Pubdate: Thu, 07 Jun 2007 Source: Daily Times-Call, The (Longmont, CO) Copyright: 2007, The Daily Times-Call Contact: http://www.longmontfyi.com/ Details: http://www.mapinc.org/media/1475 Author: Shari Roan, Los Angeles Times Bookmark: http://www.mapinc.org/find?115 (Cannabis - California) Bookmark: http://www.mapinc.org/youth.htm (Youth) IS ONE OF THEM HIGH? Once a year or so, Roy Tialavea is summoned from his classes at Oceanside, Calif., High School to report to the athletic director's office bathroom. He receives a urine specimen cup and heads for a stall. Tialavea is unruffled. Random drug testing has been going on for two years at the school. He's used to it. "I don't use drugs so I don't have to worry about getting caught," he says. His mother, Robyn, thinks her son steers clear of drugs and alcohol. But, she says, no parent can know for sure what a teenager is up to. "If he doesn't like testing, I really don't care," she says. "I think it's a wonderful tool. It creates the fear that they could be tested." Call it the latest version of "just say no." Concerned with high rates of adolescent substance abuse, hundreds of middle schools and high schools nationwide have begun testing some or all students for drugs -- to the dismay of some health and addiction experts. Although less than 5 percent of all high schools have such programs, testing is common in schools throughout Texas, Florida, Kentucky and parts of California. Nationwide, as many as 1,000 schools have established programs, according to the White House Office of National Drug Control Policy. The number of schools administering drug tests is expected to grow. Federal funding for school drug testing increased 400 percent between 2003 and 2006. The Bush administration spent $8.6 million on such programs last year and has requested $17.9 million for fiscal year 2008. "This is the best new idea to reduce the onset of drug use," says Dr. Robert L. DuPont, president of the Institute for Behavior and Health, a nonprofit drug policy organization that has studied school testing. "About half of high school seniors have used an illicit drug by the time they graduate, and about one-quarter are regular users by the time they graduate. Those figures are worrisome." School-based drug testing gives kids a reason to say no, say DuPont and other proponents. The tests are meant to identify students who are using and guide them into counseling or treatment programs before they develop addictions. But health officials, by and large, oppose school-based drug testing. NAADAC, the Association for Addiction Professionals, has released a statement critical of such programs. And in March, the American Academy of Pediatrics cautioned against random school-based drug testing until more research is completed. The two groups are among those who say testing is not reliable enough, violates trust between adults and teens and is not set up to deal effectively with students who have positive results. Though adults debate testing's merits, students at some high schools hand over urine specimen cups as comfortably as they turn in late library books. "Kids pretty much know who does drugs and who doesn't," says Alex Podobas, a senior at San Clemente High School, which has had voluntary testing for several years. "But no one says, 'Oh, you're a pothead' when you get called out for testing." Screening kids for marijuana, cocaine, amphetamines and other illegal drugs at school is an offshoot of two decades of experience with workplace and military drug testing, experts say. Testing methods have improved during that time to reduce the number of false test results while providing greater privacy and confidentiality, says DuPont. And though substance abuse among teens has dropped in the past decade, parents and school administrators still consider the rates unacceptably high. Just over 20 percent of eighth-graders and about half of all high school seniors say they have taken an illicit drug, according to 2006 data from Monitoring the Future, the University of Michigan's nationwide annual survey. About 30 percent of high school seniors say they have been drunk in the past month. Little faith is put in traditional classroom drug-education programs to further drive down substance-abuse rates, says Jennifer Kern of the Drug Policy Alliance, a New York City-based organization that focuses on a harm-reduction approach to drug education. "People are overwhelmed and are looking for new approaches," she says. "A lot of the concern comes from a good place. We haven't done a good job preventing substance abuse." School drug testing got its biggest boost in 2002 when the Supreme Court ruled that schools may conduct random drug tests among students who wish to participate in school-sponsored extracurricular activities, such as sports, marching band or debate team. "Fifteen years ago, school drug testing was too controversial," says John P. Walters, director of the White House Office of National Drug Control Policy. "People thought the test was going to throw kids out of school or give them a criminal record. The Supreme Court decision was an enormously positive step." But critics say the court's decision opened the floodgates for programs that have not been studiously researched or properly evaluated. "If you look on the surface, drug testing seems like a good idea; a simple thing to do," says Dr. Sharon Levy, director of the Adolescent Substance Abuse Program at Children's Hospital Boston. "It's only when you sit down and look at it closely that it really starts to unravel a bit." Chief among the pediatricians' complaints is the reliability of testing. A study published in April in the journal Pediatrics found a substantial risk of error even when drug testing was performed as part of an established adolescent substance abuse program. In the study, Levy and her colleagues reviewed 710 random urine tests from 110 teens and compared the results with confirmatory lab tests. (Initial screening samples should be confirmed with a second, more rigorous, analysis -- something most school