What does this research mean for the field?

Common drug testing practices, such as universal screening, observed urine testing, and discharging patients based solely on unexpected results, constitute misuse in substance use treatment and clinical care. Novelty: ClaimNovelty.SYNTHESIS. Consensus alignment: ConsensusAlignment.CHALLENGES_CONSENSUS.

May 31, 2026Alcoholism & Drug Abuse Weekly0 citations

Common drug testing practices face criticism in ASAM document

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GEGary Enos

Key Points

The aim is to address the misuse of drug testing in substance use treatment and clinical settings.
Draft recommendations developed by ASAM and ACMT.
Critique of current drug testing practices including universal testing and observed urine testing.
Warning against administrative discharge based solely on unexpected test results.
Criticism directed toward universal screening for substance use without context.
Concern raised about the practice of observed urine testing.
Administrative discharges based on unexpected results deemed inappropriate.

Abstract

Draft recommendations from the American Society of Addiction Medicine (ASAM) and the American College of Medical Toxicology (ACMT) warn against misuse of drug testing in substance use treatment programs and other clinical care settings. Among the practices the organizations criticize in the draft document are universal testing for the sole purpose of screening for substance use, observed urine testing of patients, and administratively discharging a patient from care based only on an unexpected test result.

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Cite This Study

Gary Enos (Fri,) studied this question.

synapsesocial.com/papers/6a1bd1745783ba022b6fcfba https://doi.org/https://doi.org/10.1002/adaw.34932

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