FAQ1) How big is America's drug problem?
BIG! The U.S. Government reports that, in the last month, 9.7 million Americans used marijuana and 1.9 million used cocaine! Due to "hybrid" planting and illicit "lab" techniques, marijuana and other drugs today are stronger, cheaper, and far more lethal than ever.

As an employer, here are three facts about illicit drugs you need to know:
2) But, is it really a problem for small business owners as well as for Corporate America?
Yes! More than seven out of ten (77%) of Americans 18+ who engage in illicit drug use are employed. That's 9.4 MILLION employees doing drugs! (How many work for YOUR company?)

As a result, 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). 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, employee equipment damage, and other problems- including drug-dealing (again, to support their own drug habit)!

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

3) What are employers doing about the drug 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 drug-abuse education and drug awareness programs; drug testing programs; and employee assistance (EAP) and rehabilitation programs. More than fifty-five (>55) million drug tests were performed in the U.S. last year.

4) 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 second half of 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.

5) 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.

6) 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:

Don’t show up at all (e.g., “second-hand” marijuana smoke does NOT trigger a positive)
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") 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 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".

7) Is drug testing legal?
There are some restrictions on 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 and to implement 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.

8) How common is 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%.

9) 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 drug abuse OFF the job will affect performance or safety ON the job. 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 may 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-use was documented in a study which found that, of those employees seeking help on a “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 who illicitly used drugs 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?)

10) 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.

11) What about drug or alcohol-related crime on the job?
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. General Motors, for example, has arrested over 500 employees 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!

12) How long will drugs stay in someone's system?
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 more complete listing of drugs and their detections 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.

13) 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!

Also, an incident at American Airlines showed the danger’s 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 in the computer at a critical juncture. The result was 8 hours of down time for the entire reservations system, significant data erasures, and a $19 million loss for the airline.

14) What specimens are commonly used for 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.

15) 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.

16) 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 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 rights, employers should take the following steps:

Develop a written drug testing policy for the employees that is well thought-out and communicated
Even-handed enforcement per that policy
Preservation of an employee’s privacy—making sure that only those with a “need to know” will know about a violation of the company’s written policy
In testing programs, use of confirmation tests, the maintaining of chain-of-custody, use of accredited laboratories and a certified MRO, and, fair application to the work force at large.

Moreover, public safety, efficient performance, product integrity, and employee morale are also legitimate interests which must be served. There is also too little said about the rights of employees who do NOT abuse drugs. Non-users have an absolute right to work in a safe working environment and to NOT have their jobs and benefits undermined by drug abusers!

17) What are employees’ views about workplace drug testing?
A recent national Gallup survey of employees demonstrated an increasing intolerance among employees for drug abuse and drug abusers, and an acceptance of employers taking strong steps to provide drug-free workplaces. The respondents said:

28% of employees who were asked what they thought was the greatest problem facing the United States today answered “drugs.” That response was given more than two-and-a-half times more frequently than the second most common answer.

22% of employees whose companies have drug testing programs feel it is “not strong enough,” while only 2% think it is “too strong.”

97+% of employees favor drug testing in the workplace at least under some circumstances.

18) But, come on now...does workplace drug abuse really affect me?
Drug abuse affects all citizens in the form of higher taxes, higher insurance rates, more crime, higher health care costs, and higher consumer prices. It also affects most of us as employees. A major telecommunications company reports that 40% of its health care costs are attributable to substance abuse!

19) Do company drug-abuse prevention programs work?
First of all, drug testing works. As a result of advertised, high-profile drug-abuse prevention programs enacted at many companies, many drug users don’t even apply there (at companies that do drug testing). Some of those who do apply will then stop using for fear of being caught, and some who are later “caught” will often undergo treatment and go straight.

There are numerous success stories in both the private and public sectors, but perhaps none as dramatic as the U.S. Navy’s: a decrease since the 1980’s to under 4% (down from 28%) of its active personnel engaged in illicit drug use (i.e., found positive when tested). This is specifically due to Navy’s implementation back in the 80’s of a comprehensive drug abuse prevention program - including monthly random drug testing of all active and reserve duty personnel- that continues even today.