Value of EtG Testing

  1. Shadow of a drunkAlcohol abuse creates numerous problems:
    • Alcohol is the most commonly abused drug in the United States.
    • Alcohol abuse is highly associated with problematic behaviors of all kinds, including:
      1. Impaired driving
      2. Physical assault
      3. Sexual assault
      4. Other criminal acts
      5. Anti-social behaviors of all kinds
    • Alcohol abuse and dependence are highly associated with other substance abuse.
  2. Individuals with alcohol problems have trouble stopping drinking.
    • Denial and minimization make it hard for alcohol abusers to recognize their drinking problem.
    • Many excessive drinkers are poorly motivated to stop drinking.
    • Despite agreement to stop drinking, secret drinking is a common problem.
    • Episodes of secret drinking are often hard to detect.
  3. EtG testing allows for detection of secret drinking.
    • When persons with alcohol problems know that secret drinking will be detected, they usually stop drinking.
  4. EtG testing reduces alcohol abuse.
    • In organized treatment programs, routine testing for drugs of abuse (including EtG alcohol) results in greatly reduced rates of substance abuse.
    • Drug courts that use EtG testing report greatly reduced alcohol abuse rates:
      • Initial EtG tests typically detect drinking in ~50% of participants.
      • When EtG testing becomes routine, the drinking rate falls to 5% or less.
  5. EtG testing confirms alcohol abstinence.
    • When alcohol abusers stop drinking, it is often difficult for others to trust that they are truly sober. EtG testing provides an external verification of abstinence – it allows programs, treatment professionals and families to “trust but verify.”

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