HYLANT Webinar Slides - Substance Abuse and the Impact of ...€¦ · 45 Minutes – Substance...

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.