Army Substance Abuse Program (ASAP) - Prevention, Identification, and Rehabilitation, Study notes of Design

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Army Regulation 600–

Personnel—General

Army

Substance

Abuse

Program

(ASAP)

Headquarters Department of the Army Washington, DC 1 October 2001

UNCLASSIFIED

SUMMARY of CHANGE

AR 600–

Army Substance Abuse Program (ASAP)

This revision--

o Changes the name of the Army’s Alcohol and Drug Abuse Prevention and Control Program (ADAPCP) to the Army Substance Abuse Program (ASAP) (title page).

o Designates and clarifies command and clinical responsibilities at all levels. Commands will provide leadership and supervision for the non-clinical elements of the ASAP, with primary focus on installations’ prevention and education programs. Counseling and treatment services provided by the ASAP clinical staff will be overseen by The Surgeon General (TSG), with local supervision by the Medical Treatment Facility commander (para 1-6 and 1-7).

o Retains the Alcohol and Drug Control Officer as the single point of contact for administrative non-clinical elements of the ASAP at the installation (para.1-16 b (1))0.

o Modifies the Clinical Director’s rating scheme so that the rating will be accomplished by the Clinical Consultant, with intermediate rating by the rater of the installation Alcohol and Drug Control Officer, and senior rating by the Deputy Commander for Clinical Services (para. 1-10e).

o Allows authority for the clinical portions of the ASAP to be in the hands of appropriate personnel, while ensuring the needs of the command continue to be met. Makes clear that only a qualified clinician can design and implement treatment. Clinical disagreements will be resolved jointly by a Colonel (that is, the soldier’s commander may appeal to the first Colonel in the chain of command) and the Medical Treatment Facility commander, who has the final authority. Retains the unit commander’s responsibility to determine rehabilitation success or failure as a function of performance (para 3-10).

o Assigns oversight of the clinical segment of the ASAP to TSG and the U.S. Army Medical Command who must approve all changes regarding clinical issues. The Director, Army Center for Substance Abuse Programs is responsible for the oversight of the non-clinical components (para 1-6 and 1-7).

o Assigns management and oversight functions of the drug testing labs, to include pre-screening lab operations, to The Surgeon General and the U.S. Army Medical Command. The Director, Army Center for Substance Abuse Programs is responsible for the management and oversight of the command elements of the biochemical testing program (para 1-6 and 1-7).

o Establishes policies and procedures for fitness for duty testing for alcohol (para. 1-33).

o Mandates that all soldiers who are identified as illegal drug users will be processed for administrative separation (para. 1-35).

Headquarters Department of the Army Washington, DC 1 October 2001

Personnel—General

Army Substance Abuse Program (ASAP)

*Army Regulation 600– 85

Effective 15 October 2001

H i s t o r y. T h i s p u b l i c a t i o n p u b l i s h e s a revision of this publication. Because the publication has been extensively revised, t h e c h a n g e d p o r t i o n s h a v e n o t b e e n highlighted. Summary. This regulation has been ex- tensively revised and governs the ASAP. It identifies Army policy on alcohol and other drug abuse, and assigns responsibili- ties for implementing the program. Applicability. This regulation applies to the Active Ar m y , t h e A r m y N a t i o n a l

Guard of the United States, the Army Na- tional Guard, the U.S. Army Reserve, and Department of the Army Civilian Employ- ees. Chapter 12 deals specifically with the A r m y N a t i o n a l G u a r d o f t h e U n i t e d States, while chapter 13 deals with Army Reserve soldiers. Chapter 14 deals with Department of the Army civilian employ- ees, military and civilian employee family members, and military retirees. Proponent and exception authority. The proponent of this regulation is the D e p u t y C h i e f o f S t a f f f o r P e r s o n n e l (DCSPER). The DCSPER has the author- ity to approve exceptions to this regula- tion that are consistent with controlling law and regulations. The DCSPER may delegate this approval authority in writing to a division chief within the proponent’s agency in the rank of Colonel or the civil- ian equivalent Army management control process. This regulation contains management con- trol provisions and identifies key manage- ment controls that must be evaluated. Supplementation. Supplementation of this regulation and establishment of forms other than Department of the Army forms

are prohibited without prior approval of the Deputy Chief of Staff for Personnel, H Q D A ( A T T N : D A P E - H R - A S A P ) , Washington, DC, 20310-0300.

Suggested Improvements. Users are invited to send comments and suggested improvements on DA Form 2028 (Recom- m e n d e d C h a n g e s t o P u b l i c a t i o n s a n d Blank Forms) directly to HQDA (ATTN: D A P E - H R - A S A P ) , W a s h i n g t o n , D C 20310-0300. Changes to clinical aspects of this regulation must be approved by USAMEDCOM.

Distribution. This publication is availa- ble in electronic media only and is in- tended for command levels A, B, C, D, and E for Active Army, Army National Guard, and U.S. Army Reserve.

