EVERYTHING YOU WANTED TO KNOW ABOUT DRUG TESTING
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2 EVERYTHING YOU WANTED TO KNOW ABOUT DRUG TESTING JUDGE BRIAN MACKENZIE (RET.) JUSTICE SPEAKERS INSTITUTE DRUG TESTING PROGRAM MANAGEMENT
3 AS A RESULT OF THIS SEMINAR, YOU WILL BE ABLE TO: 1. CHOOSE WHAT TYPE OF METHODOLOGY IS BEST FOR YOUR COURT 2. LIST THE DRUG TESTING STANDARDS 3. EXPLAIN YOU TESTING PROGRAM 4. USE PRACTICAL TIPS ABOUT DRUG TESTING
4 True or False 1. Marijuana gives you the munchies
5 Key Component #5 Best Practices Drug Testing: Testing was significantly related to reductions in crime and drug use at both 6 and 18 months. Compared to low numbers of drug tests (9 or fewer tests), high (more than 37) and medium (9 to 37) episodes of testing were related to significantly fewer crimes and days of drug use. Thermo Scientific Indiko Plus Clinical and Specialty Chemistry System
6 True or false? 2. 50% of participants use during the program. 3. Test adulterants are sold over the internet. 4. It is ok for a participant to miss an occasional test. Thermo Scientific Indiko Plus Clinical and Specialty Chemistry System
7 Drug Testing Manual 1. P a r t i c i p a n t Understanding 2. Testing 3. Collection 4. Results
8 Participant Understanding Outcomes are better when policies and procedures are clear Participants react better if they understand how the judgement was made Describing requirements enhances participants perceptions of fairness
9 Participant understanding I understand I will be tested. By Probation officer, police, and/or my treatment provider etc Location and time to report. It is my responsibility to report. If I am late for a test, or miss a test, it will be considered as a positive test If I fail to provide a urine specimen in sufficient quantity, it will be considered as a positive. Substituting or altering my specimen will be considered as a positive test
10 Average Number Of Crimes Prevented Per Month Medium predictability Low predictability High predictability The Judge Is the Key Component:The Importance of Procedural Fairness in Drug-Treatment Court
11 Average Number Of Days Courts Prevented Substance Use Medium predictability Low predictability High predictability The Judge Is the Key Component:The Importance of Procedural Fairness in Drug-Treatment Court
12 What Did You Notice? MP Drugs LP Drugs HP Drugs MP Crime LP Crime HP Crime The Judge Is the Key Component:The Importance of Procedural Fairness in Drug-Treatment Court
13 Testing Only objective measure of treatment effectiveness Gauge of participant progress. Promotes honesty and frankness Creates accountability Thermo Scienific Indiko Clinical And Specialty Chemistry System
14 Testing Frequent Random Duration Comprehensive Panels Methodologies Thermo Scienific Indiko Clinical And Specialty Chemistry System
15 Frequent Frequent testing = better outcomes Participants say frequent testing is influential in success Thermo Scienific Indiko Clinical And Specialty Chemistry System
16 Frequent recidivism cost reduction drug_courts_fact_sheet_ pdf
17 Random Random/unpredictable Probability of test weekends and holidays Participants provide specimen w/i 8 hours of notification For tests with short windows, no more than 4 hours Thermo Scienific Indiko Clinical And Specialty Chemistry System
18 Duration Drug and alcohol testing to determine whether relapse occurs as other treatment and supervision services are adjusted Thermo Scienific Indiko Clinical And Specialty Chemistry System
19 Comprehensive Test full range of substances Participants evade detection on standard test panels New substances are Congratulations for passing 1000 drug tests sought out by offenders to cheat drug tests. Test specimens for a wide range of potential Thermo Scienific Indiko Clinical And Specialty Chemistry System
20 Common Drugs Alcohol Amphetamines Barbiturates, benzodiazepines Cannabinoids Cocaine Opiates Phencyclidine (PCP) Rx drugs Thermo Scientific Indiko Plus Clinical And Specialty Chemistry System
21 Uncommon Drugs LSD other hallucinogens Synthetics Inhalants Club drugs Anabolic Steroids Thermo Scientific Indiko Plus Clinical And Specialty Chemistry System
22 True or false? 5. You don t need to test for uncommon drugs. 6. It doesn t matter how quickly you get drug test results. 7. There is no reason to check for Creatine. Thermo Scientific Indiko Plus Clinical and Specialty Chemistry System
23 Methodologies Blood Urine Saliva Sweat Breath Hair/Nails Thermo Scientific Indiko Clinical and Specialty Chemistry System
24 Gold Standard With its longstanding history, urine is accepted as the gold standard for drug testing. Thermo Scientific Indiko Clinical and Specialty Chemistry System
25 Urine testing For: Abstinence monitoring Frequent, random drug testing Advantages: Broadest range of drug tests Lower cost relative too there specimens Established cutoffs Contains high concentration of drugs Detects both recent and past usage Numerous inexpensive testing options Reasonable pricing/possible Can test for alcohol (ETG) beyond normal range Thermo Scientific Indiko Clinical and Specialty Chemistry System
26 Urine testing Disadvantages: Invasive collection procedures Drug concentration influenced by fluids Must observe to guard against adulteration Sample collection process is time consuming Staff must be trained Thermo Scientific Indiko Clinical and Specialty Chemistry System
27 Breath testing Recent use On vehicles Advantages: Inexpensive Disadvantages: Daily alcohol testing For: Difficult to adulterate Immediate results Readily available Easy for staff to use Preventing operating vehicle while intoxicated Limited to only alcohol Short detection window Staff must be trained Alcohol concentration influenced by breath force
28 Oral fluid testing For: Frequent testing Advantages: Less invasive No gender specific staff for testing Specimen tampering reduced Can test on-site Reasonable pricing Disadvantages: Short detection window Time consuming Supervision for at least 10 minutes Staff must be trained No confirmation testing Cutoffs not well established Limited number of drugs detected USD-ORAL 6 Panel Oral Fluids Drug Screen for THC, COC, OPI, AMP, MET, PCP
29 Sweat testing For: Continuous drug testing Advantages: Less invasive No gender specific staff for testing Difficult to adulterate Disadvantages: Short detection window Tampering Cut offs not well established No confirmation testing Staff must be trained Ankle bracelets test only for alcohol Expensive
30 Hair/nail testing For: Extended periods of time Employment testing Establishing a baseline Advantages: Long detection window Difficult to adulterate Less intrusive Disadvantages: Requires an prolonged drug use Exposure to chemicals can effect test outcomes Type of hair itself and treatments can affect results Expensive
31 Blood/ testing For: Impairment DUI Advantages: Difficult to adulterate Very accurate Disadvantages: Short window of detection Invasive Medically staff collection Time consuming Expensive
