Resources for Employers
Frequently-Asked Questions
- Why should I use this website?
- Who supports this database?
- Should I visit the database more than once?
- If I am terminating an employee, do I still
have to provide the names of SAPs?
- Do I have to pay for SAP services?
- I need this employee back as soon as possible.
How long will this SAP process take?
- What happens if the employee doesn’t
need treatment?
- How do I know that the SAP I am using knows
the rules?
- I've been told that SAPs need case managers
to oversee what they are doing. Is this required by the regulation?
- What if I think a SAP's recommendation
is too harsh, or will take too long?
- What if I can’t wait for this employee
any longer? Can I terminate?
- I plan to take this employee back. When
can I conduct a return-to-duty test?
- I’m not sure I want to take this
employee back. Can I ask the SAP for his/her opinion?
- The reports that I received from the SAP
don’t give me much information. Can I get more?
- Who pays for the follow-up tests?
- Can I ask the SAP to give me the specific
dates that the follow-up tests should be conducted?
- Can I tell the employee what his entire
follow-up testing plan will be?
- I require my employees to pay for their
follow-up tests. If I notify someone of a follow-up test, and
he says that he doesn’t have the money, can I postpone the
test until he does have the money?
- A SAP recommended 10 follow-up tests in
the first year, and 5 in the second year. As an employer who is
concerned for public safety, I am not comfortable with that, and
would like to increase it. Can I do that, for safety reasons?
- I need some suggestions about how to
track follow-up testing for an employee, so I can be certain that
all the tests get conducted.
- If a SAP submits a follow-up testing plan
that I feel is too frequent, what recourse do I have? Can I omit
some of the tests, as long as I do most of them?
- How do I handle the follow-up testing
plan for an employee who was on medical leave for five months?
- I am hiring an employee who had a violation
where he previously worked. He is under a follow-up testing plan.
What is my responsibility?
- I am looking for a SAP who is certified/approved
by DOT. How do I find one?
- What should be the relationship between
the SAP and my Employee Assistance Program?
#1 Why should I use this website?
When an employee has violated one of DOT’s prohibitions
under drug and testing regulations, DOT requires the employer to
provide the employee with the name of qualified Substance Abuse
Professionals.
Until now, employers have been frustrated at the lack of reliable
databases of SAPs who can provide needed SAP services. A few website
databases exist, but the information that they provide is usually
limited. Alphabetical lists don't make it easy to search for SAPs
in a specific location.
This website database is designed for employers to use, and they
may do so free of charge.
As our byline states, SAPList.com
is your best source for finding Substance Abuse Professionals.
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#2 Who supports this database?
SAPs on this database have paid a nominal fee for their
listing. Each SAP is responsible for entering his/her own data,
and for keeping the information updated. Each SAP can access his/her
personal SAP Profile at any time, with a user name and password.
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#3 Should I visit the database
more than once?
It would probably be a good idea to access the database
each time that you need to identify a SAP. The SAP you used last
time may have moved or gone out of business. You must be providing
current and accurate information to your employees.
This database will always be changing. New Profiles will appear
regularly.
But the site has additional features. For example, a SAP who goes
on vacation for a month can turn off his/her Profile during that
time, so that you won’t be providing an employee with a phone
number that doesn’t get answered. Also, a SAP who moves an
office or changes a phone number can immediately update the Profile,
so that his/her information will be current.
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#4 If I am terminating
an employee, do I still have to provide the names of SAPs?
Yes, DOT requires the employer to provide SAP names regardless
of whether the employee is returning to safety-sensitive functions
for you. If you are terminating the employee, but the employee intends
to apply for another job in the transportation industry, successful
completion of the DOT return-to-duty process is still required,
and the employee must receive SAP information from you, the employer
that he/she was working for when the violation occurred.
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#5 Do I have to
pay for SAP services?
DOT doesn’t specify who pays for SAP services. As
an employer, you can decide to pay for these services. You can also
tell your employees that you are not responsible for paying for
SAP services. (It is advisable to include this in the policy that
you write and distribute to your employees, so they understand this
in advance.) This decision is up to you.
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#6 I need this employee
back as soon as possible. How long will this SAP process take?
