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Urine Toxicology Testing in Substance Use Disorder Treatment

Alane O’Connor, DNP

Urine toxicology testing can be a valuable tool in clinical decision-making when caring for patients with substance use disorders. It is crucial for providers to be familiar with the pros and cons of different types of testing and to have the skill to interpret the results.

Review essential concepts in urine toxicology testing including testing methods, specimen validity measures, windows of detection and cut-off concentrations.

Discuss toxicology testing in the context of substance use disorder treatment including monitoring for prescription medication use and/or returns to use as well as how to talk with patients about drug testing.

Learn how to interpret urine toxicology results including unexpectedly positive/negative specimens.

Examine strategies for caring for special populations including those who are engaged with the child welfare and criminal justice systems.

This course is self-paced and the estimated time to complete is approximately 90 minutes. In addition to viewing the 60-minute video presentation, learners must earn a score of 80% or higher on a post-assessment and complete the post evaluation to receive contact hours or CME credits for completing the course. Supplemental course materials (i.e. pdf of slides) are also provided.

The Maine Medical Education Trust designates this enduring activity for a maximum of 1.5  AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

This course qualifies for 1.5 credits of the 3 CME credit requirement for opioid medication education found in P.L. 2015, Chapter 488, Maine’s legislation to address the opioid drug crisis.

  • Estimated Time to Complete: 1 hour (includes viewing recording, and completing both the quiz and evaluation)
  • Registration Fee: FREE for Maine Clinicians
  • CME Credits Offered: 1
  • Computer with Internet connection
  • Current version of Chrome, Firefox or Safari browser.
  • You must have javascript enabled.
  • The quiz tools thin the online modules are not fully compatible with smartphones or tablets. In order to avoid issues, such as answers not being recorded, we recommend using a computer to complete the pre- and post-tests.

At the end of the course, there is a post-test, and you will have as many attempts as needed to earn a grade of 80% or higher to receive contact hours or CME credit. The survey to evaluate the course at the conclusion is also required to receive credit.

Disclosures: The planners, presenters, and speakers do not have any relevant financial relationships.

Joint Providership Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Maine Medical Education Trust and the Maine Medical Association, Center for Quality Improvement. The Maine Medical Education Trust is accredited by the Maine Medical Association Committee on Continuing Medical Education and Accreditation to provide continuing medical education for physicians.

Funding Statement

Funding for this online learning module was provided by the Maine Bureau of Licensure in Medicine.