resource guide: screening for drug use in general medical settings

8/2/2019 Resource Guide: Screening for Drug Use in General Medical Settings

1/23

Qatccmomb lit@tsb sQc om

bcmctkg Ec@oakg

QcppombQ

Tcqistac Bso`c


2/23

Pfoq bso`c oq `cqobmc` pi kqqoqp agomoaokmq qct|omb k`sgp zkpocmpq om

qatccmomb lit `tsb sqc- Pfoq qatccmomb piig rkq k`kzpc` ltie pfc

Ritg` Fckgpf Itbkmoxkpoim &RFI/ Kgaifig' Qeinomb km` QsdqpkmacOm|ig|cecmp Qatccmomb Pcqp &KQQOQP/' \ctqoim 1-:' `c|cgizc` km`

zsdgoqfc` dy RFI &k|kogkdgc kp fppz8))rrr-rfi-omp)qsdqpkmacYkdsqc)

kapo|opocq)kqqoqpY|1Ycmbgoqf-z`l/-

Pfoq zkezfgcp oq om pfc zsdgoa `iekom km` eky dc tczti`sac`-


3/23

;

Qatccmomb lit @tsb Sqc om Bcmctkg Ecòakg Qcppombq8K Tcqistac Bso`c lit Zti|o`ctq

Pkdgc il Aimpcmpq

Ompti`sapoim

Dclitc_isDcbomQatccmombZkpocmpq

PfcMO@KEiòloc`KQQOQPQatccmombPiig

Qpcz;8Kqn

Aim`sapombkDtoclOmpct|cmpoim

Qpcz48K`|oqc

Qpcz18Kqqcqq

Qpcz08Kqqoqp

Qpcz38Kttkmbc

Kzzcmòacq

Tcaieecm`kpoimqPiK``tcqqZkpocmpTcqoqpkmac

QkezgcZtibtcqqMipcq

AfkmbcZgkmRitnqfccpDoigiboakgQzcaoecmPcqpomb

K`òpoimkgTcqistacq


4/23

4

Ompti`sapoim

PfoqTcqistacBso`coqompcm`c`pizti|o`cagomoaokmqqct|ombk`sgpzizsgkpoimq

om

bcmctkgecòakgqcppombqropfpfcqatccmomb

piigqkm`ztiac`stcqmcacqqktypiaim`sap

qatccmomb'dtoclompct|cmpoim'km`)it

ptckpecmptclcttkglitzkpocmpqrfiekyfk|citdckptoqnil`c|cgizombkqsdqpkmac

sqcòqit`ct-Qatccmombkm`dtocl

ompct|cmpoimzti|o`cqkmizzitpsmopylit

agomoaokmqpiompct|cmccktgykm`zipcmpokggy

cmfkmacecòakgaktcdyomatckqomb

krktcmcqqilpfcgoncgyoezkapilqsdqpkmac

sqcimkzkpocmpqi|ctkggfckgpf-

Rfy qatccm lit `tsb sqc &omagsòmbpidkaai' kgaifig' oggoaop o-c-' oggcbkgU'km` mimecòakg sqc il ztcqatozpoim`tsbq/9 @tsbsqc&goaopitoggoaop/oqfktelsgkm`

fkqekmyk`|ctqcaimqc{scmacq-Esgpozgczfyqoakgfckgpf'ceipoimkg'km`

ompctzctqimkgztidgceqktckqqiaokpc

ropfoggoaop`tsbsqc-Aktòi|kqasgkt

òqckqc'qptinc'akmact'FO\)KO@Q'

kmvocpy'`cztcqqoim'qgcczztidgceq'kq

rcggkqlomkmaokgòlloasgpocqkm`gcbkg'

ritn'km`lkeogyztidgceqakmkggtcqsgpltieitdccvkactdkpc dy`tsbkdsqc-

;

Pfcsqciloggoaop`tsbqoqeitcaieeimpfkmyiseobfppfomn-Om4::2'kmcqpoekpc`;?-?eoggoimKectoakmqkbc`

;4itig`ct&}6-:zctacmpilpfc

zizsgkpoim/rctcasttcmpoggoaop`tsb

sqctq'rfoafeckmqpfcyfk`sqc`km

oggoaop`tsb`stombpfceimpfztoitpipfc

qst|cy-Mcktgy;om3Kectoakmqkbc`

;643fk`sqcòggoaop`tsbqompfczkqp

eimpf-4

Imgykltkapoimilomò|o`skgqrfimcc`qzcaokgpyptckpecmplit`tsbitkgaifig

Pfoq tcqistac bso`c ìcq mip qzcaoloakggy k``tcqq pfc

smo{sc aimqo`ctkpoimq pfkp esqp dc pkncm ompi kaaismp

rfcm qatccmomb kìgcqacmpq it ztcbmkmp riecm-

k`òapoimkapskggytcaco|copckafyckt-Om4::2'ilpfceitcpfkm41eoggoim

zctqimqkbc`;4itig`ctrfimcc`c`

qzcaokgoxc`ptckpecmplitk`tsbit

kgaifigztidgce'eiqpkgeiqp4;

eoggoimò`miptcaco|cop-1

Tispomcqatccmomblitqsdqpkmacsqcòqit`ctq

aisg`kgpctpfoqqpkpoqpoakm`bcpeitc

zcizgcpfcfcgzpfcymcc`-

Sqombqatccmombkm`dtoclompct|cmpoimztiac`stcqombcmctkgecòakgqcppombqakmeknckòllctcmacom`tsbsqcdcfk|oitq-Tcqcktaffkq`ceimqptkpc

pfkpqatccmombkm`dtoclompct|cmpoimakm

ztieipcqobmoloakmptc`sapoimqomkgaifig

km`pidkaaisqc-0'3'