programs say they do.) They found 12 percent of the tests were subject to misinterpretation. For example, some of the urine samples were diluted (despite rigorous collection procedures designed to prevent kids from cheating) and could not be interpreted properly. Further, of the samples, 21 percent were positive due to legitimate prescription drug use, Levy says. And several samples that were found in confirmatory testing to be positive for the painkiller OxyContin -- a popular drug of abuse among teens -- were identified as negative in the initial screen. "Drug testing is premature policy," Levy says. "We need to understand the combination of risks and costs compared to the benefits. That hasn't been done at all." Further, critics say, the drug-testing panels used by schools are typically those used in the workplace -- screens for marijuana, amphetamines, cocaine, opiates and PCP. The panels usually do not assess alcohol or other drugs kids might be likely to use, such as inhalants, OxyContin and Ecstasy. Standard urine tests only detect use that has occurred in the past 48 to 72 hours. The belief that testing deters kids from using drugs or gives them a peer-worthy reason to say no has not been proved, some say. A 2003 study by the University of Michigan surveying 76,000 students found no difference in marijuana or other illicit drug use in schools with testing compared with those without programs. Podobas, the San Clemente senior, says few students fear being caught. The tests don't pick up all drugs and are administered too infrequently to worry teens, he says. Others have learned to beat the system by sharing a clean urine sample when called to the bathrooms in groups. "I don't think it has lessened the number of kids using drugs," says Podobas, although he thinks some kids use less frequently than they otherwise would. Others critics of the program say school drug testing can make teens feel guilty before being proven innocent. "There may be unintended consequences to drug testing," says Dr. Howard Taras, a pediatrics professor at the University of California, San Diego, who studies school health issues. "Kids may be deterred from joining a sport or extracurricular activity because they will be tested. Those are the kids that most need extracurricular activities. They may not get engaged in math or science but they may get engaged by a sport or dance class." Proponents of drug testing say such shortcomings simply don't exist in most schools. The programs, they say, are diligent about collection procedures and lab analysis, privacy issues and follow-up for kids found to have used drugs. "Where are they finding these programs doing the bad things?" DuPont says of the critics. A study by his office of nine programs found all were following testing protocols and handling kids with positive tests nonpunitively. Even if testing programs aren't perfect, recent research on the effect of drug use on adolescent brains warrants an aggressive approach to the problem, Walters says. Studies show that heavy drug use during adolescence may permanently damage parts of the brain related to learning and memory. People who avoid drinking and using drugs before age 21 are far less likely to abuse drugs or develop an addiction later. "This is an area where doing the right thing for our kids is durable," Walters says. "We can change the face of substance abuse for generations." Even those who disagree about the merits of school-based drug testing agree that more research should be done to evaluate whether the programs reduce drug use and help students who are caught using. "There are these two sides and they can argue until they are blue in the face," Taras says. "But until you study it, you can't really say anything about it." Schools, however, might not wait for academia to weigh in, especially if the federal government extends money for testing programs. "I actually believe that what you'll see is a rapid adoption of this," Walters says. "In a relatively short period of time we're going to look back and say 'Why did it take us so long to do this?' This is safe and it's enormously powerful." Schools vary widely in how they conduct drug testing. Deciding when and whom to test: Some schools test students only when there is a suspicion of drug use. A growing number, however, use random, "suspicionless" testing of a large group of students. In some schools, only students who volunteer for the program and whose parents consent are tested. Other schools screen all students who wish to participate in extracurricular activities, such as sports and clubs. How testing is conducted: Some schools buy tests kits and make them available to parents. Other schools use outside testing labs to randomly select students, conduct the tests and report back only to parents -- barring school personnel from learning the results. In still other places, school personnel gather samples, send the results to labs for assessment and receive the results at school. School officials then contact parents. Handling positive results: In some cases, the results are made available to parents only, and it is their choice on how -- or whether - -- to act. Some labs are under contract to give parents a list of community drug-treatment and counseling resources. Some schools choose to provide the student's family with references. Many programs with random, voluntary testing stress that students with positive tests should be treated nonpunitively. Little is known about the outcome of students who test positive in terms of whether follow-up counseling is obtained and is successful. Technology and costs: Initial screenings are often done using urine samples. Saliva, hair, sweat and blood tests also can be used but vary in cost and reliability. Screening tests for a five-drug urine panel typically cost $15 to $30 per student, according to the White House Office of National Drug Control Policy. Many schools finance drug testing on their own or through fundraisers or community donations. Others apply for federal grants. - --- MAP posted-by: Steve Heath