Substance Abuse in the Workplace

Substance Abuse in the Workplace makes a valuable contribution to the national movement to help stem the tide of drug abuse. The book begins with the history of substance abuse, continues with a discussion of how the human body functions normally or under the influence of chemicals, and follows with a toxicological description of the more common chemicals abused today in America. It discusses ways to help the abuser through identification and assistance programs and also covers the laws involved. The broad audience for Substance Abuse in the Workplace is includes middle and upper management, labor leaders, industrial hygienists, safety personnel, and workers.

IntroductionWho is This Book For?Importance of the ProblemParadigms and PoliticsPurpose of This BookBrief History of Substance AbuseIntroductionChemical Dependency and Substance AbuseEarly HistoryOpiumCoca and CocaineKhatAlcoholMushrooms and Other FungiCactiMarijuanaNineteenth- and Twentieth-Century DrugsSummaryHow the Human Body WorksIntroductionDefinitionsIntroduction to Anatomy and PhysiologyRespiratory SystemDigestive SystemNervous SystemReproductive SystemEndocrine SystemBlood Circulatory SystemLymphatic SystemUrinary SystemThe LiverSummaryThe Chemistry of Medicinal SubstancesIntroductionDefinitionsClasses of Common Chemical SubstancesCommonly Abused ChemicalsAlcoholAmphetaminesBarbituratesPhenothiazines and BenzodiazepinesAlkaloidsOpiatesCocaine and CocatesHallucinogensSalicylatesAspirin SubstitutesMarijuanaSteroidsAntihistaminesBromidesLithiumDiet MedicationsLaxativesVitamin AbuseDesigner Chemical SubstancesCommercial ProductsOver-the-Counter Chemical SubstancesUnusual DrugsMixing DrugsSummaryToxicology of Chemical SubstancesIntroductionDefinitionsHealth HazardsAcute ExposuresChronic ExposuresToxic ClassesPoisoning PotentialDose ResponseAnimal ModelsResponse CurveDistribution CurveCancer and Birth DefectsTeratogensMutagensCarcinogensMixtures of SubstancesSummaryInteractions with Occupational or Environmental ChemicalsIntroductionSynergistic and Antagonistic EffectsOccupational Exposures and Substance AbuseEnvironmental Exposures and Substance AbuseSummaryIdentification of the Substance AbuserWhy Do People Misuse Chemical Substances?Peer PressureMaladapted Response to StressIs the Abuser "Different"?Identification and Recognition of the Substance AbuserDrug TestingSummaryEmployee Assistance ProgramsIntroductionWhat Is an EAP?Types of EAPsElements of the ProgramAdministrative FunctionsHow the Program WorksFive-Step Program to Assist the EmployeeCost Effectiveness of an EAPNational Institute on Drug Abuse Assistance to EAPsSummaryLaws and Regulations Governing Substance AbuseIntroduction Early LegislationRecent LegislationPhysician Licensing and Prescription SystemRole of the Food and Drug Administration (FDA)Drug SchedulesRole of the Drug Enforcement Administration (DEA)Drug-Free Workplace Act of 1988Requirements under the Act for EmployersRequirements under the Act for EmployeesSummarySubstance Abuse in Specific Work SettingsIntroduction Substance Abuse in the Medical and Allied Sciences ProfessionsSubstance Abuse in the Transportation IndustriesSubstance Abuse in the Mining and Petroleum IndustriesSubstance Abuse in the Construction IndustriesSubstance Abuse in the Clerical ProfessionsSubstance Abuse in the Law Enforcement and Firefighting ProfessionsSubstance Abuse in the MilitarySubstance Abuse in the Entertainment IndustriesSubstance Abuse in SportsSubstance Abuse in the Teaching ProfessionSubstance Abuse in the Manufacturing and Utilities IndustriesSubstance Abuse in the Warehousing and Sales IndustriesSummaryCase Studies and ExamplesUse of Case StudiesCase StudiesSome General Conclusions from These Case StudiesA Final WordWhy This BookWhat Can Be DoneConclusionAppendixes:A. Chronology of History of Drug AbuseB. Contacts and Telephone Numbers for HelpC. Procedures for Setting Up Drug Testing ProgramD. Model Drug-Free Workplace Program DocumentsE. The Employee Assistance ProgramGlossaryBibliographyIndex

Campbell\, Reginald; Langford\, R. Everett