Substance Abuse Medical Monitoring Program

AA chips

The Medical Monitoring process is an ongoing deliverable of the formal Relapse Prevention Agreement, which the client signs as a contingency management contract. HeartQuest's rigorous Monitoring program is designed to be supportive; however, it does not constitute a therapeutic relationship. When done properly, the continuous face to face contact allows clients to feel supported in their recovery process. Clients are asked questions designed to help them to stay focused on, and accountable to, their Treatment Plans as recommended by the IME Doctor. 

All clients must provide a reliable contact number and have to remain accessible for the entire 2 years of the Agreement; failure to return calls or to check messages are not accepted as valid reasons for missing a test, and are considered to be non-compliance with the signed Relapse Prevention Agreement. 

President & CEO of HeartQuest Addiction Wellness Centre, Cory Wint, researched the monitoring of employees working in safety-sensitive positions for his Masters Degree thesis, as he realized there was a scarcity of literature on this subject; in fact, Cory's thesis is most likely the first published study on this subject. Cory's research found that 63% of individuals enrolled in HeartQuest's medical monitoring program were still gainfully employed after 2 years of medical monitoring (smallAdobe Click Here for Executive Summary of his Thesis  smallAdobe).

Reporting . . .

Reporting information to the employer is a very important component of the medical monitoring process. As this is a medical issue, unless the company has a medical / health division, the employer is only informed re ongoing compliance or non-compliance; medical information can only be given to medical / Occupational Health staff. HeartQuest provides monthly reports of compliance to the employer; in the case of non-compliance, the employer is notified immediately.

Drug and Alcohol Testing . . .

HeartQuest offers 'state of the art' Drug and Alcohol Testing.

We can test for 12 of the most common used drugs. Additionally, we have the capacity to conduct Ethyl Glucuronide (EtG) testing for Alcohol. EtG Alcohol testing has a far greater detection time than commonly used Breath Scans.

HeartQuest provides two types of Drug and Alcohol Tests:

  1. Point of Care Testing (POCT): Results are available in 5 minutes
  2. Lab based GC/MS Testing: Test is sent to an independant lab and results are available within a few days. This testing utilizes the services of a Medical Review Officer (see below), and HeartQuest abides by industry standard 'chain of custody' collection techniques that will stand up in court if necessary.

HeartQuest has the capacity to conduct urine testing, oral fluid testing, and hair testing; each of these tests have advantages and disadvantages.

MRO Services

HeartQuest utilizes the services of Medical Review Officers - Dr Joseph Yang and Dr Trevor Wilson - to oversee the entire substance abuse drug and alcohol testing program. An MRO is a Specialized Addictions Doctor who acts as an independent and impartial "gatekeeper" and advocate for the accuracy and integrity of the drug testing process.  HeartQuest's MRO determines if the there is a legitimate medical explanation for positive laboratory results, as well as adulterated, substituted and invalid drug test results. The MRO is critical in determinations of non-compliance.