This article evaluates the potential impact that the use of hair analysis may have on the drug prevalence estimations derived from survey research that has relied upon urinalysis as an indicator of the accuracy of self-reported drug use. The paper reviews the history and nature of the DUF and ADAM programs, the relationship between self-report drug use and urinalysis results for arrestee populations, and the outcome of a pilot study employing hair assays in lieu of urinalysis. The author concludes that hair analysis may have a significant impact on the estimations of drug use for cocaine, heroin, and amphetamines and is less likely to have an effect on estimations of marijuana use. The author recommends consideration of periodic use of hair analysis within the ADAM system to more accurately and effectively monitor drug use.
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