Table 3

Stakeholders' roles and responsibilities as described in the AODa policies

RolePreventionInterventionReferral to treatmentRe-entry to the workplace
Employee
  • Remains sober and fit for work

  • Is familiar with AODa policy

  • Follows workplace guidelines

  • Reports employees working under the influence of substances

  • Refers self voluntarily for treatment

  • Participates actively in negotiations concerning treatment

  • Commits to the agreed treatment and rehabilitation plan

  • Reports obstacles in treatment/rehabilitation

  • Participates in joint meetings concerning re-entering

Supervisor
  • Familiarizes employees with AODa policies

  • Ensures that staff recognize the content of the AODa policy

  • Supports and oversees employee working, the well-being of the staff and workplace safety

  • Intervenes in AODa related problems and brings them up

  • Refers employee to the OHCb for work ability assessment

  • Organizes support/debriefing for the work community

  • Informs the work community with the consent of the employee with SUDc

  • Encourages employee seek help voluntarily

  • Provides information about treatment facilities

  • Actively refers employee for treatment

  • Participates in tripartite negotiations with employee and OHCb

  • Prepares treatment agreement papers

  • Monitors the implementation of treatment and rehabilitation plan

  • Supports and monitors the employee's everyday life during outpatient care

  • Participates in joint meetings concerning employees re-entering

Employer
  • Prepares AODa policy in co-operation with workplace representatives

  • Agrees the AODa policy in joint negotiating committee

  • Provides training and information about substance abuse issues

  • Ensures staff familiarization with AODa policy

  • Offers guidance and tools

  • Offers guidance and tools

  • Organizes support in returning to work

  • Organizes individual help in case of relapse

OHCb
  • Prevents substance use related harms to the employee and at the work place

  • Participates in developing the AODa policy

  • Provides information, advice and guidance

  • Evaluates the implementation of the AODa policy

  • Evaluates employee's work ability

  • Assesses the nature of the employee's SUDc and any help needed

  • Organizes referral to treatment

  • Makes treatment and rehabilitation plan

  • Advises on matters of absence and work arrangements

  • Serves as point of contact between the treatment/rehabilitation provider and employer

  • Reviews treatment implementation

  • Informs supervisor accordingly

  • Organizes follow-up meetings for employee according to the rehabilitation plan

  • Participates in joint meetings concerning employees re-entering

OSHd
  • Assesses workplace substance abuse related risks

  • Participates in AODa policy development

  • Evaluates the implementation of the AODa policy

  • Acts as support person for employee and supervisor

  • Acts as support person for employee

 
Work community
  • Follows employers' values and principles of the AODa policy

  • Intervenes if there are signs of peer's SUDc

  • Approaches in an encouraging and constructive manner

  • Demonstrates supportive attitude based on acceptance, equality and an appropriate approach

  • Supports, encourages and accepts the returning colleague as an equal

Note(s):
a

AOD = alcohol and other drug

b

OHC = occupational health care

c

SUD = substance use disorder

d

OSH = occupational safety and health

Source(s): Authors’ own work

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