òqasqqtcqsgpqropfzkpocmpq>km`

ompct|cmckm`)ittclctrfcmmcacqqkty-

Ptkom`cqobmkpc`qpkllpiaim`sap

qatccmomb'ompct|cmpoim'km`tclcttkg-

@cao`cfirqatccmombtcqsgpqroggdc

sqc`km``c|cgizkztiac`stclit

fkm`gombziqopo|ckm`mcbkpo|ctcqsgpq-

Mipc8Qatccmomboqmipklsggkqqcqqecmp>

tclctzkpocmpqlitklsggkqqcqqecmpolk

ztidgceoqomòakpc`dypfcqatccmit

pftisbfòqasqqoimropfpfczkpocmp-

Kzzgycvoqpombilloacztiac`stcqpi

qatccmombztkapoacq'omagsòmbzkpocmp

ìasecmpkpoim'aimqcmpztiac`stcq'

aimlo`cmpokgopykm`FOZKKztiac`stcq'

qpitkbciltcait`q'km`zkpocmplgir-

IdpkomtcoedstqcecmpomlitekpoimlityistQpkpc-

i Om4::2'pfcAcmpctqlitEcòaktc

kmÈcòako`Qct|oacq&AEQ/

kìzpc`mcrai`cqlitkgaifigkm`

qsdqpkmackdsqckqqcqqecmpkm`

ompct|cmpoimqct|oacq

om

pfc

FckgpfaktcAieeimZtiac`stc

AiòmbQyqpce&FAZAQ/-

i OmHkmskty4::6'pfcKectoakm

EcòakgKqqiaokpoim&KEK/kìzpc

AsttcmpZtiac`stkgPcteomigiby

&AZP/ai`cqlitqatccmombkm`dtocl

ompct|cmpoim'km`mcrEcòaktcB

ai`cqdcakeck|kogkdgcpfkpzktkggcg

pfcAZPai`cq&qcc

fppz8))qdotp-qkefqk-bi|)aiòmb-fpe

liteitcomlitekpoim/-

Cqpkdgoqftcgkpoimqfozqkm`gomnkbcqropf

cvpctmkgzti|o`ctqrfiroggkaaczptclcttkgqlitk`òpoimkgkqqcqqecmp

km`)it`tsbptckpecmp-

Aimqo`ctzkpocmptckòmbgc|cgrfcmzti|oòmbc`sakpoimkgkm`qszzitp

ekpctokgq-Dcaksqcopoqilpcmòlloasgppi

`cpcteomctckòmbgc|cg'zktpoasgktgyom

cectbcmaytiieqopskpoimq'aimqo`ct

sqombekpctokgq`c|cgizc`litkm6pf

btk`c

tckòmb

gc|cg-

@ckgropfqc|ctc'oeecòkpcgygolc

pftckpcmombecòakgaimqc{scmacqil

qsdqpkmackdsqckqyisrisg`kmyipfct

ecòakgcectbcmay-

i Olqkec`kyqsdqpkmackdsqc

ptckpecmpkqqcqqecmpoqmip

k|kogkdgc'ptkmqlctzkpocmppipfc

cectbcmaytiieitkèoppipfc

fiqzopkg-

i Kttkmbckgpctmkpo|cptkmqzitpkpoimlitzkpocmpqsm`ctpfcomlgscmacil

`tsbq'kgaifig'itecòakpoimpfkp

risgòezkotpfcot`to|omb-Litpfcqc

zkpocmpq'pfcdtoclompct|cmpoim

qfisg`liasqimatoqoqekmkbcecmp-
http://sbirt.samhsa.gov/coding.htmhttp://sbirt.samhsa.gov/coding.htm


7/23

3

Pfc MO@K%Ei`oloc` KQQOQP


8/23

Qpcz ;8 KQN kdisp `tsb sqc-Qpcz ;8 KQN kdisp `tsb sqc-

Pfoqqatccmombomqptsecmpoqkzztiztokpclitzkpocmpqkbc;6itig`ct-_iseky`cgo|ctopkqkm

ompct|ocrkm`tcait`zkpocmptcqzimqcq'ittck`pfcZtcqatccm{scqpoimkgis`km`fk|cpfc

zkpocmpaiezgcpcpfctcekomomb{scqpoimq&olkzzgoakdgc/kqkrtoppcm{scqpoimmkotc-Opoq

tcaieecm`c`pfkppfczctqimkèomoqpctombpfcqatccmombtc|ocrpfcqkezgcqatozppi

ompti`sacpfcqatccmombztiacqq-Pfcqatozpillctqfcgzlsggkmbskbclitompti`saombrfkpakm

dckqcmqopo|cpizoalitzkpocmpq-

Pfoqqatccmombomqptsecmpoqkzztiztokpclitzkpocmpqkbc;6itig`ct-_iseky`cgo|ctopkqkm

ompct|ocrkm`tcait`zkpocmptcqzimqcq'ittck`pfcZtcqatccm{scqpoimkgis`km`fk|cpfc

zkpocmpaiezgcpcpfctcekomomb{scqpoimq&olkzzgoakdgc/kqkrtoppcm{scqpoimmkotc-Opoq

tcaieecm`c`pfkppfczctqimkèomoqpctombpfcqatccmombtc|ocrpfcqkezgcqatozppi

ompti`sacpfcqatccmombztiacqq-Pfcqatozpillctqfcgzlsggkmbskbclitompti`saombrfkpakm

dckqcmqopo|cpizoalitzkpocmpq-K- Ompti`sac yistqcgl km` cqpkdgoqf tkzzitp-- Ompti`sac yistqcgl km` cqpkdgoqf tkzzitp-

Qpcz ;8 KQN kdisp `tsb sqc-K- Ompti`sac yistqcgl km`

cqpkdgoqf tkzzitp-D- Kqn kdisp golcpoec `tsb sqc-A- Dcbom pfc MO@K%Eiòloc`

RFI KQQOQP-Dcbom pfc MO@K%Eiòloc`RFI KQQOQP-

@- Qaitc pfc KQQOQP kmò`cmpoly zkpocmpq toqn gc|cg-

@- Qaitc pfc KQQOQP kmò`cmpoly zkpocmpq toqn gc|cg-

Dclitcyisdcbompfcompct|ocr'zgckqctck`pfcliggiromb

pipfczkpocmp8

Dclitcyisdcbompfcompct|ocr'zgckqctck`pfcliggiromb

pipfczkpocmp8

Fo'OeYYYYYYYYYY'moacpieccpyis-Olopqinkyropfyis'O`goncpikqnyisklcr{scqpoimqpfkproggfcgzecbo|cyisdcppctecòakgaktc-Pfc{scqpoimqtcgkpcpiyistcvzctocmacropfkgaifig'aobktcppcq'kmìpfct`tsbq-Qiecilpfcqsdqpkmacqrcggpkgnkdispktcztcqatodc`dykìapit&gonczkomecòakpoimq/-DspOkeompctcqpcòmpfiqcimgyolyisfk|cpkncmpfcelittckqimqitomìqcqipfctpfkmztcqatodc`

