ASAM Drug Testing Pocket Guide

Drug Testing Pocket Guide

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6 Part 2: Process of Drug Testing in Addiction Treatment Î Federal cutoff threshold concentrations used for occupational testing are not appropriate for clinical use. Î Definitive testing techniques should be used whenever a provider wants to detect specific substances not identified by presumptive methods, quantify levels of the substance present, and refine the accuracy of the results. Î Definitive testing should be used when the results inform clinical decisions with major clinical or non-clinical implications for the patient (e.g., treatment transition, changes in medication therapies, changes in legal status). • If a patient disputes the findings of a presumptive test, a definitive test should be done. Î When ordering a definitive test, providers should advise the testing laboratory if the presence of any particular substance or group of substances is suspected or expected. Î Because not all laboratories automatically perform a definitive test on positive presumptive results (the common term for this is "reflex" testing), providers should be aware that laboratories may require a specific order for definitive testing. Cost Î Providers should always consider cost both to patients and insurers when utilizing drug testing.

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