Contents (Listed by paragraph and page number)

Chapter 1 General, page 1 Purpose • 1–1, page 1 References • 1–2, page 1 Explanation of abbreviations and terms • 1–3, page 1 The Deputy Chief of Staff for Personnel (DCSPER) • 1–4, page 1 The Director of Human Resources (DHR) • 1–5, page 1 The Director, Army Substance Abuse Program • 1–6, page 1 The Surgeon General (TSG)/USAMEDCOM • 1–7, page 2 The Judge Advocate General (TJAG) • 1–8, page 3 Commanders of regional medical commands (RMCs) • 1–9, page 3 Commanders of MEDDAC/MEDCENs • 1–10, page 3 The Chief, National Guard Bureau (CNGB) • 1–11, page 3 The Chief, Army Reserve (CAR) • 1–12, page 3 Commanders of MACOMs with installation, community or equivalent organizations • 1–13, page 3

*This regulation supersedes AR 600-85 dated 3 November 1986 and rescinds DA Form 5018-R, dated November 1981.

AR 600–85 • 1 October 2001 i

UNCLASSIFIED

Contents—Continued

Glossary

• ADCOs at MACOMs • 1 – 14, page
• Commanders of other MACOMs without installation, community or equivalent organizations • 1 – 15, page
• Installation, community, garrison, or equivalent commanders • 1 – 16, page
• Installation ADCOs • 1 – 17, page
• Installation EAPCs and PCs • 1 – 18, page
• Installation IBTCs • 1 – 19, page
• Installation CDs • 1 – 20, page
• Installation PMs • 1 – 21, page
• Installation safety officers • 1 – 22, page
• Installation risk reduction coordinators • 1 – 23, page
• Installation prevention team (IPT) members • 1 – 24, page
• Commanders of corps, division, brigade, and battalions • 1 – 25, page
• Commanders of companies, detachments, and equivalent units • 1 – 26, page
• Unit prevention leaders (UPLs) • 1 – 27, page
• Manpower staffing • 1 – 28, page
• Program authority • 1 – 29, page
• ASAP mission/objectives • 1 – 30, page
• ASAP principles • 1 – 31, page
• ASAP eligibility criteria • 1 – 32, page
• Alcohol policies and controls • 1 – 33, page
• Alcohol sanctions • 1 – 34, page
• Illegal drugs and sanctions • 1 – 35, page
• Law enforcement relationship to the ASAP • 1 – 36, page
• Chapter
• Alcohol and Other Drug Abuse Prevention, page
• General, page Section I
• Definition of prevention • 2 – 1, page
• Alcohol and other drug abuse prevention objectives • 2 – 2, page
• Prevention policies • 2 – 3, page
• Prevention Strategies, page Section II
• Community-based processes/initiatives • 2 – 4, page
• Risk reduction program (RRP) • 2 – 5, page
• Substance abuse prevention and awareness training • 2 – 6, page
• Evaluation of prevention initiatives • 2 – 7, page
• Alcohol and other drug abuse control actions • 2 – 8, page
• Law enforcement and drug suppression activities • 2 – 9, page
• Prevention, education, and training expenditures • 2 – 10, page
• Chapter
• Identification, Referral, Screening, Evaluation, and the Rehabilitation Team, page
• Identification • 3 – 1, page
• Voluntary (self-identification) • 3 – 2, page
• Commander/supervisor identification • 3 – 3, page
• Biochemical identification • 3 – 4, page
• Medical identification and investigation and/or apprenhension • 3 – 5, page
• Medical Review Officers • 3 – 6, page
• Commander’s actions for referring soldiers suspected of alcohol or drug abuse • 3 – 7, page
• Self referrals • 3 – 8, page
• Other referrals • 3 – 9, page
• Screening • 3 – 10, page
• ii AR 600– 85 • 1 October
• Medical evaluation • 3 – 11, page Contents—Continued
• Rehabilitation team • 3 – 12, page
• Chapter
• Soldier Rehabilitation Process, page
• Introduction, page Section I
• General • 4 – 1, page
• Rehabilitation objectives • 4 – 2, page
• Rehabilitation elements • 4 – 3, page
• Rehabilitation team concept • 4 – 4, page
• Rehabilitation Procedures, page Section II
• Referral methods, biopsychosocial assessment, and treatment determination • 4 – 5, page
• Rehabilitation/treatment program • 4 – 6, page
• Determining rehabilitation progress • 4 – 7, page
• Type and frequency of treatment • 4 – 8, page
• Rehabilitation/treatment appointments • 4 – 9, page
• Return to duty • 4 – 10, page
• Reassignment while enrolled in the ASAP (permanent change of station loss or gain) • 4 – 11, page
• Self-help support organizations • 4 – 12, page
• Transfer to VA medical facilities • 4 – 13, page
• Unacceptable rehabilitation modalities • 4 – 14, page
• Clinical privilege and certification requirements • 4 – 15, page
• Detoxification, page Section III
• General • 4 – 16, page
• Line of duty determination • 4 – 17, page
• Quality improvement, clinical staff competency • 4 – 18, page
• Chapter
• Personnel Actions During Rehabilitation, page
• General • 5 – 1, page
• Deployment • 5 – 2, page
• Leave policy during rehabilitation • 5 – 3, page
• Suspension from duty • 5 – 4, page
• Separation actions for alcohol and other drug abuse • 5 – 5, page
• Reenlistment during enrollment in the ASAP • 5 – 6, page
• Suspension of favorable actions • 5 – 7, page
• Chapter
• Legal Aspects, Limited Use Policy, and Confidentiality, page
• Introduction, page Section I
• Overview • 6 – 1, page
• Biochemical testing • 6 – 2, page
• Limited Use Policy, page Section II
• Objective • 6 – 3, page
• Definition of “Limited Use Policy” • 6 – 4, page
• Implementation of limited use • 6 – 5, page
• Separation actions • 6 – 6, page Contents—Continued
• Military Confidentiality, page Section III
• Confidentiality of military patient ASAP information within the Armed Forces • 6 – 7, page
• Confidentiality of military client ASAP information outside the Armed Forces • 6 – 8, page
• Authority • 6 – 9, page
• Penalties • 6 – 10, page
• Releasing ASAP Information to the Media, page Section IV
• Releasing information to news media • 6 – 11, page
• Guidelines for releasing information • 6 – 12, page
• Administration • 6 – 13, page
• Chapter
• Special Provisions for Military Personnel in Critical Safety or Security Positions, page
• General • 7 – 1, page
• Personnel in sensitive security positions • 7 – 2, page
• Personnel reliability program (PRP) • 7 – 3, page
• Reporting disqualifying information • 7 – 4, page
• PRP urinalysis testing requirements • 7 – 5, page
• Aviation personnel and alcohol and drug abuse • 7 – 6, page
• Chapter
• Biochemical Testing, page
• Objectives • 8 – 1, page