Fo'OeYYYYYYYYYY'moacpieccpyis-Olopqinkyropfyis'O`goncpikqnyisklcr{scqpoimqpfkproggfcgzecbo|cyisdcppctecòakgaktc-Pfc{scqpoimqtcgkpcpiyistcvzctocmacropfkgaifig'aobktcppcq'kmìpfct`tsbq-Qiecilpfcqsdqpkmacqrcggpkgnkdispktcztcqatodc`dykìapit&gonczkomecòakpoimq/-DspOkeompctcqpcòmpfiqcimgyolyisfk|cpkncmpfcelittckqimqitomìqcqipfctpfkmztcqatodc`-Oggkgqikqnyiskdispoggoaopitoggcbkg`tsbsqcdspimgypidcppctòkbmiqckm`ptckpyis- Olpfczkpocmp`cagomcqqatccmomb'k`|oqcpfczkpocmppfkpyistcqzcappfkp`caoqoimdsp

risg`goncpiomlitefoe)fctkdisppfczipcmpokgfkteqil`tsbsqc-

Tceom`ct8

Zkpocmpq qfisg` dck`|oqc` il pfc goeopq il

aimlo`cmpokgopy km`

omqstkmac ai|ctkbc lit

aimòpoimq iaasttomb

sm`ct pfc omlgscmac il

kgaifig it oggoaop `tsbq

&pfcqc |kty dy Qpkpc km`

zti|o`ct/-

D- Kqn zkpocmpq kdisp golcpoec `tsb sqc sqomb pfcZtcqatccm [scqpoim il pfc MO@K%Eiòloc` KQQOQP- Ropfispdcombhs`becmpkgitaimltimpkpoimkg'kqnpfc

zkpocmpolfcitqfcfkqc|ctsqc`kmyilpfcqsdqpkmacq

goqpc`qccpfcZtcqatccm{scqpoimimpfcMO@KEiòloc`

KQQOQP

&fppz8))rrr-`tsbkdsqc-bi|)mo`kec`)qatccmomb)mekqqoqp-z

`l/litkgoqp-Mipc8Olpfczkpocmpecmpoimqk`tsbmipim

pfcgoqp&c-b-'qpctio`q/'zgckqccmpctopompfcipfct

akpcbity-

Dcztczktc`pibcmpgyztidcactpkom{scqpoimq-Litcvkezgc'olpfczkpocmpkmqrctq

Mipic|ctyqsdqpkmac'kqnkztidomb{scqpoimqsafkqMipc|cmrfcmyisrctc

yismbct'zctfkzqomfobfqafiigitaiggcbc9

OlpfczkpocmpqkyqMilitkgg`tsbqomZtcqatccm'tcomlitackdqpomcmac-Litcvkezgc'

yisekyqkyOpoqtckggybii`pifcktyisktcmpsqomb`tsbq-Pfkpoqk|ctyqektp

fckgpfafioac-Qatccmomboqaiezgcpc-

Olpfczkpocmpqkyq_cqpikmyilpfc`tsbq'bipiA-


9/23

Dcbom pfc MO@K%Ei`oloc` KQQOQP &Gomn pi Z@L il piig/- Litzkpocmpqrfikmqrctmc|ctpi[scqpoim;&Ompfczkqppftcceimpfq'firilpcmfk|cyissqc`pfcqsdqpkmacqyisecmpoimc`9/8Qnozpi[scqpoimq32pi`cpcteomcol

pfcyfk|cqyezpieqilkztoitqsdqpkmacsqcztidgce-Zti|o`clcc`dkan&qccQpcz4/

km`tcomlitackdqpomcmac-

Litzkpocmpqrfi tczitpsqcilpidkaai8

Kmy pidkaaisqc om pfczkqp pftcceimpfq

zgkacqkzkpocmpkptoqn-

i K`|oqckggpidkaaisqctqpi{sop-Liteitcomlitekpoimimqeinombacqqkpoim'

zgckqcqccFcgzombQeinctq[sop8KBso`clitAgomoaokmqkpfppz8))rrr-kft{-bi|)agomoa)pidkaai)agomfgzqenq{p-fpe-

Litzkpocmpqrfitczitpsqcilkgaifig8[scqpoimpfczkpocmpomeitc`cpkogkdispltc{scmaykm`{skmpopyilsqc8

Olpfckmqrctoq8

Mimc8K`|oqczkpocmppiqpkyropfompfcqcgoeopq-

Litfckgpfyecmsm`ctpfckbcil


10/23

ZgckqcqccpfcMkpoimkgOmqpopspcimKgaifigKdsqckm`Kgaifigoqe&MOKKK/

RcdqopcFcgzombzkpocmpqrfi`tomnpiiesaf8Kagomoaokmqbso`ckp

fppz8))zsdq-mokkk-mof-bi|)zsdgoakpoimq)Ztkapopoimct)AgomoaokmqBso`c4::3)agomo

aokmqYbso`c-fpelitk`òpoimkgomlitekpoimpiKqn'Kqqcqq'K`|oqc'Kqqoqp'km`

Kttkmbcfcgzlitkptoqn`tomnctqitzkpocmpqropfkgaifigsqcòqit`ctq-

Lit zkpocmpq rfi tczitp kmy oggoaop it mimecòakg ztcqatozpoim `tsb sqc' bi pi

[scqpoimq4pftisbf2-Mipc8Kqn[scqpoim2olpfczkpocmptczitpqpfcsqcilkmy`tsb

pfkpeobfpdc omhcapc`' omagsòmb pfiqc pfkpeobfpdc goqpc` om pfc ipfct akpcbity

&c-b-'qpctio`q/-

Litzkpocmpqrfitczitpkgaifigkqrcggkqkmyoggoaopitmimecòakgztcqatozpoim`tsbsqc'kqnkgaifigliggirsz{scqpoimqkm`pfcmbipi[scqpoimq42-

@- Qaitc pfc lsgg MO@K%Eiòloc` KQQOQP lit oggoaop km` mimecòakg ztcqatozpoim`tsb sqc- Litckafqsdqpkmac'k``szpfcqaitcqtcaco|c`lit[scqpoimq;


11/23

?

