Do You Have Employees? Here's Why At Least 5.6% Use Illicit Drugs!

PRESS RELEASE, SECAUCUS, N.J., August 25, 2020 –Based on the results of more than nine million drug tests, the rate of workforce "drug-positivity" hit a sixteen-year high in 2019. That's according to a new analysis released today by Quest Diagnostics (NYSE: DGX), the world's leading provider of diagnostic information services. Positivity rates in the combined U.S. workforce (DOT regulated workers plus non-DOT regulated workers) greatly increased, climbing to the highest level since 2003 and more than 28% percent higher than the thirty-year low recorded between 2010 and 2012.


How big is America's illicit drug-abuse problem?


Illicit drug-use is an "all-50-states", NATIONWIDE problem.

YOUR WORKPLACE - no matter how small it's size - is NOT an exception!

The U.S. Government reports that 9.7 million Americans use marijuana and 1.9 million use cocaine. Of course, you DO know "MaryJane" is now legal in the majority of states for medical or recreational use. But, it's important for you to also know this about that type "recreation": an addiction to "pot" can develop! And pot addiction has shown to sometimes lead to alcohol or hard-drug abuse - addiction to a second, far more dangerous, much more physically and mentally debilitating drug - for a small but sad percentage of pot smokers.

Similar unsettling statistics apply to thousands of otherwise "normal" people nationwide - in your city, in your community - that have unfortunately fallen victim to abusing meth, heroin, fentanyl, or another illicit drug! According to The National Institute on Drug Abuse (NIDA), every day in the U.S., 128 people die from overdosing on opioids. As an employer, you need to accept that it is possible if not probable that one or more of those multi-millions of drug abusers just might WORK FOR YOU!

These three facts about illicit drug-use "Globally" are what drive the strong probability of illicit drug-use in your own state, in your own city. Yes, in your own workplace, too!

  1. FACT...Just 'one' country - a country with only 4.4% percent of our entire world's population - buys and consumes fully sixty-percent (60%) of the entire world's supply of illicit drugs.
  2. FACT...That 'one' country is our own U.S.A.
  3. FACT...Nationally, seventy-seven percent (77%) of all illicit drug users are EMPLOYED either FULL-TIME or PART-TIME!

Multiple national surveys have found this to be true, too: the average illicit drug-user does NOT hide in some dark back alley snorting coke or mainlining heroin. Instead, the average illicit drug-user HAS A JOB, and many of them USE DRUGS ON THE JOB!

Almost eight out of ten (77%) of Americans 18+ that use illicit drugs are employed...either full-time or part-time! Today, that translates to 9.7 MILLION U.S. workers currently involved in workplace drug-use! ( many of "those" employees might now work at YOUR company?)

As a result of employee drug abuse, the vast majority of businesses - small and large - suffer from substantial decreased productivity and increased accidents (accidents both on and off the job- the latter, of course, affecting attendance, and work performance while ON the job). Employee drug abuse also dramatically increases medical claims and Workers' Compensation payouts. These more frequent claims, in turn, directly cause increases in the premiums paid by the employer for medical and workers' comp coverage. (In fact, in the case of "medical" premiums, even employees end up paying higher contributions out of their paycheck every month!)

Additionally, employee drug abuse definitely leads to the abusers' increased absenteeism and taking more than the average number of "sick days"- time off often paid for by their employer. While abusers are "buzzed" on the job, they are responsible for more product defects, missed deadlines, incomplete projects, or inaccurate work. To support their drug habit, abusers are responsible for higher than normal instances of employee theft- not just from their company, but from their fellow employees, too. They also can be counted on for more employee equipment loss, equipment damage, and other problems- including drug-dealing (again, to support their own drug habit)!

Roger Smith, the former chairman of General Motors, said, "...employee drug abuse costs GM $1 billion a year."

What are employers doing about the employee drug abuse problem? Hundreds of thousands of employers - small and large - are now adopting and implementing one or more of the following: company-wide anti-drug abuse policies; comprehensive employee drug abuse education and drug awareness programs; drug testing programs; employee assistance (EAP) and rehabilitation programs. More than fifty-seven (>57) million drug tests were performed in the U.S. last year.

Is drug testing accurate? 
Yes, when done properly. The typical procedure is a two-step process in which a urine sample (specimen) is divided in half, and the first half is tested using a relatively simple, inexpensive, yet highly accurate "screen" (usually an “immunoassay”). If the result of that initial screen is "negative" the lab will report the test as "negative" and no additional testing will be performed on that specimen. On the other hand, if the result of the first test is “positive”, then a second test is conducted on the original sample using a different testing process that serves to "confirm" whether or not the first analysis was accurate.

