XZY COMPANY DRUG ABUSE PREVENTION AND INTERVENTION PLAN

(Address: ____________________________________________________________________________________ Number of Employees: ___________)

General Objective: At the end of three years, XYZ Company will be able to achieve full implementation of the Drug-Free Workplace Program

Means of Verification Resources/ Timeframe Person/s

Areas Objectives Activities
(Evidences) Support Needed Year 1 Year 2 Year 3 Responsible
1. Organizational To organize a functional Consultation meeting Documents such as Copy of City  HR Manager
Management and assessment team of the with the management attendance, photos, Ordinance 0506-13
Formulation of Policy company. regarding the Drug-Free etc. and Executive Order
Workplace (DFW) 032-18
Ordinance

Attend Drug-Free 
Workplace Training Certificate of Training Fee
Participation

Certificate of
Compliance

Identify/designate Organized Assessment Approval of
members of the Team Assessment Team
assessment team
Appointment Letter

To formulate Drug-free Drafting of DFW Policy Approved DFW Policy Approval of the DFW  Assessment
Workplace Policy and Policy and Plan. Team
Plan of the company. Drafting of Three-Year Approved DFW Anti- 
Drug Abuse Prevention Drug Abuse Plan President/CEO
and Intervention Plan

3. Advocacy, Education
and Training
To develop skills in Conduct training on Documents such as Budget allocation    Assessment
clinical assessment and prevention, clinical attendance, photos, Team
counseling and other assessment, and etc. Venue, multimedia
related activities counseling of workers equipment, materials
and other related
activities

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 Means of Verification Resources/ Timeframe Person/s
Areas Objectives Activities
(Evidences) Support Needed Year 1 Year 2 Year 3 Responsible

Basic Education
Utilization of CADAC
Drug Education To implement CADAC Conduct teachers’ Documents such as Venue, multimedia  Administrator
Modules for Grades 4- Drug Education Modules orientation on the attendance, photos, equipment, materials Principal
12 modules etc. Teachers
Reproduction cost
Certificate of
Participation

Incorporate modules in Lesson Plan

the Daily Lesson Plan    Teachers
from grade 4 to 12 Assessment Tools and
Result

Higher Education
Curriculum integration To implement Drug Integrate drug Syllabi Reproduction cost    President
of Drug Prevention and Prevention and Control prevention and control Dean
Control Programs as Program in the School programs in the course Evaluation Tools and Program Heads
per RA 9165 specifically Curriculum for Tertiary curriculum of the all Result Faculty
Sections 42 and 43 for Education programs offered.
Tertiary Education

 Participation during To increase awareness  Conduct Anti-Drug  Zero or decrease  Venue,   Assessment
the “National Drug on the ill effects of Abuse Symposium incidence of drug- multimedia Team
Abuse Prevention illegal drugs among  Conduct Poster- abuse in the equipment,
and Control Week” _________workforce making contest company materials
every third week of and their families  Conduct Family Day  Documents such
November per  Conduct Sports Fest as attendance,
Presidential Decree photos
No. 124

 Information To disseminate Conduct forum with law  Documents such  Venue,   Assessment

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 Means of Verification Resources/ Timeframe Person/s
Areas Objectives Activities
(Evidences) Support Needed Year 1 Year 2 Year 3 Responsible
Education Campaign information on the drug enforcer such as PDEA as attendance, multimedia Team
situation of the country, photos equipment,
region, city and  Others materials
workplace  Resource Persons
among_______ from Law
employees and their Enforcement and
families Line Agencies

To promote Conduct symposium,  Documents such  Venue,    Assessment

understanding on the ill forum, or round table as attendance, multimedia Team
effects on illegal drugs discussion among photos equipment,
and their consequences officers, employees and  Others materials
among ________ family members  Resource Persons
employees and their
families

To raise awareness on Conduct symposium on  Documents such Venue, multimedia   Assessment

the salient provision of RA 9165 and other as attendance, equipment, materials Team
R.A. 9165 also known related laws. photos
the Dangerous Drugs  Others
Act of 2002 among the
_________ workforce
and their families.

