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CE Course Description

This course provides information that clinical practitioners need when deciding whether to introduce drug testing in their practices. It offers guidance on implementing drug testing, and describes some of the ways that drug testing can contribute to assessment, diagnosis, and treatment of patients seen in primary care. It also covers the management of the treatment of chronic pain, and the identification and treatment of substance use disorders.

Author:  Substance Abuse and Mental Health Services Administration.  (2012).  Clinical drug testing in primary care.  Technical Assistance Publication (TAP) 32.  HHS Publication No. SMA 12-4668.  Rockville, MD: Substance Abuse and Mental Health Services Administration.

References / Contributions by:

Black, D., & Andreasen, N.  (2011).  Introductory textbook of psychiatry (5th edition).  Washington, DC: American Psychiatric Publishing, Inc.

Bosker, W.M., & Huestis, M.A.  (2009).  Oral fluid testing for drugs of abuse.  Clinical Chemistry, 55(11), 1910-1931.

Christo, P., Manchikanti, L., Ruan, X., Bottros, M., Hansen, H., Solanki, D.R., et al.  (2011).  Urine drug testing in chronic pain.  Pain Physician, 14(2), 123-143.

Retrieved from:  https://store.samhsa.gov

CE Course Objectives

1.  Name three situations in which clinical drug testing can be used.

2.  Describe the relationship between clinical and workplace drug testing.

3.  Explain the first step in drug testing.

4.  List three factors that the window of detection depends on.

5.  Provide the advantages and disadvantages of using urine as a matrix for drug testing.

CE Outline with Main Points

1.  Introduction

a.  Reasons To Use Clinical Drug Testing in Primary Care

b.  Primary Care and Substance Use Disorders

c.  Development of Drug Testing

d.  Workplace Drug Testing

e.  Drug Testing in Substance Abuse Treatment and Healthcare Settings

f.  Differences Between Federal Workplace Drug Testing and Clinical Drug Testing

g.  Caution

2.  Terminology and Essential Concepts in Drug Testing

a.  Drug Screening and Confirmatory Testing

b.  Testing Methods

c.  Test Reliability

d.  Window of Detection

e.  Cutoff Concentrations

f.  Cross-Reactivity

g.  Drug Test Panels

h.  Test Matrix

i.  Point-of-Care Tests

j.  Adulterants

k.  Specimen Validity Tests

3.  Preparing for Drug Testing

a.  Deciding Which Drugs To Screen and Test for

b.  Choosing a Matrix

c.  Selecting the Initial Testing Site: Laboratory or Point-of-Care

d.  Preparing a Specimen Collection Site

ACE credit is not offered for this course. A list of courses offering ACE credit can be found here.

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Added On: 01/01/2012