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Information on Workplace Services for Drug & Alcohol Addiction

Last updated on: Wednesday, 18 October 2023
  • What You'll Learn

Substance abuse in the workplace is a common problem. We understand the difficulties that many employees struggle with. Unfortunately, drugs have become an easy but dangerous solution. Drug rehab centers are often part of employee assistance programs covered by employee health insurance. We want to encourage anyone struggling with addiction to seek help and utilize workplace services. With that, you can use the filter below by choosing a state in order to find a drug rehab program with workplace services in your area.

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List of Workplace Services for Drugs and Alcohol by State

Here is access to our entire workplace drug services database. Please select a state. If you need help locating the right treatment for you, do not hesitate to contact one of our treatment specialists.


Type of Service

The problems of life can flow into what is happening at work, and the problems of work can cause an employee to become stressed and perform poorly. This is why workplace services are important and do often cover a great deal to ensure employees have the resources they require. Impairment in the workplace can be a result of controlled substances and alcohol, but other impairments or distractions can make it difficult for employees to do their job. Such things as medications being used, mental or physical fatigue, workplace exhaustion, family problems, traumatic events, and unresolved conflicts can lead to workplace impairments. Many employees do struggle with harassment and bullying, which can also force someone to use drugs and alcohol as a way to cope with these issues.

Most employers will have a clear outline of what is a workplace service, and how employees can access these services. Supervisors can watch out for signs, such as personality changes, erratic behavior, the appearance of impairment, working in an unsafe matter, failing a drug or alcohol test, and consistent lateness or absenteeism. Many of these things can be indicators that there may be a problem, and the employee may require access to workplace services to help them. Substance abuse can be prevented, and most drug-free workplace programs help educate employees and their supervisors about what to look for. Offering the proper treatment and support is important for providing peace of mind for employees, that they are taken care of when they need help. Prevention is important, and there can be many things that can predict substance abuse in the workplace. This can include the perceived availability of alcohol and or illicit drugs, the extent to which an individual’s coworkers use or work while impaired by alcohol or drugs, and the level of approval by coworkers of workplace alcohol and drug use or working while impaired or intoxicated.

The prevalence of substance abuse in the workplace has shown that roughly over 63% of workers had reported easy access to alcohol at the workplace, and over 59% reported easy access to illicit drugs at the workplace. Substance abuse in the workplace can lead to significant problems when it is not addressed or caught ahead of time. Workplace services provide the necessary help for employees to be able to reach out. There is often a misconception that there is no help available, and many employees may not know where to look within their place of employment. Employee assistance programs help employees access workplace services to address problems of substance abuse and addiction.

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Addiction Assessment and Referral Services for Businesses in the United States

A drug addiction assessment is done to help determine whether an addiction is present and the extent of the addiction, along with other mental-health factors and physical problems that maybe there. Doing this will help determine the best course of treatment to be gotten. There are addiction professionals who are trained to diagnose addictions and will often conduct an addiction assessment in a private setting one-on-one. There are many different types of professionals who can do these assessments, but it is often best to work with one who is trained in the field of substance abuse treatment. It is not uncommon for multiple people to do the assessment, such as doctors, nurses, counselors, therapists or social workers. Multiple professionals conducting the assessment do help with ensuring the proper treatment is gotten. Addiction assessments are often done with questionnaires, physical exams, and a self-assessment.

The addiction assessment process is usually very straightforward; the doctor or clinician will often go through a standardized questionnaire, which will ask about current drug use, treatment history, health history, and patterns of behavior. This is immediately followed by a face-to-face interview, where standard open-ended questions are asked to help with determining the extent of the addiction. Within the United States, some screening tools such as the National Institute on Drug Screening Tool, the Alcohol Use Disorders Identification Test, or the CAGE assessment may be used, which asks questions in four specific areas. Medical doctors will often conduct physical assessments to determine the extent of the physical damage done by the addiction. During the physical exam, urine samples or blood work may also be collected to see what types of drugs have been used. This entire assessment process is the most extensive one that can be done, and not every addict will go through something like this. Some addicts may take individual surveys or self-assessments and seek out treatment after that. An addict may only speak to a family doctor and will want to find help after. Whichever type of process is done; the next step is being referred to treatment.

