ASAM Drug Testing Pocket Guide

Drug Testing Pocket Guide

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26 Test Considerations Î In a prenatal care setting, routine Screening and Brief Intervention (SBI) for alcohol use should be conducted. Laboratory testing for alcohol use is not recommended except in cases of suspected or known risk factors for Alcohol Use Disorder (AUD). Î As pregnant women who use substances are less willing to disclose use of opioids and benzodiazepines than other substances, testing for opioids and benzodiazepines helps identify an often underreported behavior. Î Urine is an appropriate matrix for drug testing women who are pregnant. Test Results Î As a follow up to a presumptive positive test result, providers should use definitive tests to clearly identify individual drugs. Î Responses to positive drug test results can include: patient education, referral to treatment, and the creation of a treatment plan. Î Providers should be familiar with local treatment resources and programs for pregnant women. People in Recovery Î It is appropriate to conduct drug testing for a minimum of five years in healthcare settings for most patients in stable recovery. The frequency of drug testing for patients in stable recovery should depend on the severity and chronicity of the patient's addiction. Î It is appropriate for patients in stable recovery to receive periodic Recovery Management Checkups that include a drug testing component. Î Immediate evaluation for treatment or treatment intensification as a response to a positive drug test result is appropriate for most patients in stable recovery. Health and Other Professionals Î Drug testing is especially useful in supporting recovery of individuals who have increased access to psychoactive substances, including healthcare professionals and professionals in safety sensitive positions. Additional testing should be considered for those in recovery who have significant occupational exposure to addictive substances. Part 6: Special Populations

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