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<p class="MsoNormal"><a name="_MailEndCompose">Just including a snippet from the NADCP conference resource that I found helpful. Feel free to email or call me individually if you would like to discuss in greater detail. TLPI has access to a number of participant
handbook examples, explaining the consequences of diluted samples. The red section below notes possible sanctions:<o:p></o:p></a></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><i>The most common form of specimen tampering is sample dilution. You can’t intervene to change behavior if you don’t know a client has relapsed!
<o:p></o:p></i></p>
<p class="MsoNormal"><i>“Dilute” Result Interpretation:<o:p></o:p></i></p>
<p class="MsoNormal" style="text-indent:.5in"><i><span style="font-family:"Arial",sans-serif">■</span> negative or none detected results should never be<o:p></o:p></i></p>
<p class="MsoNormal" style="text-indent:.5in"><i>interpreted as indicating no drug use (abstinence),<o:p></o:p></i></p>
<p class="MsoNormal" style="text-indent:.5in"><i>because if, in fact, drugs were present, they<o:p></o:p></i></p>
<p class="MsoNormal" style="text-indent:.5in"><i>probably could not be detected by the test<o:p></o:p></i></p>
<p class="MsoNormal" style="text-indent:.5in"><i><span style="font-family:"Arial",sans-serif">■</span> positive drug test results from a dilute sample<o:p></o:p></i></p>
<p class="MsoNormal" style="text-indent:.5in"><i>however, are considered valid (donor was not able<o:p></o:p></i></p>
<p class="MsoNormal" style="text-indent:.5in"><i>to dilute the sample sufficiently to deceive the test)<o:p></o:p></i></p>
<p class="MsoNormal"><i><o:p> </o:p></i></p>
<p class="MsoNormal"><i><span style="color:red">…Sanctions…<o:p></o:p></span></i></p>
<p class="MsoNormal" style="text-indent:.5in"><i><span style="font-family:"Arial",sans-serif;color:red">■</span><span style="color:red"> verbal warning<o:p></o:p></span></i></p>
<p class="MsoNormal" style="text-indent:.5in"><i><span style="font-family:"Arial",sans-serif;color:red">■</span><span style="color:red"> community service<o:p></o:p></span></i></p>
<p class="MsoNormal" style="text-indent:.5in"><i><span style="font-family:"Arial",sans-serif;color:red">■</span><span style="color:red"> write paper on how the kidney works<o:p></o:p></span></i></p>
<p class="MsoNormal" style="text-indent:.5in"><i><span style="font-family:"Arial",sans-serif;color:red">■</span><span style="color:red"> increased surveillance (therapeutic<o:p></o:p></span></i></p>
<p class="MsoNormal" style="text-indent:.5in"><i><span style="color:red">response)<o:p></o:p></span></i></p>
<p class="MsoNormal" style="text-indent:.5in"><i><span style="font-family:"Arial",sans-serif;color:red">■</span><span style="color:red"> loss of privileges<o:p></o:p></span></i></p>
<p class="MsoNormal" style="text-indent:.5in"><i><span style="font-family:"Arial",sans-serif;color:red">■</span><span style="color:red"> jail time<o:p></o:p></span></i></p>
<p class="MsoNormal"><i><o:p> </o:p></i></p>
<p class="MsoNormal"><i>Dilutes & Therapeutic Goals<o:p></o:p></i></p>
<p class="MsoNormal" style="text-indent:.5in"><i><span style="font-family:"Arial",sans-serif">■</span> honesty - touchstone concept<o:p></o:p></i></p>
<p class="MsoNormal" style="text-indent:.5in"><i><span style="font-family:"Arial",sans-serif">■</span> dishonesty is a “learned behavior”<o:p></o:p></i></p>
<p class="MsoNormal" style="text-indent:.5in"><i><span style="font-family:"Arial",sans-serif">■</span> honesty - proximal goal<o:p></o:p></i></p>
<p class="MsoNormal" style="text-indent:.5in"><i><span style="font-family:"Arial",sans-serif">■</span> honesty - behavior that clients CAN and SHOULD<o:p></o:p></i></p>
<p class="MsoNormal" style="text-indent:.5in"><i>control<o:p></o:p></i></p>
<p class="MsoNormal" style="text-indent:.5in"><i><span style="font-family:"Arial",sans-serif">■</span> dilute samples represent an attempt to defraud the<o:p></o:p></i></p>
<p class="MsoNormal" style="text-indent:.5in"><i>court’s recovery goals<o:p></o:p></i></p>
