Substance Abuse Management Training Tools including new media! and Regulation Updates

1. Substance Abuse Management Training Tools including new media!and Regulation Updates Presented by Diana Byrnes, Substance Abuse Management Specialist Center for Urban Transportation Research University of South Florida- Tampa FL Amphetamines Cocaine Marijuana Opiates PCP Alcohol

2. FTA Minimum Training RequirementsPer 49 CFR Part 655.14 • General education component • Awareness training for all safety-sensitive employees • Reasonable suspicion training for supervisors and company officials authorized to make reasonable suspicion determinations

3. General Education Component-49 CFR Part 655.14 (a)“..display and distribution of informational material and a community service hot-line telephone number for employee assistance”

4. Where to Find Community Service Hot-line numbers: • Your Local Yellow Pages • Your Employee Assistance Program • Your Substance Abuse Professional • National Hot Line Numbers • National Drug Abuse Hotline1-800-662-HELP (1-800-662-4357)

5. Where to Find Informational Material to Display: • FDOT/CUTR Website (address to follow) • US Department of Labor www.dol.gov/workingpartners • Street Drugs www.streetdrugs.org • NIDA www.drugabuse.gov • SAMHSA www.samhsa.gov • Local Newspaper

6. Where to Find Informational Material to Distribute: • FDOT/CUTR website (address to follow) • DOT Employee Handbook http://www.dot.gov/ost/dapc/ • Safety-meeting “boosters”; www.redribbonweek.com

7. Display and Distribution Best Practices • Display material throughout agency (in driver’s lounge, on vending machines, bulletin boards, near schedules, at dispatch desk, in rest rooms, etc.) • Keep message fresh, change often • Vary the media used

8. Drug Awareness Training Requirement

9. [655.14 (b)] • A minimum of 60 minutes of training to all safety-sensitive employees • Effects and consequences of prohibited drug use on personal health, safety, and the work environment • Manifestation and behavioral cues of drug use • Alcohol training not required • If included, it must be in addition to the 60 minutes on drugs

10. Training must be provided to new hires and transfers into safety-sensitive positions • Should be part of new employee orientation and training agenda • Only required once during tenure of employment • Refresher training highly recommended • Statistics show correlation between good training programs and low positive rates

11. Where to Find Training Materials: • Clean Sober and Safe: An Employee Drug Awareness Training Module that now includes Web Based Interactive Training • Video is 23 minutes in length, ideal for group training • Web based module ideal for new hire training (independent training) • Accompanying handbook can be distributed with the video or WBT or alone, as a refresher tool

12. Free Download of Video and Handbook and Link to Web Based Training • www.cutr.usf.edu/byrnessamsite

13. CS&S Web Based Training • Employees will access the web training from FDOT/CUTR SAM Website • Submit their first and last name • Follow prompts to view the video segments and answer the questions • Successful completion of the training module will result in a certificate for documentation See Demonstration

14. Disclaimer • Please be advised that the use of the Clean, Sober and Safe video or Web Based Training alone does NOT meet the 60 minute minimum requirement. Agencies must utilize additional training tools to meet the regulatory requirement. FDOT Employee Drug and Alcohol Manual will be available in September and will include an assessment quiz

15. Drug Awareness Training Best Practices • Exceed regulatory requirement of sixty minutes • Add alcohol awareness (although not required) • Provide refresher training, add to safety meetings • Add education on Rx and OTC Meds • Use “A Prescription for Safety” training module

16. “A Prescription for Safety” Education Module • 5 minute video and Handbook • General guidelines for safe and effective use of Rx and OTC meds • Provides an opening for discussion on agency policy regarding the reporting of medication use to supervisors • Education tool, no regulations regarding this topic- training is not required See Demonstration

17. Supervisor Reasonable Suspicion Training

18. [655.14 (b)(2)] • 60 minutes of training on the physical, behavioral, and performance indicators of probable drug use AND • 60 minutes of training on the physical, behavioral, and performance indicators of probable alcohol misuse • Only required once during tenure of employment with agency • Must be provided before supervisor can make a reasonable suspicion determination

19. Resources for Supervisor Training

20. Reasonable Suspicion Referral for Drug and Alcohol Testing: A Training Program for Transit Supervisors and accompanying Leader’s guide http://transit-safety.volpe.dot.gov

21. Additional Resources • Transportation Safety Institute: www.tsi.dot.gov • CUTR: www.cutr.usf.edu • Diana Byrnes: byrnes@cutr.usf.edu • FTA Annual Drug and Alcohol Program Conference http://transit-safety.fta.dot.gov

22. Supplement • Role play reasonable suspicion scenarios • Review your in-house documentation form • Discuss how to safely handle an irate employee • Discuss the actions that constitute a refusal • Discuss the protocol for notification of management or HR dept. • Discuss transport of employee to site

23. Additional topics to cover during supervisory training may include: • Post Accident Testing • Criteria • Testing windows • Documentation forms • Internal protocol, re: transport, etc. • DOT Specimen Collection and Testing Process • Emphasis on the integrity of the laboratory testing, MRO review of positive results to protect employee rights

24. Supervisor Training Best Practices • Exceed regulatory minimums • Utilize role play exercises • Empower supervisors- emphasize management’s support • Stress to supervisors that its okay if the test comes back negative • Consider including a segment on Post Accident Decision making

25. Coming Soon • “Crossroads- Drug and Alcohol Testing Decisions Supervisors Must Make” • Video and handbook • Will address post accident decisions, FTA criteria to test, testing windows etc. • Will address reasonable suspicion determinations, making the call to test, refusals, etc. • FALL 2010

26. Documentation Record Retention and Maintenance

27. Maintain the following documentation for all training sessions: • Training agenda, dates and times • Attendance roster • Copy of the training materials presented • Instructor’s name • Copies of any certificates given to employees • Keep for a minimum of two years*

28. Auditing • FTA Auditors are finding that the training requirements are often overlooked or not being met completely • If audited you must provided your training materials, training agenda and documentation of training • Minimum record retention for training documentation is 2 years- best practice: keep indefinitely

29. Drug and Alcohol Regulation Updates Most current information as of June 15, 2010

30. Regulation Updates Effective February 25, 2010 • New rule authorizes employers to disclose to state commercial driver’s licensing authorities test results of CDL holders when a state law requires such reporting (AR, CA, NC, OR, SC,TX and WA) • New Alcohol Testing Form (ATF) deadline for use extended to January 1, 2011 • New rule allows the use of the breath tube Alcohol Screening Device (ASD) published on the National Highway Traffic Safety Administration’s Conforming Products List- but EBT confirmation must be used

31. Updates Continued • New Proposed Rule Making (NPRM) • Introduction of Instrumented Initial Testing Facility: non-negative results would be forwarded to an HHS certified laboratory for additional testing. • DHHS is lowering cut-off levels for amphetamines and cocaine; adding testing for MDMA (Ecstasy) adding 6-AM (heroin) screening to the opiates class of drugs; and adoption of a new federal CCF • DOT must publish this as final rule. Expected effective date is October 1, 2010 • Be advised that this may increase lab fees for analysis continued

32. To stay updated: Download Regulation Updates Newsletter: http://transit-safety.fta.dot.gov/ DrugAndAlcohol/Newsletters/default.asp Sign up for “What’s New” Updates: http://www.fta.dot.gov/

33. Thank you for attending! Diana Byrnes 813-426-6980 byrnes@cutr.usf.edu www.cutr.usf.edu/byrnessamsite