Alcoholism in the Workplace

Last Edited: March 6, 2024
Author
Jim Brown, CDCA
Clinically Reviewed
Edward Jamison, MS, CAP, ICADC, LADC
All of the information on this page has been reviewed and certified by an addiction professional.

Alcoholism in the workplace is a pervasive issue that affects not only the individual struggling with alcohol use disorder (AUD) but also their colleagues, the overall workplace environment, and the company’s bottom line. The consequences of alcoholism at work can range from decreased productivity and increased accident risk to interpersonal issues and legal liabilities. Understanding the scope of the problem, recognizing the signs of alcoholism among employees, and implementing effective workplace policies and support systems are crucial for maintaining a healthy, productive work environment. This in-depth discussion will delve into the prevalence of alcoholism in the workplace, its impacts, and strategies for management and prevention.


Alcoholism, a chronic disease characterized by an uncontrollable need to drink and a dependency on alcohol, can significantly disrupt an individual’s personal and professional life. In the workplace, alcoholism manifests through various direct and indirect costs, including reduced employee productivity, higher rates of accidents and injuries, and increased healthcare expenses.

The Prevalence of Alcoholism in the Workplace

According to the National Council on Alcoholism and Drug Dependence, it is estimated that approximately 15% of workers in the United States are under the influence of alcohol at one time or another during the workday. Research by the Substance Abuse and Mental Health Services Administration (SAMHSA) indicates that 8.7% of full-time employees aged 18-64 report heavy alcohol use in the past month.

Industry Variations

  • The prevalence of alcoholism can vary significantly across different industries. For instance, high-stress jobs or jobs with irregular hours, such as in hospitality, healthcare, or finance, may see higher rates of alcohol use.
  • Certain sectors, like construction, have been reported to have a higher prevalence of AUD due to the physical demands of the work and the culture of social drinking within the industry.

Impact on Productivity and Costs

Reduced Employee Productivity

  • AUD can lead to a significant reduction in productivity, known as presenteeism, where the employee is physically present but not fully functioning due to alcohol impairment.
  • The Centers for Disease Control and Prevention (CDC) estimates that excessive alcohol use costs the U.S. economy more than $249 billion, much of which is due to lost workplace productivity.

Increased Accident Risk

  • Alcoholism is associated with a higher risk of workplace accidents and injuries. The U.S. Occupational Safety and Health Administration (OSHA) states that up to 40% of industrial fatalities and 47% of industrial injuries can be linked to alcohol consumption and alcoholism.
  • The risk of alcohol-related accidents impacts not only the individual employee but also colleagues and potentially customers, depending on the industry.

Healthcare Costs and Absenteeism

  • Employees with AUD are more likely to have higher healthcare costs due to alcohol-related health issues. Additionally, they tend to have higher rates of absenteeism, further contributing to costs incurred by the employer.

Liability and Workplace Safety

  • Employers have a legal and ethical obligation to maintain a safe work environment. This includes addressing alcoholism, which can pose a safety risk to all employees.
  • Failure to manage alcoholism effectively in the workplace can lead to legal repercussions, including liability for accidents or injuries resulting from an employee’s impairment.

Discrimination and Privacy

  • While employers must address alcoholism in the workplace, they also need to navigate issues of discrimination and privacy. The Americans with Disabilities Act (ADA) recognizes alcoholism as a disability, meaning that employees cannot be discriminated against for seeking help.

Recognizing Signs of Alcoholism in Employees

Behavioral Indicators

  • Signs that an employee may be struggling with alcoholism include frequent absences, especially on Mondays or after holidays; poor work performance; unexplained lapses in concentration; and evidence of withdrawal symptoms, such as shaking or agitation, during the workday.

Physical Symptoms

  • Physical signs of alcoholism might include the smell of alcohol on the breath, bloodshot eyes, unsteady gait, and slurred speech.

Workplace Policies and Support Systems

Implementation of Policies

  • Effective workplace policies regarding alcohol use should be clearly defined and communicated to all employees. These policies may include rules against drinking during work hours and at company events, as well as the use of alcohol testing where legally permissible.

Employee Assistance Programs (EAPs)

  • EAPs can offer confidential assessments, short-term counseling, and referral services to employees struggling with alcoholism. They serve as an essential resource for employees and their families.

Training for Management

  • Training managers and supervisors to recognize the signs of alcoholism and to respond appropriately is key. This training can include strategies for approaching an employee who may need help and understanding the legal aspects of intervention.

Promoting a Healthy Work Culture

  • Employers can foster a workplace culture that promotes health and well-being, which may include offering wellness programs, stress management resources, and alternatives to alcohol at company events.

Alcoholism in the workplace

Alcoholism in the workplace is a complex challenge that requires a multifaceted approach. With the right policies, support systems, and a culture that promotes healthy choices, employers can mitigate the negative impact of alcoholism on individuals and the company as a whole. Addressing alcoholism proactively not only benefits the health and productivity of employees but also contributes to a safer, more supportive work environment. By recognizing the signs of alcohol use disorder, providing support and treatment options, and implementing comprehensive policies, employers can help those struggling with alcoholism and improve the overall health and success of their organization.

Sources: