There is strong evidence for the use of random collection/analysis of body fluids with individuals pursuing healthy recovery. The frequency and type of specimen collected is initially determined in concert with both the Drug Testing Review Consultants and the laboratory used for analysis. Many modifications to the biologic monitoring protocol occur based on the needs of the participant. As a rule, screens are gradually decreased as healthy recovery is demonstrated.
Generally, urine specimens are collected and on occasion, blood and/or hair samples are collected. Specialized collections where alcohol is the drug of choice involves the use of urine analysis and/or blood analysis. In addition, use of Breathalyzers on either a random or daily basis can be undertaken.
The nature of the physician’s practice is considered when biologic monitoring protocols are being determined. Compliance when screens are requested is mandatory.
Literature shows that physicians with substance use issues have the best outcomes of any patient group, 75-90% are able to maintain sobriety at five years.