One province in Canada, Ontario, is considering the use of drug tests for welfare recipients. Those with positive tests could be required to receive treatment and abstain from drug use or risk losing their benefits. Several experts from the Centre for Addiction and Mental Health (CAMH) reviewed the scientific strengths and weaknesses of this proposal. Strengths included possible increases in employment and reduced drug use among welfare recipients; however, the group concluded that drug testing of welfare recipients or removal of welfare benefits for people who refuse treatment or relapse is not advisable for several reasons. Drug testing cannot be used to determine substance abuse or dependence, could undermine the client case manager relationship and could be legally challenged as a violation of human rights. Other drawbacks of conditional welfare include possible negative societal consequences (i.e. increased crime and health problems) and disruptions to the treatment population. The whole process is expensive and will likely result in a very marginal increase in employment because drug dependence is not a major barrier to employment.
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