Detecting and Dealing with Opioid Abuse in the Workplace

2/23/2017 in Medical Conditions, News

Surveys show that two out of every three employers viewed prescription drug abuse as a bigger workplace problem than illegal drugs.  One in five reported an injury or near-miss related to prescription drug use.  A quarter indicated employees borrowed or sold prescription drugs at work and 40% indicate that they have an employee who misses work because of prescription drug abuse.  The Centers for Disease Control report that 44 persons die each day as a result of prescription opioid abuse.  Everyone is at risk for addiction, but here are some factors that increase the risk:

  • History of addiction or substance abuse (personal or family)
  • History of participating in treatment programs for addiction
  • Suffering from anxiety or depression
  • Long-term use of prescription opioids

How can you tell if someone you know is abusing drugs?  It may be difficult to notice first thing in the morning or upon return from break because the employee may appear to be relaxed and functioning well.  But, as the day goes on and more time passes between breaks you may notice mood swings or major changes in energy level.  They may nod off or even fall asleep at their workstation, in their car, or while using the bathroom.  Withdrawal symptoms often appear to be like the flu with nausea, diarrhea, sweating, shaking, aches and a runny nose, and the employee may become irritable and anxious.  This cycle may repeat itself several times throughout the day.  Other signs might include the development of financial problems, social withdrawal and a once outgoing worker may become quiet and grim.

What can employers do to prevent drug abuse in the workplace?  Conduct pre-employment and random drug screenings (but make sure opioid screening is included).  Create a clearly written Drug-Free Workplace Policy which provides employee education, supervisor training, and an employee assistance program.

The problem of opioid abuse in the workplace is staggering.  In Wisconsin 80% of worker’s compensation claims involve pain medications, including opioids.  One good way to make sure addiction doesn’t occur in the first place is to closely monitor injured workers who are prescribed opioids by their treating doctors.  For worker’s compensation cases, Involving nurse case managers after opioids are prescribed may be beneficial to assuring that drug use is monitored and treating physicians are being held accountable for the prescriptions they write.

The topic for the 2017 Advanced Topics in Worker’s Compensation Symposium will be Opioid Abuse in the Workplace.  For more information or to register, click here.

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