Clinical Drug Testing in Primary Care - Part 2

$30.00 | CE Hours:6.00 | Intermediate

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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:


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



Social Work Approval

Social Work CE Credit for this course is offered with the following approvals. Many state boards of social work will accept the approvals listed. Provider Approvals by state and license type can be found here.

  • Quantum Units Education is approved by the California Association of Marriage and Family Therapists, CAMFT Provider #89970, to sponsor continuing education for LMFTs, LCSWs, LPCCs, and/or LEP. Quantum Units Education maintains responsibility for this program/course and its content.
  • Florida board for Social Workers CE Provider #50-8650 (Quantum 'immediately' reports CE Credits to Florida licensees) 
  • Illinois Department of Professional Regulation, License No. 159.001261 approved CE Sponsor
  • Ohio CSWMFTB #RCST091701 approved CE Provider
  • Texas Board of SWE #5070 approved CE Provider
  • ACE credit is offered for this course for social workers (followed by ACE approval statement that is currently on every ACE course page) Quantum Units Education, #1289, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Quantum Units Education maintains responsibility for this course. ACE provider approval period: 01/03/2020 – 01/03/2023.

To see other approvals in your state, see our state by state provider approval listings here.


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Added On: 2019-10-23

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