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hey the results of urine drug testing and medication for opioid use disorder programs can be a helpful tool in developing a therapeutic alliance unfortunately the process of urine drug testing often becomes a source of tension between patients and staff many patients report urine drug testing as a humiliating process and expect punitive outcomes often patients have prior experience of urine drug testing in workplace and forensic settings where a hot urine can result in a loss of a job dismissal from a housing program or a return to prison new moud providers may be unsure of how to approach conversations about urine drug testing results in a therapeutic manner this scene provides an example of how a provider can address unexpected results of urine drug testing with their patient good morning thank you for coming in sarah how can i help you today um i i just need my my subs okay we are gonna do that but first i wanted to check in about your urine sample from last week would that be okay