Transcript Community Based Alcohol and Drug Rehabilitation

Workplace concern
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Studies suggest that 70% of people with
alcohol related problems and more than 60%
of drug users are in employment
Absenteeism is 2-3 times higher for alcohol and drug users than
for other employees
20-25% of accidents at work involve intoxicated workers injuring
themselves and their colleagues
On the job fatalities linked to drug and alcohol account for 1530% of all accidents
Employees with drug and alcohol dependence may claim three
times as many sickness benefits and file five times as many
workers compensation claims
Workplace factors in alcohol and other drug
related harm
Accidents
Absenteeism
Injury
Lost production
Repair Costs
Increased workers compensation
Possible bad publicity and even prosecution
Productivity
Absenteeism and increased sick leave
Poor decision making
Increasing health problems
Lack of discipline and arguments in the work team
Reduced profit margins
Loss of business
Extra overtime payments to cover absent employees
Labor Turnover,Disputes, Reduced morale
Loss of skills and experience
Costs of dismissal or premature retirement
Replacement of employees
Training of new employees
Loss of skills and experience
Need to recruit and train new employees
Costs to the individual
Possible injury to self and others
Demotion at work
Problems with family, friends and coworkers
Loss of self esteem
Loss of wages
Cost of medical expenses
Dismissal
Costs to other employees
Unsafe work environment with risk of accidents
Covering up for poor work performance
The easiest way to describe a prevention program is the
traffic light model:
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The green zone contains the majority of workers,
those who are risk free.
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The amber zone workers are those at risk either
from drugs or alcohol or from health and social
problems.
The red zone consists of individuals with manifest
addiction problems
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Red Zone Strategies
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Treatment and After care
Vocational rehabilitation
Reintegration into workplace
Aftercare and relapse prevention
Use of self help groups
Incentives and rewards for positive behavior
Flexibility- changed shift timing, transfer to place
of residence, harnessing support from family,
networking with other organizations providing support
Amber zone strategies
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Facilitating self change
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Early identification
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Training staff in communication and
assistance skills
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Motivating and encouraging
supervisors to understand their roles
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Assessing and improving their
awareness of early signs of non-performance
Working with the families and medical
personnel to identify early social and medical
problems
Green Zone Strategies
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Policy
Monitoring
Education and Awareness
Training
Post intervention - accidents
Km s . O p e r a t e d in m illio n
500
750
1 ,0 0 0
1 ,2 5 0
0 .4
9 0 1 .4 3
0.29
0.28
0 .3
0.25
0.25
1 0 6 6 .7
9 8 2 .6 9
0.19
1 0 0 6 .5 3
0 .2
0.22
0.18
1 0 2 2 .9 9
0 .1
1 1 1 7 .4 5
1 1 8 2 .3 6
0
'9 2 - 9 3
'9 3 - 9 4
'9 4 - 9 5
K m s . O p e r a te d in M illio n
'9 5 - 9 6
'9 6 - 9 7
'9 7 - 9 8
'9 8 - 9 9
A c c id e n ts p e r 0 .1 m iilio n k m
Post intervention - indiscipline
50
No. of Str ik e s
40
30
20
10
0
1989
1991
1993
1995
1997
1999
Post-intervention-assaults
N u m b e r o f A ssa u l ts
100
80
60
40
20
0
1994
1995
1996
1997
1998
1999
Post intervention-working days
30
25.5
25
P RE
15
POST
21.66
20
16.2
2 2 .6 7
10
5
1 5 .8
6 .2 6
0
P re < 1 0
P re 1 1 -
P re > 2 0
d a ys
2 0 d a ys
d a ys
Traffic Revenue in million rupees
35
2 4 .7
30
25
21
3 0 .1
33
23
20
15
10
5
0
1994-95
1995-96
1996-97
1997-98
1998-99
Projected Cost Benefit of the Program
Items
Loss due to
alcoholism
(1995-96)
Cost of
Program
Projected
Gains
Man days –Absenteeism
On account of treatment
Conductor pilferage
198.40
62.40
31.20
Cancellations
101.00
50.50
Accidents
65.70
65.70
Accident related compensation
17.00
17.00
Handling cases of indiscipline
106.20
53.10
Worker compensation claims
4.90
2.45
Medical reimbursement
2.70
1.35
53.10
Establishment charges
2.50
Training workshops/awareness
programs
Financial assistance to employees
0.40
Total(in million rupees
49.60
43.70
558.30
99.70
270.90