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Conférence Internationale Conférence Internationale Groupe Pompidou - 15 et 16 Groupe Pompidou - 15 et 16 Octobre 2014 Strasbourg Octobre 2014 Strasbourg Prevention in the workplace of the use of alcohol and drugs SUBJECT AREA 2 The reference framework – Practical examples The practice of the CGTP-IN General Confederation of Portuguese Workers - National inter-union association Giorgio Casula

Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Strasbourg Prevention in the workplace of the use of alcohol and drugs SUBJECT AREA 2

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Conférence Internationale Groupe Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Pompidou - 15 et 16 Octobre 2014

StrasbourgStrasbourg

Prevention in the workplace of the use of alcohol and drugs

SUBJECT AREA 2The reference framework – Practical examples

The practice of the CGTP-INGeneral Confederation of Portuguese Workers -

National inter-union association

Giorgio Casula

Conférence Internationale Groupe Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Pompidou - 15 et 16 Octobre 2014

StrasbourgStrasbourg

Prevention in the workplace of the use of alcohol and drugs

1. General considerations

Health and Safety at Work (HSW) in Portugal - A decline in the last two years, despite the progress made in previous years; - HSW still seen as a cost factor by the majority of companies;- Job uncertainty and social and domestic situations increase the risks in the workplace;- Portugal is still one of the European countries with the highest rates of occupational accidents and fatalities.

Conférence Internationale Groupe Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Pompidou - 15 et 16 Octobre 2014

StrasbourgStrasbourg

Prevention in the workplace of the use of alcohol and drugs

Healthcare in Portugal- In recent years, the austerity policy has affected all ministries, including the Health Ministry;- Reorganisation of public health bodies and their staff. Because of low salaries, doctors and nurses are leaving the country;- Huge increase in the number of patients per GP; rising costs and increased use of medicines;- This, together with the rising cost of living, means that people take less care of themselves.

Conférence Internationale Groupe Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Pompidou - 15 et 16 Octobre 2014

StrasbourgStrasbourg

Prevention in the workplace of the use of alcohol and drugs

1. General considerations

The reference framework –- Very good and appropriate regulatory framework;- Individual health is at the centre of all policies;- All treatment is patient-centred;- Diagnosis, risk analysis, complementarity between various stakeholders (public and private) and the authorities;- Very good progress made in this question by the Drug Dependence and Addiction Institute (IDT) / Department for Action on Addictive Behaviours (SICAD); The Euridice project has helped considerably!- Major contribution from the social partners

Conférence Internationale Groupe Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Pompidou - 15 et 16 Octobre 2014

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Prevention in the workplace of the use of alcohol and drugs

The reference framework - Importance of an integrated plan, imposing a link between public agencies and between the latter and private bodies;- Importance of a link, including at local level, with all the relevant stakeholders;- In the workplace, ensure that workers and their representatives participate and contribute;- Importance of a link with occupational physicians and ensuring an open corporate culture (still too infrequent).

Conférence Internationale Groupe Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Pompidou - 15 et 16 Octobre 2014

StrasbourgStrasbourg

Prevention in the workplace of the use of alcohol and drugs

The reference framework – problems to be overcomeAt structural and policy level- In Portugal there is a need for closer links between the Labour Inspectorate (ACT) and the authority responsible for health at work (Directorate General of Health + SICAD).- The reduction in funding for the HSW policy means that little progress can be made in support of prevention or intervention measures.

Conférence Internationale Groupe Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Pompidou - 15 et 16 Octobre 2014

StrasbourgStrasbourg

Prevention in the workplace of the use of alcohol and drugs

The reference framework – problems to be overcomeAt structural and policy levelIn Portugal, reduced importance placed on HSW as a result of: - a reduction in the operational conditions of the ACT; - a reduction in the number of labour inspectors;- a transfer of responsibilities to local health centres (for primary occupational health care)- opting to privatise health care and HSW services – with its risks and consequences

Conférence Internationale Groupe Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Pompidou - 15 et 16 Octobre 2014

StrasbourgStrasbourg

Prevention in the workplace of the use of alcohol and drugs

The reference framework – problems to be overcomeAt structural and policy level- An enormous amount of work needed to convince workers; and companies too, with the cost involved seen as an additional obstacle;- Addiction and alcoholism still not accepted as an illness by most people;- Problem of trust and confidentiality;- Important for everyone in the company to work together

