PCSS AOAAM Half and Half Training-6058-Lab Testing in Assessment of Substance Use Disorders

Video Transcription

Video Summary

In this video, Kevin Severino discusses the use of lab testing in the assessment of substance use disorders, with a focus on urine drug testing. He explains that urine drug testing is a clinical tool used to facilitate communication between clinicians and patients, and to provide objective information on treatment progress and medication adherence. The choice of urine as a matrix for drug testing is explained, highlighting its flexibility in detecting substances within hours to days. Severino also discusses other types of lab testing, such as breath, blood, oral fluids, sweat, and hair/nails, their advantages, disadvantages, and their specific uses.<br /><br />He emphasizes the importance of understanding the purpose of drug testing, as well as the different types and interpretation of results. He also touches on forensic issues related to drug testing, such as chain of custody requirements, and the role of a medical review officer in interpreting and reporting results for employment purposes. Other lab testing that may be used in substance use disorder evaluations, such as testing for alcohol use and detection of physical sequelae, is also briefly discussed.<br /><br />The video concludes with a case vignette involving a patient who is on buprenorphine naloxone and provides a urine drug screen positive for opioids and buprenorphine. The correct response to the case vignette is discussed, which involves asking the patient what happened and exploring possible explanations for the unexpected urine drug test result.<br /><br />The video provides a comprehensive overview of lab testing in the assessment of substance use disorders and offers insights into the practical considerations and interpretation of results.

Keywords

lab testing

substance use disorders

urine drug testing

communication

treatment progress

types of lab testing

forensic issues

interpretation of results