5% Alcohol and gambling101.4%.0%.3% Alcohol, illegal drugs and gambling 101.4%.0%.3% Total26797364 100.0%

7. …………………………………………………………………………..... Drugs most commonly reported Cannabis Cocaine 7

8. …………………………………………………………………………..... 8 The AKAN-model - Collaboration employer/employees - The company is responsible - Part of health- and safety focus - Prevention on three levels Measures towards all employees – universal approach Measures directed towards some groups of employees or certain situations – selective approach Measures directed towards known individuals – indicative approach Everybody Groups/ situations at higher risk Individuals showing sign on possible risk or problems

9. …………………………………………………………………………..... 9 Some measures on universal level Alcohol- and drug policy Action plan Internal organization/competence: –Organizing an AKAN-system Culture discussion Anonymus check of alcohol habits (AUDIT/Balance)

10. …………………………………………………………………………..... 10 Some measures on selective level Risk assessment –Extra focus needed on certain groups of employees? age, gender, role/position, jobcharacter –Extra focus on certain situations? Parties, celebrations, after work, seminaries, travel Is the alcohol culture in the company inclusive for all?

11. …………………………………………………………………………..... 11 Some measures on individual level The necessary conversation Warnings in case of breach of policy Individual follow-up –2 year written contract –Adjustments in work tasks? –Cooperation with occupational health service –Testing or treatment may be a part of this

12. …………………………………………………………………………..... Measures of particular relevance for drug prevention in the workplace Policy Action plan Internal organization (AKAN-system)? External resources: –Occupational health service Risk assessment 12

13. …………………………………………………………………………..... Measures regarding drugs on individual level The necessary conversation Warnings Individual follow up –Testing –Digital interventions? 13

14. …………………………………………………………………………..... Some topics concerning testing in the workplace Restrictions in the law Some questions to be considered: –Why test? –According to law/regulations? –Security issues? –Life or health issues? –When test? –At time of hire? –Randomly? –When suspected? –In case of accidents? –Test for what? –Illegal drugs? –Alcohol? –Subscription drugs? 14

15. …………………………………………………………………………..... Testing at the workplace? –What kind of methods? –Blood? –Urine? –Hair? –Saliva? –Who will… –..take the test? –..analyze the test? –..pay? –..be tested? –..receive the result? –..react in case of positive test? –Where? –Occupational health service? –At other laboratories? 15

16. …………………………………………………………………………..... 16 Kjetil Frøyland Managing Director, AKAN Workplace Advisory Centre June 2011 kjetil.froyland@akan.no Web: www.akan.nowww.akan.no Thank you for the attention!