Conférence Internationale Groupe Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Pompidou - 15 et 16 Octobre 2014

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Prevention in the workplace of the use of alcohol and drugs

2. The HSW prevention activity of the CGTP-INThe importance of HSW for the CGTP-IN

1- Our role as a social partner

2- Awareness-raising campaigns and training

3- Election of workers’ HSW representatives

4- The “Stress in the workplace” project

5- Action in the context of the Labour Inspectorate

6- The Euridice project on drug dependence and addiction

Conférence Internationale Groupe Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Pompidou - 15 et 16 Octobre 2014

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2. The HSW prevention activity of the CGTP-INThe importance of HSW for the CGTP-IN

1 – Our role as social partner:

* An HSW department

* Member of 3 European tripartite organisations;

OSHA/ European Agency For Safety at Work (Bilbao)

Advisory Committee on HSW (Lux)

European Foundation for the Improvement of Living and

Working Conditions (Eurofound) (Dublin)

* Member of the Portuguese Advisory Council on HSW

Undertaking research – Taking action – Alerting – ProposingUndertaking research – Taking action – Alerting – Proposing

Improving the quality and extent of our actionImproving the quality and extent of our action

Conférence Internationale Groupe Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Pompidou - 15 et 16 Octobre 2014

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2. The HSW prevention activity of the CGTP-IN

2- Awareness-raising campaigns and training

- - National seminars

- Regional workshops

- 3 thematic brochures

- Three handbooks:

• Workers participation in HSW

• The process for electing workers’ HSW representatives

• Risk assessment handbook

Website, Freephone and e-Newsletter

http://www.cgtp.pt/seguranca-e-saude

Conférence Internationale Groupe Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Pompidou - 15 et 16 Octobre 2014

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2. The HSW prevention activity of the CGTP-IN

Since 2004

- A handbook for the election of workers’ HSW representatives

- Numerous sectoral/occupational information sessions

- National awareness-raising activities (trade union delegates,

workers’ representatives or candidates to be workers’ representatives)

- Training courses.

Results

- In 2012: 33.8% in municipal councils, 14.7% in large undertakings,

9.7% in hospitals, and only 2.3% in SMEs

- CGTP-IN elected representatives: average of 85% of the total

number

-

3 - Election of workers’ HSW representatives

Conférence Internationale Groupe Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Pompidou - 15 et 16 Octobre 2014

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2. The HSW prevention activity of the CGTP-IN

4 – The “Stress in the workplace” project

Conférence Internationale Groupe Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Pompidou - 15 et 16 Octobre 2014

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2. The HSW prevention activity of the CGTP-IN

4 – The “Stress in the workplace” project

In partnership with the Portuguese Trade Confederation (CCP) and with the support of the Labour Inspectorate (ACT): Framework agreement

Study on the causes and effects of stress in the service and road transport sectors, with a view to identifying measures to reduce the risks of stress in the workplace;

Awareness-raising seminars;

Learning kit

Training courses

Publicity

Conférence Internationale Groupe Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Pompidou - 15 et 16 Octobre 2014

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2. The HSW prevention activity of the CGTP-IN

5- Action in the context of the Labour Inspectorate

(ACT)

- - Since 2010 – Specific support for preventing drug addiction and dependence in the workplace - Awareness-raising campaigns; seminars; training courses; fact-sheets; - 3 key union sectors: railways, road transport; chemicals and metallurgy- Huge demand from universities

Conférence Internationale Groupe Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Pompidou - 15 et 16 Octobre 2014

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2. The HSW prevention activity of the CGTP-IN

6 -

Origin

- European project, set up by the “Cooperativa Marcella” – Italy.

- Being run in 6 European countries / in Portugal since 2001

Objectives

• To prevent and take action to combat smoking and addiction

to alcohol and other substances.

• To promote a healthy lifestyle and habits – health education

• To change attitudes and behaviour and reduce risk factors.