This second (“confirmatory”) test is performed using a more sophisticated and more expensive technique such as gas chromatography/mass spectrometry (GC/MS) or thin-layer chromatography (TLC). Only if both halves of a specimen show up “positive” by these two separate testing methods (and using portions of the same urine) is it then reported as a “positive” by the lab. The first test (by immunoassay) is 97-99% accurate, while the second test (by GC/MS or TLC) is virtually 100.00% accurate from a scientific standpoint. Because of this Industry-standard, two-step, "fail-safe" process, the lab's report of the specimen as "positive" (AFTER a second, "confirmatory" test) will - virtually 100% of the time - be upheld in a Court of Law if the person who was tested should choose to try and legally "challenge" that result.

But can’t you “beat” a drug test? Yes, you "can", but the odds against it are very long and getting longer all the time. The opportunity for adulteration or substitution generally is limited by the integrity of the collection and testing process, and at any rate is detectable in most cases at the laboratory. The increasing popularity of “on-site” specimen collection, too, has greatly contributed to the reduction of specimen adulteration or substitution by donors attempting to cheat the system. What about “false positives”? Most of the popular stories about "things" that falsely trigger a “positive” drug-test result are based on misconceptions. These "things" normally either:

  • (a) Don’t show up at all (e.g., “second-hand” marijuana smoke does NOT trigger a positive)
  • (b) Are not detected at a sufficient level to produce a false positive (e.g., a normal amount of ingested poppy seeds will NOT trigger a positive for "opiates")
  • (c) Are easily distinguishable as "false" in the laboratory

Some activities, such as a non-pot-smoker being sealed in a phone booth with four marijuana smokers who smoke pot non-stop for eight hours, "might" trigger a false positive, but for most people, this silly scenario does not even come close to being a valid concern. What does occasionally happen to cause a positive, though, is properly used prescription medicines or some other legitimate justification for testing “positive” on a drug test. This is where the Medical Review Officer (MRO) becomes invaluable in the process of “confirming” lab positives.

The MRO speaks directly with the employee involved. The MRO gives the employee a chance to prove (e.g., by presenting a prescription) that the drugs found in their system were legitimately prescribed. In such cases where proof is presented, then, the employee (although found "positive" by the lab test) will - instead - be officially (and correctly) reported to their employer by the MRO as "negative".

To help prevent employee drug abuse, is employee drug testing legal? 
There are some restrictions on employee drug testing in a few states. But, generally, employers have a right to establish a written drug test company policy that requires that employees be drug-free in the workplace, and to implement employee drug testing as part of their program. In any case, federal (DOT) regulations take precedence over any local and state restrictions in the case of DOT-regulated companies.

For an outline of drug-testing laws in all 50 U.S. States plus all U.S. Territories, Click Here

How common is employee drug testing? 
In 1983, only 3% of the Fortune 200 companies were testing one or more classes of job applicants or employees. By 1991, that number had climbed to 97%.

But is it any business of an employer’s "what" an employee does in the privacy of his or her own home on a Saturday night? First of all, there is no Constitutional or other legally protected right to engage in illegal conduct in the privacy of one’s own home or anyone else’s. In any case, employee drug testing is not done "in" the employee's home! Employee testing is always done while the employee is "on the job", about to start work, or immediately after their shift.

Regardless, it IS the employer’s business when employee drug abuse OFF the job will affect performance or safety ON the job. No matter the "timing" of drug use, employee drug-use that can adversely affect job attendance or performance can and should be the concern of the employee's employer. The employer should have a right to be concerned about an employee's substance abuse "at home", or "the night before" if it might adversely impact on his business production and on his and other's workplace safety "the next day". (U.S. employers have a legal obligation to provide each and every one of their employees with "a healthy and safe workplace environment"- it's the LAW!)

Employee drug abuse was documented in a study which found, that of those employees seeking help on a confidential “cocaine hotline”:

  • 64% admitted that drugs had adversely affected their job performance
  • 44% said they had sold drugs to other employees
  • 18% said they had stolen from co-workers to support their habits

(Why should ANY employer have to put up with this at a business that THEY OWN?)

Another study by the U.S. government found that those involved in employee drug abuse are:

  • 3.6 times more likely to injure themselves or another person in a workplace accident
  • 5 times more likely to be injured in an accident off the job which, in turn, affects their attendance and/or performance on the job
  • 5 times more likely to file a Workers' Compensation claim
  • One-third less productive than non-drug using employees
  • Incur 300% higher medical costs than non-drug using employees

(Again, we ask- Why should ANY employer have to put up with this?)

But don’t many people use drugs without losing control? 
Some start that way, but drug-use tends to escalate with time. Using “a little” turns into using “a lot”. Also, there is often a “gateway” effect: the initial use of what many perceive as less serious drugs (e.g., marijuana) can lead to the use of more serious drugs (e.g., cocaine); sporadic use can develop into chronic use, and people who never considered addiction a possibility for themselves personally can become desperate addicts.

