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Substance Abuse Screening Test (Serum/Plasma) for Adolescents Aged 18 Years or Younger

Published: August 9, 2026Updated: August 17, 2026

This test checks for the presence of certain substances in your blood that may indicate recent use, helping healthcare providers assess potential substance abuse in teens.

Quick summary

["A simple blood test to identify possible substance use before further evaluation is needed."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
82821-0
Short code
HOUSEHOLDSUBSTANCEABUSEPRE18YO
Synonyms
—
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Critical range
0.5 N/A – —
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
ace
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Is Done

Your doctor may order this test if they suspect you or someone you care for might be using drugs, alcohol, or other substances. It helps identify signs of misuse early so appropriate support or treatment can be provided.

What to Expect Before the Test

You’ll likely have a small needle inserted into your arm to draw blood. This usually takes a few minutes. If you’re nervous, let your healthcare provider know—they can help make it more comfortable.

What the Test Measures

The test screens for biomarkers (chemical indicators) of recent substance use, such as certain drugs, alcohol metabolites, or other substances in your blood. Results are not diagnostic alone but may prompt further testing or discussion with a healthcare provider.

What the Results Mean

Results are reviewed by a healthcare professional to determine if additional testing or follow-up is needed. Positive or borderline results may require confirmation with other tests or a detailed conversation about your health and habits.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: This screening is critical for early detection of substance misuse in adolescents, as it can help identify at-risk individuals before health or behavioral issues worsen. It supports personalized care plans, including counseling, support groups, or treatment options tailored to your needs.

Short name

Household Substance Abuse Screen (18yo)

Frequently asked questions

What does a positive result mean?
A positive result suggests the presence of certain substances in your blood, which may indicate recent use. However, this test alone isn’t definitive—your doctor will discuss next steps, such as further testing or talking with a specialist.
How soon will I get my results?
Results are typically available within a few days to a week, depending on lab processing times. Your doctor will contact you directly to explain the findings and next steps.
Can I drink alcohol before this test?
Yes, you can drink alcohol before the test, but avoid heavy use that could affect test accuracy. If you’re unsure, ask your doctor for guidance tailored to your situation.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 17, 2026. · Read our editorial policy