Drug screening has become a common practice in various settings, including workplaces, criminal justice systems, and substance use treatment programs. However, its role within general mental health treatment remains controversial and under-examined. While drug testing may offer some benefits, such as supporting medication compliance in substance use disorder (SUD) treatment or encouraging patient honesty, the risks and limitations must be critically evaluated, particularly when mental health care emphasizes therapeutic alliance, client autonomy, and trauma-informed practice.

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