Further, the psychology of addiction is such that it includes a process of denial; addicts very seldom admit their addiction voluntarily.

Furthermore, even a “casual” user can present a substantial safety and health risk on the job to themselves, to their co-workers, and to the company’s customers.

What about drug or alcohol-related crime on the job? 
Employee drug abuse has a major impact on workplace crime. Employees who have a $1,000-$3,000 a month narcotic habit do not usually support that habit with “just” their paycheck alone. General Motors, for example, has had over 500 of their employees arrested for dealing drugs on the job! Crime in the forms of stealing from co-workers, blackmail, ties to organized crime, and the violence associated with drug dealing all threaten a health and safety workplace environment wherever drug abusers are employed. Further, the workplace often provides the perfect cover for buying and selling drugs.

In fact, drug-abuse treatment professionals state that a drug abuser's "JOB" is usually the one thing abusers will do ANYTHING to hold on to...for several reasons:
Denial- employees convince themselves that people who "work" (like themselves) are not addicted Money- employees need a consistent paycheck to help support their drug habits Opportunity- employees are provided with, both chances to steal (from their employer and from fellow employees) and also to deal drugs that they would not have if they were unemployed

IT'S A "GIVEN": If you have drug users in your company, you probably have drug dealers in your company!

In very large part, it will vary depending on a person's physiological makeup (e.g., height, weight, age, current state of health, state of mind). Other considerations include the person's "frequency" (1x per day? 3-5x per day?) and "quantity" of use and the "length of time" (days? weeks? months?) of their drug use prior to testing. However, for most people, detectable levels of the following drugs stay in the body for these periods of time:

  • Marijuana, 2-5 days (the daily, heavy user can sometimes be detected up to 30+ days)
  • Cocaine, 1-2 days
  • Amphetamines, 1-2 days
  • Opiates, 1-3 days
  • Phencyclidine (PCP), 1-8 days
  • Alcohol, less than 24 hours

(a complete listing of drugs and their detection times is available elsewhere on our website: Click Here) For chronic users, drugs (other than alcohol) can be retained in the system much longer after their last use—up to 60 days in extreme situations.

OK, so cocaine is serious, but just how dangerous can marijuana really be? Marijuana can be a highly addictive drug. It is retained in the fatty tissue of the body for several days and it can cause impairment long after the “high” wears off. A study was conducted at Stanford University in which airline pilots smoked relatively weak government-issued marijuana cigarettes for the test. Each pilot was then tested on computerized flight simulators. The testing resulted in simulated airline “crashes” right after the marijuana use. More alarming, however, was the fact that it also resulted in “crashes” FULLY 24 HOURS LATER, when every pilot reported "no residual effects" and each had stated they had "no reservations" about flying!

Employee drug testing PAYS because workplace drug abuse COSTS your company BIGTIME!

An incident at American Airlines showed the dangers of marijuana in the workplace. One computer operator who was high on marijuana while working at the airline’s central reservations system failed to load a tape into the computer at a critical juncture. The result of this employee drug abuse was 8 hours of downtime for the entire reservations system, significant data erasures, and a $19 million loss for the airline.

What specimens are commonly used for employee drug testing? 
Urine specimen analysis is the most common by far. Blood analysis is not common because it’s “invasive” (needle used). “Oral” fluids analysis has recently become available, however, it does not do as good a job detecting marijuana use as is provided by testing urine. Hair specimen analysis is gaining in use. It will detect drug use as far back as ninety (90) days, much longer than it is detectable in the urine. Random hair testing is the method of choice for the majority of Nevada casinos.

What about employee alcohol abuse? 
Alcohol remains the number one drug of abuse in America. It hurts more employees and their families than all other drugs combined. Furthermore, particularly among younger workers, poly-drug abuse (involving alcohol and other drugs) is increasingly common.

WAIT! Aren’t there important individual rights at stake? 
Yes, very important! That is precisely why employers should make every reasonable effort to minimize the intrusiveness of their employee drug-abuse prevention programs to their workers. Employees have the rights to privacy, confidentiality, accuracy in testing if the company tests for drugs, and a written drug testing policy that is fairly and consistently enforced.

In order to guarantee these employee rights, employers should take the following four steps:

  1. Develop a written drug testing policy for your employees that is well thought-out and communicated
  2. Apply even-handed enforcement per that policy- no "favorites", no exceptions (even if a friend or family member is involved)
  3. Preserve an employee’s privacy—making sure that ONLY those with a “need to know” will know about any violation of the company’s written drug test policy
  4. Use laboratory "confirmation" tests, maintain strict chain-of-custody, use only accredited laboratories and a certified medical review officer (MRO). Totally uniform and fair application to the workforce at large - absolutely no exceptions - is absolutely essential.
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