<p class="MsoNormal" style="text-indent:.5in"><i><span style="font-family:"Arial",sans-serif">■</span> honesty should be a critical goal for phase<o:p></o:p></i></p>
<p class="MsoNormal" style="text-indent:.5in"><i>advancement<o:p></o:p></i></p>
<p class="MsoNormal" style="text-indent:.5in"><i><span style="font-family:"Arial",sans-serif">■</span> Do you want a client advancing who has not<o:p></o:p></i></p>
<p class="MsoNormal" style="text-indent:.5in"><i>mastered honesty?<o:p></o:p></i></p>
<p class="MsoNormal"><i><o:p> </o:p></i></p>
<p class="MsoNormal"><span style="color:#1F497D">_________________________________________<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D">Jordan Martinson, Tribal Law and Policy Specialist
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D">Tribal Law & Policy Institute<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D">8235 Santa Monica Blvd., Suite 211<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D">West Hollywood, CA 90046<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D">(323) 650-5467 ~ Fax: (323) 650-8149<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D">Email: </span><a href="mailto:jordanm@tlpi.org"><span style="color:#0563C1">jordanm@tlpi.org</span></a><u><span style="color:#0563C1">
</span></u><span style="color:#1F497D"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D">_________________________________________<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D">Please visit: Tribal Court Clearinghouse- </span><a href="http://www.tlpi.org">www.tlpi.org</a><span style="color:#1F497D"> Serving American Indian/Alaska Native communities since 1996<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
<div>
<div style="border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in">
<p class="MsoNormal"><b>From:</b> Tribal-drug-courts [mailto:tribal-drug-courts-bounces@tribal-institute.org]
<b>On Behalf Of </b>Bear, Sean A<br>
<b>Sent:</b> Wednesday, February 5, 2020 3:36 PM<br>
<b>To:</b> Meghan Maki <meghan@kbic-nsn.gov>; Lou Sgroi <lou@tlpi.org>; Tribal-drug-courts@tribal-institute.org<br>
<b>Subject:</b> Re: [Tribal-drug-courts] [External] Fw: Dilute UAs<o:p></o:p></p>
</div>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="color:#1F497D">Meghan, <o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D">Diluted UA’s are considered trying to cover the use up, so many times they are tested again. Yet they must be monitored so they are not still diluting and making sure to wait awhile till the testing is not diluted.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D">Some courts and probation officers may count it as a dirty UA if the participant will not wait for another sample. Not taking a UA may also be considered a Dirty UA.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D">Sean<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
<div>
<div style="border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in">
<p class="MsoNormal"><b>From:</b> Meghan Maki <<a href="mailto:meghan@kbic-nsn.gov">meghan@kbic-nsn.gov</a>>
<br>
<b>Sent:</b> Wednesday, February 5, 2020 2:18 PM<br>
<b>To:</b> Bear, Sean A <<a href="mailto:sean-bear@uiowa.edu">sean-bear@uiowa.edu</a>>; Lou Sgroi <<a href="mailto:lou@tlpi.org">lou@tlpi.org</a>>;
<a href="mailto:Tribal-drug-courts@tribal-institute.org">Tribal-drug-courts@tribal-institute.org</a><br>
<b>Subject:</b> RE: [Tribal-drug-courts] [External] Fw: Dilute UAs<o:p></o:p></p>
</div>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="color:#1F497D">What are the consequences your courts give for dilute testing?<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
<div>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><b><span style="font-size:14.0pt;font-family:"Times New Roman",serif;color:#1F497D">Meghan Maki<o:p></o:p></span></b></p>
<p class="MsoNormal"><b><span style="font-size:14.0pt;font-family:"Times New Roman",serif;color:#1F497D">Probation Officer<o:p></o:p></span></b></p>