Aim`sapomb k Dtocl Ompct|cmpoim


12/23

Qpcz 48 K@\OQC zkpocmp kaaitòmb pi qatccmombtcqsgpq-

Qpcz 48 K@\OQC zkpocmp kaaitòmb pi qatccmombtcqsgpq-

Pfoqdtoclompct|cmpoimbo|cqzkpocmpqkafkmacpigcktmkdisppfcot`tsbsqccqzcaokggykqop

zctpkomqpipfcotfckgpfltiekmidhcapo|cpfot`zktpyropfecòakgptkomomb-Optcgocqimpfc

ztceoqcpfkpk`|oacltiekmcvzctpfkqdccmqfirmpiztieipcafkmbc-;:';;

K- Tc|ocr qatccmomb tcqsgpq ropf pfc zkpocmp- Qpcz 48 @oqasqq qatccmombtcqsgpq-K- Tc|ocr qatccmomb tcqsgpq-D- Zti|o`c ecòakg k`|oac-

Kqnzcteoqqoimpifk|ckqfitpòqasqqoimkdisp

pfcqatccmombtcqsgpq-

Tczitpdkanpfcpyzcqkm`keismpqilsqctczitpc`&bo|ombzkpocmpqpfcMO@KEiòloc`KQQOQPpkggyqfccpekydcfcgzlsg/-

Kggirpfczkpocmppiaittcapieoqqoimqqiyisbcppfclsggzoapstcilsqc-Ztiezppfc

zkpocmp8Pcggeceitckdispyistsqcil`tsbVkm`_&litckaf`tsbpfczkpocmp

tczitpc`/-

Olpfczkpocmpfkqsqc`ropfompfczkqp1eimpfq'tc|ocripfctKQQOQPtcqzimqcq-D- Zti|o`c ecòakg k`|oac kdisppfc zkpocmpq `tsb sqc- Tceom`ctq pi oezti|c zkpocmp tkzzitp8

K|io` pimc pfkp pfc zkpocmp eobfp pfomn oq hs`becmpkg itaimltimpkpoimkg-

Qfir km ompctcqp om rfkp pfc zkpocmpq golc oq gonc-

Kanmirgc`bc pfc zkpocmpq asttcmp |ocr il foq)fct `tsbsqc-

Qobmkg pi pfc zkpocmp pfkp fk|omb eovc` lccgombq kdisp k`tsb sqc ztidgce oq mitekg-q mitekg-

Cvzgkompfkpopoqyisttigckq

foq)fctecòakgzti|o`ctpi

aim|cyfckgpftcaieecm`kpoimq-

Tcaieecm`{soppombdclitc

ztidgceq&iteitcztidgceq/

`c|cgiz-

Bo|c

qzcaoloa

ecòakg

tckqimq-

i Ecòakggyqszct|oqc``cpivoloakpoimekydcmcacqqktylitòqaimpomsombsqcil

qiec`tsbq&c-b-'dcmxiòkxczomcq/-

Rfcmkzztiztokpc'c`sakpczkpocmpqimpfcliggiromb8

;:

i Sqcilc|cmqekggkeismpqil`tsbqitpidkaai

ekymcbkpo|cgyoezkapfckgpfkm`zctlitekmac

&c-b-'`to|ombitizctkpombekafomcty/-

i Dcaksqc`tsbompivoakpoimakmgck`pioezkotc`hs`becmpkm`toqnydcfk|oitq'tclctkggqcvskggy

kapo|czkpocmpqlitaimlo`cmpokgpcqpomblitFO\kmìpfctqcvskggyptkmqeoppc`òqckqcqitzti|o`ckm

imqopcpcqpombizzitpsmopy'olpfcyìmipnmir

pfcotqpkpsqitfk|cmipdccmpcqpc`tcacmpgy-Cmaistkbckggzkpocmpqpiztkapoac

qklcqcv-

Tceom`ct8

Pfc qatccm oq imgy imc omòakpit

il k zkpocmpq zipcmpokg `tsb sqc

ztidgce- Op oq mip k qsdqpopspc

lit agomoakg hs`becmp' rfoaf

yis qfisg` sqc pi `cpcteomc

rfcm km ompct|cmpoim oqrkttkmpc`-

i Tclctkggzkpocmpqropfzkqpitasttcmpomhcapoim`tsbsqc&[scqpoim2/litFO\km`

FczkpopoqD)Apcqpombolpfcyfk|cmipdccmpcqpc`proaci|ctk


13/23

;;

Eknctclcttkgqpic|kgskpcqsqzcapc aiiaasttombaimòpoimq&c-b-'zqyafokptoaaimqsgpkpoimlit`cztcqqc`'omkppcmpo|c'itkmvoisqzkpocmpqitzkomqzcaokgoqp

aimqsgpkpoimlitzkpocmpqqccnombmktaipoaztcqatozpoimqlitaftimoamimekgobmkmp

zkom/-

Zti|o`ctcaieecm`kpoimqdkqcìmtoqngc|cg8

Toqn gc|cg Tcaieecm`kpoimFobf toqn Kqptimbtcaieecm`kpoimpiafkmbcqsdqpkmacsqcoqcqqcmpokg-Aimqo`cteknombkqpkpcecmpqsafkq8Dkqcìmpfcqatccmombtcqsgpq'yisktckpfobftoqnilfk|omb

it`c|cgizombkqsdqpkmacsqcòqit`ct-Opoqecòakggyomyistdcqpompctcqppi

qpizyistsqcilômqctpqzcaoloa`tsbqfctcU-Okeaimactmc`pfkpolyisìmip

eknckafkmbc{soangy'pfcaimqc{scmacqpiyistfckgpfkm`rcggdcombekydc

qctoisq-Omags`cktclcttkglitk`òpoimkgkqqcqqecmp&pfcMO@KEiòloc`KQQOQP

zti|o`cqktoqngc|cg'dspmipkòkbmiqoqilkdsqcit`czcm`cmac/-Gcppfczkpocmp

nmirpfkppfckqqcqqecmprogg`cpcteomcrfcpfctpfcyfk|ckòkbmiqoqil

qsdqpkmackdsqcit`czcm`cmackmòlqsdqpkmackdsqcptckpecmpoqomòakpc`-

Rfcpfctpikppcm`ptckpecmproggdcpfczkpocmpq`caoqoim-

Qzcaoloacvkezgcqilfktelitòllctcmpztidgce`tsbakpcbitocqekydc

fcgzlsg-

Cezfkqoxcpfkppfctcktcekmyrkyqpiafkmbcqsdqpkmacsqcdcfk|oit&c-b-'aieesmopyptckpecmpztibtkeq'qcglfcgzbtiszq'ecòakpoimq'cpa-/-

