Monday, January 7, 2008

Child Protective Services: Case Management

Child Protective Services: Case Management
2105.14 Use of Drug Tests in Ongoing Case Management
Requirement
When a substance abuse assessment has been completed and treatment is recommended a
minimum of two drug tests per month is required when substance abuse is part of the case plan.
Parents are directed to obtain drug screens within twentyfour
hours of the request, from the local
community behavioral health provider or from private vendors with whom a county has a contract.
Evaluate with the supervisor the existing evidence of substantiated maltreatment, as a basis for
filing a deprivation complaint requesting courtordered
treatment and drug tests as part of the case
plan for ensuring the protection and safety of the children.
Procedures/Practice Issues
Most drug treatment programs offer two drug tests per month; however, when the parent is not
involved in a program, but has been assessed as being in need of treatment, evaluate with your
supervisor the existing evidence of substantiated maltreatment as a basis for filing a deprivation
complaint requesting courtordered
treatment and drug tests. When tests are provided by the
treatment provider, additional tests are not required. Drug tests will be requested in a random
manner and without prior notice to the parent when tests are not provided by the treatment provider.
Be educated and knowledgeable about the quality of drug test obtained, especially if purchased
through PUP funds, and be able to interpret the results (See Section IV, Appendix A). Use PUP
funds to pay for drug tests and treatment when no other payment resources are identified e.g.
client’s private insurance, Medicaid, client pays for screening etc. (See 2107.16 through 2107.24).
Counties using PUP for drug screens should use the local community behavioral health provider or
Promoting Safe and Stable Families Providers if services are available in their community. If private
providers/vendors are used counties will use providers/vendors where contracts with existing
confidentiality and HIPPA agreements have been signed.
Case managers will ask the client to sign an Authorization for the Release of Information granting
permission to discuss and receive copies of records pertaining to their treatment.
When requesting drug test be educated and knowledgeable as to the type of drug to test from and
the type panel needed. If rapid drug test are utilized, case managers will request the test be
validated through confirmatory testing. When requesting rapid drug tests, results should be
received no later than one hour after testing. Confirmatory testing should be received no later than
14 days following the test. Vendors will be contacted and informed what specific drugs are to be
included in the test. For all clients referred for a 5panel
drug test, ensure drug test results are
reported for the following:
· Marijuana/Cannabinoids (THC)
· Cocaine
Social Services Manual Child Protection Services Chapter 2100, Section V
August 2006 Page 1
Child Protective Services: Case Management
· Amphetamines/Methamphetamines
· Opiates
· Phencyclidine (PCP)
Social Services Manual Child Protection Services Chapter 2100, Section V
August 2006 Page 2
Child Protective Services: Case Management
For all clients referred for a 10panel
drug test, ensure drug tests results are reported for the
following:
· Marijuana/Cannabinoids (THC)
· Cocaine
· Methamphetamines
· Opiates
· Phencyclidine (PCP)
· Methadone
· Barbiturates
· Benzodiazepines
· Tricyclic Antidepressants
· Amphetamines
If alcohol abuse or dependency is suspected due to the presence of significant risk factors or
behavioral indicators, breath or salvia testing methods should be requested. Various properties of
different substances may affect whether the drug will be detected in the system by the screen, if not
obtained timely. Obtain drug tests within 24 hours of the request and request tests on days when
detection of a drug is more likely, such as after a weekend or holiday. Family service workers may
assist with additional contacts required for obtaining drug tests. If private vendors are used, the
county must have a signed contract with the private vendor that includes the confidentiality and
HIPPA clause.
Case managers cannot share the results of a drug test or drug assessment with anyone other than
the individual receiving the treatment without a signed Authorization for the Release of Information
or by court order.
Social Services Manual Child Protection Services Chapter 2100, Section V
August 2006 Page 3
http://childwelfare.net/DHR/policies/3030_pdf/2105_14.pdf