23.   Meet our project agreements with owners and contractors   We needed to develop a Drug Testing Policy Statement as stringent as the existing policy pertaining to the owner’s and employees or the employees of the contractors

24.  Most policies are a direct derivative of the direct derivative of the Transportation Drug Testing Act (Dec 1989)   Currently, Drug Testing is built into all contracts developed in the Heavy Construction Industry

25. OwnerandOwnerand Contractordriven

26. Introduction to Drug Testing was in 1989 A consortium of Contractors and Unions specific to Refineries and Power Plants

27.  Apprenticeship Testing  CUDAP Program  Pre-Job Agreements  D.O.T. - FMCSA - RSPA

28.  U NIONS -- 30 skilled labor crafts  C ONTRACTORS -- 60 different sub contractors  O O O OWNERS -- one Eagles ownership

29. This created a state of the art Drug Testing Policy

30.  Direct EAP involvement  Third party administrator  Enlightened medical model not punitive approach  Personal commitment to a drug-free society

31. RESPONSIBILITIES:   Training and education for Business Managers and Union Stewards concerning the use of drugs and how it effects the workplace and the current drug testing policy.   EAP will perform all substance abuse evaluations stemming from failed urine screens.   All placement and referrals into treatment modalities   Along with protecting the solvency of the Health & Welfare funds that pay providers for service.   Involvement with all follow-up and return to duty process.

32. Workers lack sufficient knowledge and understanding of: Substance Abuse & Drug Testing Technology

33. Too many positive test results AND Too few early self referrals to Assistance

34.  Direct EAP involvement  Third party administrator  Enlightened medical model not punitive approach  Personal commitment to a drug-free society

35. Standardized Drug and Alcohol Testing Drug and Alcohol TestingStandardized

36.  COLLECTION -On-site specimen collection and handling procedures -Chain of Custody procedures  SCREENING -Laboratory qualifications -Testing methodologies; quality control  CONFIRMATION -Reporting requirements and properly trained personnel  REVIEW -To review all tests and ensure that a Medical Review Officer verifies all positive tests

37.   Pre-employment/pre-access testing  Testing for cause   Post-Accident   Reasonable suspicion   Lottery selection testing performed on an annual basis,commencing at a 50% rate for all contractors’ employees in the pool   Return-to-duty and follow up Administered under the following circumstances:

38.   Requests for re-analysis   Independent confirmation/ monitoring re-employed individuals who have completed counseling

39.  Alcohol mphetamines CCocaine  Marijuana (THC metabolite)  Opiates  Phencyclidine (PCP)

40. DDDDirect EAP involvement TTTThird party administrator EEEEnlightened medical model not punitive approach PPPPersonal commitment to a drug-free society

41. Most drug testing policy statements developed were PUNITIVEvs. MEDICAL MODEL (treatment built-in) (treatment built-in)

42.  Direct EAP involvement  Third party administrator  Enlightened medical model not punitive approach  Personal commitment to a drug-free society

43. What happens IF YOU Fail a screen?

44. After the confirmation is made by the M.R.O and the Participant is notified of the failure, that person is removed from the job and instructed to contact the: ALLIED TRADES ASSISTANCE PROGRAM Failed

45. Complete the Treatment recommendations Fit For Duty Urine Screen The EAP will set up an appointment for a full Substance Abuse Evaluation. Pending the outcome of that Evaluation, the person will need to Complete the Treatment recommendations and produce a Fit For Duty Urine Screen before he or she returns to work.

46. Failing a Urine Screen is NOT indicative of an Abuse or Addiction problem

48.  Dedicated, enjoy our work, highly skilled  Well trained, Well compensated  Qualified, Compassionate, Dependable People

49. vs.  Most failures are for Apprentices  Would you send your College-aged child to treatment for a positive urine test? to treatment for a positive urine test?  Life’s lessons

50. Ò Person does not meet the criteria for placement Ò 28-day programs are costly to the Health and Welfare Funds Ò Missed workdays

51.   Person does not meet I.O.P. criteria placement   I.O.P. programs are on average, 3 times per week/6-8 weeks   Costly to the Health and Welfare Funds   6-8 weeks of missed work

52.  Meets the worker at his education readiness level  Information is relevant to his/her culture  Not accusatory or condescending  Re-test is captured in case of failure  Follow-up testing success rate is off the hook!

53. T he Addiction Awareness Program is designed for the person who tests positive for alcohol or drug use but for various possible reasons, is not appropriate for admission into an intensive addiction rehabilitation program.

54. – Assessment – Session on UDS/Policies – Session on Drug and Alcohol – Urine Drug Test – Discharge Report

55.  What Union members can not do à Sophistication of tests à Reality testing

56.   What is abuse/dependence?   Why does it exist? - Genes, Socialization,Self Medication   Alternative programs: AA / NA; IOP; Inpatient

59. Stadium Construction Site: PHILADELPHIA EAGLES Drug and Alcohol Testing Statistics (February 2002)

60. AAP vs. 6 (six) week IOP ( 2/1/2002 - - 2/1/2003 ) Total Participants:84 Total Cost Savings:$1,009,008.00

62. Stadium Construction Site: PHILADELPHIA PHILLIES Drug and Alcohol Testing Statistics  (December 2003)

63. AAP vs. 6 (six) week IOP ( 1/1/2003 - - 12/31/2003 ) Total Participants: 63 Total Cost Savings:$ 845,660.00