Chapter 1 - General

1-1. Purpose

1-2. References

1-3. Explanation of abbreviations and terms

1-4. Responsibility

1-5. Program authority

1-6. Army Center Substance Abuse Program mission and objectives

1-7. Army Substance Abuse Program concept and principles

1-8. Army Values and the Warrior Ethos

1-9. Army Substance Abuse Program eligibility criteria

1-10. Manpower staffing

a. Garrison Army Substance Abuse Program staff resources.

b. Rehabilitation resources.

1-11. Labor relations

Chapter 2 - Responsibilities

2-1. Deputy Chief of Staff, G-1

2-2. Director of Human Resources Policy

2-3. Director, Army Substance Abuse Program

2-4. Deputy Chief of Staff, G-3/5/7

2-5. The Surgeon General, U.S. Army Medical Command

2-6. The Judge Advocate General

2-7. Chief, National Guard Bureau

2-8. Commanders of Army Commands, Army service component commands, and direct reporting units

2-9. Chief, Army Reserve

2-10. Commander, Installation Management Command

2-11. Commander, U.S. Army Criminal Investigation Command

2-12. Commander, U.S. Army Corps of Engineers

2-13. Director of Army Safety

2-14. Commanders of regional medical commands

2-15. Commanders of medical department activities and medical centers

2-16. Commanders of corps, divisions, and brigades

2-17. Installation or garrison commanders

2-18. Installation alcohol and drug control officers

2-19. Installation prevention coordinators

2-20. Installation Employee Assistance Program coordinators

2-21. Drug testing coordinator

2-22. Installation Risk Reduction Program coordinators

2-23. Installation suicide prevention program managers

2-24. Installation clinical directors

2-25. Installation provost marshals

2-26. Installation safety officers

2-27. Installation physical security officers

2-28. Installation/state/U.S. Army Reserve major subordinate command staff judge advocates

2-29. Installation prevention team members

2-30. Civilian Personnel Operations Center

2-31. Civilian Personnel Advisory Center

2-32. Battalion/squadron commanders

2-33. Commanders of companies, detachments, and equivalent units

2-34. Supervisors of civilian corps members

2-35. Battalion/squadron prevention leaders

2-36. Company, detachment, and equivalent Unit Prevention Leaders

2-37. Officers and noncommissioned officers

2-38. All Soldiers

Chapter 3 - Alcohol

Section I - General

3-1. General

3-2. Policy

3-3. Alcohol sanctions

3-4. Deglamorization

Section II - Military Alcohol Testing

3-5. Authorized purposes for military alcohol testing

a. Inspection.

b. Search or seizure/probable cause.

c. Competence for duty.

d. Rehabilitation.

e. Mishap or safety inspection.

f. Consent.

g. New entrant.

h. Medical.

3-6. Nonevidentiary testing (screening)—military

3-7. Evidentiary testing (confirmation)—military

3-8. Alcohol testing rate—military

3-9. Alcohol incident referral—military

Section III - Civilian Alcohol Testing

3-10. Alcohol impaired civilian employees not subject to Department of Transportation regulations on alcohol testing

3-11. Prohibited conduct (Department of Transportation rules/prohibitions) and consequences

3-12. Categories of alcohol testing and required procedures for employees who are subject to Department of Transportation rules (49 CFR Part 382, Subpart C)

3-13. Alcohol specimen collections for employees tested under Department of Transportation rules

3-14. Installation substance abuse professional evaluation of employees tested under Department of Transportation rules

Chapter 4 - Military Personnel Drug-Testing Program

4-1. General

4-2. Policy

4-3. Hallmarks of a good unit Drug-Testing Program

4-4. Drugs for which testing is conducted

4-5. Purposes for conducting drug testing

a. Inspection.

b. Search or seizure/probable cause (PO).

c. Competence for duty (CO).

d. Rehabilitation (RO).

e. Mishap or safety inspection (AO).

f. Consent (VO).

g. Medical examination (MO).

h. New entrant (NO).

i. Other (OO).

