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Lesson 6-X: Student Drug Testing

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Page 1: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Lesson 6-X:Student Drug Testing

Page 2: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

WALL

Unaddressed Risk

½ Way to the Wall

Total Risk

Drug-Free America

Page 3: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Unaddressed Risk

½ Way to the Wall

Total Risk

Drug-Free America

WALL

Page 4: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Unaddressed Risk

½ Way to the Wall

Total Risk

Drug-Free America

½ Way

WALL

Page 5: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Unaddressed Risk

½ Way to the Wall

Total Risk

Drug-Free America

½ Way

WALL

Page 6: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Unaddressed Risk

½ Way to the Wall

Total Risk

Drug-Free America

½ Way

WALL

Page 7: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Unaddressed Risk

½ Way to the Wall

Total Risk

Drug-Free America

½ Way

WALL

Page 8: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Unaddressed Risk

½ Way to the Wall

Total Risk

Drug-Free America

½ Way

WALL

Page 9: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America
Page 10: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Zero-Tolerance Policies

• Metal Detectors

• Closed Circuit Cameras

• Sniff Dogs

• Drug Testing

Should high school students be drug tested?

Page 11: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Should high school students be drug tested?

Page 12: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Vernonia School District v. Wayne Acton

Should high school students be drug tested?

Page 13: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

I also authorize the Vernonia School District to have a representative run a urine test for drugs / alcohol and to release the information regarding the results to the Vernonia School District as deemed necessary.

Section of letter sent to James Acton and his

parents seeking authorization to drug test

Vernonia School District v. Wayne Acton

Should high school students be drug tested?

Page 14: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Dear Mr. and Mrs. Acton:

District Policy JFCI requires the parent and / or guardian and the student athlete to sign a written consent for drug testing prior to participating in the athletic program. Since you are not willing to sign the required consent, your son James will not be permitted to participate in the District’s athletic program. However, should you change your mind and permit James to be tested, he will be allowed to participate.

Section of letter sent to Mr. & Mrs. Acton warning that James would not be allowed to play sports if he did not undergo a test.

Vernonia School District v. Wayne Acton

Should high school students be drug tested?

Page 15: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Privacy Legitimate

government interest

Fourth Amendment

Should high school students be drug tested?

Page 16: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

2. Testing program was designed to be unobtrusive

1. Students have low expectations of privacy

3. Served school district’s interest in combating drug abuse

Suspicionless Searches & Seizures to Conduct Drug Testing

Vernonia School District v. Wayne Acton

Should high school students be drug tested?

Page 17: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Blanket searches, because they involve thousands or millions of searches, pose a greater threat to liberty than do suspicion based ones, which affect one person at a time. …I dissent.”

Justice Sandra Day O’Connor

Vernonia School District v. Wayne Acton

Should high school students be drug tested?

Page 18: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America
Page 19: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Earls v. Tecumseh School District

Lindsay Earls, now a Dartmouth College freshman, filed suit

after her high school forced her to take a drug test before it would let her join the choir.

Should high school students be drug tested?

Page 20: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Privacy Legitimate

government interest

Fourth Amendment

Should high school students be drug tested?

Page 21: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

“(W)e find that testing students who participate in extracurricular activities

is a reasonably effective means of addressing the School District’s

legitimate concerns in preventing, deterring, and detecting drug use.”

Justice Clarence Thomas, June 27, 2002

Should high school students be drug tested?

Page 22: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Should high school students be drug tested?

Page 23: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Should high school students be drug tested?

Page 24: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

California State PTA

1. In-school suspension

2. After-school interventions

3. Positive behavior mentoring

4. Student assistance & other programs that offer counseling & education

National Longitudinal Study on Adolescent Health “School Connectedness” associated with lower health risk behaviors

“… rather than throwing students out of school for making bad decisions, let’s offer help, keep them busy, locate constructive punishment for rule breaking within the school context, and try to increase their connections to teachers, administrators, and other students.”

Should high school students be drug tested?

Page 25: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America
Page 26: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

E

E

Time

DZ

DZ

DZ

DZ

Randomized

Trail

Random AssignmentDZ

Non-Observational

Study

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 27: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 28: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 29: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

T

T

Time

D

D

D

D

Randomized

Trail

Random AssignmentD

Non-Observational

Study

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 30: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

E

E

Time

DZ

DZ

DZ

DZ

Cohort

Study

DZ

Observational

Study

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 31: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

T

T

Time

D

D

D

D

Cohort

Study

D

Observational

Study

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 32: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Time

Case-Control

Study

DZ

E

E

DZ

E

E

Observational

Study

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 33: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Time

Case-Control

Study

D

T

T

D

T

T

Observational

Study

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 34: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Time

Cross-Sectional

Study

DZ

DZ

E

EObservational

Study

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 35: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Time

Cross-Sectional

Study

D

D

T

TObservational

Study

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 36: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

DZ

DZ

E

E

Random Assignment

DZ

DZ

DZ

-

Randomized Tria l

Ti m e

++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++

E

E

E

E

DZ

DZ

-

Case-Control Study

Ti m e

++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++

E

E

DZ

DZ

DZ

DZ

DZ

-

Cohort Study

Ti me

++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++

DZ

DZ

-

Cross-Sectiona l Study

Ti me

++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++

E

E

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 37: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America
Page 38: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

