This revision -

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

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, with local supervision by the Medical Treatment Facility commander. (Chapter 1, Section II)

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

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. (Paragraph 1-10 e.)

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 an Colonel (i.e., 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.

(Chapter 3, Sections IV)

Assigns oversight of the clinical segment of the ASAP to The Surgeon General 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. (Chapter 1, Sections II)

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. (Chapter 1, Section II)

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

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

Requires all Active Component soldiers be tested for drugs at a rate which approximates one unannounced random sample per year.

(Paragraph 8-3)

Requires soldiers who are command referred and enrolled in the ASAP be flagged according to AR 600-8-2. (Paragraph 5-7)

Promotes the concept of risk reduction to target potential problems before they become crises which place families, careers, productivity, and readiness in jeopardy. (Paragraph 2-5)

Expands the Army's civilian Drug-free Federal Workplace drug testing program and implements the Department of Transportation, Commercial Driver's License Program and Controlled Substances and Alcohol Use Testing. (Chapter 14)

History

This is a new printing of the regulation previously titled "Alcohol and Drug Abuse Prevention and Control Program" and which was last revised on 21 October 1988.

Summary

This regulation has been extensively revised and governs the ASAP. It identifies Army policy on alcohol and other drug abuse, and assigns responsibilities for implementing the program.

Applicability

This regulation applies to the Active Army, the Army National Guard, the U.S. Army Reserve, and Department of the Army Civilian Employees. Chapter 12 deals specifically with the Army National Guard, while Chapter 13 deals with Army Reserve soldiers. Chapter 14 deals with Department of the Army civilian employees, military and civilian employee family members, and military retirees.

Record-keeping Requirements

Record-keeping in accordance with the Modern Army

Record-keeping System (MARKS). The records listed below, by file number (FN), are required by MARKS in the conduct of the daily business of the Army to provide adequate and proper documentation to protect the rights and interests of individuals and the Federal Government. The full description of the records and their disposition is found in Appendix B, AR 25-400-2.

a. FN 600-85a, Army substance abuse management files

b. FN 600-85b, Army substance abuse statistics

c. FN 600-85c, Alcohol and Drug Intervention Council (ADIC) meetings

d. FN 600-85d, Army substance abuse rehabilitation

e. FN 600-85e, Army substance abuse sample prescreening/testing report files

f. FN 600-85f, Army substance abuse clinical certification

g. FN 600-85g, Biochemical drug testing program authority

Proponent and exception authority

The proponent of this regulation is the Deputy Chief of Staff for Personnel. The proponent has the authority to approve exceptions to this regulation that are consistent with controlling law and regulations. Changes to clinical aspects of this regulation must be approved by USAMEDCOM. The proponent may delegate this approval authority in writing to a division chief within the proponent agency in the rank of Colonel or the civilian equivalent.

Army management control process

This regulation contains management control provisions and identifies key management 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, HQDA (ATTN: DAPE-HR-ASAP), Washington, DC, 20310-0300.

Suggested improvements

Users are invited to send comments and suggested improvements on DA Form 2028 (Recommended Changes to Publications and Blank Forms) directly to HQDA (ATTN: DAPE-HR-ASAP), Washington, DC, 20310-0300.

Distribution

Distribution of this publication is made in accordance with the requirements of DA Form 12-09-e, block number 5436, intended for command levels A, B, C, D, and E for Active Army, Army National Guard, and U.S. Army Reserve.

Web Access

This publication available at http:// www.acsap.org

Chapter 1 - General

Section I - Introduction

    1-1. Purpose

    1-2. References

    1-3. Explanation of abbreviations and terms

Section II - Responsibilities

    1-4. The Deputy Chief of Staff for Personnel (DCSPER)

    1-5. The Director of Human Resources (DHR)

    1-6. The Director, Army Substance Abuse Programs (ASAP)

    1-7. The Surgeon General (TSG)/U.S. Army Medical Command (USAMEDCOM)

    1-8. The Judge Advocate General (TJAG)

    1-9. Commanders of regional medical commands (RMCs)

    1-10. Commanders of medical department activities/medical centers (MEDDAC/MEDCENs)

    1-11. The Chief, National Guard Bureau (C, NGB)

    1-12. The Chief, Army Reserve (CAR)

    1-13. Commanders of major Army commands (MACOMs) with installation, community or equivalent organizations

    1-14. Alcohol and drug control officers (ADCOs) at major Army commands (MACOMs)

    1-15. Commanders of other major Army commands (MACOMs) without installation, community or     equivalent organizations

    1-16. Installation, community, garrison, or equivalent commanders

    1-17. Installation alcohol and drug control officers (ADCOs)

    1-18. Installation prevention coordinators (PCs)

    1-19. Installation biochemical test coordinators (IBTCs)

    1-20. Installation clinical directors (CDs)

