A critical review of the assumptions underlying drug testing

Current drug screening programs are based on a set of assumptions: That drug use adversely affects productivity, that available tests are accurate and cost-effective means of detecting and reducing drug use, and that drug testing is legal. When analyzed in the light of available evidence, little support was found for these assumptions. Used properly, drug testing may play a role in the overall management of employee performance; used improperly, it represents a profound threat to individual rights. Recommendations for additional research and for employers planning to use drug screening are offered.