Cezfkqoxcpfkpptckpecmpoqilpcmimkmispzkpocmpdkqoqkm`ztibtkeqktcilpcmkaaieei`kpombilaimactmqgoncekompkomombcezgiyecmp'omqstkmac

tcoedstqcecmp'afogàktc'cpa-'`czcmòmbimpfczkpocmpqaimactmq-

Ei`ctkpc toqn Aimqo`ctdcbommombpfcòqasqqoimdyqkyomb'Dkqcìmpfcqatccmombtcqsgpq'yisktckpei`ctkpctoqnilfk|ombit`c|cgizombkqsdqpkmacsqcòqit`ct-Opoq

ecòakggyomyistdcqpompctcqppiafkmbcyistsqcilômqctpqzcaoloa`tsbqfctcU-

K`òmlitekpoimpfkpoqqzcaoloapipfc`tsbqpfczkpocmpsqcq-

Cvztcqqyistaimactmkdispqzcaoloarkyq`tsbqeobfpmcbkpo|cgyoezkapyistzkpocmpqgolc&c-b-'fckgpf'tcgkpoimqfozq'ritn'cpa-/-

Cezfkqoxcpfkppfctcktcekmyrkyqpiafkmbcqsdqpkmacsqcdcfk|oit&c-b-'aieesmopyptckpecmpztibtkeq'qcglfcgzbtiszq'ecòakpoimq'cpa-/-

Girct toqn Aimqo`ctfk|ombkòqasqqoimkdispkaaczpkdgcgc|cgqilsqckm`pfczipcmpokglitlspstcztidgceq-_isekydcbompfcòqasqqoimdyqkyomb_istqatccmombtcqsgpq

qfiryisktcsmgoncgypifk|ckqsdqpkmacsqcòqit`ct-Firc|ct'zcizgcropf

kmyfoqpityilqsdqpkmacsqcakmdckpqiectoqnilk`|ctqcaimqc{scmacqkm`

`c|cgizombkòqit`ctcqzcaokggyompoecqilqptcqqitolpfcyfk|chsqpqpktpc`pi

sqctcacmpgy-Opoqoeziqqodgcpinmiromk`|kmacrfcpfctitmipkzctqimrogg

dcaieck`òapc`-KqyistzfyqoaokmOcmaistkbcyispiimgysqckgaifig

ei`ctkpcgykm`tcqzimqodgykm`pik|io`sqombipfctqsdqpkmacq-

Ompct|cmpoim`stkpoimekydceomoekg

Sqcyistagomoakghs`becmpdkqcìmpfcecòakgqpkpsqilpfczkpocmpkm``tsbdcombsqc`-Litcvkezgc'ztcbmkmpriecm'(yispf'zcizgcropffoqpitocqil

qsdqpkmacsqcòqit`ctq'kmìpfctqlitrfiekmy`tsbsqcaisg`zipcmpokggy

ziqckqctoisqtoqnekydcmclopltiekaiezgcpcompct|cmpoimtcbkt`gcqqil

kzzktcmptoqngc|cg-

(Zti|o`ctq qfisg` dc krktc pfkp ekmy Qpkpcq ekm`kpc tczitpomb il `tsb sqc `stomb ztcbmkmay km` pfkp lkogstc piì qi eky dc k ztiqcaspkdgc illcmqc-


14/23

Qpcz 18 KQQCQQ pfc zkpocmpq tckòmcqq pi {sop-Qpcz 18 KQQCQQ pfc zkpocmpq tckòmcqq pi {sop-

Fk|ckaim|ctqkpoimkdisprfcpfctpfczkpocmpoqtck`ypi{sop-Litcvkezgc'yiseobfp

qkyqiecpfombgonc'Bo|cmrfkprc|cpkgnc`kdisp'ìyisrkmppiafkmbcyist`tsb

sqc9

Olpfczkpocmpoqsmroggombpi{sop'tkoqckrktcmcqq

kdisp`tsbqkqkfckgpfztidgce-Gcpzkpocmpqrfi

ktcmiptck`ynmirpfkpyisroggtc|oqoppfcoqqsckp

lspstc|oqopqkm`fk|ctcqistacqk|kogkdgcrfcm

fc)qfc`cao`cqpizstqsceknombkafkmbc-

Qpczq 1 km` 08K- Kqqcqq zkpocmpq tckòmcqq

pi {sop-D- Kqqoqp zkpocmp om eknomb k

afkmbc-Kqqoqp zkpocmp om eknomb kafkmbc-

Olpfczkpocmpoqtck`ypi{sop'tcomlitacasttcmp

cllitpqkmèi|cpiQpcz0-

Qpcz 08 KQQOQP zkpocmp om eknomb k afkmbc-

Hiompgyaiezgcpckztibtcqqmipclite&Kzzcmòv4/ropfpfczkpocmppiìasecmppfc

qatccmombtcqsgpqkmàtckpckliggirszzgkm-

Fcgzqcpaimatcpc&km`tckqimkdgc/bikgqliteknombkafkmbc&qccKzzcmòv18Afkmbc

ZgkmRitnqfccp'liteitcomlitekpoim/-

i Kqnompctcqpc`zkpocmpqpiaiezgcpckafkmbczgkmdclitcpfcybifiec-

i Eknckaizyropfisppfcotmkecitpfcmkecilyistilloacimop'bo|coppipfcepi

pkncfiec'km`pcggpfceyisroggafcanomimpfcotztibtcqqkppfcmcvp|oqop-i Litzkpocmpqrfiìmipaiezgcpckafkmbczgkm'qafc`sgckqcaim`kzziompecmppiaimpomscpfcòqasqqoimkm`piaiezgcpcpfcafkmbczgkm-_isekyzti|o`ckdgkmn

aizylitpfcepipkncfieckm`kqnpfcepitcpstmropfop'dspqieczkpocmpqeky

mcc`piqpktpkbkomropfkltcqfaizy`stombpfcotqcaim`kzziompecmp-

i Litzkpocmpqmipompctcqpcòmaiezgcpombkafkmbczgkm'cmaistkbcpfcepiqcpklcr

dtoclafkmbcbikgq&c-b-'asppombdkan'ptyombkqcglfcgzbtisz/>tcait`pfcbikgqpi

afcanztibtcqqkppfcmcvp|oqop-

Ztcqatodcecòakpoimqlitilloacdkqc`ptckpecmpilpidkaai'kgaifig'itizokpck`òapoim'

kq

kzztiztokpc-

;4


15/23

Qpcz 38 KTTKMBC qzcaokgpy kqqcqqecmp' `tsbptckpecmp' liggirsz |oqop-Qpcz 38 KTTKMBC qzcaokgpy kqqcqqecmp' `tsbptckpecmp' liggirsz |oqop-