    1-21. Installation provost marshals (PMs)

    1-22. Installation safety officers

    1-23. Installation risk reduction coordinators

    1-24. Installation prevention team (IPT) members

    1-25. Commanders of corps, division, brigade, and battalions

    1-26. Commanders of companies, detachments, and equivalent units

    1-27. Unit prevention leaders (UPLs)

Section III - Manpower staffing, authority, mission, objectives, principles, and eligibility

    1-28. Manpower staffing

    1-29. Program authority

    1-30. ASAP mission/objectives

    1-31. ASAP principles

    1-32. ASAP eligibility criteria

Section IV - Specific alcohol and other drug policies, controls, and sanctions

    1-33. Alcohol policies and controls

    1-34. Alcohol sanctions

    1-35. Illegal drugs and sanctions

Chapter 2 - Alcohol and Other Drug Abuse Prevention

Section I - General

    2-1. Definition of prevention

    2-2. Alcohol and other drug abuse prevention objectives

    2-3. Prevention policies

Section II - Prevention Strategies

    2-4. Community-based processes/initiatives

    2-5. Risk reduction process (RRP)

    2-6. Substance abuse prevention and awareness training

    2-7. Evaluation of prevention initiatives

    2-8. Alcohol and other drug abuse control actions

    2-9. Law enforcement and drug suppression activities

    2-10. Prevention, education, and training expenditures

Chapter 3 - Identification, Referral, Screening, Evaluation, and the Rehabilitation Team

Section II - Identification

   3-1. General

   3-2. Voluntary (self) identification

   3-3. Commander/supervisor identification

   3-4. Biochemical identification

   3-5. Medical identification

   3-6. Investigation and/or apprehension

Section III - Referral

   3-7. Commander’s actions for referring soldiers

   3-8. Self referrals

   3-9. Other referrals

Section IV - Screening, Evaluation, and the Rehabilitation Team

   3-10. Screening

   3-11. Medical evaluation

   3-12. Rehabilitation team

Chapter 4 - Soldier Rehabilitation Process

Section I - Introduction

    4-1. General

    4-2. Rehabilitation objectives

    4-3. Rehabilitation elements

    4-4. Rehabilitation team concept

Section II - Rehabilitation Procedures

    4-5. Referral methods, biopsychosocial assessment, and treatment determination

    4-6. Rehabilitation/treatment program

    4-7. Determining rehabilitation progress

    4-8. Type and frequency of treatment

    4-9. Rehabilitation/treatment appointments

    4-10. Return to duty

    4-11. Reassignment while enrolled in the ASAP (permanent change of station loss or gain)

    4-12. Self-help support organizations

    4-13. Transfer to Veterans Affairs (VA) medical facilities

    4-14. Unacceptable rehabilitation modalities

    4-15. Clinical privilege and certification requirements

Section III - Detoxification

    4-16. General

    4-17. Line of duty determination

    4-18. Quality improvement, clinical staff competency

Section I - Military Personnel Actions Resulting from ASAP Enrollment

    5-1. General

    5-2. Deployment

    5-3. Leave policy during rehabilitation

    5-4. Suspension from duty

    5-5. Separation actions for alcohol and other drug abuse

    5-6. Reenlistment during enrollment in the ASAP

    5-7. Suspension of favorable actions

Chapter 6 - Legal Aspects, Limited Use Policy, and Confidentiality

Section II - Legal Aspects

    6-1. Biochemical testing

Section III - Limited Use Policy

    6-2. Objective

    6-3. Definition of limited use policy

    6-4. Implementation of limited use

    6-5. Separation actions

Section IV - Military Confidentiality

    6-6. Confidentiality of military patient ASAP information within the Armed Forces

    6-7. Confidentiality of military patient ASAP information outside the Armed Forces

    6-8. Authority

    6-9. Penalties

Section V - Releasing ASAP Information to the Media

    6-10. Releasing information to news media

    6-11. Guidelines for releasing information

    6-12. Administration

Chapter 7 - Special Provisions for Military Personnel in Critical Safety or Security Positions

    7-1. General

    7-2. Personnel in sensitive security positions

    7-3. Personnel reliability program (PRP)

    7-4. Reporting disqualifying information

    7-5. PRP urinalysis testing requirements

    7-6. Aviation personnel and alcohol and drug abuse

Chapter 8 - Biochemical Testing

    8-1. Objectives

    8-2. References

    8-3. Policy

    8-4. Biochemical testing programs

    8-5. Retesting of positive FTDTL specimens

    8-6. Requesting urinalysis documents

Chapter 9 - Management Information System

    9-1. General

    9-2. ASAP reporting procedures\

    9-3  USAMEDCOM reporting requirements

    9-4. Department of Transportation (DOT) reporting requirements

    9-5. ASAP patient medical records

    9-6. ASAP patient medical record filing procedures

    9-7. Management information feedback reports

Chapter 10 - Program Evaluation

    10-1. Scope

    10-2. Site assistance visits (SAVs)

