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OTPs should understand a laboratory's analytical methods and know whether and how often the laboratory confirms positive findings, how long specimens are retained for testing, and when results are made available to OTPs. GC/MS usually is reserved for confirmation in cases with legal implications. Responsibility for the Personalized Aftercare Plan It is vital that each individual takes responsibility for their own personalized aftercare plan. They will need to have plans for how they are going to deal with these temptations. George and Braithwaite (1999) found that variations in metabolism and excretion could affect urine concentrations of methadone or its metabolites. Toggle navigation Seeking Addiction Treatment in Thailand? CLICK HERE to get a free confidential assessment or call Toll-free from USA: +18553000594 Toll-free from AUS: +611800583 325 Toll-free from UK: +448081687072 International: +66871407788 Toll-free from Canada : +18448473272 DARA Rehab - Thailand open Drug Addiction Alcoholism Addiction Treatment Addiction Recovery Addiction Articles About Contact Us Blog Facebook Twitter Google+ Personalized Aftercare Plans Transition from Rehab to Home The transition from rehab to home can be a perilous time for those who ate not adequately prepared for it. Other Considerations in Drug-Testing Procedures . Also, because of regulatory concern about medication diversion, reports indicating absence of treatment medication should be evaluated carefully. Concerns usually relate to the specimen collection process or the sensitivity and specificity of results, as well as the possibility of tampering, the need to preserve patient privacy and dignity, risks of collection to staff, and the possibility that substance interactions may confound results.A patient's physical condition can affect test sensitivity and specificity. When this occurs without discussion or explanation, OTPs create barriers between themselves and patients and appear to function more as monitoring and surveillance units than as treatment programs.

Drug use patterns have changed markedly in recent decades; for example, benzodiazepines, amphetamines, methamphetamine, and cocaine have increased in popularity while barbiturate use has diminished. Paul, Minnesota www.medtox.com Micro LineCasco Standards, Yarmouth, Maine www.microgenics.com . * It is not such a good idea to have a plan that relies too much on other people. Ball and Ross (1991) found that the most effective programs had less than 10-percent positive tests. Exhibit 9-4 provides a list of commercial resources, manufacturers, and contact information for onsite analytical methods.Exhibit 9-4. GC/MS is a sensitive method that can be used to confirm results from EMIT or TLC. Drug use is assessed cumulatively, but uniform cutoff levels have not been established, and external contamination is a possibility (Swotinsky and Smith 1999).Hair Drug TestingHair analysis provides a longer term look at drug use than other methods because hair retains drugs longer—for example, weeks or months, compared with the 2 or 3 days that cocaine or heroin is detectable in urine. 1998). Some OTPs use direct observation only during initial stabilization. * By putting energy into these preparations it proves that they are taking their recovery seriously.

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