TY - JOUR KW - Addiction Medicine/methods KW - Clinical Competence KW - Humans KW - Professional-Patient Relations KW - Substance Abuse Detection/methods KW - Substance-Related Disorders/diagnosis/therapy AU - M. Jarvis AU - J. Williams AU - M. Hurford AU - D. Lindsay AU - P. Lincoln AU - L. Giles AU - P. Luongo AU - T. Safarian A1 - AB - : Biological drug testing is a tool that provides information about an individual's recent substance use. Like any tool, its value depends on using it correctly; that is, on selecting the right test for the right person at the right time. This document is intended to clarify appropriate clinical use of drug testing in addiction medicine and aid providers in their decisions about drug testing for the identification, diagnosis, treatment, and recovery of patients with, or at risk for, addiction. The RAND Corporation (RAND)/University of California, Los Angeles (UCLA) Appropriateness Method (RAM) process for combining scientific evidence with the collective judgment of experts was used to identify appropriate clinical practices and highlight areas where research is needed. Although consensus panels and expert groups have offered guidance on the use of drug testing for patients with addiction, very few addressed considerations for patients across settings and in different levels of care. This document will focus primarily on patients in addiction treatment and recovery, where drug testing is used to assess patients for a substance use disorder, monitor the effectiveness of a treatment plan, and support recovery. Inasmuch as the scope includes the recognition of addiction, which often occurs in general healthcare settings, selected special populations at risk for addiction visiting these settings are briefly included. BT - Journal of addiction medicine C5 - Opioids & Substance Use CP - 3 CY - United States DO - 10.1097/ADM.0000000000000323 IS - 3 JF - Journal of addiction medicine N2 - : Biological drug testing is a tool that provides information about an individual's recent substance use. Like any tool, its value depends on using it correctly; that is, on selecting the right test for the right person at the right time. This document is intended to clarify appropriate clinical use of drug testing in addiction medicine and aid providers in their decisions about drug testing for the identification, diagnosis, treatment, and recovery of patients with, or at risk for, addiction. The RAND Corporation (RAND)/University of California, Los Angeles (UCLA) Appropriateness Method (RAM) process for combining scientific evidence with the collective judgment of experts was used to identify appropriate clinical practices and highlight areas where research is needed. Although consensus panels and expert groups have offered guidance on the use of drug testing for patients with addiction, very few addressed considerations for patients across settings and in different levels of care. This document will focus primarily on patients in addiction treatment and recovery, where drug testing is used to assess patients for a substance use disorder, monitor the effectiveness of a treatment plan, and support recovery. Inasmuch as the scope includes the recognition of addiction, which often occurs in general healthcare settings, selected special populations at risk for addiction visiting these settings are briefly included. PP - United States PY - 2017 SN - 1935-3227; 1932-0620 SP - 163 EP - 173 EP - T1 - Appropriate Use of Drug Testing in Clinical Addiction Medicine T2 - Journal of addiction medicine TI - Appropriate Use of Drug Testing in Clinical Addiction Medicine U1 - Opioids & Substance Use U2 - 28557958 U3 - 10.1097/ADM.0000000000000323 VL - 11 VO - 1935-3227; 1932-0620 Y1 - 2017 ER -