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Drug
Testing
Urine drug screen
Also known as urinalysis, this procedure requires that one provide a sample of
urine. Either a test card is used on site for
immediate results or the sample is sent away to a lab to undergo gas
chromatography/mass spectrometry (also known as GCMS),
high performance liquid chromatography or immunoassay analysis. Sample substitution or adulteration have become a
significant issue in the United States due to the prevalence of synthetic and/or
drug-free urine and a wide range of adulterants on the internet. Some people
attempt to defeat a urine test by drinking copious amounts of water, however, a
sufficiently diluted sample may be rejected due to its clear color. Samples that
are too clear may be flagged and tested for specific
gravity. If the sample fails the specific gravity
test, the sample is rejected and the dilution is reported to the entity that
ordered the test. Some diuretics and herbal extracts, such as goldenseal, are marketed as a quick
"detox" from controlled substances, but their efficacy is questionable. Some types of urinalysis can even
detect the use of these "detox" products. One of the methods to test for
adulterants is to add some amount of an actual drug to a small portion of the
sample and then retest that portion. If a masking agent is present in the urine,
the resulting drug test will have a negative result despite the fact that a drug
was
added.
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Hair drug
testing
Hair testing is quite accurate and can go back normally 3
months (6 months or longer possible with specialty tests), showing any drugs of
abuse used in the detection window. As hair grows out, any drugs used are
encased in the hair shaft, so the longer the hair, the longer back in the
individual's drug history the lab can detect. Accredited hair drug testing labs,
however, only use hair within about 2.5–4 cm of the scalp, and discard the rest.
With head hair each 0.5 inch (0.8 cm) corresponds to about 30 days. This limits
the detection history to about 90 days, depending upon the rate of growth of the
individual's hair. Some people attempt to circumvent this through shaving
their heads. In the absence of the required amount of hair on the scalp, body
hair can be used as an acceptable substitute. It is also possible to use body
hair to do hair drug testing, but since body hair grows slower, the head hair
window of detection measures will not apply to body hair. Additionally, for
pre-employment hair testing, the inability to obtain a sample may be grounds for
not hiring the individual. Hair Testing labs are regulated by CLIA or
SAMHSA (not FDA). There is a growing trend in major companies and law
enforcement agencies to utilize hair analysis on account of its efficiency and
reputation as the gold standard when considering test accuracy. This technology
makes use of radioimmunoassay technology with subsequent confirmation by mass
spectrometry.
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Saliva drug screen / Oral fluid-based drug
screen
Saliva / oral fluid-based drug
tests can generally detect use during the previous few days. Saliva or oral
fluid based drug tests are becoming more prevalent because of their convenience
and the fact that they can not be adulterated. Furthermore, on-site oral based
tests in particular enable the implementation of random testing programs, proven
to be the most effective type of drug screening. Oral fluid based tests are as
accurate as urine and can be obtained from quality suppliers in the United
States. Testing is usually performed by employers, for either pre-employment,
random, post-accident, reasonable suspicion, or return-to-duty testing. Oral
fluid based testing most closely mimics results found with blood and is
preferable for detecting on-the-job drug use or in post-accident applications in
this case because the degree of intoxication can be approximated based on the
amount of substance in the blood.
Detection in
saliva tests begins immediately upon use:
-
Marijuana and Hashish (THC): 1 hour
after ingestion, for up to 24 hours
-
Cocaine (including crack): From
time of ingestion for 48 to 72 hours
-
Opiates: From time of ingestion for
48 to 72 hours
-
Methamphetamine and Ecstasy (MDMA,
"Crank," "Ice"): From time of ingestion for 48 to 72 hours
-
BZD: From time of ingestion for 48
to 72 hours
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House Arrest / Sobrietor
We provide in
house arrest electronic shackling services as well as home breathalyzer
machines.
GPS Tracking
This
program is an online management of clients who need more than electronic
monitoring. The system will track the exact whereabouts of the client all
day and night. Prohibited areas may be set up where the client cannot
go. If the client violates the terms of the court order, we can
supply the court with irrefutable evidence in minute-to-minute
recordings. Great for people who must work, but must be restricted to
their homes. This would include high risk clients with alcohol and/or
drug problems that should be restricted from being on the streets other than
working their assigned shifts. Also, good for clients who might present
threats to witnesses in pending court cases. Also, for sexual predators
that must be restricted from certain areas.