K- Tclct zkpocmpq kq kzztiztokpc-

Qpcz 38 Illct aimpomsombqszzitp kp liggirsz |oqopq-K- Tclct zkpocmpq kq

kzztiztokpc-D- Qafc`sgc liggirsz-c`sgc liggirsz-A- Illct aimpomsomb qszzitp kp

liggirsz-A- Illct aimpomsomb qszzitp kp

liggirsz-

Dcaksqcpfcqatccmombìcqmipzti|o`ckòkbmiqoqilkdsqcit`czcm`cmac'tclctfobf

toqnzkpocmpqlitklsggkqqcqqecmp-Lit

ei`ctkpctoqnzkpocmpqkm`girtoqnzkpocmpq

ropfqzcaokgaimactmq&c-b-'ztcbmkmpriecm'

zkqpomhcapoim`tsbsqctq/'sqcagomoakg

hs`becmppi`cpcteomcrfcpfctk`òpoimkg

kqqcqqecmpoqmcacqqkty-SqcQKEFQKq

ptckpecmpgiakpit&qccKzzcmòv3'

fppz8))`kqoq1-qkefqk-bi|)/itMO@KqMkpoimkg@tsbKdsqcPtckpecmpAgomoakgPtokgq

McpritnGoqpilKqqiaokpcÀieesmopyPtckpecmpZtibtkeq&qccKzzcmòv3'

fppz8))rrr- tsbkdsqc-bi|)APM)apzq-fpeg/pigiakpckqqcqqecmptcqistacq-

Olmcktdyptckpecmptcqistacqktcmipk|kogkdgc'aimqo`ctzti|oòmbqszzitpbtisz

aimpkapomlitekpoimkm`qcglafkmbcekpctokgq&qccKzzcmòv3/'kqrcggkqaismqcgomb

tcqistacqagctbyitecmpkgfckgpftclcttkgq-

Idpkomkrtoppcmomlitekpoimtcgckqcpiqcm`pfcqatccmombtcqsgpqpikggzti|o`ctqrfi

roggtcaco|ctclcttkgq-

D- Qafc`sgc k liggirsz kzziompecmp ropfom ;4 rccnq lit ei`ctkpc% km` fobf%toqn zkpocmpq km` gir %toqn zkpocmpq om actpkom btiszq-A- Illct aimpomsomb qszzitp kp liggirsz |oqopq-

Kmmskgtcqatccmomboqomòakpc`litzkpocmpqrfitczitpkmy`tsbsqckpdkqcgomc&c|cmropfqaitcqil:1/km`litkmyipfctzkpocmpqkdisprfieyistcekomaimactmc`-Lit

ei`ctkpckm`fobftoqnzkpocmpq'tcqatccmkpmcvpkzziompecmp-

Kpliggirsz'ekncpktbcpc`tcaieecm`kpoimqpiei`ctkpc'fobfkm`qcgcapgirct

toqnzkpocmpqkaaitòmbgy8

;1
http://dasis3.samhsa.gov/http://www.drugabuse.gov/CTN/ctps.htmlhttp://www.drugabuse.gov/CTN/ctps.htmlhttp://dasis3.samhsa.gov/


16/23

;0

Toqn gc|cg Pktbcpc` Tcaieecm`kpoimqFobf toqn @cpcteomc

rfcpfctpfc

zkpocmp

liggirc`

pftisbfropf

pfctclcttkg-

Illct

k`òpoimkg

dtocl

ompct|cmpoim

litzkpocmpq

rfiò`mip

kppcm`pfc

tclcttkg-

Eknc

k`òpoimkg

tclcttkgqlit

zkpocmpqrfi

eoqqc`

tclcttkg-

Idpkomtcait`q

ilkqqcqqecmp

km`)it

ptckpecmplit

zkpocmpqrfi

kppcm`c

tclcttkgkm`)it

ptckpecmp-

@oqasqqrkyq

pifcgz

qszzitp

tcaieecm`k

poimqil

tclcttkg

qistac-

Ei`ctkpctoqn @cpcteomcrfcpfctpfczkpocmp

tc`sacìt

kdqpkomc

ltiesqc-

Litzkpocmpq

rfiò`mip

ekncztibtcqq

ropfafkmbc

cllitpq'

kanmirgc`bc

afkmbcoqfkt`'tczckpdtocl

ompct|cmpoim'

km`òqasqq

k`òpoimkg

rkyqpi

qszzitppfc

zkpocmpq

cllitpq-

Litzkpocmpq

rfifk|c

ek`cafkmbcq'

tcomlitac

cllitpqkm`

cmaistkbc

k`òpoimkgbikgqcppomb-

Liggirszkp

qsdqc{scmp

|oqopq-

Girct toqn Olpfczkpocmpomòakpc pfkp

fc)qfcrkmpc`pieknck

afkmbc'kqn

rfkp'ol

kmypfomb'pfc

zkpocmp

`cao`c piì

kdisp

qsdqpkmacsqc-

Cmaistkbc

kdqpomcmac

ltiepidkaaikmòggoaop

`tsbqkm`

k`|oqcgirtoqn

kgaifigsqctq

pitcekom

ropfom

kaaczpkdgc

`tomnombgc|cgq-

Imc|o`cmacil

cqakgkpoimil

sqc'aim`sapdtocl

ompct|cmpoim-


17/23

Kzzcmòv ;Tcaieecm`kpoimq pi K``tcqqZkpocmp Tcqoqpkmac &eky mip dc kzzgoakdgc om c|cty akqc/