Drug and alcohol addiction treatment referrals can happen in many different ways, and the most common method in the United States is contacting an addiction treatment referral center. This will be an accredited and licensed organization that can refer individuals and families to the proper drug treatment based on the information the professionals on the phone are given. Most families, when searching for treatment will start with the Internet, as it is the most extensive resource. They will come across numerous options, and phone numbers, and will often become in contact with an addiction treatment referral agency. The benefit of this is the extensive directories that these organizations have, and the direct line to the treatment center. Addiction referral agencies can help place the addict and family in direct contact with the treatment programs they are searching for. This can speed up the process of finding help and ensure an addict can have more than one option to find a program that will meet his or her individual needs.

The second most common referral process involves the completion of an extensive assessment done in-person with medical or healthcare professionals. Once this is done, they will often provide the addict with a couple of phone numbers for local treatment facilities, and the rest is sometimes left to the addict and their family. Some families will opt to go through an intervention process, which can help move the referral process along, as the addict will be escorted to treatment, once an intervention is successful. Drug addiction treatment referrals are important and help a family and addict find the rehabilitation resources they need. Too much time can be wasted by a family if they are searching the Internet and attempting to contact multiple programs themselves. This can often lead nowhere and will be frustrating for the family to go through. Contacting referral agencies or going through healthcare professionals is the best way to get help quickly.

DOT Compliance Drug Testing Companies in the United States

DOT Compliance refers to the Department of Transportation and meeting successful requirements; that is enforced through this federal agency, governing the operations of commercial motor or vehicles. The Department of Transportation is a federal agency, which is responsible for protecting the traveling public and keeping the country’s transportation system safe. DOT Compliance means that an employer of a safety-sensitive employer is maintaining the required employee drug and alcohol testing programs. The DOT rules and regulations are meant to be followed by all trucking companies/truckers and other drivers on US roads. Each state in the country will have its own variations of these regulations, but many of the rules are enforced on a federal level. The Department of Transportation will have a physical examination that must be conducted by a licensed medical examiner, which can be found through the Federal Motor Carrier Safety Administration. Employers will have DOT drug and alcohol testing programs to ensure compliance with the Department of Transportation.

Throughout the United States will be numerous drug and alcohol testing companies, who provide resources and services to employers who are DOT compliant. Each employer will work with a local drug testing company that will manage their testing, whether it is done on-site or sent to the lab. There are strict rules and regulations that govern the transportation industry within the United States. Any company that operates vehicles that require a commercial driver’s license will have to take training on the symptoms of alcohol abuse and controlled substances. DOT supervisor training will also be required for drivers and companies that operate on public roads. Employers must make sure that the required content is made available, which does include testing for drug and alcohol use. These types of preventative measures help save lives, by preventing incidents from occurring.

The current regulations regarding DOT drug and alcohol testing do require employers and employees who work in safety-sensitive transportation or related positions to follow drug and alcohol testing regulations. Some of the industries that are affected by DOT testing regulations include maritime transportation, aviation, trucking, commercial buses, railroads, and forms of public transit. If an employee does test positive or refuses a drug test, this employee will no longer be able to perform safety-sensitive duties for any DOT employer. Drug testing companies in the state will perform these tests and provide the results back to the employer. If an employee does test positive; before they can return to safety-sensitive duties, the employee must work with substance abuse professionals, and complete DOTs required a return-to-duty process. This process does result in a second drug or alcohol test, which is done through the drug-testing company and must result in a negative. Drug testing companies for DOT compliance play a major role in helping employers maintain their health and safety standards.

DOT Substance Abuse Professionals in the United States

The Substance Abuse Professional or SAP within a Department of Transportation program will be a person who evaluates employees, who may have violated a DOT drug and alcohol regulation. After the evaluation, the substance abuse professional will make a recommendation concerning education, treatment, follow-up testing, and aftercare. Substance abuse professionals for the DOT program are important because they are a major decision point regarding whether an employer places the employee back behind the wheel again with a plane, boat, train, truck, or bus. The substance abuse professionals for the Department of Transportation will not advocate for the employer or the employee, and their only function is to protect the public interest. This will be done through professionally evaluating the employees and recommending appropriate education and or treatment, follow-up tests, and aftercare if needed.

Substance abuse professionals for DOT programs follow specific regulations such as a return to duty process, confidentiality, the release of information, roles, and responsibilities, and maintaining the public interest. People who are qualified to act as substance abuse professionals within the DOT drug and alcohol testing programs must meet certain requirements. This will include they are a licensed physician, a licensed social worker, a licensed or certified psychologist, certified employee assistance professional, a state-licensed or certified marriage and family therapist, and or a drug and alcohol counselor. Some basic knowledge must be met, such as knowledge about the clinical experience in the diagnosis and treatment of alcohol and controlled substance-related disorders. Substance abuse professionals must also be knowledgeable about their function as it relates to employer interests in safety-sensitive duties. All the requirements are outlined by the Department of Transportation and must be met for someone to be a Substance Abuse Professional for DOT drug and alcohol testing programs.

