Alna Sverige AB
The dedicated resource for alcohol and
drogrelated issues in the workplace


Alcohol and drugprevention in workplaces in Sweden
- the basic Alna-idéa


The motivation to work with these issues are that problems with misuse effect health, the
environment and safety. In addition, problems associated with misuse cost employers a
considerable amount of money and lead to human suffering.
There are 5 good reasons for systematic preventive measures in workplaces.

1) Economy
2) Comfortable working environment
3) Safety
4) Quality and productivity
5) Laws


Svenskt Näringsliv (Confederation of Swedish Enterprise), LO (Swedish Trade Union Federation), TCO (Swedish Confederation of Professional Employees), SACO (The Swedish Confederation of Professional Associations), Sveriges Kommuner och Landsting (The Swedish Association of Local Authorities and Regions), Arbetsgivarföreningen KFO, Idea and Arbetsgivarverket (Swedish Agency for Government Employers) collaborate within Alna on the national level in order to promote a better work environment and reduce alcohol and other drug abuse problems at work. Alna’s focus is upon the workplace and its guiding principle is that the workplace should be an alcohol and drug free zone.

The purpose and tasks of Alna in Sweden:

  • To inform workplaces about the advantages of high competence and knowledge within the
    field of alcohol and drugs.
  • To offer counsel and guidance to workplaces in formulating alcohol- and drugpolicy and
    action plans.
  • To provide good service, offer education and informational materials about alcohol,
    medicines and other drug-related issues in accordance with the workplace’s circumstances and
    needs.
  • To co-operate with Occupational Health Centres within the field of alcohol and drug abuse.
  • To collaborate with workplaces on long-term plans to counteract substance abuse.
  • To provide counsel and guidance in cases of acute substance abuse problems, as well as to give concrete suggestions for the best possible treatment alternative, i.e., treatment referral.
  • To argue on behalf of increased measures to prevent alcohol and drug abuse in the
    workplace.
  • To initiate knowledge-building, quality assurance and evaluation of efforts to prevent alcohol and drug abuse in workplaces.
  • To stimulate expanded treatment referral service and to follow the development of treatment resources and to promote collaboration between their efforts and
    those of workplaces.
  • To constitute a knowledge base for workplaces in Sweden.


Alna can offer their services to the majority of workplaces and companies in
Sweden. Workplaces are given assistance with models for active prevention of alcohol and drug abuse, as well as with offering appropriate rehabilitation for employees with substance abuse problems.

When the first Alna council started, emphasis was placed on supporting individuals with
problems. Today, emphasizing that misuse is not primarily a question for experts, but for
managers in cooperation with active union members.

Alna activities at workplaces entail the employer and employees working together against the
harmful effects of alcohol and other drugs, among else through establishing an alcohol and drug policy and an action plan that involves everyone at the workplace.

Workplace as an arena for community prevention in Sweden

Workplace is an importent arena for community prevention. In Sweden about 80% of the adults
have a job. Among the employees you find targetgroups such as parents, women, young people
between 20 and 30 years, this is also the group who drink the most.

Alcohol consumption in Sweden is estimated to around 9 litres/year of absolute alcohol per
inhabitant over 15 years (Sorad 2001). In Sweden alcohol beverages are only sold by a
state-owned company. Sales are limited to persons who have reached the age of 20. Besides
this people also drink illicitly distilled alcohol and alcohol imported when travelling. The total
consumption is modest in Sweden compared to many other countries. Nevertheless, the
damage caused by alcohol consumption is considered to be high. It is estimated that around
10-15 percent of the adult population have alcohol misuse or addiction problems. Moreover,
many persons are addicted to psychopharmaceutical preparations and to illicit drugs.

Of course, this situation affects the labour market, as most people with alcohol or drug problems
have a job. Billions of Swedish crowns are lost each year from absenteeism, accidents and low
productivity caused by alcohol and drugs. Absenteeism is two to three times higher for alcohol
and drug users than for other employees. A study in Sweden in 1991 showed that 11 % of the
employees who died in workrelated accidents had alcohol in their blood. In Sweden we also
have a labour market legislation, which makes the employer responsible for eliminating
problems within the work environment - including them resulting from alcohol consumption and
drugtaking. The Work Environment Act is probably the most important law. Workplaces with at
least 50 employees, for instance, must have a special safety committee, including employee
and employer representatives. Its task is to plan and supervise occupational safety duties within
the place of work. Employee representatives on the committee are elected by the local trade
union.

Activities at workplaces - the basic model

Many companies take some kind of action against the misuse of alcohol and drugs. Most
companies and public agencies deal with these problems, which usually sort under their regular
personnel function, without having a specific alcohol or drug policy or programme. Employees
with alcohol and drug problems will thus receive some form of assistence. In these cases the
enterprise often receives help from the occupational health enterprises that usually provide such
services.

Many companies, however, particularly the large ones, have adopted a special written policy
and launched programmes. The policy is usually conceived by the safety committes. As the
committee consist of representatives of the employer and the local unions, the policy is
automatically an agreement between the employer and the employees.

The policies usually contain both preventative measures such as information and education, and
help and support for those who need treatment or some other form of assistance.

Most alna-members, primary the major workplaces, establish a special alna-group. This group
consist of capable staff interested in these matters. At the same time they are representatives
of either the employer or the local unions. The group has an overall responsibility for the actions
taken against alcohol and drug problems. This means that the alna-group shall both propose
and execute activities in order to fulfil the policy.

Besides the alna-group, many companies elect contact persons. These persons have their
ordinary job at different workplaces whithin the company and create an active human network.
They shall have some knowledge of alcohol and drug matters, and are to be at help when a
supervisor or any other employee needs advice.

For employees with drinking or drug problems, Alna offers counseling by psychologist. The
psychologist makes a judgement based on several meetings, talks and tests (both medical and
forms). When it comes to treatment, the Alna- councils have a network of
treatment-alternatives.

In this way many employees participate in actions designed to combat alcohol and
drugproblems at workplaces. Even if the majority of the engaged staff work parttime as
non-professionals their engagement is an important asset in fighting alcohol and drug issues in
everyday working life. This creates an exceptionally good situation when it comes to preventing
problems from arising and helping employees as early as possible.

These measures are then to be made more concrete in an annual plan of action.

The action plan may include:

  • Distribution of the alcohol and drug policy and the action plan to everyone at the workplace.
  • Appointment of contact persons for Alna, who receive training to act as counsellors and
    support persons for supervisors and co-workers of people with substance abuse problems.
  • Training of managers, union representatives and other key groups in order to clarify their
    roles and responsibilities. The training also covers how one can act at the workplace if one
    discovers signs of substance abuse.
  • Education of all employees in order to provide greater knowledge about the effects of
    alcohol and other drugs on human health and the work environment.


Alna is working on three levels:

Primary prevention - through development of policies,
plan of actions, education and councelling on alcohol- and other drug issues.

Secondary prevention - creating competence and climate
for early detection and intervention.

Tertiary prevention - matching service and assess to
adequate treatment measures.

To conclude about Alna-work

All workplaces should be free from alcohol and other drugs. Alcohol and drugconsumption is
incompatible with safe and effective job performance.
All measures taken to help an employee with alcohol- and other drug problems must aim at
enabling him/her to retain their regular occupation.

Överst på sidan

www.alna.seinfo@alna.se