Don’t expect this process to be quick. The SAP must
conduct an extensive evaluation, which may require several visits
with the employee. The SAP must then develop a plan for treatment
and/or education. After the SAP determines that the employee has
successfully completed that plan, the SAP must conduct a second
evaluation to determine whether the employee has successfully complied
with that plan. In some cases this may take several weeks, or possibly
even months.
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#7 What happens
if the employee doesn’t need treatment?
This isn't possible. DOT rules do not permit a SAP to determine
that an employee needs no treatment or education. The SAP must make
a recommendation for treatment or education or both. The rules do
not give the SAP a choice in this matter.
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#8 How do I know
that the SAP I am using knows the rules?
Only trained SAPs who have passed an exam can provide SAP
services. Each SAP will enter information about his/her training
and exam on the Profile. However, as an employer you are ultimately
responsible for ensuring that a SAP is properly credentialed, trained,
and has passed an exam. The regulations give you the authority to
request this information from each SAP that you use. You are encouraged
to ask a SAP to fax or mail copies of his/her training documentation
to you, for your files. If the documentation you receive is questionable,
you may request additional information, or you may decide to look
for a different SAP.
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#9 I've been told that SAPs need
case managers to oversee what they are doing. Is this required by
the regulation?
The regulation does not mention the use of case managers.
The practice of SAPs working under a case manager developed in the
early days of this regulation, when some SAPs didn't understand
the rules and there was no requirement that they had to be trained.
The addition of a case manager was important for quality assurance.
Assuming a SAP's training met DOT's requirements, and the SAP has
the requisite professional skills and qualifications, the SAP should
be able to work independently. However, you may find that you feel
more comfortable using a SAP who provides services under a case
manager. You may be enjoying a long-term working relationship with
a system that includes case management. By all means, you may certainly
continue that arrangement. This is entirely your decision.
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#10 What if I
think a SAP's recommendation is too harsh, or will take too long?
DOT gives full authority to a SAP to make decisions that
are therapeutically appropriate. DOT also has made it very clear
that a SAP's primary responsibility is not that of getting an employee’s
job back, but rather to protect safety of the traveling public.
A SAP's recommendation stands. No one can change it. And an employer
(or an employee) is not permitted to seek another assessment from
a second SAP. (This is called “SAP shopping,” and is
specifically prohibited by the regulation. [40.295])
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#11 What if I
can’t wait for this employee any longer? Can I terminate?
As the employer you may take whatever job action you want
to take, considering, of course, any agreements or contracts that
are relevant. If you terminate the employee, the employee will be
free to seek employment with another DOT-covered employer, but only
if he/she successfully completes the SAP's recommended plan.
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#12 I plan to
take this employee back. When can I conduct a return-to-duty test?
The return-to-duty test cannot be conducted until you have
received the SAP's Follow-Up evaluation report that this employee
has complied with the recommendation. The return-to-duty test cannot
be conducted in advance. [40.305(a)] If you do conduct the test
in advance, DOT will require that the test must be conducted again,
just before the employee returns to safety-sensitive duty.
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#13 I’m
not sure I want to take this employee back. Can I ask the SAP for
his/her opinion?
No, you can’t ask the SAP to help you with this decision.
As the employer, the decision about taking an employee back is yours
alone. The SAP is required to report to you only that the employee
has or has not complied with the recommendation. At that point it
is entirely up to you. [40.305(c)]
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#14 The reports
that I received from the SAP don’t give me much information.
Can I get more?
No, you can’t. The regulations specify exactly what
a SAP must put into a report. [40.311] Most of the information relates
to the employee and where he/she works. But the Initial Evaluation
must include the SAP's recommended plan for treatment, and the Follow-Up
Evaluation must include the SAP's clinical determinations related
to compliance or non-compliance. If the employee complied, the SAP's
report must also include a required follow-up testing plan. You
may be putting the SAP in a position of liability if you ask the
SAP to provide more information than is permitted by the regulations.
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#15 Who pays for
the follow-up tests?
DOT doesn’t specify who pays for these tests. As
an employer, this is a decision that you can make. It could also
be affected by labor agreements that you may have. You can decide
to pay for all of the follow-up tests, or you may split the cost
with the employee, or you may pass the entire cost along to the
employee. Whatever you decide to do, it would be well for you to
include this information in the policy that you have distributed
to your employees.