<p class="MsoNormal"><b><span style="font-size:14.0pt;font-family:"Times New Roman",serif;color:#1F497D">KBIC Tribal Court<o:p></o:p></span></b></p>
<p class="MsoNormal"><span style="font-size:12.0pt;color:#1F497D">16429 Beartown Rd.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;color:#1F497D">Baraga, Mi 49908<o:p></o:p></span></p>
<p class="MsoNormal"><b><span style="font-size:12.0pt;color:#1F497D">Phone</span></b><span style="font-size:12.0pt;color:#1F497D">: (906) 353-4564<o:p></o:p></span></p>
<p class="MsoNormal"><b><span style="font-size:12.0pt;color:#1F497D">Fax:</span></b><span style="font-size:12.0pt;color:#1F497D"> (906) 353-8122<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><b><span style="font-size:9.0pt;color:#1F497D">Confidential Notification:</span></b><span style="font-size:9.0pt;color:#1F497D"> The information set forth in and accompanying this transmittal is confidential, priviledged and protected by
law. It is intended for and should only be used by the individual or entity intended as recipient-here-there-of. If you are not the intended recipient or an authorized agent or employee of the intended recipient, you are hereby notified transmission in erroe,
delete this communication from your computer system and destroy any copies thereof that may have been made. Thank you for your cooperation.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
</div>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
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<div style="border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in">
<p class="MsoNormal"><b>From:</b> Tribal-drug-courts <<a href="mailto:tribal-drug-courts-bounces@tribal-institute.org">tribal-drug-courts-bounces@tribal-institute.org</a>>
<b>On Behalf Of </b>Bear, Sean A<br>
<b>Sent:</b> Tuesday, February 4, 2020 7:12 PM<br>
<b>To:</b> Lou Sgroi <<a href="mailto:lou@tlpi.org">lou@tlpi.org</a>>; <a href="mailto:Tribal-drug-courts@tribal-institute.org">
Tribal-drug-courts@tribal-institute.org</a><br>
<b>Subject:</b> Re: [Tribal-drug-courts] [External] Fw: Dilute UAs<o:p></o:p></p>
</div>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="color:#1F497D">All, Here is a some information, although I have not found hand-outs on this subject. I’d guess that would be great to have, but I’m sure an informational sheet could be handed out on this topic from one the
sites here.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D">One is a manual from SAMHSA and the other is an informational site.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D">I hope this helps.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D">Sean<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><i><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:blue"><a href="https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&ved=2ahUKEwj3oYqYjbnnAhXrB50JHR0nCSUQFjAAegQIAhAB&url=https%3A%2F%2Fwww.samhsa.gov%2Fsites%2Fdefault%2Ffiles%2Fworkplace%2Fmro_guidance_manual_508_final_march_2018.pdf&usg=AOvVaw3-qBr47KHnqueR6uPfjQrE"><span style="color:blue">www.samhsa.gov
› mro_guidance_manual_508_final_march_2018</span></a></span></u></i><span class="MsoHyperlink"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:blue"><o:p></o:p></span></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif">Is a manual from SAMHSA on Medical Review Officer Guidance Manual for Federal Workplace Drug Testing Programs</span><o:p></o:p></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><a href="https://www.usdrugtestcenters.com/drug-test-blog/189/everything-you-need-to-know-about-diluted-urine-drug-test-results.html">https://www.usdrugtestcenters.com/drug-test-blog/189/everything-you-need-to-know-about-diluted-urine-drug-test-results.html</a><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif">This is a site that describes dilute/d UA’s</span><span style="color:#1F497D"><o:p></o:p></span></p>
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<div style="border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in">