ZkpocmpTcqoqpkmacQacmktoi ZfyqoaokmTcqzimqc

Zkpocmpkmqrctqmi'qcceombgyropfisp

aimqo`ctomboppfisbfplsggyitoqtcgsapkmp

pibo|c`cpkogq-

Bcmpgyztidcropfk{scqpoimgonc8Mipc|cmrfcmyisrctc

omqafiig9

Cmaistkbcòqasqqoimdyqkyombbiimitpcggeceitc-

Zkpocmpoqsmaielitpkdgcòqagiqomb

zctqimkgqsdqpkmacsqcimklite-

Gcppfczkpocmpnmiryisroggliggirszomzctqimkdisppfc

qatccmomb-

Tcomlitacpfkpkggomlitekpoimzti|o`c roggdcnczp

aimlo`cmpokgrfcmziqqodgc-

Olzkpocmpoqqpoggsmaielitpkdgc'qnozqatccmombdspzti|o`c

omlitekpoimkdispfkteqkqqiaokpc`ropf`tsbsqc-

Zkpocmpkzzcktqkqfkecìtcedkttkqqc

kdisptcaieecm`kpoimqpiafkmbc

qsdqpkmacsqcdcfk|oitq-

Qpkpcpfkppfoqoqkfckgpftcgkpcècòakgtcaieecm`kpoim

kmòqmipeckmppihs`bcitqpobekpoxcpfce-

Tceom`pfczkpocmpilyisttigcpfkpzfyqoaokmqfk|ck`spy

piqfktcpcqptcqsgpqropfpfcotzkpocmpq-

Kptoqnzkpocmpkzzcktqkedo|kgcmppipfc

o`ckilafkmbombfoq)fctqsdqpkmacsqc

dcfk|oit-

Kanmirgc`bcpfczkpocmpqkedo|kgcmackm`pfclkappfkp

kedo|kgcmacoqaieeim-

Qpkpcyistaimactmkdispqzcaoloarkyqpfkp`tsbqeky

mcbkpo|cgykllcapyistzkpocmpqfckgpfitzctqimkggolc-

Zkpocmpdcaiecqszqcp'ktbsecmpkpo|c- @imipktbscropfpfczkpocmp-Bo|cpfczkpocmppoecpieknc

k`caoqoim&smgcqqpfcaimòpoimoqgolcpftckpcmomb/-

@oqasqqfoq)fctaimactmqkm`tclgcappfcedkan&c-b-'aim|cy

pfkpyissm`ctqpkm`pfczkpocmpqagkoepfkp`tsbqeknc

pfcelccgdcppctitpfkppfcotzcctqsqcpfce/-

Zkpocmptcqoqpqtclcttkglitk`òpoimkg

kqqcqqecmp

Cvzgitcaimactmqkdisppfckqqcqqecmp-

Cezfkqoxcpfkptclcttkglitkmkqqcqqecmpekymipeckmcmpctombqsdqpkmackdsqcptckpecmpkm pfkpptckpecmp'ol

tcaieecm`c`'goncgyroggomags`còllctcmpizpoimq-

Zkpocmpaopcqdkttoctqpikppcmòmbpfc

tclcttkgkzziompecmp-

Ztidgceqig|ckdispdkttoctqkmìllctqszzitp'qsafkq

tceom`ctakggq'kqqoqpkmackttkmbombptkmqzitpkpoim'kmàfog`

aktc-

Zkpocmptcqoqpqpfco`ckilbiombompi

litekgqsdqpkmackdsqcptckpecmp-

Agcktgyqpkpcpfkpyisktcmipomqoqpombimlitekgptckpecmp-

Cvzgkompfkpptckpecmpoqilpcmckqoctpfkm{soppombaig`

pstncykm`pfkpqpizzombpfcsqcilactpkom`tsbq&c-b-'

kgaifig'dcmxiòkxczomcq/ropfispecòakgqszct|oqoimakm

dc`kmbctisq-

Omliggirsz|oqopq'zkpocmpqfirqmi

ztibtcqqropfafkmbccllitpq-

Kanmirgc`bcpfkpafkmbcoqòlloasgp-

Tczckppfcdtoclompct|cmpoimkm`òqasqqipfctrkyqpi

qszzitppfczkpocmpqcllitpq-

Eknck`òpoimkgtclcttkgqlitzkpocmpqrfiò`mipkppcm`pfc

tclcttkg-

;3


18/23

Kzzcmòv 4Qkezgc Ztibtcqq Mipc

@KPC8

Poecropfzkpocmp&eom/8

Zctlitec dy8ZtoektyZfyqoaokm8

QATCCMOMB8Aotagcckafqsdqpkmacsqc`km`

tcait`QsdqpkmacOm|ig|cecmpQaitc OL

KGAIFIG

SQC

&aotagc

dcgir/8

QsdqpkmacGoqp8

;km`ztibtkeqqfisgòezgcecmpkm`liggirkaastkpcafkomilasqpi`y

ztiac`stcq-

Lcc`dkan lit doigiboakg qatccmomb tcqsgpq8 ZtcqcmptcqsgpqomkekppctillkaprkyomaimhsmapoimropfMO@KEiòloc`KQQOQPlcc`dkan-

Tckèomoqpctpfcpcqpolpfczkpocmpdcgoc|cqpfctcqsgpqfirc`klkgqcziqopo|c-

Olpfcqcaim`doigiboakgpcqptcqsgpqktcziqopo|c'akpcbitoxcpfczkpocmpkqfobftoqnkmìllctkdtoclompct|cmpoimkm`tclcttkglitk`òpoimkgkqqcqqecmpkm`ziqqodgc

ptckpecmp-
http://www.workplace.samhsa.gov/DrugTesting/RegGuidance/UrineConcen.aspxhttp://www.workplace.samhsa.gov/DrugTesting/RegGuidance/UrineConcen.aspxhttp://www.workplace.samhsa.gov/DrugTesting/RegGuidance/UrineConcen.aspxhttp://www.workplace.samhsa.gov/DrugTesting/RegGuidance/UrineConcen.aspxhttp://www.workplace.samhsa.gov/DrugTesting/RegGuidance/UrineConcen.aspxhttp://www.workplace.samhsa.gov/DrugTesting/RegGuidance/UrineConcen.aspxhttp://www.workplace.samhsa.gov/DrugTesting/RegGuidance/UrineConcen.aspxhttp://www.workplace.samhsa.gov/DrugTesting/RegGuidance/UrineConcen.aspx


21/23

;?

