Addiction and psychiatric illness affect 10-15% of healthcare professionals. Many health care professionals do not receive early intervention and treatment needed, due to the lack of proper identification by employers. The first step in assisting an employee is recognition of the signs, symptoms and behaviors that are often displayed as a result of problems that can impact a professional’s ability to practice safely. Often, employers feel uncomfortable when there is a substance use disorder or psychiatric condition that can impact the workplace. A common barrier in employer identification is lack of knowledge regarding behavioral and mental health issues including addiction.
Reasons why peers, supervisors or employers do not identify healthcare professional addiction include:
- Not knowing that mental and substance use disorder issues when identified can be treated and can save lives, both patients and practitioners
- Lack of recognition of signs and symptoms that may produce problems in the workplace
- Fear—what if I am wrong
- Not understanding employer’s obligations under Boards, Statutes
- Hoping that “things will get better”
- Lack of awareness of resources available for employer and employee assistance
Barriers to Workplace Intervention:
Many employers do not understand their role in identifying the signs and symptoms that indicate an employee may have a problem with addiction or psychiatric disorder. There may be a misconception that they must be able to prove that there is a substance use issue or psychiatric illness prior to intervening. The goal of intervening is to make sure a problem is recognized and dealt with for the well-being of the professional and to assure safe practice in the workplace. Some basic principles of workplace intervention include:
- Document specific observations, including date, time, place and practice or conduct concerns
- Become familiar with the employee’s practice baseline
- Follow workplace policy on reporting of practice or conduct concerns