4-6. Drug testing in the reserve components

4-7. Deployed drug testing

4-8. Special drug testing programs

4-9. Drug testing coordinator, battalion prevention leader, Unit Prevention Leader, and observer qualifications, training and certification

4-10. Smart testing techniques

4-11. Pre-collection procedures

4-12. Collection procedures

4-13. Post-collection procedures

4-14. Managing drug test results and medical reviews

4-15. Inspections

4-16. Statistical management

4-17. Physical security

4-18. Retesting specimens

4-19. Requesting urinalysis documents

4-20. Drug-Testing Program software

4-21. Maintaining Drug-Testing Program records

4-22. Pre-service use of drugs

4-23. Drug testing supplies

Chapter 5 - Civilian Corps Member Drug Testing

Section I - Army's Civilian Drug-Testing Program

5-1. Purpose

5-2. Background

5-3. Policy

Section II - Drug-Free Workplace Program

5-4. Objectives

5-5. Applicability

5-6. Purposes for conducting drug-free workplace drug testing

a. Reasonable suspicion testing.

b. Injury, accident, or unsafe practice testing.

c. Voluntary testing.

d. Follow-up testing.

e. Applicant testing.

f. Random testing.

5-7. Drugs for which testing is conducted

5-8. Drug-free workplace testing designated positions

5-9. Identification of additional testing designated positions

5-10. Testing designated positions within the U.S. Army Corps of Engineers

5-11. Drug testing for civilian employees in critical safety or security positions

5-12. Collection site personnel qualifications, training, and certification

5-13. Contractor requirements

5-14. Pre-collection procedures for random testing designated positions testing

5-15. Collection procedures

5-16. Post-collection procedures

5-17. Medical review and reporting of drug-free workplace test results

5-18. Statistical management

5-19. Refusal to test

5-20. Disciplinary and adverse actions

5-21. Suspension from testing designated positions and Personnel Reliability Program positions

5-22. Deployed drug testing

Section III - Department of Transportation Drug and Alcohol Testing Program

5-23. Objectives

5-24. Applicability

5-25. Safety-sensitive functions

5-26. Department of Transportation prohibited conduct and consequences

5-27. Department of Transportation categories of testing

5-28. Department of Transportation testing procedures and required education and training

5-29. Department of Transportation frequency of random alcohol and other drug testing

5-30. Specimen collection for Department of Transportation drug testing

5-31. Medical review and the reporting of Department of Transportation drug test results

5-32. Alcohol testing

5-33. Substance abuse professional evaluation, referral, and follow-up

5-34. Department of Transportation reporting requirements

5-35. Statistical management

Chapter 6 - Civilian Corps Member, Family Member, and Retiree Services

6-1. Policy

6-2. Eligibility

6-3. Purpose of the Employee Assistance Program

6-4. Evaluation and referral

6-5. Client costs

6-6. Participation of Family members

6-7. Confidentiality of civilian client records and information

6-8. Confidentiality of alcohol and other drug test result

6-9. Conflict of interest—Employee Assistance Program coordinator and civilian drug testing issues

Chapter 7 - Identification, Referral, and Evaluation

Section I - Methods of Identification

7-1. Overview

a. Alcohol.

b. Other Drugs.

7-2. Methods of identification

7-3. Voluntary (self) identification

7-4. Commander/supervisor identification

7-5. Drug testing identification

7-6. Alcohol testing identification

7-7. Investigation/apprehension identification

7-8. Medical identification

Section II - Referrals for Military Personnel

7-9. Command responsibilities for referring Soldiers

7-10. Self referrals

7-11. All other referrals

Section III - Evaluation Process for Military Personnel

7-12. Screening/evaluation

7-13. Medical evaluation

7-14. Rehabilitation team

Chapter 8 - Rehabilitation

Section I - Introduction

8-1. General

8-2. Rehabilitation objectives

8-3. Rehabilitation team concept

a. Soldiers.

b. Civilian employees.

c. Family members.

