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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.  Provide four things patients may not disclose to their practitioner that drug testing can identify.

2.  Explain what a positive test result for illicit drugs or non-prescribed licit medications means.

3.  Name three important steps that must be done before testing.

4.  List four factors that determine how often drug testing should be conducted.

5.  Identify four measures to prevent tampering with a urine sample.

CE Outline with Main Points

1.  Drug Testing in Primary Care

a.  Uses of Drug Testing in Primary Care

b.  Talking With Patients About Drug Testing

c.  Cultural Competency and Diversity

d.  Monitoring Patients

e.  Ensuring Confidentiality and 42 CFR Part 2

f.  Preparing for Implementing Drug Testing

g.  Interpreting Drug Test Results

h.  Frequency of Testing

i.  Documentation and Reimbursement

2.  Urine Drug Testing for Specific Substances

a.  Window of Detection

b.  Specimen Collection

c.  Adulteration, Substitution, and Dilution

d.  Cross-Reactivity

e.  Alcohol

f.  Amphetamines

g.  Barbiturates

h.  Benzodiazepines

i.  Cocaine

j.  Marijuana / Cannabis

k.  Opioids

l.  Other Substances of Abuse

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

CAADE Approval

This course does not have CAADE approval for CEUs.

Course Development: Each course is identified and reviewed by the appropriate Quantum Units Education consultant with professional and licensed expertise in the various disciplines we serve. Our professional consultants oversee course development to satisfy the needs of various professionals based on their board requirements, rate course degrees of difficulty and ensure the course content and exam questions are appropriate, relevant and comprehensive. See our professional staff and their bios here.

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Added On: 01/01/2012