1. “It’s Time to Get Uncomfortable”
Bringing Awareness to Lifestyle Issues and Focusing on Peer Support

2. This course is designed to bring awareness to issues on jobsites and help bridge the gap between treatment or other methods of assistance, and follow up.
Peer to Peer Programs
EAP / Treatment
Healthy Lifestyle
*This is not a replacement for your current EAP or benefits program

3. Addiction, Suicide Prevention & Behavioral Health
FOCUS FIVE
Time to Add a New Focus?

4. SAFETY
The impacts of substance use, presenteeism & the importance of early intervention

5. Safety Statistics
The financial loss due to drinking and substance use is estimated to be in the billions of dollars per year in the construction industry.
The U.S. Department of Labor reports that during the past 10 years, 15 percent of construction workers admitted to using illicit drugs, and 18 percent admitted to heavy alcohol consumption.
Creating a uniform policy and drug-free training program has been a significant factor in lowering the percentage of workers who wrestle with abuse. And just as importantly, it helps guide employers to be more effective at handling such situations without incurring legal liabilities.
Substance and alcohol use has been negatively affecting the mining and construction industry by way of lost productivity, workplace accidents and injuries, absenteeism, low morale and illness (SAMHSA).

6. Why is
Safety
Things that impact safety:
Being impaired
Not being mindfully present (presenteeism)
Rushing
Important?

7. What's Presenteeism?
Presenteeism or working while sick can cause productivity loss, poor health, exhaustion and workplace epidemics
Harvard Business Review
Storyblocks

8. The Facts : Every four minutes someone dies of an overdose
Every 11 minutes someone commits suicide
62 percent of missed work days can be attributed to behavioural health conditions :

9. The Facts in Construction
16.5 percent of construction workers reported heavy alcohol use within the past month
11.6 % of construction workers admit to having used illicit drugs within the last month
17.2% of construction supervisors use illegal drugs :
14.3% of construction workers state that they have been diagnosed with a substance abuse disorder
The construction industry has four times the national average of suicide rates
The construction industry has the second highest rates of substance abuse amongst all industries

10. Substance Abuse and Presenteeism Impacts on Safety
The risk of having an accident at work
The risk of becoming seriously injured
The risk of making a mistake that ends up being fatal
Threatened job
Putting their lives and co workers lives in danger
Becoming a statistic in the focus four
(soon to be focus five)

11. Reasonable Suspicion Recognizing Signs and Symptoms of Substance Abuse in the Workplace
Reasonable suspicion is the belief that an employee has violated the alcohol or controlled substances prohibitions, based upon specific observations concerning the appearance, behavior, speech, or body odors of the employee.
Not a guess, rumor, hunch, intuition, tip, absolute certainty with 100% proof or an act of retaliation
It’s ok to be wrong

12. Reasonable Suspicion Guidelines
Four Specific Areas of Observation
Physical Appearance
Behavior
Speech
Body Odor
Three Criteria for Observation
Specific
Contemporaneous
Articulable

13. Drugs, Medication and Alcohol
Illicit (Illegal) drugs- no use allowed
Medications- no use without authorization
Alcohol- use allowed, but limited

14. https://vimeo.com/163004899/5b1a051515

15. Alcohol Signs & Symptoms
Slurred and/ or loud speech
Lack of coordination
Odor of alcohol on breath
Drowsiness, poor attention span
Disheveled appearance
Alcohol Signs & Symptoms

16. Alcohol is still the leading substance that is abused on the worksite

17. Alcohol Effects on Safety- Sensitive Work
Slowed reaction time
Reduced concentration
Overreaction toward other drivers
Inattentiveness
Tendency to take unnecessary risks
Alcohol Effects on Safety- Sensitive Work

18. Cannabis Signs and Symptoms
Dilated pupils
Withdrawn/avoidant
Decreased Coordination
Rambling Speech
Odor of marijuana
Cannabis Signs and Symptoms

19. Cannabis Effects on Safety Sensitive Work
Impaired short-term memory
Distorted sense of time and distance
Distorted vision and depth perception
Decreased ability to “track” a moving stimulus
Reduced concentration
Cannabis Effects on Safety Sensitive Work

