April 18, 2025
Substance use disorder is a complex, chronic condition that significantly impacts individuals’ well-being, personal relationships and work performance. Despite recent improvements in overdose statistics, the crisis remains severe, and employers can play a vital role by promoting effective treatment options and supportive workplace cultures.
Key Implications for Employers
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Employee Productivity: Untreated SUD often leads to absenteeism and high turnover. |
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Workplace Safety: Impaired judgment and risk-taking behaviors increase the likelihood of on-the-job incidents. |
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Health Care Costs: SUD accounts for sizable medical expenses; underdiagnosis inflates the real price tag. |
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Stigma Challenges: Misconceptions surrounding SUD can deter employees from seeking help and delay recovery. |
Employer Strategies

Combat Stigma:
- Integrate peer support and manager training on mental health.
- Encourage open conversations around substance use and recovery.

Implement Supportive Policies:
- Consider first-offense forgiveness to retain and rehabilitate valuable employees.
- Offer flexible leave or accommodations to support ongoing treatment.
- Encourage virtual health offerings, including text-based apps and teletherapy.

Steer Employees to High-Quality Care:
- Partner with EAPs, health plans or centers of excellence offering evidence-based solutions (e.g., medication-assisted therapy).
- Limit or remove coverage for facilities lacking proven clinical approaches.
- Guide employees toward community programs or mutual support groups that reinforce healthy behaviors.

Invest in Prevention
- Monitor and limit access to highly addictive medications through plan design.
- Provide workplace programs that address stress, financial uncertainty or other risk factors for heavy substance use.
By recognizing substance use disorder as a manageable condition and directing employees toward effective treatments, employers can minimize safety risks, lower medical expenditures and promote a healthier workforce. Taking intentional steps—such as fighting stigma, ensuring access to quality care and providing ongoing support—creates a stronger, more resilient workplace for everyone.
Related Resources
- Value-based Primary Care
- Revisiting Alcohol Use: Risks, Trends and Recovery
- As Employers Shape Health Care, Business Group on Health Offers Strategies
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