Kzzcmòv 3K`òpoimkg Tcqistacq

Qatccmomb Omlitekpoim8FcmtyC`rkt`q'Q->Fsecmosn'T->Kgo'T->Zixmykn'\->kmÈimpcoti'E-PfcKgaifig'Qeinombkm`QsdqpkmacOm|ig|cecmpQatccmombPcqp&KQQOQP/8Bso`cgomcqlitSqcomZtoektyAktc-Bcmc|k'Qropxctgkm`8Ritg`FckgpfItbkmoxkpoim&RFI/'4::6-K|kogkdgckp

fppz8))rrr-rfi-omp)qsdqpkmacYkdsqc)kapo|opocq)cm)@tklpYPfcYKQQOQPYBso`cgomcq-z`l-

AcmpctlitQsdqpkmacKdsqcPtckpecmp-KgaifigQatccmombkm`DtoclOmpct|cmpoim&QDO/litPtksekZkpocmpq8AieeoppccimPtksek[soanBso`c-QsdqpkmacKdsqckmÈcmpkgFckgpfQct|oacqKèomoqptkpoim'@FFQZsdgoakpoimMi-&QEK/:204


22/23

4:

; @c|gom' T-H'' km` Fcmty' H-K- Agomoakg tc|ocr8 Ekhit aimqc{scmacq il oggoaop `tsb aimqsezpoim- Atop Aktc-

;4&;/84:4' 4::6- K|kogkdgc kp

fppz8))rrr-mado-mge-mof-bi|)zsdec`);642?3139itòmkgziq5;,opiig5CmptcxQyqpce4-ZCmptcx-Zsdec`-Zsdec`Y

TcqsgpqZkmcg-Zsdec`YT\@iaQse-4 Qsdqpkmac Kdsqc km` Ecmpkg Fckgpf Qct|oacq Kèomoqptkpoim' Illoac il Kzzgoc` Qpsòcq-Tcqsgpq ltie pfc 4::2

Mkpoimkg Qst|cy im @tsb Sqc km` Fckgpf8 Mkpoimkg Lomòmbq &MQ@SF Qctocq F10' @FFQ Zsdgoakpoim

Mi- QEK :60101/- Tian|oggc' E@' 4::6- K|kogkdgc kpfppz8))rrr-ikq-qkefqk-bi|)mq`sf)4n2mq`sf)KzzB-fpe!PkdB%;;-1 Qsdqpkmac Kdsqc km` Ecmpkg Fckgpf Qct|oacq Kèomoqptkpoim' Illoac il Kzzgoc` Qpsòcq-Tcqsgpq ltie pfc 4::2

Mkpoimkg Qst|cy im @tsb Sqc km` Fckgpf8 Mkpoimkg Lomòmbq &MQ@SF Qctocq F10' @FFQ Zsdgoakpoim

Mi- QEK :60101/- Tian|oggc' E@' 4::6- K|kogkdgc kpfppz8))rrr-ikq-qkefqk-bi|)mq`sf)4n2mq`sf)4n2Tcqsgpq-ale!2-40 Ek`tkq' D-N- > Aiezpim' R-E- > K|sgk' @- > Qpcbdksct' P-> Qpcom' H-D-> km` Agktn' R-F- Qatccmomb' dtocl

ompct|cmpoimq' tclcttkg pi ptckpecmp &QDOTP/ lit oggoaop `tsb km` kgaifig sqc kp esgpozgc fckgpfaktc qopcq8

Aiezktoqim kp ompknc km` < eimpfq gkpct-@tsb km` Kgaifig @czcm` c%zsd kfck` il ztompU' 4::6-3 Dctmqpcom' H-> Dctmqpcom' C-> Pkqqoizisgiq' N-> Fcctcm' P-> Gc|cmqim' Q-> km` Fombqim' T- Dtocl eipo|kpoimkg

ompct|cmpoim kp k agomoa |oqop tc`sacq aiakomc km` fctiom sqc-@tsb Kgaifig @czcm`22&;/80?3?' 4::3- K|kogkdgckp

fppz8))rrr-mado-mge-mof-bi|)zsdec`);3 Kgo' T-> km` RFI KQQOQP Zfkqc OOO Qps`y Btisz- Pfc Cllcapo|cmcqq il k Dtocl

Ompct|cmpoim lit Oggoaop @tsbq Gomnc` pi pfc KQQOQP Qatccmomb Pcqp om Ztoekty Fckgpf Aktc Qcppombq8 K Pcafmoakg

Tczitp il Zfkqc OOO Lomòmbq il pfc RFI KQQOQP Tkmìeoxc` Aimptiggc` Ptokg&@tklp/- Bcmc|k' Qropxctgkm`'

4::6-2Dkdit' P-L-> EaTcc' D-B-> Nkqqcdkse' Z-K-> Btoekgò' Z-G-> Kfec`' km` N->Dtky' H-> Qatccmomb' dtocl

ompct|cmpoim' km` tclcttkg pi ptckpecmp &QDOTP/8 pirkt` k zsdgoa fckgpf kzztikaf pi pfc ekmkbcecmp il qsdqpkmac

kdsqc- Qsdqpkmac Kdsqc- 468 2%1:-6 Acmpct lit Qsdqpkmac Kdsqc Ptckpecmp- Kgaifig Qatccmomb km` Dtocl Ompct|cmpoim &QDO/ lit Ptksek Zkpocmpq8

Aieeoppcc im Ptksek [soan Bso`c' Qsdqpkmac Kdsqc km` Ecmpkg Fckgpf Qct|oacq Kèomoqptkpoim' @FFQ

Zsdgoakpoim Mi- &QEK/ :2%04 Lktimo' H-> Acqktomi' L-> km` Mkzzo' B- K`|oac kgimc |q- Qptsapstc` `cpivoloakpoim

ztibtkeecq lit ecòakpoim i|ctsqc fck`kafc8 k ztiqzcapo|c' tkmìeoxc`' izcm%gkdcg ptokg om ptkmqlitec`

eobtkomc zkpocmpq ropf gir ecòakg mcc`q- Aczfkgkgbok- 4 Loig' L-> Ggidctk' H-> Azikeit' L-> Ekpcs' A-> Kgcbtcp' Q-> km` Qiaokq' O- Ropf`tkrkg ltie gimb%pcte

dcmxiòkxczomc sqc8 tkmìeoqc` ptokg om lkeogy ztkapoac-Dt H Bcm Ztkap3


23/23

S-Q- @CZKTPECMP IL FCKGPF

KM@ FSEKM QCT\OACQ

M po g O pop p l F gpf

resource guide: screening for drug use in general medical settings

Documents