AAP Against Random Drug Testing in Schools

All would agree the need to prevent substance abuse among teenagers and young adults is of great importance. At every school in the United States, emphasizing to kids the dangers of drugs and alcohol, and identifying those abusing substances is a top concern. Some schools even implement random drug tests to deter and catch those using drugs.

However, the American Academy of Pediatrics (AAP) has released an update policy statement recommending against “suspicionless” drug testing at schools, Reuters reports. The AAP suggests that there is little evidence to support the efficacy of random drug testing practices at public schools.

The new policy statement’s lead author, Dr. Sharon Levy, director of the adolescent substance abuse program at Boston Children’s Hospital, says that there is little evidence that random drug testing identifies kids who use drugs and helps them receive treatment, according to the article. “Evidence on either side is very limited,” said Levy.

“It’s possible that you do get some prevention out of these programs, but on the other hand it seems very expensive, very invasive, and has pretty limited results,” added Levy.

Levy points out that because teen drug use is usually sporadic, many teen drug users could pass an annual drug test, only to go on and use drugs for the rest of the year. Those who do fail a drug test are more likely to receive punishment, rather than substance use disorder treatment services.

“Pediatricians support the development of effective substance abuse services in schools, along with appropriate referral policies in place for adolescents struggling with substance abuse disorders,” the AAP wrote.

The AAP noted that the negative consequences associated with random drug testing include:

  • Eroding of the student-school relationship.
  • The potential for confidentiality breaches
  • Mistaken interpretations of drug tests, resulting in false-positives.

The AAP’s recommendation can be found in the journal Pediatrics.