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The bad news is that substance abuse today costs the average American business more than 25 percent of annual profits through added health care and compensation expenses, poor productivity, liability, theft, and impaired decision making. The good news is that substance abuse represents your largest, single, changeable operating cost. Eliminate it from your workplace, and both profits and productivity are certain to increase dramatically. Here's a timely, much-needed book that offers legally sound, clinically-based guidelines for setting up a comprehensive identification and intervention program to deal with drug and alcohol problems at your company. Written by two of America's leading experts in the field of substance abuse, Creating and Maintaining the Drug-Free Work force features a proven "win-win" approach that has been shown capable of motivating even the most troubled employees to get clean and stay clean. You'll learn the legal grounds for employer intervention, as defined by current federal and state laws and regulations; telltale signs that indicate a particular employee may be abusing alcohol or drugs; the pros and cons of conducting pre-employment for-cause, post-accident, random, or re-entry drug testing; how to intervene successfully when you lack hard evidence of substance abuse (early intervention) and the different methods to use when you have proof that a problem exists (late intervention); what you need to know up-front about the "addiction syndrome" - a pattern of denial, deceit, and dependency that is common to all substance abusers; how to use education and supervisor training to raise employee awareness and prevent future problems from arising; when, where, and how to utilize outside counselors, treatment providers, and self-help recovery programs, with an in-depth analysis that compares all of these various options; how to supervise re-entry, establish a companywide support system, and prevent relapses from occurring; and much more!
The Substance Abuse and Mental Health Services Administration funded the multisite Young Adults in the Workplace (YIW) initiative to study the effectiveness of diverse approaches to workplace-based prevention of substance abuse. Six teams adapted evidence-based programs to target young employees and then implemented the programs in retail, restaurant, health care, construction, skilled trade, and transportation industry workplaces. This book describes the programs, the adaptation and implementation processes, and the YIW cross-site evaluation.
This comprehensive text provides clear explanations of the effects of drugs on human performance and the need for workplace drug testing. It provides essential information on the regulatory and legal frameworks around the world, how to set policies and coverage of all aspects of drug analysis and the associated interpretation of results.Contents include:* epidemiology of drug use in the working population* the evidence base and guidelines for workplace drug testing* legal, regulatory aspects and policies for drugs and alcohol* urine and alternative sample collection process* analytical techniques and specimen adulteration.Case studies of successful programmes are also included to illustrate the principles discussed.Written by internationally acknowledged experts this informative book will be essential reading for anyone interested in workplace drug testing or setting up such a system including clinical and forensic toxicologists, occupational health physicians, nurses, human resources, drug counselling and treatment providers, analytical chemists and lawyers.Alain Verstraete is Professor at the Department of Clinical Chemistry, Microbiology and Immunology, Ghent University, Ghent, Belgium and Department Head of the Toxicology Laboratory of the Laboratory of Clinical Biology, Ghent University Hospital, Ghent, Belgium.
Building on the revolutionary Institute of Medicine reports To Err is Human and Crossing the Quality Chasm, Keeping Patients Safe lays out guidelines for improving patient safety by changing nurses' working conditions and demands. Licensed nurses and unlicensed nursing assistants are critical participants in our national effort to protect patients from health care errors. The nature of the activities nurses typically perform â€" monitoring patients, educating home caretakers, performing treatments, and rescuing patients who are in crisis â€" provides an indispensable resource in detecting and remedying error-producing defects in the U.S. health care system. During the past two decades, substantial changes have been made in the organization and delivery of health care â€" and consequently in the job description and work environment of nurses. As patients are increasingly cared for as outpatients, nurses in hospitals and nursing homes deal with greater severity of illness. Problems in management practices, employee deployment, work and workspace design, and the basic safety culture of health care organizations place patients at further risk. This newest edition in the groundbreaking Institute of Medicine Quality Chasm series discusses the key aspects of the work environment for nurses and reviews the potential improvements in working conditions that are likely to have an impact on patient safety.
This authoritative book examines what we know and don't know about workforce and workplace substance involvement, including popular myths about the prevalence, causes, and productivity outcomes of employee substance use.