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7 Signs of Substance Use at Work

Medically Reviewed By

Written By

James Mikhail

Substance use at work can harm productivity, safety, and employee well-being. Recognizing the signs early is crucial for intervention and support. Here are the 7 key warning signs:

  1. Declining Work Performance: Frequent mistakes, missed deadlines, and career stagnation.
  2. Attendance Problems: Unexplained absences, especially on Mondays, Fridays, or post-payday.
  3. Changes in Physical Appearance: Bloodshot eyes, grooming decline, sudden weight changes.
  4. Behavioral Shifts: Mood swings, social withdrawal, or poor decision-making.
  5. Safety Risks: Impaired judgment, delayed reactions, and increased workplace accidents.
  6. Social Habit Changes: Isolation, irregular communication, or reduced team participation.
  7. Physical Control Issues: Unsteady gait, slurred speech, and coordination problems.

Quick Tip: Early detection and support can improve outcomes for both employees and organizations. Watch for patterns, not isolated incidents, and focus on creating a supportive workplace culture.

What Are The Signs Of Drug Use In The Workplace

1. Declining Work Performance

A noticeable drop in work performance is often a clear sign of substance use in the workplace. This falls under the category of performance-related issues, as highlighted earlier.

Inconsistent Work Quality
Employees may start making frequent mistakes or struggle with tasks they once managed with ease, leading to unpredictable work outcomes.

Cognitive Challenges
Substance use can interfere with key mental abilities, including decision-making, focus, and the ability to process information effectively.

Struggles with Project Management
Employees dealing with substance use may show several challenges, such as:

Affected AreaCommon Signs
Time ManagementMissed deadlines, poor time estimation
Task CompletionUnfinished projects, rushed deliverables
Work QualityErrors, inconsistent results
Problem-SolvingTrouble handling complex tasks

Career Stagnation

  • Reluctance to pick up new skills
  • Trouble adjusting to workplace changes
  • Higher likelihood of facing disciplinary measures

These performance issues are often tied to attendance problems, which will be covered in the next section.

2. Attendance Problems

Attendance issues can be a warning sign of substance use in the workplace. Like drops in performance, these issues often appear before any visible physical symptoms. On average, employees dealing with substance use disorders miss 14.8 workdays annually, compared to 10.5 days for their peers[1][2].

Common Attendance Patterns

Certain attendance habits can point to potential substance use. Here are a few patterns to watch for:

PatternIndicators to Note
Monday/Friday AbsencesRegular sick calls at the start or end of the week
Post-Payday IssuesUnexplained absences shortly after payday
Break PatternsTaking longer or more frequent unscheduled breaks
Shift PreferencesRequesting shifts with less supervision

How Substance Use Affects Attendance

Substance use can directly disrupt attendance due to physical limitations. For instance, employees with alcohol-related issues are 2.7 times more likely to miss work due to injuries[1]. Additionally, 35% of people in opioid addiction treatment reported skipping work specifically because of their drug use[7].

Manipulating Schedules

Some employees might alter their schedules to hide substance use. These behaviors include:

  • Taking all available leave without prior notice
  • Offering inconsistent reasons for absences
  • Working extra hours to make up for missed time
  • Relying on coworkers to handle their duties

These attendance patterns often overlap with performance issues and may occur alongside physical changes, which we’ll cover next.

3. Changes in Physical Appearance

Changes in physical appearance can often hint at substance use. Though these changes may happen gradually, they can vary depending on the substance involved.

Common Physical Indicators

Certain physical signs are more noticeable and tend to fall into a few main categories:

CategoryCommon SignsAdditional Indicators
Eye ChangesBloodshot or watery eyes, unusual pupil sizeYellowing whites, dark circles
Skin IssuesFlushed or pale complexion, unusual sweatingTrack marks, unhealed sores
Weight ChangesSudden weight loss or gain
Grooming DeclineUnwashed clothing, unkempt appearancePoor oral hygiene, body odor

Substance-Specific Signs

Different substances leave distinct physical markers:

  • Alcohol: Morning bloodshot eyes, flushed face, trembling hands [1][8].
  • Stimulants: Noticeable weight loss, dilated pupils, and excessive sweating [8][5].

