Introduction:
Failing a drug screen while employed by the Department of Transportation (DOT) requires completion of a strict Return to Duty process. Failure to comply with its requirements can result in severe penalties, including termination. Passing the drug screen alone is insufficient for a return to duty; additional treatment and evaluation are necessary. This article outlines the key steps involved in the process, emphasizing the importance of following guidelines and demonstrating progress in addressing substance abuse issues.
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Contacting the Substance Abuse Professional (SAP):
The initial step is to reach out to a DOT-authorized SAP and provide the necessary information for scheduling an appointment. As SAP availability can be limited, it is advisable to make arrangements in advance to prevent delays.
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Comprehensive Assessment by the SAP:
During the appointment, the SAP conducts a thorough evaluation, including an interview to gather details about substance abuse history, lifestyle habits, and mental health. The SAP may request urinalysis or blood tests to check for alcohol or drug presence. Based on the assessment, the SAP recommends the appropriate course of action, which may involve participation in an employee assistance program or a treatment program.
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Treatment Programs and Counseling:
Depending on the assessment results, the SAP may recommend individual counseling, group therapy, or a combination of both. Treatment programs can range from short-term outpatient to intensive inpatient programs. These programs often include counseling, psychosocial education, cognitive-behavioral therapy, and relapse prevention training. Additionally, participation in a local 12-step recovery program may be required.
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Follow-Up Evaluation:
After completing the treatment program, a follow-up evaluation with the SAP is necessary. The SAP assesses progress in addressing substance abuse issues and provides any additional recommendations if required. If all conditions are met, the SAP submits a report recommending a return to work.
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Review by the Medical Review Officer (MRO):
The MRO reviews the SAP’s report and makes the final decision regarding the return to duty. The MRO’s decision is binding. If approved, you must then go through the standard DOT hiring process and pass a drug screen before resuming work.
Conclusion:
Successfully completing the DOT Return to Duty process requires adherence to requirements, honesty about substance abuse, and demonstrating progress in addressing related issues. Follow recommendations from the SAP and MRO, and understand the consequences of non-compliance. For those seeking assistance with the DOT Return to Duty process, www.sapevaluation.org is an invaluable resource. Contact 1-800-683-7745 to initiate the process promptly.