If there is ever question as
to where a client has been, we can detail their movements.
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Pre-Sentence
Investigations
We conduct and complete this background investigation
for the courts.
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Probation
Supervision
Our probation supervision staff
has over 100 years of prior experience in supervising probationers. Beware of
providers that are not educated in the criminal justice field or don't have a
college degree! Client's problem areas are assessed on an individual basis and
given referrals to deal with these issues. All substance related cases receive
alcohol/drug evaluation and are referred to whatever services
are deemed
appropriate. We monitor restitution payments and community service hours if
ordered. Courts may contact us at 636-441-9002 or 1-800-767-9002 for more
information.
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Detailed explanation of R.E.A.C.T. from the
Missouri Department of Corrections:
REQUIRED EDUCATIONAL ASSESSMENT AND COMMUNITY TREATMENT - R.E.A.C.T.
FREQUENTLY ASKED
QUESTIONS
How did R.E.A.C.T. come
to be a condition of probation?
In 1998, Sponsors of HB 1147
were Craig Hosmer and Co Sponsor Steve Gaw, the sponsors introduced text that
was developed and became law to "enable judicial circuits to institute drug
courts and establish a required treatment program for certain drug offenders" "
The bill requires courts to order an offender for certain drug offenses (RSMo
195) to begin an educational assessment and community treatment (R.E.A.C.T.)
program administered by the Department of Corrections and the Department of
Mental Health, within 60 days of probation, as a condition of probation. The
fees for the program and the $60.00 supplemental fee will be paid in whole or in
part by the offender. The supplemental fees, less 2% administrative cost, will
be deposited in the Correctional Substance Abuse Earnings Fund. This fund
created in the state treasury will be used for assistance in securing alcohol
and drug rehabilitation services. House Bill 1147 became law August 28th,
1998.
And, just what is R.E.A.C.T?
R.E.A.C.T. is
a condition of probation, where by the offender who has been sentenced under the
RSMo 195 guidelines receives a screening assessment to determine if a level of
substance abuse or mental health treatment is necessary. A network of screening
offices known as RSU's (R.E.A.C.T. Screening Units) have been established
through out the state, the offender can select a RSU near their home site to
complete this first portion of R.E.A.C.T. After the initial screening has been
completed, the screening assessment is forwarded to the Department of
Corrections, district probation and parole office. Should the RSU indicate a
need for community treatment, the screening assessment should indicate at what
level of community treatment the offender would best be served. The
determination for community treatment is determined by the services available
within the offenders' probation and parole district and community. In the event
the screening assessment has determined that the offender needs a REP (REACT
Educational Program) the RSU can service those needs by providing the offender
with a Department of Corrections and Department of Mental Health curriculum
designed to address such needs.
CLIENT
QUESTIONS:
1. “Where do I go to do REACT?”
REACT
programs can be completed at any certified REACT program, which may be
accessible to the person (consult REACT/SATOP directory).
2.
“How much does it cost?”
The REACT screening will cost $125, of which
$60 is the supplemental fee, which is submitted to the state’s Department of
Corrections Correctional Substance Abuse Earnings Fund. Money from this fund is
used to apply towards services for those offenders who may not be able to pay
for services in treatment programs. When a client is recommended to the
R.E.A.C.T. Education Program (REP), the cost will be an additional $100.00. If a
client’s recommendation is treatment, the Standard Means Test can be applied
towards this program level cost of service.
3. “I
received a recommendation to do a REP, but I can’t/don’t believe
that I
really have a drug problem. What are my options—do I have to do what they
say?”
The requirement to participate in and successfully
complete a R.E.A.C.T. program is a condition of probation set by the court.
Clients who disagree with this requirement must take the issue before their
probation officer and/or the court.
4. “I’m a resident of
another state, but got a drug charge while in Missouri. Do I have to come back
to complete the program in Missouri?”
This is a question that
must be asked of the Probation and Parole officer. If a client completes an
equivalent program in another state, the providing agency must be state
certified, or nationally accredited. The client must receive an assessment and
successfully complete a recommended substance abuse treatment program.
Notification of compliance or completion must be sent to the supervising
Probation and Parole officer.
5. “I’ve moved to a different
state. How can I meet the REACT requirements?”