Substance abuse professionals provide face-to-face assessments and clinical evaluations to determine the level of help an employee will need if they test positive for drugs and alcohol. Once the assessment is done, the SAP will have recommended a course of treatment and education that must be completed, followed by aftercare and a follow-up assessment before the employee can return to safety-sensitive duties. Some of the treatment recommendations can include residential treatment, partial residential or outpatient treatment, education programs, and aftercare support. Some of the Education recommendations can include drug and alcohol education courses; self-help programs, group support, and community lectures. There are DOT substance abuse professional listings, which can be found through the Association for Addiction Professionals, for example; which can be one place to look. The directory provided through this organization will be a list of people who have successfully obtained the U.S. Department of Transportation Substance Abuse Professional Qualification through the Association for Addictions Professionals DOT alcohol and drug testing regulation qualification independent study course. Other Substance Abuse Professional referral sources do operate throughout the United States, and each will have ensured that the proper requirements are met for Substance Abuse Professionals needed for the DOT drug and alcohol testing program.

Drug-Free Workplace Services in the United States

Most organizations within the United States who have employees will be required to take comprehensive actions and steps to achieve a workplace that is free of drugs, which does include a drug-free workplace policy, and services to ensure positive outcomes. There are some essential elements of a drug-free workplace program and the services provided within it. It is the responsibility of the business to provide a safe work environment, which includes one free from drugs and alcohol. Typically, there will be a written policy, which outlines the drug-free workplace and its services provided. The policy will establish the commitment of the business for safety in the workplace and a better quality of life for its employees. Some of the services will include drug testing practices, which is to help maintain a drug-free environment, followed by the necessary enforcement measures. Very often there will be third-party drug and alcohol screenings, along with employee and supervisor training. The training services will focus on a drug-free workplace and provide the necessary training for employees and supervisors to identify the signs of drug use, while fully understanding the risks of drug and alcohol use in the workplace.

Essential services for a drug-free workplace will include access to rehabilitative assistance. When employees are struggling with a drug or alcohol problem, it will affect more than the way they perform his or her job. By offering resources to the employees, the employer will be able to demonstrate their dedication to a healthy workplace and a safe environment. Some of the drug-free workplace services can include assessment and evaluation, which will be done with qualified professionals. Very often when someone is battling an addiction, they may not know where to go for help. An assessment and evaluation through a workplace services program will help the employee meet with qualified professionals. The assessment process will help determine the extent of the addiction and what type of help will be needed to treat the problem. Once an assessment is complete, the employee can then be referred to the necessary treatment options that will help them best. Drug-free workplace services may also include the ability to help facilitate treatment or an educational program. Accessing the proper treatment and care is important, and most drug-free workplace programs will have the ability to refer an employee to a program or have them contact their employee assistance program. Drug treatment services can include inpatient or outpatient care, counseling, individual therapy, or group support. The types of services provided for employees will depend on the drug-free workplace policy, and the health benefits provided by the employee.

In order to ensure an employee can maintain a healthy life away from drugs and alcohol, there will often be follow-up care. Follow-up programs or aftercare support are commonly provided through a drug-free workplace program, such as what would be offered through the employee assistance program. This can include access to support groups or counselors, such as setting up daily, weekly, or monthly visits with healthcare professionals. The follow-up process is important to ensure an employee can transition back to work easily and with no problems. Workplace stress can happen at any time, and the follow-up process helps with managing the stress and looking at ways it can be further managed in the future. Drug-free workplace services can also include a return to work recommendation; an employee may have been forced to leave work for a time, because of substance abuse or mental health issues. Experts can help employees return to work in the best way possible to ensure they can maintain their physical and mental health. This can include recommendations to make this happen, such as a new work schedule and varying workloads, or access to a support line, and aftercare services.

Drug-free workplace services can also provide educational programs to help educate employees about what to look for. It is not always easy to notice the signs of addiction and substance abuse and educational programs will provide training to both employees and supervisors. This type of preventative training will help make the workplace a safer environment for everyone there. Education programs can be a one-time session that can last a certain time, or it can be a monthly or yearly practice, depending on the drug-free workplace policy. Education will include topics about controlled substances, how they affect the person, and what impact they have on the workplace. The educational services may also talk about drug addiction in the workplace, what to look for, and how to help a fellow employee. Information about addiction will also be provided, to give an understanding of what it is, and why someone becomes addicted to drugs and alcohol. Drug-free workplace services are important within any place of employment and play an essential role in ensuring a place of work is free from drugs and alcohol.

