Supervisors play a key role in identifying substance abuse problems


Alcohol is a legal intoxicant used by the majority of Finns. In principle, the employer does not have the right to interfere in the leisure activities of its staff, but in situations where the use of intoxicants during free time affects work, intervening is justified. It is the supervisors’ responsibility to not hesitate to ask questions if they are concerned about an employee's behavior. According to Sanna Eronen, Chief Occupational Health Psychologist at Terveystalo, it is respectful and caring to be open and direct about an issue, but intervening in another person’s behavior is something that most people prefer to avoid. Even though speaking up is difficult, postponing the discussion poses a much greater risk.

Esihenkilöt päihdeongelmien tunnistamisessa.

Substance abuse problems may manifest themselves through various signs. The signs may be quite vague and make the supervisor wonder if they should be concerned about the employee. There may be changes in the employee’s general alertness and conduct, making it hard for them to be as efficient at work as before. They may also have had more sickness absences than usual. In order to prevent possible substance abuse from becoming a major problem, supervisors must know how to raise the issue at an early stage.

In addition to subtle signs, the supervisor may notice signs of substance abuse during the employee’s free time or at work-related events. For example, the employee may often call in sick after a night out or a company Christmas party. The most obvious signs of substance abuse at the workplace include smelling of alcohol or constantly appearing hung over or even intoxicated.

“In order to be able to bring up difficult issues, the work community must have established an atmosphere that supports difficult discussions. Supervisors should ensure a positive relationship that encourages dialogue with the employees before problems arise. One clear way, for example, is to regularly review your company's substance abuse prevention model with your work community. This way, everyone will have the courage to speak to the supervisor if they have concerns about a colleague,” says Eronen.

How do I express my concern?

Eronen emphasizes that the most important thing in speaking up is preparation.  

“Make sure you thoroughly understand what you're worried about so you know how to put it into words. The employee needs to understand what the feedback is about. Seek reassurance by discussing the matter in advance with the HR Director and your supervisor.”

In the discussion, the employee must be given the opportunity to explain the situation in their own words. Sometimes, new information may arise, making it important to correct your initial assumptions.

“Instead of a debate, the discussion should take the form of interaction where the manager is expected to be able to actively listen. If the employee disputes everything, ask them to give their views on the situation in their own words and focus on agreeing on the next steps.”

Active listening* is:

  • Receptive. The listener considers the message important and meaningful.
  • Focused. The listener thoroughly focuses on the issue.
  • Respectful. We hear the speaker as they are.
  • Patient. The listener trusts that the speaker will open up when they are ready.

Simply expressing your concern can often ignite the internal motivation to make things right. Even if the employee denies everything during the discussion, it may act as an incentive to make changes in their life. 

“Expressing concern means caring about the employee's well-being. Referral for treatment or setting other boundaries always gives the employee a chance to make changes,” says Eronen.

More support for supervisors to address substance abuse problems

Terveystalo has revised its treatment model for substance abuse problems, which is now supported also by coaching for supervisors. The coaching helps supervisors address substance abuse problems at the workplace. The coaching offers supervisors information and tools to identify substance abuse problems, speak up and take action at an early stage. The coaching is suited for supervisors of workplaces of all sizes and can be completed completely remotely when it best suits your schedule.

Online coaching for companies

Terveystalo’s online coaching supports the management, work community management, work ability and well-being of your company. The coaching provides valuable information and practical tools effortlessly and at a low threshold directly from top experts in the field. All of our coaching is available completely remotely, making it possible to offer consistent coaching to your entire organization's staff. Coaching is available for supervisors, HR decision-makers and employees of organizations of all sizes. We use information to turn healthy employees into healthy work communities, and healthy work communities into successful companies.

Online coaching for supervisors

Participate in our ‘Substance abuse at the workplace’ online coaching or ask for a quote for your staff. Information and practical tools for supervisors to identify substance abuse problems, speak up and take action at an early stage. Suitable for supervisors of organizations of all sizes.

Read more

Read more articles

työkavereita toimistolla Article

Occupational health psychologist's tips for a workplace wellbeing revolution

Fortunately, the stigma associated with mental health challenges is receding. In addition to the fact that employers are now more strongly directed to take care of the psychosocial stress, mental health challenges are dared to be talked about more openly and people know how to seek help for them. This is also clear from Terveystalo's statistics, where visits related to both anxiety disorders and depression have increased throughout the 2020s. Sari Nuikki, Terveystalo's leading occupational health psychologist, explains how mental well-being can be supported in the workplace with small everyday actions.

Uudistetut terveystarkastukset käyttöön ensimmäisillä paikkakunnilla jo marraskuusta 2023 alkaen News

New health checks to be introduced to first locations as early as November 2023

Terveystalo is committed to continuously develope and improve preventive healthcare to provide its customers with the best possible care and treatment. We will be the first occupational health provider to use blood analysis technology developed in Finland and introduce it as part of our occupational health check-ups. We will launch the renewed health checks in some of our sites as early as November 2023. The blood analysis technology will help us to identify the risk of eight major chronic diseases from a single blood sample. Sampling is quick and easy for the customer.

Terveystalon Digiylilääkäri Tuomo Oikarainen Terveystalon vastaanottohuoneessa Blog

AI is coming - we are ready

I argue that AI will do some of the work of a doctor in the near future. But I don't yet know what those jobs will be exactly.

Terveystalon psykologi juttelee tunteista asiakkaan kanssa verkkotapaamisessa Article

How should you deal with emotions? You don't always have to talk about your feelings, says psychotherapist

Emotions are important clues, but bad advice. During Mental Health Week, we talk to Matti Isosävi, psychologist and psychotherapist at Terveystalo, about feelings - even if you don't always need to talk about them.

Ilari Rikhardt Article

AI in the future of working life

Generative AI, such as Chat GPT, has brought AI into a new light recently. In particular, its impact on working life has been a topic of discussion in Finland and around the world over the past year. Ilari Richardt, Director of Digital Services at Terveystalo, shared his views on the opportunities AI brings at Terveystalo's event "Tulevaisuuden työelämän tekijät".

Maria Ritola Terveystalon Tulevaisuuden työelämän tekijät - tapahtumassa Article

In the future, technology is an enabler and team problem-solving skills a way to success

We live in an era of uncertainty and rapid technological development. Generative AI will be on everyone's radar in 2023, and organisations are wondering how AI will change the way they work and do things. The rapid evolution of technology poses challenges, but at the same time creates opportunities. At Terveystalo's Future Workplace Makers event, Maria Ritola, technology influencer and founder of, shared her insights on how to build a good working life and harness technology to help people do their jobs.