Best Practices for Developing Drug-Testing Policies

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Best Practices for Developing Drug-Testing Policies 2013 APPLE Conference Kathy J. Turpin, PhD Senior Director of Sport Drug Testing

Our Clients 300+ individual college and university drugtesting programs

Drug Free Sport Over 300 individual college and university drug-testing programs Sport drug-testing administration Policy Development Education Programs On-campus reviews & assessments The REC (Resource Exchange Center) myplaybook

The APPLE Model Policies Education and ATOD Programs Recruitment Practices Expectations & Attitudes Drug Testing Sanctioning Referral & Counseling

Developing Your Drug-Testing Policies Effective testing for drug use relies on the existence and implementation of STANDARDS to insure informed consent and confidentiality, integrity of the sample, reliable laboratory procedures, integrity of the report, and specific sanctions associated with positive tests.

Starting or Reviewing a Drug-Testing Program? What is your institution s philosophy? What are the goals of the athletic department? Identify your resources Identify your roadblocks BE PROACTIVE rather than Reactive Make progress

Program Goals and Objectives Complement NCAA/Conference Drug-Testing Programs Increase KNOWLEDGE through education programs Provide counseling and TREATMENT Protect the INTEGRITY of the sport and your school DETECT and DETER use Promote STUDENT-ATHLETE health, safety, and wellbeing

Identify Specific Objectives Reduce missed class time Increase team GPA Reduce associated bad behaviors Reduce injury rate Result: Increase team performance and academic success

What Are the Best Practices? Develop the Team Policy Education Prohibited Classes Collection Protocol Laboratory

It takes a village Student-Athletes Coaches Administrators Compliance Sports Medicine Team Physician Faculty Legal Counsel Counseling Services Life Skills Staff

Policy Written Published & distributed widely Legal counsel involved Transparency Reviewed yearly Follow it! (NCAA Bylaw 10.2)

Policy Checklist Selection process and notification Reasonable suspicion Safe Harbor Results management /Need to know list Appropriate & escalating sanctions Sanctions applied consistently Legitimate appeal process Follow-up testing (declining values, test negative) Exit test (regain eligibility) Investigative arm (non-analytical positive results)

Sanctions There are many options! Remember that you want to complement the NCAA and/or Conference programs. Discussion NCAA & Conference programs

Which of the following is the NCAA sanction for an NCAA positive drug test? 1. Student-Athlete loses a percentage of lost games depending on the type of banned substance 2. Student-athlete loses one of his/her four years of eligibility and must sit out of all intercollegiate competitions for 365 days from the date of the test 3. Student-Athlete loses any athletic scholarship for the rest of the year 4. Student-athlete must enter a drugprevention program 0% 0% 0% 0% 1 2 3 4

At which NCAA testing events are the samples tested for street drugs and stimulants? 1. NCAA year-round testing (on campus) 2. NCAA championship testing 3. Both year-round and championship testing 4. Neither year-round nor championship testing 0% 0% 0% 0% 1 2 3 4

A student-athlete s 2 nd positive for a performance enhancing (non-street drug) results in: 1. Loss of a second year of eligibility and another 365 days of competition 2. Loss of all aid (both athletic and any other) 3. Loss of all remaining eligibility 4. Student-athlete being dismissed from institution 0% 0% 0% 0% 1 2 3 4

Approximately how many student-athlete s test positive within the NCAA program each year? 1. 50 2. 100 3. 150 4. 200 5. 250 0% 0% 0% 0% 0% 1 2 3 4 5

NCAA drug testing is conducted only during the academic calendar? 1. Yes 2. No 0% 0% 1 2

Sanctions How should the NCAA/Conference sanctions relate to your institution s policy? What items do you need to consider?

Sanctions

How many strikes does your policy have? 1. One 2. Two 3. Three 4. Four or more 5. Don t know; Don t have a policy 0% 0% 0% 0% 0% 1 2 3 4 5

Sanctions What role should counseling have in your policy? Is it in more than one sanction? Small Group Discussion What are appropriate sanctions to deter use? (e.g., number of strikes )

Education Student-athletes Coaches Athletic Administrators Special populations

Education Education is the foundation of prevention Required Conduct ATOD sessions 2x year Review department, school, conference & NCAA policies Discuss supplements & risks Identify the go to person. Staff member responsible to answer supplement questions NCAA banned drug classes & video Sign institutional consent forms