8-4. Rehabilitation program elements

Section II - Rehabilitation Procedures

8-5. Referral methods, biopsychosocial evaluation, and rehabilitation determination

8-6. Rehabilitation Program

8-7. Rehabilitation levels

a. Level I, nonresidential/outpatient rehabilitation.

b. Level II, partial inpatient/residential treatment

8-8. Standards for transfer to Level II, partial inpatient/residential treatment programs

8-9. Goals of rehabilitation

8-10. Informed consent

8-11. Biopsychosocial evaluation

8-12. Initial medical screening

8-13. Rehabilitation progress

8-14. Frequency of counseling

8-15. Relapse

8-16. Re-enrollment

8-17. Appointments

8-18. Return to duty

8-19. Self-help groups

8-20. Unacceptable rehabilitation modalities

8-21. Counseling staff standards/competency

Section III - Detoxification

8-22. General

8-23. Line of duty determination

Chapter 9 - Prevention, Education, and Training

Section I - General

9-1. Alcohol and other drug abuse prevention, education, and training objectives

9-2. Definitions

a. Prevention.

b. Education and Training.

9-3. Policy

Section II - Army Substance Abuse Program Staff and Unit Prevention Leader Training, Professional Development and Certification

9-4. Department of the Army sponsored Army Substance Abuse Program staff training

9-5. Army Substance Abuse Program staff training certifications

9-6. Battalion/Unit Prevention Leader qualifications, training, and certification

a. Qualifications—military personnel.

b. Qualifications—civilian personnel.

9-7. Collection site personnel qualifications, training, and certification

9-8. Department of Transportation Drug Test Collector, screening test technician, and installation breath alcohol technician qualifications, training, and certification

9-9. United States Army Medical Command sponsored Army Substance Abuse Program training

Section III - Education and Training Requirements

9-10. Deployment training

9-11. Leadership training and schools

9-12. Soldier substance abuse awareness training

9-13. Civilian substance abuse awareness training

9-14. Family member and K-12 substance abuse awareness training

9-15. Alcohol and other drug abuse prevention training

9-16. Risk reduction training

Section IV - Prevention Strategies

9-17. Prevention planning

9-18. Science-based prevention

Chapter 10 - Legal and Administrative Procedures, and Media Relations

Section I - General

10-1. Overview

10-2. Policy

10-3. Use of Soldiers' confirmed positive drug test results

Section II - Administrative and Uniform Code of Military Justice Actions for Soldiers

10-4. Administrative and Uniform Code of Military Justice options

10-5. Suspension of security clearance or duty

10-6. Separation actions

10-7. Granting leave

10-8. Transfer to the Department of Veterans Affairs

10-9. Actions before, during and after deployments and reassignments

a. Deployments.

b. Reassignments.

Section III - Legal Actions for Soldiers

10-10. Law enforcement relationship to the Army Substance Abuse Program

10-11. Limited Use Policy

10-12. Definition of the Limited Use Policy

10-13. Implementation of the Limited Use Policy

Section IV - Confidentiality Regarding Military Personnel

10-14. Scope

10-15. Confidentiality of military client Army Substance Abuse Program information

10-16. Overview

10-17. Disclosure to medical personnel or to rehabilitation programs

10-18. Disclosure to a Family member or to any person with whom the client has a personal relationship

10-19. Disclosure to the client's attorney

10-20. Disclosure to client's designee for the benefit of the client

10-21. Disclosure to employers, employment services, or agencies

10-22. Disclosures in conjunction with Civilian Criminal Justice System referrals

10-23. Disclosures to the President of the United States or to Members of the United States Congress acting in response to an inquiry or complaint from the client

10-24. Disclosure for research, audits, and evaluations

10-25. Disclosure in connection with an investigation

10-26. Disclosure upon court orders

10-27. Written consent requirement

10-28. Verbal inquiries

b. Inquiries made in face-to-face conversation.

