I. Understanding the problem. The use of drugs and alcohol in the workplace / Hamid Ghodse -- The extent of the problem and the cost to employer / Christine Godfrey and Steve Parrott -- Drug misuse and the work culture: understanding workplace culture / Susanna Galea and Hamid Ghodse -- Effects and risks of workplace culture / Graham Lucas -- Symptoms of drug abuse in the workplace / Fabrizio Schifano -- Medicines in the workplace: the effects of prescribed and OTC drugs on performance / Ian Hindmarch -- II. Establishing a drug policy -- Drug and alcohol policies, a review / David Snashall and Dipti Patel -- Employer's liability and responsibility / Ian Stone -- Policy design and implementation / Graham Lucas. III. Tools for managing the problem -- Addressing psychosocial problems at work: SOLVE / David Gold and Joannah Caborn -- Specialised care for those who have drug and alcohol problems in the workplace / Alex Baldacchino -- Drug screening and detection / John Christofides and Martin Egerton -- Screening new employees / John Harrison -- Ethical, legal and practical aspects of testing in the workplace / John Henry -- Employee assistance programmes / Jill Bachman, Andy Siegle and Elizabeth Pace -- Employment law / Gillian Howard.