To disseminate Conduct round table  Documents such Venue, multimedia   Assessment

information regarding discussion on City as attendance, equipment, materials Team
the City Ordinance 05- Ordinance 05-06 and its photos
06 and its Implementing IRR  Others
Rules and Regulations
032-18

5. Mandatory Drug For employees

Testing To achieve a drug-free Coordinate with DOH Request letter to Approval to conduct  Assessment
workplace Accredited Drug Testing DADTL to conduct RDT RDT Team
Laboratory (DADTL) copy furnished PDEA

Conduct mandatory Drug test result Drug testing cost  Assessment

random drug test Certificate of Team

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 Means of Verification Resources/ Timeframe Person/s
Areas Objectives Activities
(Evidences) Support Needed Year 1 Year 2 Year 3 Responsible
among employees Compliance issued by
supervised by PDEA PDEA

Conduct mandatory Drug test result Drug testing cost   Assessment

drug testing as part of Team
the APE (Annual Physical
Examination)

For students
To achieve a drug-free Conduct consultation  Documents such CMO # 18 s. 2018    School
campus among the school’s as attendance, administrator
governing board photos Venue, multimedia  Office of
 Others equipment, materials Student
Affairs
 Drug Testing
Coordinator

Incorporate random Student Handbook Reproduction cost    Office of

drug testing policy in the Student
Student Handbook Affairs

Conduct mandatory Drug test result Drug testing cost    Drug Testing
random drug testing Coordinator
among students
6. Treatment, Referral and To provide direct Determine severity of Accomplished Approval of leave of    Assessment
Rehabilitation intervention to addiction using the A.S.S.I.S.T. Tool absence during Team
employees confirmed A.S.S.I.S.T. Tool treatment
positive for drug use Service Agreement
Administer Intake Form Re-instatement to
Drug test result work

Provide direct Improved physical and Other forms of

intervention to low/mild psychological state assistance
risk employees under
TARA NA (Tabangan Assessment result
Atong Reformist Aron
Naa’y Asenso)
Community-Based

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 Means of Verification Resources/ Timeframe Person/s
Areas Objectives Activities
(Evidences) Support Needed Year 1 Year 2 Year 3 Responsible
Rehabilitation and
Aftercare Program
(CBRAP)

Conduct re-assessment
on readiness to work

To establish referral Facilitate referral to MOA reflecting Approval of leave of    Assessment

system for employees service providers programs and services absence during Team
confirmed positive for depending upon severity offered (including the treatment
drug use of drug dependence process and the length
of treatment) by Re-instatement to
For low/mild risk, refer Service work
to TARA NA CBRAP Providers/Barangay
Accredited Service Other forms of
Providers Accomplished referral assistance
form
For moderate risk, refer
to DOH Outpatient Accomplished
Facility A.S.S.I.S.T. Tool

For high risk, refer to Service Agreement

inpatient rehabilitation
facility Drug test result
Conduct re-assessment
on readiness to work Improved physical and
psychological state

Assessment result

8. Community Support To meet barangay Conduct meeting to Documents such as Communication 

______________officials identify areas that need minutes of the letter, venue, etc.
for needs assessment support and to match meeting, attendance,
resources available from photos
the institution

To establish linkage with Conduct dialogue with MOA Assistance to the    Assessment
the adopted and the barangay officials Documents such as barangay based on Team

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 Means of Verification Resources/ Timeframe Person/s
Areas Objectives Activities
(Evidences) Support Needed Year 1 Year 2 Year 3 Responsible
employee’s barangay for attendance, photos available resources
intensive, aftercare and
continuum of care of
beneficiaries and
employees confirmed
positive.

Adopted Barangay:
Brgy. 4-A, Davao City

To support TARA NA Extend support to MOA Assistance to the    Assessment

CBRAP of the adopted barangays in providing Documents such as barangay based on Team
Barangay and the interventions to attendance, photos available resources
barangay where the recovering drug
employee resides dependents

10. Monitoring and To determine the Conduct bi-annual or Assessment result Budgetary    Monitoring Team
Evaluation effectiveness of the annual evaluation of the reflecting strengths, requirement
DFW Policy and DFW Program weaknesses of the
Program. DFW Policy/ Program
Showcase best DFW
practices Portfolio of activities in
relation to the program

Prepared by:

Assessment Team

Approved by:

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