10-29. Authority

10-30. Penalties

Section V - Administrative Actions for Civilian Corps Members

10-31. Disciplinary and adverse actions

10-32. Release Army Substance Abuse Program information to the media

10-33. Guidelines for releasing information

10-34. Administration

Chapter 11 - Drug Testing Laboratory Operations

11-1. General

11-2. Specimen receiving operations

11-3. Screening and confirmation process

11-4. Quality control procedures

11-5. Certification of drug test results

11-6. Reporting results

11-7. Litigation support

11-8. Suspected adulterated military specimens

11-9. Special tests

11-10. Laboratory security

Chapter 12 - Risk Reduction Program

12-1. Overview

12-2. Objectives

12-3. Policy

12-4. Headquarters Risk Reduction Program working group

12-5. Installation/command reporting requirements

12-6. Unit risk inventory and re-integration unit risk inventory

12-7. Installation prevention team

Chapter 13 - Program Evaluation

13-1. Overview

13-2. Authority

13-3. Program manager assessments

13-4. Inspections

a. The ACSAP program oversight inspections.

b. The Army Center for Substance Abuse Programs drug testing inspections.

c. The medical commander inspections.

13-5. Program evaluation methods

13-6. Army Substance Abuse Program installation status report measures

13-7. Well-being status report

13-8. Army Substance Abuse Program research

Chapter 14 - Army Substance Abuse Program Information and Records Management

Section I - Introduction

14-1. Overview

14-2. Policy

Section II - Reporting Procedures

14-3. Army Substance Abuse Program input reports

14-4. Army Substance Abuse Program request to change data stored in Drug and Alcohol Management Information System

Section III - Reporting Requirements

14-5. Integrated Total Army Personnel Database reporting requirements

14-6. United States Army Medical Command reporting requirements

Section IV - Army Substance Abuse Program Client Records

14-7. Army Substance Abuse Program client records

14-8. Army Substance Abuse Program client record filing procedures

Section V - Management Information Feedback Reports

14-9. Overview

14-10. Drug and Alcohol Management Information System reports

14-11. Drug and Alcohol Management Information System metrics

Chapter 15 - Army Substance Abuse Program in the Army National Guard

Section I - General

15-1. Scope

15-2. Applicability

Section II - National Guard Specific Responsibilities

15-3. Chief Surgeon, Army Reserve National Guard

15-4. Chief, National Guard Bureau counterdrug division

15-5. Chief, Substance Abuse Section

15-6. State adjutants general

15-7. Joint Substance Abuse Program officer

15-8. Joint Substance Abuse Program coordinator

15-9. State medical review officer

15-10. State judge advocate

Section III - Policies and Procedures

15-11. Policy

15-12. Funding considerations

15-13. Alcohol Drug Intervention Council

15-14. Referral of alcohol and illegal drug abusers to a state-certified rehabilitation program

15-15. Rehabilitation

15-16. Administratively separating drug abusers

15-17. Drug testing guidance

15-18. Evaluation

15-19. Drug testing rate

15-20. Military justice

15-21. Risk Reduction Program Unit risk inventories

15-22. Specimens requiring review by a medical review officer

15-23. Adulterated specimen procedures

15-24. Prevention education section

Chapter 16 - Army Substance Abuse Program in the U.S. Army Reserve

Section I - General

16-1. Scope

16-2. Applicability

Section II - United States Army Reserve Specific Responsibilities

16-3. Commander, U.S. Army Reserve Command

16-4. U.S. Army Reserve Command Alcohol Drug Control Officer

16-5. Commanders of major subordinate commands

16-6. Major subordinated command Alcohol Drug Control Officer

16-7. U.S. Army Reserve medical review officers

Section III - Policies and Procedures

16-8. Policy

16-9. Funding considerations

16-10. Prevention

16-11. Referral of alcohol and illegal drug users in the U.S. Army Reserve Army Substance Abuse Program

16-12. Rehabilitation

16-13. Drug testing guidance

16-14. Management information system

16-15. Evaluation

16-16. Military justice

16-17. Risk Reduction Program

16-18. Specimens requiring review by a medical review officer

Chapter 17 - Awards and Campaigns

Section I - Department of Defense Awards

17-1. General

17-2. Director, Army Substance Abuse Program awards for the Army Drug Control Office, prevention control, Employee Assistance Program coordinator, Risk Reduction Program coordinator, and drug testing coordinator of the year