Drug-Free Workplace Training Services in the United States

Within the United States, workplace substance abuse has been on the rise because of illicit drug use. When over ten million workplace urine test results were analyzed, there was a noticeable increase in the use of cocaine, marijuana, and methamphetamine. For example, in 2016 roughly over 4% of all the urine tests taken came back positive per the testing company Quest Diagnostics, which was an increase from 2015. The use of cocaine has continually climbed, and the Drug-Testing Index has revealed the ongoing threat to workplace safety posed by substance abuse. For example, the positivity rate for cocaine in post-accident urine drug tests was more than twice that of pre-employment drug tests and was also higher than what was gathered from random drug tests. Marijuana use is also on the rise, and the positive rates of drug tests have increased by 75% from 2016. What can be done to ensure a safe workplace, free from drugs and alcohol, and workplace accidents? The answer does involve workplace training and services provided for employees. Any company in the United States who has a drug-free workplace initiative will provide drug-free workplace training for its employees.

It is important to understand that drug and alcohol abuse is a significant factor in accidents, illness, and absenteeism. Drug and alcohol abuse will not only affect work performance but will result in higher rates of absenteeism, accidents, illness, and even death. Workplace training and health and safety are essential in preventing workplace drug and alcohol abuse. Workplace training will help prevent absenteeism, by helping employees understand the dangers of workplace drug use. Absenteeism is two to three times higher for drug and alcohol users than other employees. One-quarter of workplace accidents that happen are because of intoxicated people being the victim of the accident or causing the accident. On-the-job training for workplace safety can prevent these accidents from happening, and drug-free workplace training programs will ensure all employees can know what to look for. It will not always be easy to spot someone who may be under the influence, or who may be struggling with an addiction or mental-health problem. It is also not easy to know how to offer help and approach someone who is struggling with an addiction or may be under the influence. Having this knowledge is important to prevent injury or death from occurring.

There are many different components that should be included in drug-free workplace training, such as a workplace substance-abuse policy. Knowing this policy is important, as it will set out the rules and regulations, along with preventative measures to keep workers safe. There should also be supervisor training in procedures for administering substance abuse policies in the workplace. Supervisors should be knowledgeable and properly trained in how to administer and implement policies surrounding a drug-free workplace. Drug-free workplace training can also include employee education about substance abuse in the workplace. Drug education seminars and information can be gotten from many different organizations all throughout the United States. All employees should also be trained on how they can assist with creating a drug-free workplace, and what actions they can take to contribute to the solution. Finally, most drug-free workplace training services will include reasonable drug testing, which can be done on-site or at a lab. There will often be training for how to administer these tests, what to look for, and what to do next. Supervisors should be well trained in the laws and employee rights to privacy, which should all be outlined in the drug-free workplace policy.

Preventative workplace training services are also important and crucial in achieving overall safety training and compliance goals. There are environmental and safety training consultants, along with organizations that help companies implement workplace training services. Preventing these accidents from occurring should be a priority, also preventing workplace drug abuse. All the resources and information needed are available to employers, and employees should always know what is available to them. An employee should look for a good workplace training program, especially one that does implement a good drug-free workplace training policy.




More Information

Marcel Gemme has been helping people struggling with addiction for over 19 years. He first started as an intake counselor for a drug rehabilitation center in 2000. During his 5 years as an intake counselor, he helped many addicts get the treatment they needed. He also dealt with the families and friends of those people; he saw first-hand how much strain addiction puts on a family and how it can tear relationships apart. With drug and alcohol problems constantly on the rise in the United States and Canada, he decided to use the Internet as a way to educate and help many more people in both those countries. This was 15 years ago. Since then, Marcel has built two of the largest websites in the U.S. and Canada which reach and help millions of people each year. He is an author and a leader in the field of drug and alcohol addiction. His main focus is threefold: education, prevention and rehabilitation. To this day, he still strives to be at the forefront of technology in order to help more and more people. He is a Licensed Drug and Alcohol Treatment Specialist graduate with Honours of Stratford Career Institute. Marcel has also received a certificate from Harvard for completing a course entitled The Opioid Crisis in America and a certificate from The University of Adelaide for completing a course entitled AddictionX: Managing Addiction: A Framework for Succesful Treatment.