Substance Abuse and the Impact of COVID-19 What Employers Need to Know HYLANT WEBINAR JUNE 4, 2020
Substance Abuse and the Impact of COVID-19
What Employers Need to Know
HYLANT WEBINAR
JUNE 4, 2020
HOUSEKEEPING
45 Minutes – Substance Abuse and the
Impact of COVID-19
Presentation MaterialsThe slide deck is available in the Handouts section of your control panel.
Questions & AnswersType questions in the Questions box of your control panel.
RecordingRecording and slides will be emailed by end of day Monday.
Please recognize that due to the fluid nature of the COVID-19 situation, advice is subject
to change and is not intended as a substitute for professional legal interpretation.
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AGENDA
1. Introductions
2. Substance Abuse in Crisis
3. Ask the Expert Q&A
4. Conclusion
PRESENTERS
Dr. Lantie Jorandby, M.D.
Chief Medical Officer
Lakeview Health
Sarah Franklin, M.S., LMHC
Program Director
Stepping Stone
Maddison Bezdicek
Health Strategies Practice Leader
Hylant
SUBSTANCE ABUSE
IN CRISIS
SUBSTANCE ABUSE DEFINED
SUBSTANCE ABUSE
• Use of alcohol, illegal drugs or misuse of prescription drugs which can or often results in negative consequences
ADDICTION
• Continuous compulsive use with
loss of control despite negative
health and social consequences
PREVALENCE• An annual average of 8.7% of full-time
workers aged 18 to 64 use alcohol heavily
• Almost 74% of adults suffering from a substance use disorder in 2017 struggled with an alcohol use disorder
• About 38% of adults in 2017 battled an illicit drug use disorder
• In 2017, 8.5 million American adults suffered from both a mental health disorder and a substance use disorder, or co-occurring disorders
*Sources: Substance Abuse and Mental Health Services Administration (SAMHSA), National Survey on Drug Use and Health (NSDUH)
THE STEREOTYPE
THE REALITY
THE HEADLINES
FACTS REVIEW
After COVID-19
• 30% of Americans experiencing a
decline in mental health right now
• 45% of adults feel the COVID stress
has negatively affected mental health
• More than 50% of Americans worry
about getting infected by COVID,
losing their job, or financial impact
These conditions
are the perfect
storm to drive
substance use
disorder (SUD)
STATISTICS
• Online alcohol sales are up 243%during the pandemic
• The National Emotional Distress Hotline has seen an increase in
calls of almost 900%
• 36% of men and 24% of women claim that they are drinking during working hours
• Over 2 million Americans who suffer from Opiate Use Disorder (OUD) and are at risk for overdose.
*Sources: AP 4/2/2020, ABC News 4/7/2020, alcohol.org
QUARANTINE IMPACT ON SUD SUFFERERS
• Supply chains are disrupted
• No access to places that enable drinking or using
• Stealth in a stay at home household is almost impossible
WHAT DO I LOOK FOR IF I SUSPECT AN EMPLOYEE IS SUFFERING FROM A SUD?
SUD RISKS WORKING FROM HOME
Risks
Boundaries and social norms are misplaced
• Easier to use during working hours
• Easier to binge drink or use, especially with stay at home orders
• Popularity of virtual happy hours
• Pandemic “glamorization” of alcohol
SUD RISKS WHILE WORKING AT HOME
Indicators
• Mistakes attributable to inattention, poor judgment or bad decisions
• Increases in effort and time required for ordinary tasks
• Progressive deterioration in personal appearance and hygiene
SUD RISKS WHILE WORKING AT HOME
Indicators
• Morning-after hangovers
• Physical signs such as exhaustion, hyperactivity, dilated pupils, slurred speech or an unsteady walk
BACK IN THE OFFICE
Indicators
• Tardiness
• Calls out sick frequently
• Getting behind on workload
• Increased error rate
• Co-worker conflict
• Changes in personality
• Financial Strain/401K Hardship
• Legal Issues
Risks
• “New normal” is stressful
• Workplace is now an opportunity to use away from the eyes of the family
CERTAIN CONDITIONS MAY BE AN EARLY INDICATOR OF SUD
Mental Conditions
• Anxiety
• Irritability/Giddiness
• Panic attacks
• Altered mental status
Physical Conditions
• Chest pain
• Constipation
• Cough
• Diarrhea
• Edema
• Fatty liver
• Gout
• Headache
• Heart palpitations
• Pneumonia
• Reflux
Environmental Issues
• Incident
• Injury
• Falls
HOW SHOULD AN EMPLOYER RESPOND?
• Communicate support of those with SUD
• Managers encouraged to ask questions directly
• Drug testing process and consequences of testing positive
• Benefits available
o Employer health plan
o FMLA/PTO/sick days
o Short/long-term disability coverage
• Where to seek help
o EAP
o PCP
Talking Points
MANAGER RESPONSE
The Golden Response
“Thank you for opening up to me. You have my support. I also realize I’m not the best person to support you with something like this. Our EAP has professionals you can connect with confidentially and at no cost to you. Would you like me to connect you?”
-Mettie Spiess
AN EMPLOYEE EXAMPLE
• Anna, a 45-year-old female
• History of SUD, 2 years sober
• Working remote for last 8 weeks
• Married for 12 years, she and her husband have had conflict (working remote as well)
• History of domestic violence charges against her husband and has a history of trauma, depression
• Relapsed on alcohol since the pandemic and has a medical history of hypertension and type II diabetes
With her relapse, would she be appropriate for inpatient or outpatient?
UNDERSTANDING TREATMENT OPTIONS
24/7 Medically-Monitored Detoxification—Full-time, onsite board-certified doctors and nurses provide around-the-clock supervision.
Inpatient Rehabilitation—Inpatient rehabilitation is a continuation of medically-supervised treatment for those who need an extended amount of time to stabilize from withdrawal symptoms.
Residential Treatment—Residential treatment provides time to focus on recovery and incorporate the components of each individual’s recovery plan that work best for them.
Partial Hospitalization Treatment—Individuals live off-site and attend full-day treatment.
Intensive Outpatient Treatment—Structured schedules allow for individuals to practice recovery skills with support.
Aftercare—Patients will setup individual therapy appointments, primary care visits, transitional living arrangements, support groups like AA or NA, and more as needed.
Less Intensive
Most Intensive
QUESTIONS
THANK YOU
We are in this
Together.