ASAM Drug Testing Pocket Guide

Drug Testing Pocket Guide

ASAM Opioid Addiction Treatment GUIDELINES Apps and Pocket Guides brought to you courtesy of Guideline Central. Enjoy!

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17 Outpatient Services (1.0) and Intensive Outpatient/ Partial Hospitalization Services (2.0) Î Because the opportunity for substance use is greater in outpatient treatment than in more intensive levels of care, drug testing has a particularly important role in monitoring substance use. ÎProviders should implement a random unannounced schedule of testing in outpatient services whenever possible, because the patient's opportunity for substance use is greater relative to residential treatment. Î Drug testing should be scheduled on days following weekends, holidays and paydays when feasible. Providers should communicate with patients about plans for additional drug tests around events/ special occasions. Î Additional drug testing should be considered if a patient is experiencing stressful psychological events. Residential/Inpatient (3.0) and Medically-Managed Intensive Inpatient Services (4.0) Î Drug testing plays an important role in maintaining a drug-free therapeutic environment in residential treatment. Î When residents leave the treatment program on passes, they should be asked to provide a sample for drug testing shortly after their return. Providers should communicate with patients about plans for additional drug testing following their return. Opioid Treatment Services (OTS) Î The primary purposes of drug testing in the context of OTS are: a) detecting substance use that could complicate treatment response and patient management; b) monitoring adherence with the prescribed medication; and c) monitoring possible diversion. Î Drug testing can be an important tool for detecting the use of substances that can be lethal in combination with a prescribed opioid agonist medication (e.g., benzodiazepines). Î Drug testing has potential application across all stages of OTS including pre-induction assessment and treatment planning, active treatment, and during maintenance and recovery. Providers should utilize drug testing during the assessment phase and throughout treatment. • Providers should utilize drug testing as an aspect of contingency management in OTS. Î Provider education should include knowledge of the metabolic pathways of commonly prescribed opioids. Part 5: Settings

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