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#16 Can I ask
the SAP to give me the specific dates that the follow-up tests should
be conducted?
No. The regulations state that the SAP cannot make those
determinations. [40.307(d)(3)] As the employer, you know your employee’s
work schedule, you will be the first to observe "performance
issues" that suggest an employee may have returned to using
drugs. Therefore DOT considers that you, the employer, are in the
best position to decide when to require an employee to submit to
a follow-up test.
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#17 Can I tell
the employee what his entire follow-up testing plan will be?
No. DOT considers the follow-up testing plan to be confidential.
Neither the SAP nor the employer can share that information with
the employee. [40.329, Technical Amendment, 8-1-2001]
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#18 I require
my employees to pay for their follow-up tests. If I notify someone
of a follow-up test, and he says that he doesn’t have the
money, can I postpone the test until he does have the money?
No. Reimbursement for follow-up tests (and for an employee’s
requested retest of a split specimen) cannot interfere with the
tests being conducted. If you notify an employee of a follow-up
test, the employee must immediately proceed to a collection site.
Reimbursement is a separate issue, and you will have to address
that later. If an employee tries to avoid a follow-up test by saying
he has no money to pay for it, you can call this a refusal to be
tested, which is a violation and now requires a new SAP assessment
and return-to-duty process.
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#19 A SAP recommended
10 follow-up tests in the first year, and 5 in the second year.
As an employer who is concerned for public safety, I am not comfortable
with that, and would like to increase it. Can I do that, for safety
reasons?
No. The regulations give the SAP complete authority over
the follow-up testing plan. An employer cannot increase (or decrease)
the SAP's recommended number of tests. [40.307(d)(4)]
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#20 I need some
suggestions about how to track follow-up testing for an employee,
so I can be certain that all the tests get conducted.
If you only have one (or a few) employees who are subject
to follow-up testing, you might consider using a 12-month calendar.
When you receive a SAP's report that specifies follow-up testing,
go through the calendar and randomly select days, equal to the number
of required tests. Code the marks somehow so that you know which
marks pertain to which employee. Look at the calendar regularly,
and notify the employee on the marked day. If the employee is absent,
or if it just isn’t convenient, simply move the mark to a
later day. As long as the employee hasn’t been notified, you
can change the days whenever you want to. (You could accomplish
the same thing with small sticky notes.) But whatever you decide
to do, keep the system confidential, and don’t put information
on the calendar that could be easily identified by others.
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#21 If a SAP submits
a follow-up testing plan that I feel is too frequent, what recourse
do I have? Can I omit some of the tests, as long as I do most of
them?
DOT requires the employer to conduct all the tests that
the SAP has required. [40.309] Auditors may decide to compare a
SAP's report with the required plan, to the number of tests that
were actually conducted. As the employer, you will be responsible
for tests not conducted, as well as for overtesting.
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#22 How do I handle
the follow-up testing plan for an employee who was on medical leave
for five months?
This is called a break in service. In this case, you will
extend the follow-up testing timeframe by five months, equal to
the length of time the employee was out of service. [40.307(e)]
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#23 I am hiring
an employee who had a violation where he previously worked. He is
under a follow-up testing plan. What is my responsibility?
You must first obtain, with the employee’s written
authorization, the SAP reports related to the violation. [40.25(a)(5)]
The Follow-Up Evaluation will include the SAP's follow-up testing
plan. You should call the DER at the previous place of employment,
and find out how many follow-up tests have been conducted. You are
now responsible for conducting all remaining follow-up tests.
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#24 I am looking for a SAP who
is certified/approved by DOT. How do I find one?
Some SAPs say that they are certified or approved. However,
that is a false claim. DOT does not have a certification or approval
process. [40.365(b)(10)] DOT's requirement is that the SAP is first
of all qualified, then that the SAP has completed a Qualification
Training and a SAP exam. That's it. There is no certification or
designation of approval by DOT.
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#25 What should
be the relationship between the SAP and my Employee Assistance Program?
While the SAP role is prescribed by regulations, the EAP role varies
greatly among Employee Assistance Programs. Blair Consulting Group
has extensive experience with various models and interactions. Please
call us if you would like to discuss your particular situation.
Lee Mauk (612) 827-4147 or Brenda Blair (979) 693-7268.
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