What about urine drug screens?

Our Medical Assistants are trained to conduct urine screens according to our UDS Protocol. A group member is asked to empty their pockets and be down to one layer of clothing before using a specially modified restroom. Program members are asked to come to appointments ready to provide a sample if asked. If a provider requests a urine screen, and the person responds, “I can’t; I just used the restroom,” a prescription is not provided unless the screen has been obtained. It is not uncommon for a program member to be drinking a glass of water during group to provide the screen before leaving the building. If a patient tests positive, does not declare this in group, and a relapse is suspected, it is useful for the provider to be informed of positive test results and discuss the issue as soon as possible while in group. Significant change more often occurs with feedback that is immediate, supportive, and constructive.