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Urine Toxicology Testing in Substance Use Disorder Treatment

Urine toxicology testing can be a useful tool in clinical decision making when caring for patients with substance use disorders. It is critical for providers to be familiar with the pros and cons of various types of testing and to be skilled in interpreting 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.

Continuing Medical Education
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 CCSME. 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.

Contact Hours

1 contact hour for social workers, licensed clinical professional counselors, and behavioral health professionals
1 Category I contact hour for psychologists are provided. CCSME is a pre-approved sponsor and provider of Professional Education Activities for Psychologists.
1 contact hour CHES. CCSME is a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc.
1 contact hour pending for alcohol and drug counselors from the board of alcohol and drug counselors


Dec 12 2022


12:00 pm - 1:00 pm

More Info





  • Alane O'Connor
    Alane O'Connor

    Dr. Alane O’Connor, DNP, spent more than 15 years leading MaineGeneral Medical Center’s efforts to expand access to substance use treatment including rapid access buprenorphine in the ED, developing an inpatient consult service and training primary care providers. During that time, Dr. O’Connor was addiction medicine faculty at Maine Dartmouth Family Medicine Residency, educating more than 100 resident physicians, and led several grant-funded projects in substance use disorder prevention, treatment and harm reduction. She has a particular interest in caring for pregnant and postpartum women with substance use disorders and has published numerous peer-reviewed articles on maternal and infant outcomes. In May of 2020, Dr. O’Connor became the medical advisor of the Maine Maternal Opioid Misuse (MaineMOM) Initiative, a 5-year, $5 million federal grant to expand access to substance use treatment for pregnant and postpartum women in Maine. She serves as the first director of perinatal addiction medicine at Maine Medical Center and trains both resident physicians and addiction medicine fellows. Dr. O’Connor also works to expand access to treatment in the correctional system and is leading a grant funded effort to implement extended-release buprenorphine at the Somerset County Jail in Skowhegan. Finally, Dr. O’Connor co-chairs Maine’s Opioid Response Clinical Advisory Committee, which advises the Governor’s opioid response director on clinical and public policy issues.