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WASHINGTON -- Only limited scientific
evidence exists showing that employer programs to combat alcohol and drug abuse
are effective, a panel of research and medical experts said in a report released
Monday that questioned the billions of dollars being spent annually on such
efforts.
"Workplace-oriented interventions cannot
solve society's problems with alcohol and other drugs," said the report by a
committee from the National Research Council and the Institute of Medicine. The
findings, however, were immediately challenged by advocates of corporate
involvement in efforts to fight drug and alcohol problems.
The report noted that nearly $1.2 billion
is being spent annually on workplace drug-testing programs alone. The committee
cited a lack of thorough research into the relationship between testing programs
and worker productivity. Studies that have been done often suffer from
significant flaws, the report said.
The report raised special concerns about
pre-employment drug testing, noting that job applicants have none of the
safeguards that employees enjoy in dealing with the serious consequences of the
test results.
"If a positive test result is reported by
the laboratory, the applicant should be properly informed and should have an
opportunity to challenge such results," the report recommended.
That opportunity should include "access to
a medical review officer or other qualified individual to assist in the
interpretation of positive results, before the information is given to those who
will make the hiring decision."
The committee was formed in 1991 by the
Commission on Behavioral and Social Sciences and Education of the National
Research Council and the Division of Health Promotion and Disease Prevention of
the Institute of Medicine. The council, principal operating arm of the National
Academy of Sciences and the National Academy of Engineering, provides science
and technology advice under a congressional charter, as the Institute of
Medicine does on health policy.
With its work funded by the National
Institute on Drug Abuse, the committee's mission was to analyze scientific
knowledge on the prevalence and cause of drug consumption by the U.S. work
force, its impact on work performance and the effectiveness of work site
prevention and treatment programs.
The study is likely to generate
controversy because the Clinton administration, like the Bush and Reagan
administrations, puts great emphasis on attacking alcohol and drug abuse through
the workplace.
Attorney General Janet Reno and Lee P.
Brown, director of the White House's office of national drug control policy, had
not yet received the report Monday, their offices said. But Brown, in an
interview, underscored the value he places on anti-drug programs in the
workplace. He said the efforts improve worker safety How
To Pass A Drug Test For Free and health, reduce sick time and enhance
productivity, making the nation more competitive.
Reno, in a speech last May to the
Institute for a Drug Free Workplace, made clear her support. "I think corporate
and business Americans have in many respects taken the lead in initiatives that
I think have a long range impact on drug abuse in America," she said.
Mark A. deBernardo, executive director of
the Drug Free Workplace institute, contended the report was misleading. "A lot
of these conclusions taken out of context will prove useful to opponents of drug
testing," he said.
He joined Thomas Hedrick, president of the
New York-based Partnership for a Drug-Free America, in arguing that if workplace
programs did not work, profit-minded corporations would drop them.
Hedrick said he was "not at all surprised"
by the report's conclusion there is little hard evidence about the effectiveness
of such programs. He said the major reason has been the confidentiality of
private sector companies, which either don't want to be seen as part of the drug
problem or decline to share information on their employees.
The report cited 1990 estimates that
approximately 7 percent of American workers had used an illicit drug in the
month before being surveyed, down substantially from the 14 percent of the
general population found to have used one or more illicit drugs in 1979.
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