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Dr Rachel Herring
Middlesex University
North London alcohol workplace project:IBA in workplace settings?
London Alcohol Summit29th November 2010
James MorrisThe AERC Alcohol Academy
Promoting excellence in local alcohol
harm reduction
Background In 2009 Healthy Enfield applied to NHS
London/RPHG to explore practicalities of delivering IBA in the workplace
There is limited research about the efficacy and practical implication of IBA in the workplace
Most alcohol workplace policy/intervention relates to higher risk/dependency, e.g. linked to disciplinary action - remember:
Increasing risk drinkers = 7.3 m Higher risk = 2.4m
Promoting excellence in local alcohol
harm reduction
Total alcohol-related output loss to the UK economy of up to £6.4bnAbsenteeism through alcohol misuse costs the
economy about £1.5bn (17m lost days). Drinking 7+ (women) or 14+ (men) units/week raises the likelihood of absence through injury by 20%
Inability to work (unemployment and early retirement) & premature deaths among economically active people costs £1.9 b (20m lost days)
Structural work factors can influence the risk of alcohol-misuse and harm
Alcohol-related absenteeism alone costs London employers £294m
Does it matter?
Promoting excellence in local alcohol
harm reduction
“oil broker Stephen Perkins…woke up and found that he had drunkenly traded more than 7m barrels of Brent crude oil and caused a spike in crude prices that panicked world markets.”
The Guardian 30 June 2010
The Guardian 24 Nov 2010
Promoting excellence in local alcohol
harm reduction
Broad aims
To deliver IBA training to a range of workplace roles to test the suitability and practicalities for various settings i.e. feasibility study
Not testing ‘does IBA work’ (i.e. outcomes for those receiving IBA in workplace settings (some studies have assessed this*)
Evaluation to inform future policy & practice
* E.g. Watson et al 2009 (AERC insight 63), Webb et all 2008 (Addiction journal)
Promoting excellence in local alcohol
harm reduction
DeliveryIBA training to workplace roles:
Occupational HealthEmployee assistance programmesUnion representativesManagers of safety critical rolesOther health or safety roles or e.g. emergency servicesHuman Resources and other management roles
responsible for employee health and wellbeing
Provision of IBA resources to support thisSupport for workplace drug and alcohol policyHub: Enfield, Haringey, Barnet, Camden
Promoting excellence in local alcohol
harm reduction
Independent evaluation Assess the perceived value of IBA training to
individuals within the workplace Assess whether IBA training results in action
to identify and advise staff regarding alcohol use/problems
Consider the aspects of the workplace setting that act to facilitate or deter action regarding the identification and delivery of advise to staff regarding alcohol use/problems
To make recommendations which may inform the development of workplace policies
Promoting excellence in local alcohol
harm reduction
Methods
Review of key literaturePre and post training survey of all
participantsFollow up interviews with a selected
sample of participants
Promoting excellence in local alcohol
harm reduction
Challenges?
Buy-in: current climate of job-losses and uncertainty - extra responsibility /pressure means new projects are not a priority
Perceptions: disentangling disciplinary procedures and higher risk from the opportunity of early intervention (IBA)
Suitability of IBA: some roles are not likely to see full IBA as realistic e.g. a manger to screen a member of staff? IBA ‘lite’/leaflet instead?
Promoting excellence in local alcohol
harm reduction
Thank you
Dr Rachel Herring [email protected]
James Morris, AERC Alcohol Academy
[email protected] 450 2930