Chapter 11 - ASAP Non-clinical and Clinical Staff Training

    11-1. General

    11-2. Non-clinical DA sponsored staff training

    11-3. Leadership training and schools

    11-4. Training products

    11-5. ASAP staff certification

    11-6. Clinical USAMEDCOM sponsored training

    11-7. Deployment training

Chapter 12 - Army Substance Abuse Program (ASAP) in the U.S. Army National Guard (ARNG)

Section I - General

    12-1. Scope

    12-2. Applicability

    12-3. References

Section II - Responsibilities

    12-4. The Director, Army National Guard (ARNG)

    12-5. The Chief Surgeon, ARNG

    12-6. The Director, Counterdrug Directorate, National Guard Bureau (NGB-CD)

    12-7. The Chief, Substance Abuse Branch

    12-8. The State Adjutants General

    12-9. State ADCOs

    12-10. MACOM ADCOs

    12-11. Unit prevention leaders (UPLs)

Section III - Policies and Procedures

    12-12. Policies

    12-13. Funding considerations

    12-14. Alcohol Drug Intervention Council (ADIC)

    12-15. Referral of alcohol and illegal drug abusers to the ARNG ASAP

    12-16. Rehabilitation

    12-17. State medical review officers (MROs)

    12-18. Administratively separating drug abusers

    12-19. Biochemical testing guidance

    12-20. Management information system

    12-21. Evaluation

    12-22. Quota allocation process

    12-23. Military justice

Chapter 13 - Army Substance Abuse Program (ASAP) in the U.S. Army Reserve (USAR)

Section I - General

    13-1. Scope

    13-2. Applicability

    13-3. References

Section II - Responsibilities

    13-4. The Chief, Army Reserve (CAR)

    13-5. Commander, U.S. Army Reserve Personnel Command (AR- PERSCOM)

    13-6. Commanders of area commands

    13-7. Area command ADCOs

    13-8. Commanders of major U.S. Army reserve commands (MUSARCs)

    13-9. MUSARC ADCOs

Section III - Policies and Procedures

    13-10. Policies

    13-11. Prevention and control

    13-12. Referral of alcohol and illegal drug users in the USAR ASAP

    13-13. Rehabilitation

    13-14. MROs

    13-15. Biochemical testing guidance

    13-16. Management information system

    13-17. Evaluation

    13-18. Military justice

Chapter 14 - Army Substance Abuse Program (ASAP) Civilian Services

Section I - Introduction

    14-1. Policies

    14-2. Program authority

    14-3. Eligibility

    14-4. Labor relations

Section II - Responsibilities

    14-5. MACOM employee assistance program administrator (EAPA)/prevention program administrator (PPA)

    14-6. Installation ADCOs

    14-7. Civilian personnel advisory center (CPAC)

    14-8 Civilian personnel operations center (CPOC)

    14-9 Installation EAP coordinators (EAPCs)

    14-10. Supervisors of DA civilians

Section III - Employee Assistance Program (EAP)

    14-11. Screening and referral

    14-12. Medical evaluations

    14-13. Patient costs

    14-14. Participation of family members (military or civilian)

    14-15. Confidentiality of patient records

    14-16. Confidentiality of alcohol and other drug tests results

Section IV - Drug-free Federal Workplace (DFW) Program

    14-17. Objectives

    14-18. Applicability

    14-19. DFW program drug testing categories

    14-20. Drug testing procedures

    14-21. DFW drug testing designated positions (TDPs)

    14-22. Identification of additional TDPs

    14-23. Relationship with disciplinary and adverse actions

    14-24. Specimen collection

    14-25. Medical review and reporting of DFW test results

    14-26. DFW management information requirements

    14-27. Contractor requirements

Section V - Department of Transportation (DOT) Drug and Alcohol Testing Program

    14-28. Objectives

    14-29. Applicability

    14-30. Safety-sensitive functions

    14-31. DOT prohibited conduct and consequences

    14-32. DOT categories of testing

    14-33. DOT testing procedures and required education and training

    14-34 DOT frequency of random alcohol and other drug testing

    14-35.Specimen collection for DOT drug testing

    14-36. Medical review and the reporting of DOT drug test results

    14-37. Alcohol testing

    14-38. Substance abuse professional (SAP) evaluation, referral, and follow-up

    14-39. DOT management information requirements

    A References and Terms

    B Unit Commander’s Guide to the Army Substance Abuse Program (ASAP)

    C Management Control Evaluation Checklist

    D Glossary

    E Standard Operating Procedures For Urinalysis Collection, Processing and Shipping

    F Program Evaluation Test Questions

    G. INDEX