17-3. Director, Army Substance Abuse Program award for the Army National Guard Joint Substance Abuse Program officer of the year

17-4. 20/30 Year Army Substance Abuse Program award

Section II - Secretary of Defense Awards

17-5. Community drug awareness award

17-6. Fulcrum Shield award

Section III - Campaigns

17-7. General

17-8. Community campaigns

Chapter 18 - Army Substance Abuse Program Resource Management

18-1. General

18-2. Policy

18-3. Funding sources and their uses

Appendix A - References

Publication Section I - Required Publications

Publication Section II - Related Publications

Publication Section III - Prescribed Forms

Publication Section IV - Referenced Forms

Appendix B - Unit Commander's Guide to the Army Substance Abuse Program

B-1. What is the Army Substance Abuse Program?

B-2. What is the unit commander's role in the Army Substance Abuse Program?

B-3. What specifically must the unit commander do?

B-4. Who are the Army Substance Abuse Program key players?

B-5. What process should be followed if a unit commander suspects a Soldier of alcohol and/or other drug abuse?

B-6. What does the unit commander do when notified that a Soldier has tested positive during a drug test?

B-7. What can I expect when a Soldier is enrolled for Army Substance Abuse Program rehabilitation?

B-8. How is a commander involved in a Soldier's rehabilitation?

B-9. How should a unit commander prepare for a deployment?

B-10. What is the Limited Use Policy?

B-11. How do I get a Unit Prevention Leader certified and how do I get the required Army Substance Abuse Program training for my unit?

B-12. What is smart testing?

Appendix C - Army Substance Abuse Program Clinical Code of Ethics

C-1. Introduction

C-2. Ethical responsibilities of Army Substance Abuse Program clinical staff to their clients. Pre-eminent principles guiding the ethical responsibilities of the client-counselor relationship are as follows

C-3. Ethical responsibilities of Army Substance Abuse Program certified clinical staff regarding personal use of alcohol and other mood-altering substances

C-4. Ethical responsibilities of Army Substance Abuse Program clinical staff to Family members and significant others of the client

C-5. Army Substance Abuse Program clinical staff in professional relationships

C-6. Ethical responsibilities to the public and the profession

C-7. Ethical responsibility of Army Substance Abuse Program clinical staff engaged in research

C-8. Ethical responsibilities of Army Substance Abuse Program clinical staff in teaching

C-9. Ethical responsibilities of the Army Substance Abuse Program clinical staff as authors or editors

C-10. Recovering persons as Army Substance Abuse Program clinical staff

Appendix D - Army Substance Abuse Program Assessment Checklist

D-1. Objective

D-2. Program management

D-3. Prevention/Employee Assistance Program

D-4. Risk Reduction Program

D-5. Drug testing

D-6. Counseling Program (to be completed by the clinical director)

Appendix E - Standing Operating Procedures For Urinalysis Collection, Processing, and Shipping

E-1. General

E-2. Applicability

E-3. Related material

E-4. Pre-collection procedures

E-5. Collection procedures

E-6. Post-collection procedures

E-7. Specimen chain of custody (back side of DD Form 2624)

E-8. Transfer of specimens at the drug testing collection point

E-9. Shipping to the Forensic Toxicology Drug Testing Laboratory

E-10. Temporary storage of urine specimens at the drug testing collection point

E-11. Temporary storage of urine specimens at the unit level (by the Unit Prevention Leader)

E-12. Unusual circumstances

E-13. Legal provisions

Appendix F - Drug Testing Supplies

F-1. Required military collection supplies

F-2. Required civilian collection supplies

Appendix G - Army Substance Abuse Program Professional Code of Ethics

G-1. Preamble

G-2. Professional responsibility

G-3. Confidentiality

G-4. Professional competency

G-5. Consumer protection

G-6. Public responsibility and professional relations

Appendix H - Internal Control Evaluation

H-1. Function

H-2. Purpose

H-3. Instructions

H-4. Test questions

H-5. Supersession

H-6. Comments

Glossary -

Abbreviation Section

Term Section

Special Terms and Abbreviations Section