Conférence Internationale Groupe Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Pompidou - 15 et 16 Octobre 2014

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6 -

ObjectivesTo reduce the consumption of tobacco, alcohol and other substances in the workplace (cf. the positive effects for the individual and the company)To foster greater awareness of the dangers of consuming substances which can lead to dependence.To foster a healthy social and working climate at work.

Conférence Internationale Groupe Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Pompidou - 15 et 16 Octobre 2014

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6 -

The players – the partnership

Initially / 2001-2002 (only prevention)

- CGTP-IN;

- Municipal councils: Seixal and Loures

- Companies: Yasaki Saldano; Luis Simao Transport

Company; Hovione Farmaciência

- Workers with their works councils and unions

- Support from the European Euridice Programme

Conférence Internationale Groupe Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Pompidou - 15 et 16 Octobre 2014

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The players – the partnership

Since 2003 (action in addition to prevention)

- CGTP-IN – the co-ordinating body

- IDT/SICAD – Technical and scientific support

- Specialists from the local and regional drug

addiction centres and health authorities (CAT and ARS)

- Sectoral trade unions, members of the CGTP-IN

- Organisations in the areas in which the project is

run

Conférence Internationale Groupe Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Pompidou - 15 et 16 Octobre 2014

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The players – local partners

- Municipal Councils: Seixal, Loures, Águeda, Venda

Novas, Sesimbra

- Companies:

Alentejo Water Board

Yasaki

Logica

Saica Pack

In total more than 8,500 workers (male and female)

Conférence Internationale Groupe Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Pompidou - 15 et 16 Octobre 2014

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Working groups

- CGTP-IN

- The company’s trade union (Union Committee)

- IDT/SICAD and teams from local and regional

health authorities (ARS) and integrated response centres

(CRI)

- Representatives of the municipality or the company

(HR, HSW, health office or occupational physician)

Conférence Internationale Groupe Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Pompidou - 15 et 16 Octobre 2014

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Methodology

- Preparatory and co-ordination meetings with the main persons

responsible in the partnership;

- Publicising the project in the organisation (municipal council or

company);

- Use of a questionnaire;

- Dissemination of the results to workers;

- Definition of action appropriate to the results obtained from the

questionnaire.

- Use of a possible second questionnaire

- Assessment and prospects (finalisation or continuation).

Conférence Internationale Groupe Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Pompidou - 15 et 16 Octobre 2014

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6 -

Practical action taken- Publication of information material (see appendices);- Awareness-raising among workers and management / numerous

contacts with workers and the Union Committee;- Significant involvement of representatives of management and HR;- Considerable readiness to offer assistance in problem cases without

excluding people, and making all players aware of their responsibility;

- Recommendation or self-recommendation for voluntary treatment with the support of the occupational physician and the company;

- Help with parenting education requested by some workers

Conférence Internationale Groupe Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Pompidou - 15 et 16 Octobre 2014

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Changes that have taken place1- Dependence/addiction seen as an illness and treated as

such in companies;2- Incorporation of a training module in the ongoing CGTP-

IN trade union training;3- Pioneer project in Portugal: the Euridice methodology

gradually incorporated and reproduced by the IDT/SICAD;

4- Importance of building trust and ensuring confidentiality for there to be voluntary participation;

5- Information on the action is given in broader union meetings and those interested can contact the union committees or their occupational physician.

Conférence Internationale Groupe Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Pompidou - 15 et 16 Octobre 2014

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Prevention in the workplace of the use of alcohol and drugs

The practice of the CGTP-INGeneral Confederation of Portuguese Workers -

National inter-union association

Giorgio Casula: Giorgio Casula: [email protected]

HSW Department of the CGTP-INHSW Department of the CGTP-IN

Conférence Internationale Groupe Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Pompidou - 15 et 16 Octobre 2014

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Conférence Internationale Groupe Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Pompidou - 15 et 16 Octobre 2014

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Conférence Internationale Groupe Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Pompidou - 15 et 16 Octobre 2014

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Conférence Internationale Groupe Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Pompidou - 15 et 16 Octobre 2014

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Conférence Internationale Groupe Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Pompidou - 15 et 16 Octobre 2014

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Conférence Internationale Groupe Conférence Internationale Groupe Pompidou - 15 et 16 Octobre 2014 Pompidou - 15 et 16 Octobre 2014

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