John W. Tuttle LCSW, CEAP, CADC, SAP American Airlines Lead EAP Manager Employee Assistance Program 972-425-7161 1-800-555-8810 John.Tuttle@aa.com EAPA Conference 3.1.2013

•  Assessment and Referral

•  Prevention

•  Handles a Variety of Personal Problems

•  Confidential

•  Supported by Unions and Management

•  Family

•  Friends

•  Legal System

•  Health Care

•  Job

•  Safety Sensitive Jobs •  DOT Requirements •  Risk Factors •  Potential for Adverse

Consequences

•  EAP Oversees Treatment

•  The EAP Can Override post-Violation

•  Ability to offer a true variety of care levels

•  Continuing Care Groups included in most contracts

•  The Internal EAP Coordinates the Return to Duty Process

•  A significant risk factor is overwork

•  Overtime, Working scheduled days off

•  Previous using peers may be at the job

•  Possible embarrassment regarding treatment

•  Often done at a treatment facility during primary •  Try to involve union coordinator •  One Year duration •  Individualized plan •  No drinking/using •  Consequences very clear regarding relapse •  The Goal is to have a successful employee

•  Occur after termination on a one time basis

•  Include undated letter of resignation

•  Permanent part of employment record

•  Supported by Unions •  Have stood up in

arbitrations

•  Employee calls into system Monday-Friday

•  Utilize Employee number and passcode

•  Computer directs when to test

•  EAP can adjust testing frequency

•  Computer indicates following day any non-compliance

•  Pre, Mid or Post Duty

•  No calling/ Directed to test

•  Drug Violations/Observed Follow Up

•  If they do not test promptly, it is considered a refusal

•  Initial phone discussion •  In-Person discussion •  Removal from service

for medical reasons •  Possible termination

under certain circumstances

•  Generally Monthly"•  Focus upon relapse

prevention"•  An additional

workplace support"•  Sometimes done in a

group (voluntary)"•  Trigger identification"

•  Alcohol/Drugs 75%

•  This number represents no known relapse during one year post treatment

•  As in other programs, highest relapse rates are with cocaine and methamphetamine addiction

•  Good treatment works

•  Treatment is cost-effective

•  The job can be a huge motivator

•  The workplace has the right to insist upon aftercare and testing, especially for employees in safety sensitive positions.

•  Mandatory aftercare and post-treatment testing have a positive impact upon relapse rates