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DrugScreening.org


 

Parents Warned on Pitfalls of Home Drug Testing
August 12, 2008

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News Summary

A number of child health experts are attempting to steer parents away from home drug testing kits for their children and toward professional intervention if they suspect a child may have a drug use problem, U.S. News & World Report posted Aug. 6 on its online U.S. News Health section.

The American Academy of Pediatrics in 2007 issued a statement opposing any home- and school-based drug testing efforts until more research into their effectiveness is conducted. The U.S. News posting lists seven reasons why child health experts say drug testing should be left to professionals; atop the list are concerns that use of home tests will delay the pursuit of professional help, and worries about the reliability of test results (both because of numerous ways for youths to beat the test and the possibility of false positives caused by other medications or poppy seeds).

"My clinical experience tells me that parents are fooled all the time," said Sharon Levy, M.D., a pediatrician and director of the Adolescent Substance Abuse Program at Children's Hospital Boston. Levy said she never recommends that parents uses the tests because the results can be misleading and because their use has not been shown to deter drug-using behavior in general.

The posting states that a surge in the number of testing kits on the market has made it difficult for parents to resist their use. But it relates the story of one family that says it now regrets using the tests. The parents of Indianapolis teenager David Manlove acquired a testing kit over the Internet and believed the tests were showing that their son was reducing his drug use. Instead, the teen had switched to other substances that the tests couldn't detect; he eventually went into treatment but later died after using inhalants with his friends.

"If we had sought professional help earlier, I think we would have had a better chance of preventing this outcome," said David's father, Kim Manlove. 

COMMENTS ON THIS ARTICLE:

Posted by Jennifer on 20 Aug 08 05:55 PM EDT
Please do not dismiss the very real danger that drug testing can trigger oppositional behavior in adolescents. This article documents the tragic death of a drug-involved youth who switched to harder drugs that leave the system more quickly. Teenagers have gone to other extremes to beat drug tests – such as drinking bleach or iodine. Testing often creates a perilous cat-and-mouse game while failing to address the root cause of the problem. Drug testing can change behavior – but not necessarily in the way intended.

Posted by Rob Good on 19 Aug 08 09:00 AM EDT
Drug testing by parents can be an useful sign for parents that their youth is using specific drugs. However, it is only one sign/symptom that should be considered. Is the youth showing behavioral changes-withdrawn behavior, erratic mood swings, depression, suicidal talk. Do they indicate having social problems such as as a change in peer group. Academic perfromance may be reduced. Some youth have an increased amount of legal problems that are directly or indirectly related to their use. There may be physical warnings as well--sudden weight changes, more physical injuries, a noticeable difference in personal hygiene, etc. In conclusion, the result from a drug test should only be one tool for recognizing the signs of a teen's substance abuse.

Posted by GB on 19 Aug 08 12:14 AM EDT
Since 1989, we have followed these devices, helping some developers test them; had important talks with researchers investigating, evaluating these unregulated devices. Many reasons for these horribly inaccurate, unreliable gimmicks to be avoided when people get educated as to their numerous flaws and uselessness. For 19 years, if required to use them, we have ALWAYS required every specimen screened, be forwarded to a SAMHSA lab for re-testing, both positives AND negatives. Our data revealed alarming, high rates of FALSE NEGATIVES, which are far more dangerous than false positives. Drug abusers LOVE these! 99.99% accuracy claims concerning false positives is a smokescreen to sell devices; distracts consumers from considering the far worse, false negative implications. This is a dirty secret of our industry. If known, that entire market would collapse. Another reason to be ashamed of our industry; little changing over the years. We're neck deep in ignorance, incompetence and quenchless thirsting for profits. It's disgusting; the toll society unknowingly pays, naively believing accurate, competent services are being delivered by concerned, conscientious professionals.

Posted by sound byte on 18 Aug 08 02:18 PM EDT
Having been in the field of manufacturing drug tests, both the instant tests as well as lab tests, I have to say that unless one understands cross reactivites, drug classes, and what actually is/isn't detected on drug screens, then the answer is partial, at best, misleading or wrong at worst. One also has to question what controls are in place in the testing process when it is not controlled by a lab. The public has been lead to trust makers of drug kits, and this is a diservice. What is reflected on the test is only as good as the antibody, and the level of drug it is designed to detect in the sample, which, with the nature of immunoassays, is imprecise at small ranges. Onsite tests are allowed a 25% range from the cutoff to still be called accurate. Claims can be made to detect at a specific level of whatever sample is tested (urine, hair, saliva) but what independent measures are provided to back the claim? People think these are as reliable as pregnancy tests- "you is or you ain't." Much as we live in an "instant" world wanting the quick and fast answers, accurate drug testing just isn't designed for that model, unless you have a GC/MS or LC/MS in your spare room.

Posted by James on 18 Aug 08 10:07 AM EDT
Home drug testing gives parents an effective prevention and monitoring tool. Testing also gives kids another reason and excuse to say "no thanks" when around using peers. To believe only "experts" are capable of reading directions on a box and interpreting the results is ridiculous. In a time when we need more parents taking charge of their families it is somewhat condescending to suggest taking an important prevention tool out of their hands.

Posted by L. Lavelle on 18 Aug 08 09:22 AM EDT
Both sides of the issue have merit. I am a "professional" in the field and I do not rely only on drug tests. Behavior and attitude go a long way in telling a parent that their child is using substance(s). Knowing your childs peers is also an indicator. Parents need to be vigilant and know where their child hangs out and with whom. It takes work but making your child accountable for their whereabouts is crucial. You need to be a detective and check out what your child tells you.

Posted by Lori on 13 Aug 08 11:28 AM EDT
As a professional in the substance abuse and counseling field, I agree that it's best to have the kids tested at a testing site rather than at home if there is initial suspicion of use. There are resources for parents who aren't wealthy - it is a matter of getting in touch with persons familiar with the social service system in your area (for example, in Texas, 211 is a great resource). I do however recommend random testing at home by parents once a teen has been through treatment and is in the "maintenance" phase of recovery. This serves as an accountability piece, though it is important parents follow through with professional resources if there is suspicion of a relapse.

Posted by Fr. Jack Kearney on 13 Aug 08 10:03 AM EDT
I think this is another example of ivory tower folks being out of touch with reality. What professional help is there for parents? With virtually no public funding for interventionists only the wealthy have acess to experts who can help them when they suspect drug use. Testing isn't perfect, but it can help.

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