O-216 Addiction and Work: A Case Report in the Ibn Rochd University Hospital Center (Ir-Uhc)

Introduction Addictive behavior in the healthcare facility is a matter of concern, due to the risk it poses to the health and safety of workers. Our objective is to determine the fitness for work of a doctor with a chronic addiction to hypnotics. Materials and methods To develop an analytical approach to the medical assessment of a doctor with an addiction to hypnotics, using the French version of the Addiction Severity Index (ASI). This validated tool enables multifactorial assessment of addictions. Results A 33-year-old medical specialist working in the medical department of CHU-IRC was referred to the occupational health department for assessment of his fitness for work. He had been chronically addicted to hypnotics for 4 years. An initial psychiatric assessment showed that this addiction could have an impact on his ability to carry out his duties. After medical treatment, a second assessment showed the patient to have been abstinent for 45 days, with no symptoms of aggression. The ASI showed an addiction of moderate severity to hypnotics, with a negative urine test. We conclude that this physician is fit for work. Discussion The occupational physician must specify the fitness for work of the drug-addicted worker, this is based on knowledge of the workstation and the severity of the addiction. Aptitude criteria include vigilance, attention and quality of psychomotor execution. Conclusion Cooperation between occupational physician and addictologist is essential to determine the medical fitness for work of the drug-addicted worker. This should be done as part of a systemic approach to prevention.