Drug treatment and workplace drug testing: Politics, symbolism and organizational dilemmas

This article explains how the link between drug testing and drug treatment was forged, how it has been implemented in the workplace, and speculates on its organizational implications. Part I argues that widespread drug testing in the core institutions of American society would not have been politically possible without forging an explicit link to drug treatment. The authors identify the key variables which account for the link between testing and treatment, including public opinion, employer self interest, collective bargaining agreements, the precedent and influence of Employee Assistance Programs, and developments in the law of the workplace. Part II describes how the link between drug testing and drug treatment has been implemented in the workplace, including the emergence of new organizational units, roles, and inter‐organizational relationships. Part III examines the organizational dilemmas created by the testing/treatment linkage.