Drug or alcohol misuse in the workplace can cause serious problems. According to a 2017 Psychology Today article, up to 20 million people in the United States reported alcohol impairment at work at least one time during the prior year.
Reports of headaches or constant tiredness are common signs of drug or alcohol abuse at work. The Alcohol and Drug Foundation outlines other signs of drug or alcohol misuse at work, such as using during lunch and then disrupting colleagues as a result.
Drug use in the workplace can result in decreased productivity, injuries, accidents, and even fatalities.
Even prescription medication can cause problems for people who have not used these drugs before. Businesses can also be sued because of an employee’s drug-induced behavior.
We often believe that people who use drugs fall into certain stereotypes, but people of all persuasions and in all industries can have a drug or alcohol misuse problem.
A few signs of substance misuse are:
The Substance Abuse and Mental Health Services Administration (SAMHSA) outlines other signs of troubling drug or alcohol use, such as:
Other common signs of drug use, according to the Mayo Clinic, are:
Some signs are particular to certain drugs.
Users may smell like cannabis and have red eyes. The Mayo Clinic says that some people become anxious or paranoid.
Both synthetic opioids and cathinones are unlawful in many states. Some people may experience changes in mood and hallucinations. Problems with thinking and a loss of coordination can also be side effects of these drugs.
If a person snorts these drugs, they may have constant congestion and mucus. Other side effects are tooth decay, mouth sores, or gum disease, otherwise known as meth mouth.
Common signs of use of these drugs include slurred speech, eye movements the individual cannot control, and sleepiness. These drugs affect the central nervous system.
Otherwise known as hallucinogens, these can cause people to start shaking, quickly change emotions, have difficulty speaking, or experience a lack of tolerance to noises.
These can include heroin and prescription medications. Slurred speech, needle marks, and decreased awareness of surroundings are signs of abuse.
These can include paint thinners, glue, gasoline, and aerosol products. Continued use of these products could cause sudden death or brain damage. People who use these substances often smell like inhalants. They may also develop a rash around their mouths or noses. Signs of use could include lack of coordination and slurred speech.
If you are a colleague or supervisor of someone you suspect is misusing drugs or alcohol in the workplace, there may already be a policy in place to fall back on. As SAMHSA mentions, some states have laws that require places of employment to have a policy that addresses drug use.
Before confronting someone or reporting suspected drug use, check if your workplace has:
If you are a supervisor and suspect a subordinate’s drug use, SAMHSA offers some advice.
If you suspect a person is using drugs or alcohol, employees deserve a chance to refute these accusations. If there are any collective bargaining agreements, make sure you comply with these so that everyone’s rights are respected.
Once you have assessed both company policy and collective bargaining, make sure that you follow every procedure listed. If you are discussing drug or alcohol misuse with more than one employee, everyone must be treated the same way.
Collective bargaining agreements and company policy may also mention drug testing. Make sure that this process is fair for the employee. SAMHSA suggests checking up on a laboratory’s quality control so that positive results can be easily confirmed.
You will need to plan a meeting and mention anything you have documented. You should also be prepared to discuss an EAP with your employee and guide the person through any processes. Mention a person’s contributions to the organization as well, and set deadlines for improvements and seeking help.
As a supervisor, keep the conversation within the parameters of how the employee can improve at their job. You should also agree on another meeting to check up on the employee’s progress.
If you are an employee, always be familiar with your employer’s drug use policy and make sure to adhere to it before confronting someone else at work about possible drug use. The Alcohol and Drug Foundation mentions some ideas for employees who are not in managerial positions:
(January 2016) What to Do If Your Adult Friend or Loved One Has a Problem with Drugs. National Institute on Drug Abuse. Retrieved April 2019 from https://www.drugabuse.gov/related-topics/treatment/what-to-do-if-your-adult-friend-or-loved-one-has-problem-drugs
(February 2017) Alcohol and other drugs in the workplace. Alcohol and Drug Foundation. Retrieved April 2019 from https://adf.org.au/insights/alcohol-and-other-drugs-in-the-workplace/
(September 2018) Drug-Free Workplace Toolkit. Substance Abuse and Mental Health Services Administration. Retrieved April 2019 from https://www.samhsa.gov/workplace/toolkit
(November 2015) Supervisor Training. Substance Abuse and Mental Health Services Administration. Retrieved April 2019 from https://www.samhsa.gov/workplace/toolkit/plan-implement-program/supervisor-training
(November 2018) Should Workplace Drug Testing Be Allowed? Verywell Mind. Retrieved April 2019 from https://www.verywellmind.com/should-workplace-drug-testing-be-allowed-22063
(June 2017) Addiction In The Workplace: What You Need to Know. Psychology Today. Retrieved April 2019 from https://www.psychologytoday.com/us/blog/addiction-recovery-101/201706/addiction-in-the-workplace-what-you-need-know
(October 2017) Drug addiction (substance use disorder). Mayo Clinic. Retrieved April 2019 from https://www.mayoclinic.org/diseases-conditions/drug-addiction/symptoms-causes/syc-20365112