32 True or false? 8. A blood test must be used for hallucinogens.
33 Collection Participant identification Collection site Specimen Collection Congratulations for passing 1000 drug tests Witnessed Valid Specimen Thermo Scientific Indiko Clinical And Specialty Chemistry System
34 Identification Driver s license Student ID Employer s ID State issued ID card Congratulations for passing 1000 drug tests Valid Passport Jail booking photo with name Thermo Scientific Indiko Clinical And Specialty Chemistry System
35 Identification Social Security Card Voter registration card Medical Insurance Card Car Registration / Congratulations for passing 1000 drug tests Insurance School ID Credit Card Thermo Scientific Indiko Clinical And Specialty Chemistry System
36 Site Not open to public One entrance One stall Blueing Secure storage Congratulations for passing 1000 drug tests Supplies stored in close proximity Thermo Scientific Indiko Clinical And Specialty Chemistry System
37 Specimen Check the urinal/stall Remove outer garments Empty pockets Wash hands Add Blueing Congratulations for passing 1000 drug tests Refrigerator or freezer and storage facilities Waste receptacles Thermo Scientific Indiko Clinical And Specialty Chemistry System
38 Witnessed Same-sex collectors Direct observation Device is in full view Complete chain of custody form Collectors need to be Congratulations for passing 1000 drug tests trained Testing Instructions are followed Thermo Scientific Indiko Clinical And Specialty Chemistry System
39 Valid Adequate sample volume The temperature is taken to ensure it is consistent with human body temperature Congratulations for passing 1000 drug tests Test for creatinine and specific gravity Check color Thermo Scientific Indiko Clinical And Specialty Chemistry System
40 True or false? 9. Some psychotropic medications can give a false positive result. 10.Passive inhalation of mj smoke results in positive test results. 11.Urine is the most accurate drug test. Thermo Scientific Indiko Plus Clinical and Specialty Chemistry System
41 Results Reliable Rapid Congratulations for passing 1000 drug tests Thermo Scientific Indiko Plus "Under The Hood" Details
42 Reliable Congratulations for passing 1000 drug tests To be admissible tests must use scientifically valid and reliable methods Confirmation with an instrumented test virtually eliminates the odds of a false positive result Thermo Scientific Indiko Plus "Under The Hood" Details
43 Rapid Congratulations for passing 1000 drug tests Timing is critical for success The sooner sanctions and incentives are delivered the better the results Negative test w/i 1 business day Positive results w/i 2 days, if confirmation Thermo Scientific Indiko Plus "Under The Hood" Details
44 Rapid Recidivism Cost Savings What Works? Research-Based Best Practices
45 Immediate sanctions Recidivism Cost Savings What Works? Research-Based Best Practices
46 True or False 12.A participant s understanding is essential
47 TOP TEN TIPS FOR EFFECTIVE DRUG TESTING 1. DO EVERYTHING TO MINIMIZE CHEATING 2. TEST FREQUENTLY AND RANDOMLY. BEST PRACTICES CALL FOR A MINIMUM OF TWICE A WEEK UNTIL THE PARTICIPANTS ARE IN THE FINAL PHASE AND READY FOR GRADUATION. 3. TEST FOR A FULL RANGE OF SUBSTANCES THAT YOUR PARTICIPANTS MAY USE. IF NOT COST PROHIBITIVE, TEST FOR SYNTHETICS OCCASIONALLY. 4. IN THE PROBATION CONDITIONS OR TREATMENT COURT CONTRACT, REQUIRE DISCLOSURE OF ANY DRUG USE BEFORE TESTING. APPLY A SANCTION FOR LYING PLUS A SANCTION FOR USE IF THERE IS NO DISCLOSURE AND A POSITIVE TEST. 5. DEVELOP WRITTEN POLICIES AND PROCEDURES SO EVERYONE IS ON THE SAME PAGE. 6. STANDARDIZE THE COLLECTION PROCEDURES. 7. EMPLOY A PROVIDER THAT USES A SCIENTIFICALLY VALID AND RELIABLE TESTING PROCEDURE. 8. SAFEGUARD THE COLLECTION SITE. 9. REVIEW RELIABILITY AND CERTIFICATION OF YOUR CONFIRMATION LABORATORY. 10. HAVE A WRITTEN CONTRACT/PROBATION CONDITIONS RE: TESTING.
48 THANK YOU FOR YOUR KIND ATTENTION. JUDGE BRIAN MACKENZIE DRUG TESTING PROGRAM MANAGEMENT DTPM.COM
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