• Policy • 8 – 2, page
• Biochemical testing programs • 8 – 3, page
• Retesting of positive FTDTL specimens • 8 – 4, page
• Requesting urinalysis documents • 8 – 5, page
• Chapter
• Management Information System, page
• General • 9 – 1, page
• ASAP reporting procedures • 9 – 2, page
• USAMEDCOM reporting requirements • 9 – 3, page
• Department of Transportation (DOT) reporting requirements • 9 – 4, page
• ASAP patient medical records • 9 – 5, page
• ASAP patient medical record filing procedures • 9 – 6, page
• Management information feedback reports • 9 – 7, page
• Chapter
• Program Evaluation, page
• Scope • 10 – 1, page
• Staff assistance inspection (SAI) and Installation biochemical testing program inspection (IBTPI) • 10 – 2, page
• Chapter
• ASAP Non-clinical and Clinical Staff Training, page
• General • 11 – 1, page
• Non-clinical DA sponsored staff training • 11 – 2, page
• Leadership training and schools • 11 – 3, page
• Training products • 11 – 4, page
• ASAP staff certification • 11 – 5, page
• Clinical USAMEDCOM sponsored training • 11 – 6, page
• iv AR 600– 85 • 1 October
• Deployment training • 11 – 7, page Contents—Continued
• Chapter
• page Army Substance Abuse Program (ASAP) in the Army National Guard of the United States (ARNGUS),
• General, page Section I
• Scope • 12 – 1, page
• Applicability • 12 – 2, page
• Scope of Duties, page Section II
• The Director, Army National Guard (ARNG) • 12 – 3, page
• The Chief Surgeon, ARNG • 12 – 4, page
• The Director, Counterdrug Directorate, National Guard Bureau (NGB-CD) • 12 – 5, page
• The Chief, Substance Abuse Branch • 12 – 6, page
• The State Adjutants General • 12 – 7, page
• State ADCOs • 12 – 8, page
• Major Army Command Alcohol Drug Control Officers • 12 – 9, page
• Unit Prevention Leaders (UPLs) • 12 – 10, page
• Policies and Procedures, page Section III
• Policies • 12 – 11, page
• Funding considerations • 12 – 12, page
• Alcohol Drug Intervention Council (ADIC) • 12 – 13, page
• Referral of alcohol and illegal drug abusers to the ARNG ASAP • 12 – 14, page
• Rehabilitation • 12 – 15, page
• State MROs • 12 – 16, page
• Administratively separating drug abusers • 12 – 17, page
• Biochemical testing guidance • 12 – 18, page
• Management information system • 12 – 19, page
• Evaluation • 12 – 20, page
• Quota allocation process • 12 – 21, page
• Military justice • 12 – 22, page
• Chapter
• Army Substance Abuse Program (ASAP) in the U.S. Army Reserve (USAR), page
• General, page Section I
• Scope • 13 – 1, page
• Applicability • 13 – 2, page
• Duties, page Section II
• The Chief, Army Reserve (CAR) • 13 – 3, page
• Commander, USAR Personnel Command (AR-PERSCOM) • 13 – 4, page
• Commanders of area commands • 13 – 5, page
• Area command ADCOs • 13 – 6, page
• Commanders of major U.S. Army Reserve commands (MUSARCs) • 13 – 7, page
• MUSARC ADCOs • 13 – 8, page
• Policies and Procedures, page Section III
• Policies • 13 – 9, page Contents—Continued
• Prevention and control • 13 – 10, page
• Referral of alcohol and illegal drug users in the USAR ASAP • 13 – 11, page
• Rehabilitation • 13 – 12, page
• Medical Review Officers • 13 – 13, page
• Biochemical testing guidance • 13 – 14, page
• Management information system • 13 – 15, page
• Evaluation • 13 – 16, page
• Military justice • 13 – 17, page
• Chapter
• Army Substance Abuse Program (ASAP) Civilian Services, page
• Introduction, page Section I
• Policies • 14 – 1, page
• Eligibility • 14 – 2, page
• Labor relations • 14 – 3, page
• Areas of Responsibility, page Section II
• page MACOM employee assistance program administrator (EAPA)/prevention program administrator (PPA) • 14 – 4,
• Installation ADCOs • 14 – 5, page
• Civilian Personnel Advisory Center (CPAC) • 14 – 6, page
• Civilian personnel operations center (CPOC) • 14 – 7, page
• Installation EAPCs • 14 – 8, page
• Supervisors of DA civilians • 14 – 9, page
• Employee Assistance Program (EAP), page Section III
• Screening and referral • 14 – 10, page
• Medical evaluations • 14 – 11, page
• Patient costs • 14 – 12, page
• Participation of family members (military or civilian) • 14 – 13, page
• Confidentiality of patient records • 14 – 14, page
• Confidentiality of alcohol and other drug tests results • 14 – 15, page
• Drug-free Federal Workplace (DFW) Program, page Section IV
• Objectives • 14 – 16, page
• Applicability • 14 – 17, page
• DFW program drug testing categories • 14 – 18, page
• Drug testing procedures • 14 – 19, page
• Drug-free Federal Workplace Testing Designated Positions • 14 – 20, page
• Identification of additional TDPs • 14 – 21, page
• Relationship with disciplinary and adverse actions • 14 – 22, page
• Specimen collection • 14 – 23, page
• Medical review and reporting of DFW test results • 14 – 24, page
• Contractor requirements • 14 – 25, page
• Additional Testing Designated Positions within the U.S. Army Corp of Engineers • 14 – 26, page
• DOT Drug and Alcohol Testing Program, page Section V
• Objectives • 14 – 27, page
• Applicability • 14 – 28, page
• vi AR 600– 85 • 1 October
• Safety-sensitive functions • 14 – 29, page Contents—Continued
• DOT prohibited conduct and consequences • 14 – 30, page
• Department of Transportation categories of testing • 14 – 31, page
• Department of Transportation testing procedures and required education and training • 14 – 32, page
• Department of Transportation frequency of random alcohol and other drug testing • 14 – 33, page
• Specimen collection for DOT drug testing • 14 – 34, page
• Medical review and the reporting of DOT drug test results • 14 – 35, page
• Alcohol testing • 14 – 36, page
• SAP evaluation, referral, and follow-up • 14 – 37, page
• DOT management information requirements • 14 – 38, page
• A. References and Terms, page Appendixes
• B. Unit Commander’s guide to the Army Substance Abuse Program (ASAP), page
• C. MANAGEMENT CONTROL EVALUATION CHECKLIST, page
• D. PROGRAM EVALUATION TEST QUESTIONS, page
• E. Standing Operating Procedures (SOP) For Urinalysis Collection, Processing and Shipping, page
• F. Program Evaluation Test Questions, page
• Figure B–1: Alcohol and/or other drug abuse process., page Figure List
• Figure B–2: Positve drug test process., page

clinical ASAP staff. Establish selection criteria and provide allocations for nominees to attend special training sponsored by DA. p. Conduct assistance visits to MACOMs and installations to assess implementation of ASAP policies and procedures. q. Maintain non-clinical staffing inventory data for the ASAP worldwide. r. Serve as DA’s lead agency on all issues related to drug demand reduction (non-clinical) programs and alcohol abuse prevention. s. Serve as DA’s proponent for the RRP that complements the Army Safety Center Risk Management Process. t. Manage all operational aspects of the RRP. u. Coordinate with appropriate DOD, DA, and civilian agencies in the conduct of the RRP. v. Serve as the subject matter expert supporting the Army Civilian Training and Education System with training development and analysis for all non-clinical ASAP positions. w. Ensure DA programs comply with the Office of National Drug Control Policy (ONDCP) and the National Drug Control Strategy. x. Provide services such as marketing, training, data processing, analysis, evaluation, guidebooks, operational guidance products and reports to DOD, DA, MACOMs, and installations. y. Administer the duties of the Contract Officer Representative (COR) addressed in the Memorandum of Under- standing between U.S. Army Medical Command and the Office of the Deputy Chief of Staff for Personnel outlining duties and responsibilities regarding the ACSAP contracted Adolescent Substance Abuse Counseling Services (ASACS) program. z. Manage the command elements of the biochemical-testing program. aa. Inspect all command elements of the biochemical-testing program for compliance with regulation. bb. Provide operational guidance regarding alcohol testing, urine collection, chain of custody, handling and ship- ping, training of Unit Prevention Leaders (UPLs) and Installation Biochemical Test Coordinators (IBTCs). cc. Collect and monitor all biochemical statistical data for the Director of Human Resources (DHR). dd. Manage and distribute drug testing quota allocations.

1 – 7. The Surgeon General (TSG)/USAMEDCOM TSG will— a. Develop policies, standards, and doctrine pertaining to all clinical elements of the ASAP, which include medical identification, referral, screening, evaluation, treatment, and follow-up. b. Program, manage, and provide clinical resources, funds, and professional services as required to administer the clinical elements of the ASAP at all levels. c. Provide input for content and assist in providing clinical aspects of prevention, education, and training. d. Provide continuing education and training for assigned ASAP clinical staff. e. Conduct credentials review and serve as approval authority for ASAP clinical staff. f. Manage the drug testing labs that support the Army’s Biochemical Testing Program (to include pre-screening lab operations). g. Provide operational guidance for drug testing labs that support the Army’s Biochemical Testing Program (to include pre-screening lab operations). h. Manage drug testing lab contracts that support the Army’s Biochemical Testing Program as directed by the DCSPER. i. Provide all necessary biochemical statistical data to Director, ACSAP. j. Exercise staff supervision over the ASAP medical and clinical elements through the specific geographic area regional medical commands (RMCs). k. Coordinate ASAP clinical policy with the Director, ASAP. l. Develop medical aspects of alcohol and other drug abuse prevention, education, and training, which include health care personnel, and assessment of deployable units. m. Develop and promote wellness/fitness and health promotion activities supporting the garrison in coordination with alcohol and other drug abuse demand reduction and prevention efforts of the ASAP. n. Evaluate clinical functions and provide evaluation summaries to the Director, ASAP for integration into a total program assessment. o. Provide Medical Review Officer (MRO) services for military and civilian personnel drug testing. p. Provide Substance Abuse Professional (SAP) services for civilian alcohol testing. q. Provide for three Army biochemist (71Bs) at each Army Forensic Drug Testing Laboratory to fill the positions of Commander, Deputy Commander, and Executive Officer.

2 AR 600– 85 • 1 October 2001

1 – 8. The Judge Advocate General (TJAG) TJAG will— a. Evaluate the legal aspects of the ASAP. b. Review forensic specimen handling procedures (chain of custody) and other biochemical testing program ele- ments for legal sufficiency.

1 – 9. Commanders of regional medical commands (RMCs) Commanders of RMCs — a. Provide oversight for the ASAP counseling centers staffed by the Medical Department Activity (MEDDAC) and/ or Medical Centers (MEDCENs) within the RMC’s area of responsibility, through their appointed ASAP RMC point of contacts (POCs). b. Ensure medical resources are available to conduct the required medical review of military and civilian drug tests results. c. Ensure the clinical services provided by all ASAP counseling centers within their geographical area of responsi- bility satisfy the current Accreditation Standards for Hospitals in accordance with current DOD policy directives.

1 – 10. Commanders of MEDDAC/MEDCENs Commanders of MEDDAC/MEDCENs will— a. Provide adequate and appropriate administrative support, medical services, clinical support, and consultation services necessary for quality clinical services in support of the ASAP counseling centers. b. Ensure the ASAP counseling centers in their areas of responsibility comply with appropriate medical guidance for accreditation. c. Exercise staff supervision and management of clinical staff assigned to the ASAP. d. Appoint on orders a physician as Clinical Consultant (CC) to provide medical and clinical consultation and to ensure the quality of all clinical professional services in the area of addiction medicine. e. Designate a civilian Clinical Director (CD), who generally will be rated by the CC, with intermediate rating by the rater of the installation ADCO, and senior rated by the Deputy Commander for Clinical Services. f. Designate a qualified SAP to be responsible for duties identified in Department of Transportation/Federal Highway Administration (DOT/FHWA) guidance in 49 CFR, Parts 40 and 382, governing alcohol and other drug testing of civilians requiring commercial driver’s licenses. g. Ensure close coordination of the clinical aspects with the non-clinical aspects of ASAP.

1 – 11. The Chief, National Guard Bureau (CNGB) The CNGB will— a. Recommend policies and operational tasks to the DCSPER regarding ARNG soldiers and their families’ participa- tion in the ASAP. (See chap 12 of this regulation for specific ARNG guidance.) b. Ensure ARNG units comply with ASAP policies. c. Advise the DCSPER regarding alcohol and other drug abuse and the impact of the ASAP on the ARNG.

1 – 12. The Chief, Army Reserve (CAR) The CAR will— a. Recommend policies and operational tasks to the DCSPER regarding the participation of USAR soldiers and their families’ participation in the ASAP. (See chap 13 of this regulation for specific USAR guidance.) b. Ensure USAR units comply with ASAP policies. c. Advise the DCSPER regarding alcohol and other drug abuse and the impact of the ASAP on the USAR.

1 – 13. Commanders of MACOMs with installation, community or equivalent organizations Commanders of MACOMs will— a. Resource and staff the MACOM ASAP and support both Major Subordinate Commands (MSCs) and installation programs to achieve the objectives of the program and to respond to the needs of the commanders and supervisors. b. Designate an ADCO and an EAP Administrator (EAPA)/Prevention Program Administrator (PPA) as centralized

AR 600– 85 • 1 October 2001 3

and Puerto Rico) to instruct and assist individuals in the alcohol testing process and to operate an evidential breath testing device in accordance with DOT guidelines. (6) At the commander’s discretion, Risk Reduction Coordinators may be appointed to facilitate risk reduction activities. c. Establish a local Human Resource Council (HRC) or other appropriate human service coordination forum to focus on substance abuse prevention and risk reduction. (See para 2-4b of this regulation for information on HRC operations.) d. Establish an Installation Prevention Team (IPT) and approve the Installation Prevention Plan (IPP) developed by the team for installation-wide implementation of substance abuse prevention and risk reduction programs and activities under this regulation. e. Exercise direct supervision of the installation ADCO. f. Notify the local Medical Treatment Facility (MTF) commander of any indications that ASAP clinical functions are not being provided in accordance with Army Regulations. g. Support law enforcement and drug suppression activities by ensuring the following— (1) Continuous command presence in installation living, working, and recreational areas to reduce alcohol and other drug abuse. (2) Immediately report all offenses involving illegal possession, use, sale, or trafficking in drugs or drug parapherna- lia to the Provost Marshal (PM) for investigation or referral to the USACIDC. This includes all (random/command directed) positive test results that do not require a medical review as directed by USAMEDCOM. Positive test results that require MRO review as directed by USAMEDCOM will not be reported until receipt of the MRO’s findingsand coordination with the local staff judge advocate (SJA)/legal advisor. (3) ADCOs or their representatives are provided with the complete DA Form 3997 (Military Police Desk Blotter) on a daily basis. The ADCO will promptly furnish this information to the CD. (4) All suspected alcohol and other drug abusers, including those in military confinement facilities, are referred to their commanders for follow-up action promptly. h. Support positive and nonattributional approaches to risk reduction. i. Provide an infrastructure for collaborative efforts at risk reduction on the part of human service support agencies and all levels of command at the installation. j. Facilitate business processes and structures to support RRP. k. Establish, support, and conduct evaluations in accordance with the AEP and MACOM supplements. l. Evaluate IPPs annually.

1 – 17. Installation ADCOs Installation ADCOs will— a. Provide direct supervision, management, and administration over all non-clinical personnel staff and programs. b. Prepare installation ASAP non-clinical budget submissions and monitor execution of the funding. c. Develop, coordinate, and recommend local ASAP non-clinical policies and procedures for implementation. d. Manage and monitor the biochemical testing program (see chap 14 for information on specific requirements related to the civilian an other drug testing.) e. Serve as the coordinator of all substance abuse/risk reduction issues for the HRC or similar forum. f. Monitor and evaluate the commander referral rate and the evaluation completion rate, and provide quarterly reports to the installation commander and the Director ACSAP. g. Ensure there is a continuous and comprehensive ASAP staff training plan for all non-clinical staff to enhance professional skills. h. Establish communication, referral network, and administrative coordination between military units and civilian activities to facilitate the effectiveness of non-clinical ASAP programs. i. Provide commanders and supervisors with ASAP consultation to assist in the identification and referral of individuals suspected of alcohol and/or other drug abuse and in the non-clinical functions of the Army’s program. j. Maintain non-clinical ASAP, and EAP records and authenticate all non-clinical ASAP reports furnished to higher headquarters. k. Institute procedures and strategies designed to enhance the deterrent effect of drug testing. l. Consult with the ASAP clinical staff, local law enforcement personnel, and other installation personnel in designing and implementing the IPP. m. Evaluate all prevention education and training aspects of the local ASAP at the end of the fiscal year and, using input from the PCs, forward through the MACOM ADCO to the Director, ASAP, a written report of the installation prevention program activities and accomplishments. n. Restrict notification of positive test results to the soldier’s unit commander, the garrison or similiar level commander, and when requested, the supporting legal office.

AR 600– 85 • 1 October 2001 5

1 – 18. Installation EAPCs and PCs EAPCs will administer the ASAP employee assistance program. (See para 14–8 of this regualation for a list of program duties.) PCs will— a. Promote ASAP services using marketing, networking, and consulting strategies. b. Ensure all military and civilian personnel are provided prevention education services (that is, a minimum of 4 hours annually for military personnel and 3 hours for civilian employees). DOT-designated positions and other high- risk civilian positions should receive more intensive training pertaining to their jobs. c. Train combat stress control medical units and division and brigade mental health sections to provide substance abuse prevention and education, and risk reduction training during deployment. d. Maintain liaison and coordination with the installation-training officer to assist in integrating the preventive education and training efforts into the overall installation-training program. e. Design, develop, and administer target group-oriented alcohol and other drug prevention education and training programs in coordination with the ASAP staff and other installation prevention professionals. f. Maintain liaison with schools serving military family members, civic organizations, civilian agencies, and military organizations to integrate the efforts of all community preventive education resources. g. Oversee the UPL training program. h. Maintain lists of available continuing education and training courses and workshops provided by ACSAP, MACOMs, and appropriate civilian agencies for ASAP non-clinical staff and coordinate allocations for military and civilian training courses through the MACOM. i. Address military community risk levels and work toward reducing the risk factors.

1 – 19. Installation IBTCs IBTCs will— a. Operate a forensically secure installation biochemical testing program control point. Serve as the installation subject matter expert on urinalysis collection and testing. b. Augment the installation Inspector General inspection teams. c. Ensure that unit urine collections are performed as required. d. Provide technical assistance and support the UPL cetification training program. e. Advise unit commanders and ADCOs on program utilization and test results. f. Manage expenditures and supplies.

1 – 20. Installation CDs CDs will— a. Administer and manage the treatment and quality assurance functions of the ASAP. b. Ensure the ASAP clinical program and the physical facility meet the MTF accrediting standards in accordance with DODD 6025.13. c. Provide quarterly reports, clinical data (for example, referral and evaluation completion rates, number of enroll- ments by alcohol and drug, and number of success/failures) to the installation ADCO who will include the data in the ASAP information routinely forwarded to the installation commander. d. Inform the ADCO of issues affecting the ASAP program. e. Ensure ASAP screening, evaluations, and command consultations are performed as required. f. Ensure forms are completed and submitted to ACSAP in a timely manner. g. Conduct in-service training, supervise the ASAP counselors and ensure the counselors maintain privileges to perform their assigned clinical responsibilities. h. Appoint an ASAP clinician to serve as a member of the Family Advocacy Case Management Team.

1 – 21. Installation PMs PMs will— a. Screen all incident reports for possible alcohol or other drug abuse involvement and provide them to the ADCO for review and subsequent transfer of those reports to the CD and others as appropriate. b. Coordinate all alcohol and other drug abuse countermeasures with the ADCO. c. Support the ADCO on matters pertaining to the alcohol testing of DOT-designated positions. d. Maintain liaison and coordinate alcohol and other drug abuse countermeasures with the local elements of the USACIDC and with Federal, State, and local law enforcement agencies, as well as traffic, safety, and customs agencies, and ASAP. When appropriate, include host country agencies to minimize the incidence of alcohol and other drugs as causative factors in traffic accidents and/or criminal acts.

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1 – 28. Manpower staffing Manpower resources for the ASAP have been provided at all levels of command. Reprogramming of manpower resources allocated for ASAP functions is not authorized. a. Non-clinical resources: Non-clinical staffing consists of those positions listed in paragraph 1-16b of this regula- tion (that is, ADCO, PC, EAPC, IBTC, and IBAT) and whatever additional staff are necessary to ensure compliance with DA policies and meet local needs for effective operation of the ASAP. b. Clinical resources: Clinical staffing consists of counselors, clinical directors, clinical consultants, medical review officers, and substance abuse professionals, and whatever additional positions are necessary to ensure compliance with DA policies and meet local needs for effective operation of the ASAP clinical program. Army Medical Department (AMEDD) or clinical personnel will not serve as ADCOs except within USAMEDCOM activities. ADCOs will not serve as CDs.

1 – 29. Program authority a. On 28 September 1971, Public Law (PL) 92-129, mandated that the Secretary of Defense develop programs for the identification, treatment, and rehabilitation of alcohol or other drug dependent persons in the Armed Forces. In turn, the Secretary of Defense requires each of the Services to develop alcohol and other drug abuse prevention and control programs in accordance with DODD 1010.4. In response to this directive, the Army conducts a comprehensive program to prevent and control the abuse of alcohol and other drugs. b. The civilian aspects of the ASAP were developed in response to PL 92-255 and PL 91-616. Additional authority for ASAP civilian services can be found in appendix A.

1 – 30. ASAP mission/objectives The ASAP’s mission is to strengthen the overall fitness and effectiveness of the Army’s total workforce and to enhance the combat readiness of its soldiers. The following are the objectives of the ASAP: a. Increase individual fitness and overall unit readiness. b. Provide services, which are adequate and responsive to the needs of the total workforce and emphasize alcohol and other drug abuse deterrence, prevention, education, and treatment. c. Implement alcohol and other drug risk reduction and prevention strategies that respond to potential problems before they jeopardize readiness, productivity, and careers. d. Restore to duty those substance-impaired soldiers who have the potential for continued military service. e. Provide effective alcohol and other drug abuse prevention and education at all levels of command, and encourage commanders to provide alcohol and drug-free leisure activities. f. Ensure all military and civilian personnel assigned to ASAP staffs are appropriately trained and experienced to accomplish their mission. g. Achieve maximum productivity and reduce absenteeism and attrition among DA civilian employees by reducing the effects of the abuse of alcohol and other drugs. h. Improve readiness by extending services to the total Army. i. Ensure quality customer service.

1 – 31. ASAP principles The ASAP is a command program that emphasizes readiness and personal responsibility. The ultimate decision regarding separation or retention of abusers is the responsibility of the soldier’s chain of command. The command role in the prevention, biochemical testing, early identification of problems, rehabilitation, and administrative or judicial actions is essential. Commanders will ensure that all officials and supervisors support the ASAP. Adequate publicity will be given to ASAP to ensure that military personnel, eligible civilian employees, and family members are aware of the commander’s support and of the availability of information, referral, and treatment services. Proposals to provide ASAP services that deviate from procedures prescribed by this regulation must be approved by the Director, ASAP. Deviations in clinical issues require approval of USAMEDCOM. In either case, approval must be obtained before establishing alternative plans for services (as required for isolated or remote areas, or special organizational structures). The Army maintains the following principles: a. Abuse of alcohol or the use of illicit drugs by both military and civilian personnel is inconsistent with Army values and the standards of performance, discipline, and readiness necessary to accomplish the Army’s mission. b. Unit commanders must intervene early and refer all soldiers suspected or identified as alcohol and/or drug abusers to the ASAP. The unit commander should recommend enrollment based on the soldier’s potential for continued military service in terms of professional skills, behavior, and potential for advancement. c. ASAP participation is mandatory for all soldiers who are command referred. Failure to attend a mandatory counseling session may constitute a violation of Article 86 of the Uniform Code of Military Justice (UCMJ). d. Alcohol and/or other drug abusers, and in some cases dependent alcohol users, may be enrolled in the ASAP when such enrollment is clinically recommended. e. Soldiers who fail to participate adequately in, or to respond successfully to, rehabilitation will be processed for

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administrative separation and not be provided another opportunity for rehabilitation except under the most extraordi- nary circumstances, as determined by the CD in consultation with the unit commander. f. Alcohol and other drug abuse will be addressed in a single program. Treatment services will generally be short- term and conducted in a manner that supports the military environment. g. Unit commanders retain their authority to make personnel decisions such as initiation of separation from service, bar to reenlistment, extension on active duty to permit reenlistment. Unit commanders retain their authority to make mission related decisions, including field training or deployment, even though such actions may interfere with the treatment plan. Chapter 5 provide further details regarding personnel actions during ASAP enrollment. The treatment team in coordination with the commander will make clinical decisions. If the unit commander disagrees with the clinical decisions, the first Colonel in the soldier’s chain of command may be requested to intercede with the MTF commander on the unit commander’s behalf. In all circumstances, the MTF commander has final treatment decision authority and the soldier’s chain of command has final administrative or command authority. If a unit commander believes a soldier does not have the potential for future service, the soldier will be processed for administrative separation in accordance with AR 600-8-24 or AR 635-200, as appropriate. If treatment is clinically indicated, the soldier will be provided treatment until separation. h. Supervisors will refer any DA civilian employee who is found to abuse alcohol or other drugs, or who uses illegal drugs, to the installation EAPC for screening, short-term counseling, and referral for treatment. i. When resources are available, ASAP treatment services will be offered to eligible DA civilian employees, military family members, family members of civilian employees, and retirees. j. The confidential nature of treatment records of civilian employees with alcohol or other drug problems will be preserved according to applicable laws, rules, and regulations. k. An active and aggressive biochemical testing program serves as a powerful tool and effective deterrent against alcohol and other drug abuse. l. Prevention and education will be given the highest priority. m. Either the EAPC or CD will bring all incidents of workplace violence involving alcohol or other drug abuse to the attention of the unit commander/supervisor, who will immediately refer the involved individuals to the ASAP for evaluation. n. Military Police, USACIDC special agents, and other investigative personnel will not enroll in or otherwise infiltrate the ASAP treatment program for the purpose of law enforcement activities or to solicit information from soldiers enrolled in the ASAP.

1 – 32. ASAP eligibility criteria a. ASAP services are authorized for personnel who are eligible to receive military medical services or eligible for medical services under the Federal Civilian Employees Occupational Health Services Program. In addition to military personnel, eligibility includes: (1) U.S. citizen DOD civilian employees, to include both appropriated and nonappropriated fund employees. (2) Foreign national employees where Status of Forces Agreements or other treaty arrangements provide for medical services. (3) Retired military personnel. (4) Family members of eligible personnel. b. Other Service personnel under the administrative jurisdiction of an Army installation commander are subject to this regulation. When soldiers are under the administrative jurisdiction of another Service, they will comply with the alcohol and other drug program of that Service. They will also be reported through Army biostatistical channels. In some cases, elements of the Army and another Service are so located that cost effectiveness, efficiency, and combat readiness can be achieved by combining facilities. In such cases, the Service to receive the support will be responsible for initiating a local Memorandum of Understanding and/or Interservice Support Agreement. (Refer to DODI 4000.19.) c. Members of the ARNG and USAR who are not on active duty (AD) are eligible to use ASAP services on a space/resource available basis.

1 – 33. Alcohol policies and controls a. It is Army policy to maintain a workplace free from alcohol. Alcohol should not become the purpose for, or the focus of, any military social activity. At all levels alcohol will not be glamorized nor made the center of attention at any military function. (Refer to chap 7, AR 215-1 for guidance concerning use, possession, sale and transportation of alcoholic beverages on military installations.) b. Alcohol abuse and resulting misconduct will not be condoned. Impairment due to alcohol use while on duty will not be tolerated. c. Commanders will promote personal responsibility and informed decision making and will ensure that subordinates are educated about alcoholism, its early signs and symptoms, intervention techniques, and its debilitating effects on the

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