1. Managing Substance Misuse In The Workplace Kelly Burke Primary Care Drug Liaison Worker Bury Substance Misuse Service 4 Tenterden Street, Bury 0161 253 6488

2. Introduction Treatment perspective Harm Reduction approach Increase health and reduce use Substitute prescribing Preparing for and supporting change Referral to other agencies Working while in treatment

3. Patterns of Drug Use Recreational / Leisure use – Alcohol – Cannabis – Cocaine – Ecstacy/Amphetamine Dependent use – Heroin – Crack – Alcohol

4. Symptoms and Signs These may include: – Increase short term sickness – Deterioration in relationships with others – Increased irritability/aggression – Increase in levels of accidents – Low productivity NB some or all of these could be also the result of mental health problems, stress or relationship breakdown.

5. Effect of Substance Misuse at Work Personal Health Productivity Health and Safety

6. Some Figures 40% of of the workforce U40yrs have experimented with illicit drugs. Drug Scope 1998 Alcohol is involved in up to 25% of industrial accidents in UK. HSE 1981 Estimated cost of Alcohol and Drug use to UK economy £20 billion

7. Recruitment Pre-employment Questionnaire Information re policy to job candidates What do we do with the information?

8. Identify overall risk among workforce Minimise -Occupational Health - Positive health promotion -Info / training to workforce Substance misuse policy applied at ALL levels of company/organisation Risk

9. Retention Early Identification/help seeking encouraged Access to help and advice in work time Confidentiality or open information sharing. Choice of treatment agencies/work funding/insurance Return to work

10. Drug Testing What to do with results? Reliability of results Cost vs Benefits

11. What Changes Need to Be Made? HSE/Home Office guides Share Experience/Expertise Training in the Workplace Modifying recruitment and retention policies Work with staff not against them