Pubdate: Mon, 17 May 2004 Source: Greenville News (SC) Copyright: 2004 The Greenville News Contact: http://greenvillenews.com/ Details: http://www.mapinc.org/media/877 Author: Andy Paras SOLICITOR'S DRUG PATCH FACES COURT TEST A drug program designed to help offenders kick the habit and avoid jail relies on a drug test that some participants contend is faulty and could wrongly send them to prison for up to 10 years. Two men and a woman who pleaded guilty to drug charges in order to join the Drug Court program face termination in part, they say, because a Band-Aid-like testing device called the "sweat patch" falsely showed they had used drugs. A judge has heard testimony about the patch's reliability and will make a decision on whether the three can remain in the program. Both sides say the decision could spell the end of the program. Thirteenth Circuit Solicitor Bob Ariail, who runs the Drug Court, said that while there could be an occasional false-positive, the program is fair because it provides the same opportunities to everyone. "This is a program that serves criminals," he said. "These people are criminals first and drug addicts second. Therefore, when they go into the program they do so through the grace of the solicitor's office and in my view they will follow whatever rules the program or the solicitor's office deems appropriate." Ariail said that given the nature of the program, it takes more than one false positive to be expelled. "A false positive is never going to get anyone kicked out," he said. "It's going to have to be a multiplicity of events." Neil Fortner, vice president of lab operations for PharmChem, makers of the PharmChek Patch, said their patches have been the subject of many court cases at the federal, state and local levels. "It has been widely upheld," he said. Betty Strom, deputy assistant solicitor, said her office has full confidence in the sweat patch and uses other drug tests as well. "I don't think there's any test that is absolutely 100 percent fool-proof, but we are confident in the reliability of the sweat patch," she said. "We don't believe it is subject to contamination as the defense lawyers have claimed." Defendants calling for repeated hearings could undermine the program's authority, she said, and even cause its demise. "Hearings like this could potentially end the program," she said. Ken Gibson, attorney for 37-year-old Cedric Perkins, said continuing use of the patch could discourage people from volunteering for the program. "Its integrity and very existence is at risk," he said. "A lot of people, when they go into this program, take a huge risk. And I think it's highly unlikely anyone will take the risk if they could end up going to jail for an extended period of time even if they did everything right." Drug Court, an 18-month treatment-based program, offers some defendants accused of drug-related crimes a second chance, Strom said. The defendants must plead guilty to all charges against them and be sentenced. The charges are suspended and hang over the defendant as incentive to complete the program. Drug Court has used the patch since October 2002, Strom said. Everyone in the program uses it unless they can prove ahead of time they have an allergic reaction, she said. Participants put it on their arm or back and wear it for seven to 14 days. The patch is then taken off and sent to a lab, which tests for drugs including cocaine, heroin, methamphetamines and marijuana, she said. Strom said even though the patch and testing can cost twice as much as urine testing, it's advantageous because it tests for a longer period of time than the urine test, which has a range of about 48 to 72 hours. It's also more convenient. She said it takes just a few minutes to apply, allowing the person to go about their lives. "Their daily routines aren't interrupted as often," she said. Since Greenville County Drug Court started using the patch, 910 sweat patches have been applied and 57 have registered positive, Strom said. Of the 57 positive tests, four people didn't later admit to the test or the results weren't confirmed by another test, she said. Three of those four people are contesting the sweat patch. A fourth person is a fugitive, she said. While Gibson declined to allow his client to talk while the case was still under the judge's consideration, Perkins' mother, Carolyn, says Drug Court rescued her son from a 15-year drug habit. She said it helped him stay sober for the last year. She believed him when he called her earlier this year from jail, swearing he didn't violate the program's conditions. "This was the first time he asked for help," she said. Attorneys for the three, however, say participants who test positive are strongly encouraged to admit to using drugs or face termination for not being honest, a cornerstone of the program. "They're told to be truthful or face the consequences," said Jim Bannister, attorney for one of the three. "The consequences of being truthful are being kicked out of the drug court program." Circuit Judge Charles Simmons decided to have a termination hearing for the three defendants to hear evidence regarding the reliability of the patch. Attorneys for the three called Dr. David Kidwell, a research scientist with the Naval Research Laboratory in Washington, D.C., to testify as a private citizen about his findings about the patch. Kidwell said testing shows drugs are very difficult to remove from a user's skin and could show up on the patch if their skin hasn't been cleansed well, even if they've not used drugs for a while. He said addicts who are now clean but still live in an environment surrounded by drugs are subject to having drugs make contact with the patch. He said the drugs can easily seep through from the outside. Paul L. Cary, director of the Toxicology & Drug Monitoring Laboratory at the University of Missouri Health Care, testified on behalf of the Solicitor's Office. He said no human endeavor is fail-safe, but the sweat patch is accepted by the majority of experts in the scientific community as an accurate and reliable method to test for drug use. Experts say they don't agree on an accuracy rate for the sweat patch, and that's why the courts have had to become involved. "That's the question the court is really trying to answer," Cary said. Kidwell said he doesn't recommend a drug court program stop using the sweat-patch, but he does want results verified with a urine test. Strom said that if a person used drugs on the first day he puts on the patch it wouldn't show up on a urine test done two weeks later. Gibson said he doesn't think that ensuring there are no false positives is a priority of the Solicitor's Office. "I think they're sort of willing to take the risk that some people who have not in fact used drugs but come up positive on this sweat patch are going to get kicked out of the program," he said. "I think they're OK with that." Strom said allowing the participants to change the rules of the program could ultimately undermine it. "These people voluntarily go into this program," she said. "If the person doesn't think we're doing what we should be doing, they don't have to come into the program." Perkins praised the program for helping her son. She said, though, that she hopes they stop using the sweat patch. "It is too unreliable to be relied on to take people's lives away from them," she said. Staff Writer Andy Paras covers crime and courts. He can be reached at 298-4220. - --- MAP posted-by: Keith Brilhart