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HI Thanks for your response Carr and totally agree our role is not to treat. Any information is most helpful and appreciated. Regards Janet From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Carr Barnes Sent: 06 June 2014 08:52 To: [log in to unmask] Subject: Re: [OCC-HEALTH] Drug and Alcohol - OH role in assessment and support Hi Janet In my opinion the role is the same as in any other chronic illnesses; we do not treat or counsel as they are beyond our scope and remit. Instead we signpost to specialist services and provide reports on likely impact on fitness for work in short, medium and long term. EAP can be helpful for encouraging initial insight and acceptance of dependency (if employee will engage) is not suitable for long term treatment. Alcohol dependency tends to be a relapsing/remitting disease with 4 identified stages of recovery an each stage can take months to years rather than weeks and this needs to be conveyed in the report so that all involved have realistic expectations. I have that derailed in some stock phrases on my laptop that I can dig out later if you'd like? Carr ******************************** Please remove this footer before replying. OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html CONFERENCES AND STUDY DAYS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH --------------------------------------------------------------------------------------- This email has been scanned for email related threats and delivered safely by Mimecast. For more information please visit http://www.mimecast.com --------------------------------------------------------------------------------------- ******************************** Please remove this footer before replying. OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html CONFERENCES AND STUDY DAYS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH