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Appropriate Use of Drug Testing in Clinical Addiction Medicine
Margaret Jarvis1, Jessica Williams, Matthew Hurford
1American Society of Addiction Medicine, Rockville, MD (MJ, TS); Institute for Research, Education and Training in Addiction (JW, DL, P Lincoln, LG, P Luongo); and Community Care Behavioral Health Organization, Pittsburgh, PA (MH).
Journal of Addiction Medicine
|May 31, 2017
Summary
Biological drug testing aids in addiction medicine by informing patient care. Proper use of drug tests is crucial for identifying, diagnosing, treating, and supporting recovery in individuals with addiction.
Area of Science:
- Addiction Medicine
- Clinical Pharmacology
- Diagnostic Testing
Background:
- Biological drug testing provides critical data on recent substance use.
- Effective utilization of drug testing hinges on appropriate selection for individual patients and timing.
- Guidance is needed for optimal clinical application of drug testing in addiction treatment and recovery.
Framework:
- The RAND/UCLA Appropriateness Method (RAM) integrated scientific evidence with expert consensus.
- RAM was employed to define appropriate clinical practices for drug testing.
- This method also identified gaps in current research regarding drug testing applications.
Implementation:
- Focuses on appropriate clinical use of drug testing in addiction medicine.
- Aids healthcare providers in decisions regarding drug testing for patient identification, diagnosis, treatment, and recovery.
- Addresses considerations for patients across various care settings and levels.
Implications:
- Enhances the appropriate use of drug testing for patients with substance use disorders.
- Supports monitoring treatment effectiveness and aiding patient recovery.
- Provides a framework for utilizing drug testing in general healthcare settings for at-risk populations.
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