Energy Level Changes

Shifts in physical energy can also signal substance use. These may include:

  • Sudden swings between hyperactivity and extreme fatigue
  • Unusual drowsiness during work hours
  • Noticeable tremors or unstable movements
  • Energy levels that vary unpredictably throughout the day [1][8]

Less Obvious Clues

More subtle signs might include frequent nose rubbing without an apparent cold or sudden dental issues [1][8].

According to the NSC (2022), substance recognition programs have been linked to a 40% increase in early intervention rates [4].

These physical changes often appear alongside behavioral patterns, which will be discussed in the following section.

4. Changes in Behavior

Behavioral shifts can often signal substance use in the workplace. These changes, combined with physical symptoms, can heighten risks and challenges on the job.

Key Behavioral Signs

CategoryObservable ChangesImpact on Work
Social WithdrawalAvoids team interactions, skips meetingsLess collaboration
Emotional StateUnexplained mood swings, irritabilityStrained relationships
Decision MakingPoor judgment, trouble with complex tasksLower work quality

Interaction Challenges

Shifts in how employees interact with others may include:

  • Reacting defensively to feedback
  • More frequent conflicts with colleagues
  • Sudden changes in communication style

These issues can disrupt teamwork and create a less productive and safe environment.

Patterns in Workplace Behavior

Beyond attendance and performance concerns, other warning signs might include:

  • Long, overly detailed excuses for being late
  • Irregular participation in meetings

If ignored, these behaviors can evolve into serious safety hazards, which we’ll explore in the next section.

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5. Safety Risks

Behavioral changes can lead to noticeable safety risks, exposing organizations to potential hazards. The National Safety Council reports that employees with substance use disorders are 3.6 times more likely to be involved in workplace accidents[9].

Key Safety Concerns

Risk FactorImpactSafety Consequence
Impaired JudgmentPoor decision-makingMisuse of equipment
Delayed ReactionsSlower response timeHigher risk of accidents
Reduced CoordinationPhysical control issuesErrors in equipment handling
Decreased AwarenessLimited attention spanMissed safety protocols

Industries like construction and transportation are hit especially hard, with substance use linked to up to 50% of accidents and 40% of fatalities in these sectors[1].

Operational Challenges

Substance-related workplace accidents can lead to OSHA fines, higher insurance premiums, and legal liabilities for companies[1][9]. Repeated safety incidents often signal underlying substance use issues, particularly when patterns become apparent.

Building a strong safety culture is crucial in minimizing these risks. Regular safety training sessions can help identify and address substance-related risks before incidents occur[10][9]. Physical control issues, one of the most common impairments, will be discussed further in Section 6.

These safety risks not only jeopardize individuals but also disrupt team dynamics and undermine the overall safety environment of the workplace[3][4].

6. Changes in Social Habits

Shifts in workplace social behavior can often hint at potential substance use problems. Employees struggling with such issues might pull back from usual interactions or show noticeable changes in how they communicate.

Key Behavioral Changes

BehaviorSigns
Isolation PatternsEating alone, steering clear of team meetings
Communication StyleTalking excessively or becoming unusually quiet
Team ParticipationSkipping group activities, contributing less

These changes often go hand in hand with reduced collaboration.

Workplace Clues to Watch For

Substance use can sometimes become apparent through inconsistent social behavior. Look for patterns like:

  • Frequent, unexplained absences from group settings
  • Straying off-topic or making unrelated comments during discussions[11]

For managers and HR teams, these social changes should raise awareness, especially when paired with other warning signs. Addressing concerns discreetly helps maintain trust while ensuring the situation is managed appropriately.

Next, we’ll delve into how these social shifts can lead to noticeable physical control problems.

7. Physical Control Issues

Substance use can lead to physical impairments that directly affect workplace safety. These impairments are often noticeable and can have serious consequences. Here are some common signs:

SignImpactRisk
Unsteady GaitDifficulty moving around workspaceHigh
Slurred SpeechCommunication challengesModerate
Poor CoordinationReduced task accuracyHigh

Substance-related physical impairments are linked to a 2.7 times higher rate of injury-related absences [2].

Task-Specific Impairments

The type of impairment often depends on the job role. For example:

  • Office workers might make typing errors or struggle with basic tasks.
  • Manual laborers could mishandle tools, increasing the risk of accidents.

Statistics show that 16% of emergency room patients injured at work test positive for alcohol [2]. This highlights how critical these impairments can be, especially in roles involving safety-sensitive tasks.