NCAA Prohibited Classes Stimulants Anabolic agents Diuretics and other masking agents Street drugs Peptide hormones (hcg, EPO) Anti-estrogens Substances banned for specific sports (beta blockers)

Customized Educational Programs Educational programs offered to meet your needs On-site speakers approved by NCAA offer a variety of topics to institutions wanting to provide educational sessions for coaches, administrators, and student-athletes commonly covered topics include dietary supplements, street drugs and sport drug testing policies sessions are intended to be open to question and discussion speakers can provide up to two programs First session for coaches and staff Second session for student-athletes

Customized Educational Programs - an evidence-based online tutorial designed to prevent alcohol and other drug-related harm The only drug-education program created specifically for college student-athletes myplaybook s Core Program consists of 6 modules Lesson 1: NCAA banned substances and drug testing procedures and protocols. Lesson 2: Alcohol Lesson 3: Marijuana Lesson 4: Tobacco (cigarettes and smokeless tobacco) Lesson 5: Performance enhancing drugs and dietary supplements Lesson 6: Prescription and over-the-counter drugs Per license fee is negotiated depending on the volume of licenses desired

Customized Educational Programs - confidential, password protected subscription service available to all NCAA Division I, II, III member institutions provide accurate and confidential information about the NCAA anti-doping program and/or prohibited substances Access to the REC is available 24 hours a day, seven days a week online at www.drugfreesport.com/rec Access to the REC also is available during normal business hours via a toll-free hotline dedicated to each subscribing organization. The Drug Free Sport REC staff makes every attempt to provide prompt responses to all inquiries and most are answered within 48 hours after receipt. All inquiries to the REC may be made anonymously and all are kept strictly confidential.

Collection Protocol Independent administrator Observed Certified collectors Collection facility Specimen integrity Manipulation, dilution, substitution or attempt

Collection Protocol Chain of custody Shipping and supplies SCAN Ethical issues

Laboratory Sport testing not workplace Request certifications & accreditations Require screen & confirmation of samples Sample storage capacity Result turnaround time Thresholds Medical Review Officer (MRO)

Laboratory World Anti-Doping Agency (WADA) GC/MS and LC/MS/MS Isotope ratio mass spectrometry (IRMS) Conducting research Ethical considerations Urine vs. hair vs. blood

Drug-Education and Testing Best Practices Comprehensive Drug Education Program Drug Testing Program that includes: Frequent testing events Unpredictable testing events Little or no-notice testing High percentage of student-athletes tested per event Testing for Drugs of Abuse and PED Significant/severe sanctions Comprehensive education, treatment and counseling

Kathy Turpin, PhD Senior Director of Sport Drug Testing kturpin@drugfreesport.com 816-474-8655 ext. 128 Erika Kuhr Director of Sport Drug Testing ekuhr@drugfreesport.com 816-474-8655 ext. 109 Ryan Carpenter Director of Educational Services rcarpenter@drugfreesport.com 816-474-8655 ext. 117

Questions?

Contact Us Kathy Turpin, Ph.D. Senior Director of Sport Drug Testing Office: 816-285-1428 (Direct) Mobile: 816-918-3562 Fax: 816-285-5068 E-mail: kturpin@drugfreesport.com Erika Kuhr, MEd, ATC, CSCS Director of Sport Drug Testing Office: 816-285-1409 (Direct) Mobile: 816-918-2254 Fax: 816-285-5068 E-mail: ekuhr@drugfreesport.com Chris Nordby Director of Client Services Office: 816-285-1426 (Direct) Mobile: 816-985-2209 Fax: 816-285-5068 E-mail: cnordby@drugfreesport.com Josh Roehr Director of Sales and Marketing Office: 816-285-1423(Direct) Mobile: 816-377-1283 Fax: 816-285-5068 E-mail: jroehr@drugfreesport.com SDT Department Oversight Sales and Marketing, Client Services, Institutional Drug Testing Assist with Client Service Troubleshooting & Consulting Institutional Program Evaluation and Development Program Audits Educational Speaking & Client On-Campus Visits Oversight of Institutional and High School Drug Testing Programs Administration of Conference Drug Testing Programs Results Interpretation Assistance Policy Development and Review Educational Speaking Service Contracts Client Service Troubleshooting & Consulting Client On-Campus Visits Coordinate Specimen Collections Client and Collector Invoicing Initial Contact for New Clients New Client Account Set-Up Customer Service