Prévenir les consommations de substances psychoactives par l’intervention en milieu de travail

Sami Fettah, G. Valléry
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Abstract

In a society where workers are using psychoactive substances in their workplace, what type of prevention can we propose in order to limit the risks? The aim of this research is to contribute to the improvement of current prevention systems. This work is grounded within an Inter-company Occupational Health and Prevention Service (IOHPS). Data were collected during four prevention interventions in companies affiliated with the service. These interventions were documented to assist in the development of new collective and primary prevention approaches for substance use in the workplace. Developing preventive actions in the workplace requires collective and multidisciplinary collaboration between occupational health professionals and company stakeholders. Based on studies conducted on the analysis of mental health interventions in the workplace, our results confirmed the importance of the five essential conditions that facilitate the development of actions highlighted by Rouat (Rouat, 2010; Rouat et al., 2021). They also identified two additional conditions: the establishment of a common set of representations and the preexistence of a framework that facilitates prevention. We have identified a set of factors that can constrain these interventions. Thus, performance-driven approaches to occupational health, lack of support in implementing interdisciplinary projects, or the digitalization of relationships between occupational health stakeholders can influence the success of substance use prevention projects. Given that addictive behaviours intersect personal and professional spheres, we emphasize the importance of applying occupational and organizational psychology principles in this area of intervention.
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通过工作场所干预预防精神活性物质的使用
在一个工人在工作场所使用精神活性物质的社会里,我们可以提出什么样的预防措施来限制风险?这项研究的目的是为改善目前的预防系统做出贡献。这项工作以公司间职业健康和预防服务(IOHPS)为基础。在该服务下属公司的四次预防干预中收集了数据。对这些干预措施进行了记录,以协助针对工作场所药物使用问题开发新的集体和初级预防方法。在工作场所开展预防行动需要职业健康专业人员和公司利益相关者之间的集体和多学科合作。基于对工作场所心理健康干预措施的分析研究,我们的研究结果证实了鲁阿特(Rouat,2010 年;鲁阿特等人,2021 年)强调的促进行动发展的五个基本条件的重要性。他们还确定了另外两个条件:建立一套共同的表征和预先存在一个有利于预防的框架。我们发现了一系列可能制约这些干预措施的因素。因此,以绩效为导向的职业健康方法、在实施跨学科项目时缺乏支持,或职业健康利益相关者之间关系的数字化,都会影响药物使用预防项目的成功。鉴于成瘾行为与个人和职业领域相互交叉,我们强调在这一干预领域应用职业和组织心理学原则的重要性。
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