If a client
completes a equivalent program in another state, the providing agency must be
state certified, or nationally accredited. The client must receive an assessment
and successfully complete a recommended program. Notification of compliance or
completion must be sent to the supervising Probation and Parole officer.
6. “I’m a resident of another state, but want to complete the
R.E.A.C.T. program in Missouri. Does that make any difference?”
Yes — a person who has been found guilty, or pled guilty to a felony
drug offense in another state can participate in any of the R.E.A.C.T. programs.
However, they must participate just like any other Missouri resident (pay the
supplemental fee, do the screening and successfully complete a program). Upon
successful program completion, notice of offender compliance will be sent to
that person’s probation officer in their state of residence. The big difference
is that they will not qualify for the SMT as a non-resident.
7.
“I need to complete R.E.A.C.T. right away (or if I don’t do it before Monday the
judge is going to put me in jail). Where are there classes this
weekend?”
It is recommended that you keep a listing of programs
within your region and give those numbers out when people call looking for
various programs. It would be impossible to keep a calendar of who’s doing what
and when. Give the client the phone number of local agencies and let them take
the responsibility of finding out when programs are available.
8. “I completed an inpatient program. Will this meet the REACT
requirements?”
Clients completing a program prior to the
R.E.A.C.T. screening can use the successful completion of a treatment program,
if the completed program was through a certified or accredited program. The
client will still be required to complete the screening process (pay the
screening and the supplemental fees). The R.E.A.C.T. agency will then require
documentation (usually a discharge summary) from that program. The Department
also recognizes programs from the Veteran’s Hospitals and the Department of
Corrections Substance Abuse Programs.
9. "A RSMo 195 offender
was placed on probation prior to R.E.A.C.T. legislation. The offender violates
conditions of probation after REACT legislation takes effect. 'Is this an
offender who will be referred to R.E.A.C.T.?' "
R.E.A.C.T. is
ordered as a condition of probation by the court. This offender, would not, as a
result of this violation be required to participate in R.E.A.C.T. However, the
court may choose to amend the conditions of probation to include R.E.A.C.T. as a
condition of the offenders' probation.
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SATOP – Substance Abuse Traffic
Offenders
Program
SATOP offers a wide range of components
designed to fit the level of education or treatment to the level of need of the
DWI offender. SATOP begins with a screening process to determine what
level of services the offender needs. Offenders are then referred to a
10-hour education program (OEP), a weekend intervention program (WIP), clinical
intervention program (CIP) or youth clinical intervention program (Y-CIP).
Community Services of Missouri offers these programs at convenient sites.
Completion of the SATOP is required in many cases for license
reinstatement for drivers whose license has been revoked or suspended for DWI.
Prices are State regulated so each SATOP Provider must charge the same
amount.
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Fast Track CIP
Three week
condensed CIP treatment program. This program meets all requirements for
SATOP. Check for availability.
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Outpatient
Treatment
We are certified by Missouri
Department of Mental Health. This is a treatment program for individuals
who are experiencing problems with alcohol and or drugs. It is a minimum
of 50 hours, entailing group education, group counseling, and individual
sessions.
Call us for
additional information, 636-441-9002 or
1-800-767-9002.
Aftercare
This program is approved by the
Department of Mental Health. This program is an extension for treatment
programs whether inpatient or outpatient treatment programs. Classes are
in group format and meet every other weekend for six
months.
Weekend Intervention Program
(WIP)
Our Weekend
Intervention Program is held at the Quality Inn of St Charles (http://www.qualityinnstl.com/) located at
1425 South 5th Street in St. Charles, Mo, Comfort Inn of Westport located at
12031 Lackland Rd., Saint Louis, MO 63146 and Drury Inn of
Arnold (http://www.druryhotels.com/properties/arnold.cfm) located at 1201 Drury Lane, Arnold, Missouri, 63010. Call us
for additional information. All our WIP locations are nice hotels.
Contact Us
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Similar services offered as EMASS, Liberty Program
, COMTREA, Bridgeway,
Mid Missouri Court Services or Assessment and
Counseling Solutions. Not affiliated with EMASS, Liberty Program ,
COMTREA,
Bridgeway, Mid Missouri Court Services or Assessment and Counseling
Solutions.
Community Services of Missouri,
Inc and Driving University bring to you the ONLINE defensive driving
course. State approved in Missouri. To take the defensive driving course
online, please click here .