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CLINICAL ISSUES :: DRUG TESTING AND MONITORING


Figure 1. People aged 12 and older with a past-year substance use disorder (SUD): 2020.


• Adults who use drugs may have problems of clear think- ing, remembering, and paying attention. Drug addiction impairs social behaviors and affects work performance and personal relationships. • Parents’ drug use results in chaotic, stress-filled homes and probable child abuse and neglect.8


Such conditions harm the


well-being and development of children, and they also may resort to drug abuse.9 • Pregnant women who abuse drugs during pregnancy risk premature and underweight babies. This situation also affects the child’s ability to learn and behavior later in life.10


The child


may also become dependent on opioids or other drugs used by the mother during pregnancy, a condition called neonatal abstinence syndrome (NAS).


Scientific reasons behind drug addiction Drug addiction manifests as a behavioral disorder where the patient exhibits compulsive drug-seeking behavior. It is


a brain disorder, that is caused by functional changes to the brain circuits involved in reward, stress, and self-control. Brain images of people with addiction have shown changes in the areas of the brain that control judgement, decision- making, learning, memory, and behavior.11


Those changes


may last a long time after a person has stopped taking drugs.12 Addiction is dependent on various factors, including genetic and environmental factors. Figure 3 shows the factors that impact drug addiction.3


Drug testing


Situations requiring drug testing Drug addiction is preventable and treatable. If left untreated, it can last a lifetime and may lead to death. Drug addic- tion can be determined by drug testing. Although, drug testing may be required for clinical or nonclinical reasons. A clinical reason would be when a doctor requests drug


12 Month-ending provisional number and percent change of drug overdose deaths


Figure 2. Based on CDC data available for analysis on August 16, 2022. MLO-ONLINE.COM DECEMBER 2022 17


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