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Costs and Benefits of Preemployment Drug Screening

NCJ Number
156260
Journal
Journal of the American Medical Association Volume: 267 Issue: 1 Dated: (January 1, 1992) Pages: 91-93
Author(s)
C Swerling; J Ryan; E J Orav
Date Published
1992
Length
3 pages
Annotation
Preemployment drug screening was analyzed with respect to its costs and benefits and the sensitivity of the analysis to variations in the underlying assumptions.
Abstract
The research focused on 2,533 postal workers in Boston and on the average costs for the postal service in Boston and nationwide. Results revealed that drug screening would have saved the postal service $162 per applicant hired. However, these results were sensitive to the assumptions in the model. If the prevalence of drug use in the population screened were 1 percent rather than 12 percent, the program would lose money. Similarly, if the cost per urine sample screened were $95 rather than the $49 assumed, the program would lose money even if the prevalence of drug positives was as high as 9 percent. Findings indicated that because of the sensitivity of the analysis to changes in its underlying assumptions, any company considering preemployment drug testing should carefully assess the costs and benefits in its own industry. Tables and 14 footnotes