Subtle Indicators

Not all signs are obvious. Some may include:

  • Changes in handwriting or accuracy when using digital tools.
  • Minor tremors that affect handling objects.
  • Slight balance issues that may go unnoticed at first.

When documenting such incidents, include details like dates, times, specific behaviors, and their impact on safety [2][6].

"Physical control issues can pose significant safety risks, especially in environments involving machinery, driving, or handling hazardous materials. Impaired coordination can lead to accidents, injuries, or property damage" [2][5].

It’s also essential to rule out medical conditions and involve professional assessments to address these concerns properly [4].

Recognizing both obvious and subtle signs is critical, setting the stage for a deeper look at how to identify and manage these risks effectively.

Common vs. Subtle Signs

While earlier sections highlighted specific behavioral and physical indicators, it’s also important to understand how obvious or hidden these signs can be. This helps in deciding how to respond effectively.

Observable Indicators

Some signs are easy to spot because they directly interfere with workplace operations. These often tie back to performance issues or attendance problems and may include:

  • Noticeable physical changes
  • Poor coordination
  • Unpredictable or erratic behavior

Harder-to-Detect Warning Signs

Other indicators are more gradual and can be mistaken for typical workplace struggles. Changes in social habits, as mentioned earlier, often develop over time. These less obvious signs might include:

  • Unexplained financial difficulties
  • A slow decline in personal grooming
  • Inconsistent engagement in team activities

"Organizations can create a supportive culture by implementing confidential reporting systems, providing education on substance use issues, and emphasizing a focus on employee well-being rather than punishment" [2][5].

Detection Strategies

Training is key to helping employees recognize patterns without jumping to conclusions. This means learning to tell the difference between temporary challenges and more serious, substance-related issues – all while respecting privacy.

Organizations should create clear policies that address both obvious and subtle signs, ensuring they uphold employee dignity. By focusing on patterns rather than isolated incidents, teams can respond more thoughtfully and effectively.

Spotting these patterns allows for compassionate and practical support, which will be discussed in the next section.

Steps to Help Affected Employees

Once warning signs are identified, it’s important for organizations to act with care and follow proven strategies to address the situation effectively.

Initial Response Protocol

Start by documenting specific performance issues in an objective manner. Focus on clear, observable workplace behaviors rather than making assumptions about potential substance use. This approach ensures discussions are grounded in facts and not speculation.

When addressing the issue, a private and structured conversation is key. Keep the discussion centered on job performance while showing genuine concern for the employee’s wellbeing. Consider seeking advice from workplace intervention experts to guide these conversations.

Creating Support Pathways

Providing the right support can make all the difference. Organizations should offer resources like:

Employee Assistance Programs (EAP)
EAPs provide employees with access to confidential support and referrals for treatment.

Healthcare Coverage
Ensure that company health plans include coverage for:

  • Substance use treatment
  • Mental health care
  • Rehabilitation services
  • Ongoing aftercare

Always comply with ADA and FMLA requirements while maintaining strict confidentiality for the employee.

Return-to-Work Integration

Reintegrating employees into the workplace requires thoughtful planning, including:

  • Gradual, phased schedules
  • Clear and realistic performance expectations
  • Support from assigned mentors
  • Confidentiality safeguards
  • Encouraging a positive, understanding team environment

Measuring Support Effectiveness

To gauge the success of these efforts, track key metrics such as:

  • Absenteeism
  • Workplace incidents
  • Employee retention rates

Conclusion

Addressing substance use in the workplace requires a well-thought-out plan to ensure both employee well-being and workplace safety. Spotting the signs early and taking action with care and clear guidelines is essential.

Workplaces that prioritize recovery while upholding safety standards can create supportive environments. This includes having clear policies and offering confidential assistance programs, which help employees in need while keeping operations running smoothly.

Finding the right balance between legal responsibilities and safety is key. For example, the Americans with Disabilities Act (ADA) protects employees seeking treatment[2], while employers are tasked with maintaining a safe work environment. Recovery centers like Ikon Recovery Center offer structured programs that help employees return to the workplace successfully.

Recognizing the signs of substance use early can lead to better outcomes for everyone involved. With a compassionate and proactive approach, workplaces can encourage employees to seek help and create a culture of support and accountability.

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