<p class="MsoNormal"><b>From:</b> Tribal-drug-courts <<a href="mailto:tribal-drug-courts-bounces@tribal-institute.org">tribal-drug-courts-bounces@tribal-institute.org</a>>
<b>On Behalf Of </b>Lou Sgroi<br>
<b>Sent:</b> Tuesday, February 4, 2020 11:16 AM<br>
<b>To:</b> <a href="mailto:Tribal-drug-courts@tribal-institute.org">Tribal-drug-courts@tribal-institute.org</a><br>
<b>Subject:</b> [External] [Tribal-drug-courts] Fw: Dilute UAs<o:p></o:p></p>
</div>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
<p><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<div id="Signature">
<div name="divtagdefaultwrapper">
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<p class="MsoNormal"><span style="font-size:12.0pt;color:black"> <o:p></o:p></span></p>
</div>
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<p class="MsoNormal"><span style="color:black">Regards,<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:black">Lou<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:black">___________________________________<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:black">Lou Sgroi, Webmaster<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:black"><a href="http://www.home.tlpi.org/" id="NoLP">Tribal Law and Policy Institute</a><o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:black">8235 Santa Monica Blvd., Suite 211<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:black">West Hollywood, CA 90046<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:black">(323) 650-5467 ~ Fax: (323) 650-8149<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:black">Email: <a href="mailto:lou@tlpi.org" id="NoLP">
lou@tlpi.org</a><br>
___________________________________<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:black">Please visit the <a href="http://www.tribal-institute.org/" id="NoLP">
Tribal Court Clearinghouse</a><i> <br>
Serving American Indian/Alaska Native communities since 1996</i><o:p></o:p></span></p>
</div>
</div>
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<p class="MsoNormal"><b><span style="color:black">From:</span></b><span style="color:black"> Rural Drug Court list <<a href="mailto:RURALDRUGCOURT-L@LISTSERV.AMERICAN.EDU">RURALDRUGCOURT-L@LISTSERV.AMERICAN.EDU</a>> on behalf of Jillian K. Viles <<a href="mailto:Jillian.K.Viles@OJD.STATE.OR.US">Jillian.K.Viles@OJD.STATE.OR.US</a>><br>
<b>Sent:</b> Tuesday, February 4, 2020 8:28 AM<br>
<b>To:</b> <a href="mailto:RURALDRUGCOURT-L@LISTSERV.AMERICAN.EDU">RURALDRUGCOURT-L@LISTSERV.AMERICAN.EDU</a><br>
<b>Subject:</b> Dilute UAs</span><span style="font-size:12.0pt;color:#212121"> <o:p>
</o:p></span></p>
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<p class="MsoNormal"><span style="font-size:12.0pt;color:#212121"> <o:p></o:p></span></p>
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<p class="MsoNormal"><span style="color:#212121">Hello,<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#212121"> <o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#212121">Does anyone have a handout about dilute UAs that you give to participants that you would be willing to share? My team struggles with explaining dilutes to our participants. I would love to have a written handout
that could be provided to participants so they understand what they are and why they are important to sobriety. I can write something up, but most of you have been at this longer than me and have more experience and knowledge than I do.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#212121"> <o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#212121">Thank you!<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#212121"> <o:p></o:p></span></p>
<p class="MsoNormal"><b><span style="color:#212121">Jillian K Viles</span></b><span style="color:#212121"><br>
Treatment Court Coordinator<br>
6th Judicial District- Umatilla & Morrow Counties<br>
Office: 541-667-3020, ext 3026<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#212121">Cell: 541-371-0871<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#212121"> <o:p></o:p></span></p>
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