What should a counselor do if a consumer tests positive in a drug screen such as a urine test?
• Schedule an immediate meeting with the consumer and discuss the consequences of this positive test and behavior. Explain your agency’s rules concerning this result as it pertains to services. • Explain that positive drug tests result in inability to obtain, or retain, employment, and such a result is incompatible with employment. As such, it is a critical issue in the provision of VR services. • Adjust the consumer’s VR plan to address the behavior, using input from the consumer. This plan may include substance abuse assessment, consultation with a substance abuse specialist, substance abuse or mental health treatment, attendance at self-help support groups (e.g., AA), planning for future random drug tests, and the creation of a “recovery plan”.
