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Adding urine and saliva toxicology to SBIRT for drug screening of new patients
Author(s) -
Magura Stephen,
Achtyes Eric D.,
Batts Kristin,
Platt Thomas,
Moore Thomas L.
Publication year - 2015
Publication title -
the american journal on addictions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.997
H-Index - 76
eISSN - 1521-0391
pISSN - 1055-0496
DOI - 10.1111/ajad.12252
Subject(s) - brief intervention , medicine , substance abuse detection , drug , illicit drug , urine , primary care , intervention (counseling) , emergency medicine , pharmacology , family medicine , psychiatry
Background and Objectives To determine illicit drug use among new patients in primary medical care who denied using “street drugs” during Screening, Brief Intervention and Referral to Treatment (SBIRT). Methods 96 new patients who denied use of “street drugs” were tested for drugs as part of routine SBIRT screening. Results Of those tested, 14.6% of those with urine specimens and 4.1% of those with saliva specimens tested positive for illicit drugs. Discussion and Conclusions Drug toxicology can detect unreported illicit drug use during SBIRT screening, with urine being superior to saliva. Scientific Significance Drug toxicology can increase the effectiveness of SBIRT screening in primary care medical clinics. (Am J Addict 2015;24:396 –399)