20. Opiates Signs and Symptoms
Drowsiness
Agitation
Decreased coordination
Slurred speech
Puncture marks
Opiates Signs and Symptoms

21. Opiates Effects on Safety-Sensitive Work
False sense of security
Difficulty focusing
Loss of conscious-ness
Blurred vision
Impaired judgment
Opiates Effects on Safety-Sensitive Work

22. Cocaine, Amphetamines, Ecstasy Signs & Symptoms
Restlessness
Repetitive/ Erratic behavior
Fast or rambling speech
Aggression
Runny nose
Cocaine, Amphetamines, Ecstasy Signs & Symptoms

23. Cocaine, Amphetamines, Ecstasy Effects on Safety Sensitive Work
Seizures & Convulsions
Mental & Physical Fatigue
Over Reaction
Accident Prone
Over Estimate Abilities
Cocaine, Amphetamines, Ecstasy Effects on Safety Sensitive Work

24. Phencyclidine (PCP, “Angel Dust”)- Hallucinogens Signs & Symptoms
Erratic Behavior
Rambling or incoherent speech
Aggressiveness
Exaggerated movements
Lack of coordination
Phencyclidine (PCP, “Angel Dust”)- Hallucinogens Signs & Symptoms

25. Feeling of “owning the road”
Major overestimation of abilities
Sense of invulnerability
Visual Distortions
Distorted sense of reality
Phencyclidine (PCP, “Angel Dust”)- Hallucinogens Effects on Safety Sensitive Work

26. Enabling
Shielding an impaired employee from experiencing the harmful consequences of his/her substance abuse

27. Effective Communication
Effective Communication is a communication between two or more persons wherein the intended message is successfully delivered, received and understood.
9 Effective Communications:
Active Listening
Non-Verbal Communication
Asking Questions
Being Clear and Succinct
Clarifying and Summarizing
Being empathetic
Providing Feedback
Developing Trust and Rapport
Being Present
“The most basic of all human needs is the need to understand and be understood. The best way to understand people is to listen to them”
Ralph Nichols

28. Do’s and Don’ts of Effective Communication
The Do’s
Do frame the conversation as a health issue.
Do use realistic, real-life examples
Do help individuals identify potential consequences.
Do engage peers as messengers.
Do de-glamorize substance abuse.
The Don’ts
Don’t lecture, guilt or shame.
Don’t encourage sensation seeking.
Don’t use scare tactics.
Don’t illustrate or dramatize drug use.

29. Barriers of Effective Communication
Dissatisfaction or disinterest with ones job
Inability to listen to others
Lack of transparency & trust
Communication Styles (When they differ)
Conflicts in the Workplace
Cultural Differences & Language

30. Members Assistance Programs Building an Effective Program

31. Why does Peer Support Work?
Union members are more willing to speak with another union member
Most effective way to help organized labor is with a peer to peer approach
Peers are provided extensive education in basic counseling skills

32. Peer to Peer Responsibilities
Confidentiality
Understanding Effective Communication
Understanding the Dynamics of the Disease of Addiction
Know the Proper Resources to get the Person Care
Recognize, React, Recommend

33. “How do I know how to Select Peers for my Program”
This question is asked often. The simplest answer is that a peer can be anyone who has compassion, the ability to understand and the capability to assist

34. Who are workplace peers?
Peers can be someone who has been successful in recovery who help others experiencing similar situations
Source: Samsha
Peers can be family members of those who have suffered and through experience, are able to help others.
Peers may not have any personal connection to substance abuse, suicide, or behavioral health disorders, they may just have the passion to assist others who are struggling

35. Recognize, React, Recommend
Recognizing signs of problem behaviors
Reacting to the behaviors and initiating a conversation, or contacting another person to initiate a conversation
Recommend the person to another level of care, also recognize when the problem may be much more serious and immediate outside care is needed.

36. Research local resources and start a log with important information
Building a Network
Research local resources and start a log with important information
Communicate with the resources and see what services they provide and also insurance plans they participate in
Create a simple hand out to provide to the person wh0 needs outside care, also assist in the reach out and follow up to be sure they made the call

37. https://vimeo.com/kellycompanies/review/308442949/28103e14d5