1. What percentage of schools employs a drug testing policy?

2. Which students are tested for drugs in these schools?

3. On what bases are students tested for drugs in schools?

4. How do characteristics of school and its student body relate to drug testing?

5. What relationship exists between student drug use and school drug testing?

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 39: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Monitoring the Future Study

Youth, Education, and Society Study

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 40: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 41: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Monitoring the Future Study

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Self-Administered Questionnaires

30,000 8th grade students in 260 schools

23,000 10th grade students in 227 high schools

23,000 12th grade students in 235 schools

Page 42: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Monitoring the Future Study

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Male Athletes (3,000 male athletes in 303 high schools)

2 Subsets

Page 43: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 44: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Monitoring the Future Study

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Male Athletes (3,000 male athletes in 303 high schools)

2 Subsets

Experienced Marijuana Users (8,000 students in 331 high schools)

Page 45: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 46: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Monitoring the Future Study

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Student Characteristics Shown to Have a Strong Relationship to Drug Use

• Parental Educational Attainment (SES)

• Religiosity

• Truant Behavior

• Grade Point Average

• Evenings Out Per Week

Page 47: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Youth, Education, and Society Study

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

School-Level Information

• Mailed Survey

• School Administrator

• 82.6 % response rate

In the school year, did your school test any students for illicit drug use?

Page 48: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 49: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 50: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 51: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 52: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

D

D

T

T

Page 53: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 54: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

How do you interpret the difference between the % of

schools and the % of students?

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 55: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

What do you think happened to the % of schools that did “drug testing of any kind”

between 1998 and 2001?

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 56: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

What do you think happened to the % of schools that did “drug testing of any kind”

between 1998 and 2001?

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 57: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

What group of students do you think was most frequently drug tested?

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 58: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 59: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

What do you think was the most frequent bases for drug

testing?

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 60: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 61: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use

among high school students?

Page 62: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use

among high school students?

Page 63: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use

among high school students?

Page 64: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use

among high school students?

Page 65: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use

among high school students?

Page 66: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use

among high school students?

Page 67: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use

among high school students?

Page 68: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use

among high school students?

Page 69: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use

among high school students?

Page 70: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use

among high school students?

Page 71: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use

among high school students?

Page 72: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use

among high school students?

Page 73: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use

among high school students?

Page 74: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use

among high school students?

Page 75: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 76: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

1 = 0 occasions 2 = 1-2 occasions 3 = 3-5 occasions 4 = 6-9 occasions 5 = 10-19 occasions 6 = 20-39 occasions 7 = 40 or more occasions

1 – 7 Scale

Prevalence The number of events in a given population at a designated time

Standard Deviation (SD) A measure of dispersion or variation. A summary of how widely dispersed the values are around

the mean.

Page 77: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 78: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 79: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 80: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 81: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 82: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 83: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 84: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 85: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

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Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 87: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 88: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

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Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

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Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

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Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

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Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

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Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

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Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

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Page 97: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

The right of the people to be secure in their persons, houses, papers, and effects, against unreasonable searches and seizures, shall not be violated, and no warrants shall issue, but upon probable cause, supported by oath or affirmation, and particularly describing the place to be searched, and the persons or things to be seized.

Fourth Amendment

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 98: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

The presumptive identification of unrecognized disease or defect by the application of a test, examinations or other procedures that can be applied rapidly.

Screening

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 99: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Reality

+ -

+

-

Test Results

a

c

b

d

0%

0%100%

100%

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 100: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Reality

+ -

+

-

Test Results

a

c

b

d

0%

0%100%

100%<

< False Positives

False Negatives

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 101: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Reality

+ -

+

-

Test Results

a

c

b

d

Sensitivity

Ability to identify

a

condition

when it is

there

a / a + c

SpecificityAbility to not identify a condition when it is not there

d / b + d

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 102: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Reality

+ -

+

-

Test Results

a

c

b

d

Positive

Predictive Value

With a positive test,

the probability

that the

patient has the

condition

d / c + d

Negative Predictive ValueWith a negative test, the probability that

the patient does not have the conditiona / a + b

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 103: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Reality

+ -

+

-

Test Results

a

c

b

d

Prevalence = 5%

Population = 10,000

Sensitivity = 70%Specificity = 80%

10,0009,500500

150 7,600

1,900350

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 104: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Reality

+ -

+

-

Test Results

a

c

b

d

Prevalence = 5%

Population = 10,000

Sensitivity = 70%Specificity = 80%

10,0009,500500

150 7,600

1,900350PPV ?

NPV ?

16%

98%

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

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Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

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2,000 ng/ml

10 ng/ml

50 ng/ml

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 107: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Type Test # Tests % Total # Verified + % Verified +

Random 14,706 52.2 % 88 0.6 %

Applicant 12,611 44.7 % 33 0.3 %

Follow-up 572 2.0 % 37 6.5 %

Volunteer 189 0.7 % 2 1.1 %

Reason' Suspicion 66 0.2 % 16 24.2 %

Post-Accident 55 0.2 % 3 5.5 %

Total 28,199 100.0 % 179 0.6 %

Number Tested / Verified Positives

Federal Drug - Free Workplace Program

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?

Page 108: Lesson 6-X: Student Drug Testing. WALLWALL Unaddressed Risk ½ Way to the Wall Total Risk Drug-Free America

Is drug-testing an effective way to reduce the prevalence of drug use among high school students?