PDF A Best Practices Review Drug & Alcohol Testing

A Best Practices Review Drug & Alcohol Testing

By: Paul L. Cary Independent Forensic Toxicology Consultant

Nine Best Practices

A. Frequent Testing

Frequency of Testing

drug courts often reduce testing frequency for nontherapeutic reasons cost saving measure reward for good behavior incentive for phase advancement

phase advancement often equates to a reduction in therapeutic measures fewer staffings reduced time before the judge reduced supervision (visits with case workers/PO's) reduction in treatment sessions

How does the court know, if these reductions in therapeutic measures has not increased the potential or risk for client relapse?

How Often to Drug Test?

Drug and alcohol testing is performed frequently enough to ensure substance use is detected quickly and reliably.

for urine - test as often as possible - at least twice weekly

ankle monitors - 90 days tests that have short detection windows - more

frequently testing frequency remains constant

throughout phase progression

Twice Per Week?

Drug and alcohol testing is within the direct preview and control of the drug court & it's affiliated programs (i.e. team members)

Tests for which you do not have immediate & free access to results ? DON'T COUNT

Tests which are not witnessed ? DON'T COUNT

Tests that are significantly different in composition or cutoff levels ? DON'T COUNT

Tests where confirmation is not available ? DON'T COUNT

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