Work Place Drug Test

WorkPlaceDrugTestDrug-testingintheworkplaceGiovanniSerpelloniElisabettaSimeoniDepartmentofAntiDrugPoliciesPresidencyoftheCouncilofMinistersWorkplacedrugstestandgeneralanti-drugstrategiesPETTHCeWorkingMemoryAlterationandimpairmentofproceduralmemory(memorizeoperationalsequences,automatismsandcontemporaneity)AlterationofcoordinationAlterationofstabilityConsumodimarijuanaRiduzionedellospessorecorticalenelleareetemporo-mesialienellacortecciacingolataanteriore(inblu)Associazionecondeficitneuropsicologici(attenzioneememoria)EmisferosinistromesialeEmisferosinistrolateraleN=6Volontariosano0,52mm4,22mm0,57mmADDICTIONNEUROSCIENCEVeronaGroup2010EffectsofMarijuana-SPECTInourexperience,theeffectsofmarijuanausetypicallycausedecreasedactivityintheposteriortemporallobesbilaterally.Thedamagecanbemildorsevere,dependingonhowlongapersonused,howmuchuseoccurred,whatothersubstanceswereused(nicotineisapowerfulvasoconstrictor)andhowvulnerableaparticularbrainis.FormoreinformationseeDr.Amen'sarticleHighResolutionBrainSPECTImaginginMarijuanaSmokerswithAD/HD,JournalofPsychoactiveDrugs,Volume30,No.2April-June1998.Pgs1-13.18y/o-3yearhistoryof4xweekuseundersidesurfaceviewdecreasedpfcandtemporallobeactivity16y/o--2yearhistoryofdailyabuseundersidesurfaceviewprefrontalandtemporallobeactivity38y/o--12yearsofdailyuseundersidesurfaceviewdecreasedpfcandtemporallobeactivity28y/o--10yearsofmostlyweekenduseundersidesurfaceviewdecreasedpfcandtemporallobeactivityAlterazionefunzionaledelcervellonell’alcolismoNormalHealthylevelsofbrainactivityAlcoholicDarkerColouringindicatesdepressedbrainactivity10StrategieepoliticheantidrogaThe4elementsoftheNationalDrugActionPlanNationalDrugActionPlan5interventionareas2009-12ItalyPreventioninformationearlywarninguniversalandselectiveearlydetectionandeducationalapproachTreatmentEarlycontactAcceptanceDiagnosisandappropriatetherapiesandpreventionofrelatedpathologiesRehabilitationandReintegrationsocialandemploymentMonitoringofphenomenonandAssessmentofresults(criterionoffinancability)1234Combattingandreducingsupplyofillegaldrugs:OnterritoryOnInternet5AnItalian“matrix”onEuropeanindicationsPreventionINTERNVETIONAREAS1EarlierandmoreexplicitinformationonthedamagecausedbydrugsandalcoholabuseUniversalpreventionthroughpermanentmediacommunicationSelectivepreventionforhigh-riskgroupsinplacesofentertainmentEarlydetectionofyoungconsumerstoreducelagtimebeforestartoftreatmentDrugtestsonworkerswithat-riskdutiesSpecificinterventionstopreventdrugandalcohol-relatedtrafficaccidents(information,education,onsitedrugandalcoholtests)EducativeapproachinschoolswithsupportavailableforfamiliesPriorityactionsDrugtestpolicy(SIANN2009)OnsiteDriverstestWorkplaceEarlydetectionofyoungdruguseCertificationforbeginnerdrivingDrugtestIntheschool“Self-applied”DrugtestDRUGSTESTNOTESTLegislativesources•Pres.Decree309/1990•State/RegionsMoU•State/RegionsAgreement•Leg.Decree81/2008Art.125(Checksfordrugaddiction)Orderno.99/CUof30October2007Rep.Actsno.178of18September2008Art.41,para.4and4bis(asmodifiedbyarticle26,para.5,ofLeg.Decreeno.106of3August2009)Pres.Decreeno.309/90•Article124Drug-addictedworkers1.Workerswhoareconfirmedtobedrugaddicts,whointendtostarttherapyandrehabilitationprogramsatthehealthcareservicesoflocalhealthservicesorothertherapeutic-rehabilitationandsocio-assistancestructures,ifemployedonapermanentbasishavetherighttokeeptheirworkpositionforthetimeinwhichthesuspensionoftheirworkisduetoundertakingrehabilitationand,inanycase,fornomorethanthreeyears.2.Collectivelabourcontractsandworkagreementsforthepublicsectormayestablishspecificmeansforexercisingtherightinpara.1.Withoutprejudicetoanymorefavourablecontractualarrangement,long-termabsencefortherapy-rehabilitationisconsidered,forregulatory,economicandsocialsecuritypurposes,asunpaidleaveofStateemployeesandsimilar.Workerswhoarerelativesofadrugaddictmay,intheirturn,beputonunpaidleave,onrequest,tocontributetothetherapyandrehabilitationprogramofthedrugaddictshouldthedrugaddictionservicedeclaresuchaneed.3.Forthesubstitutionoftheworkersassetoutinpara.1,itisallowedtorecruitonafixed-termbasis,pursuanttoarticle1,para.2,letterb),ofLawno.230of18April1962.Aspartofpublicemploymentfixed-termcontractscannotlastmorethanoneyear.4.Thereisnoprejudicetotheprovisionsinforcewhichrequirethepossessionofparticularpsychophysicalandattitudinalrequisitesforaccesstoemployment,aswellasthoseforstaffofthearmedforcesandpolice,thosewhoactassecuritypersonnelandthosetowhichthelimitsenvisagedbyarticle2ofLawno.874of13December1986apply,andwhichregulatesuspensionandremovalfromservice.Pres.Decreeno.309/90•Article125Checksfordrugaddiction1.Thosebelongingtocategoriesofworkersdestinedtodutieswhichentailrisksforthesafety,securityandhealthofthirdparties,asidentifiedwiththeDecreeoftheMinistryofLabourandSocialSecurity,togetherwiththeMinisterofHealth,aresubjecttocareinpublicstructuresunderthenationalhealthserviceand,atthecostoftheemployer,toacheckontheabsenceofdrugaddictionbeforebeingrecruitedand,subsequently,toperiodicchecks.2.TheDecreeassetouti