Substance abuse program overview

Substance abuse program overview

SUBSTANCE ABUSE PROGRAM (SAP) NEWCOMER BRIEF As of 10 June 2015 Agenda ARNG Substance Abuse Program Team SAP Mission and Program Overview SAP Components ARNG Drug Testing Limited Use Policy Questions As of 10 June 2015 2 Meet the ARNG SAP Team The ARNG Substance Abuse Program is supported by contract staff, including an Alcohol and Drug Control Officers and Prevention Coordinators. Angela Cunningham, M.S., LPC Alcohol and Drug Control Office Contractor-Accenture 3501 Military Circle, OKC OK 73111 (405)228-5146

Cell: (405) 323-3995 [email protected] As of 10 June 2015 John W. Waller Substance Abuse Prevention Coordinator Contractor-Accenture/ASM 3501 Military Circle, OKC, OK 73111 Mobile: 405-394-3339 Office: 405-228-5145 [email protected] [email protected] 3 ARNG Substance Abuse Program Mission Statement The Army National Guard (ARNG) Substance Abuse Program (SAP) is key to ensuring Unit readiness for the ARNG. The Substance Abuse Program is a Commanders program that emphasizes readiness and personal responsibility for Soldiers. Substance abuse is a manpower and personnel readiness issue that erodes Soldier fitness.

The ARNG has the highest illicit positive drug rate, consistently surpassing the Active Army rate over the past few years. As of 10 June 2015 4 SAP Overview The Substance Abuse Program provides services tailored for each State/territory across the country. The purpose of the SAP is to prevent substance abuse by providing ARNG Soldiers and Commanders with information and services to prevent, deter, and address high risk behaviors. These services include: Identification of high-risk Units Prevention education Assessments and referrals to community resources Deterrence through drug testing As of 10 June 2015

5 SAP Components In order to provide a full continuum of services to Soldiers, the SAP program encompasses a variety of State ARNG activities and tasks. 1. Fulfillment of the requirements of Army Regulation 600-85 for the Army Substance Abuse Program. 2. Implementation, collection, and analysis of anonymous Unit Risk Inventories (URIs) and Reintegration URIs (R-URI). 3. Education and prevention outreach activities, to include distribution of marketing materials. 4. Soldier referrals to licensed Substance Abuse and Mental Health Services Administration (SAMHSA) approved community-based providers for

assessment and potential follow-up intervention. 5. Conduct drug testing for Units according to the AR 600-85. As of 10 June 2015 6 Implementation, Collection, & Analysis of URIs/R-URIs The SAP team provides Soldiers with the Unit Risk Inventory survey and the Reintegration Unit Risk Inventory survey. The Unit Risk Inventories (URIs) and the Reintegration-Unit Risk Inventories (R-URIs) are anonymous questionnaires that screen for high-risk behaviors and attitudes affecting Unit readiness and personal well-being. URIs and R-URIs provide a picture of a Units self reported high-risk behaviors. URIs are administered: Annually

60 days prior to deployment 60-180 days following redeployment As of 10 June 2015 7 Education and Prevention Outreach Activities The SAP ADCO and PC facilitate the delivery of substance abuse prevention training at all levels: universal, selective, and indicative. Soldiers receive the required annual prevention education per the AR 60085. The ADCOs and PCs will facilitate this training. M-DAY Soldiers will receive 2 hours annually AGR Soldiers will receive 4 hours annually Depending on the Unit, Soldiers may also receive additional prevention

education that is targeted to the high-risk behaviors found in that Unit, as identified through the URIs and R-URIs. ARNG SAP team coordinates with the G1 and Unit Commanders to target resources and the delivery of services based on data-driven decision making. The ARNG-preferred universal substance abuse prevention training for the annual requirement is Strong Choices. As of 10 June 2015 8 Education and Prevention Outreach Activities The ARNG-preferred universal substance abuse prevention training for the annual requirement is Strong Choices. The Strong Choices training curriculum includes five 1-hour modules: Being Well Relating Well

Living Well Working Well Leading Well Each module discusses the 0-1-2-3 Low Risk Guidelines that help Soldiers: Avoid high risk choices that negatively impact their Army career, civilian career, family and personal relationships Maintain Soldier Readiness As of 10 June 2015 9 Education and Prevention Outreach Activities

The ARNG-preferred universal substance abuse prevention training for the annual requirement is Strong Choices. Being Well The human body is a complex machine that needs to be maintained and fine-tuned for optimal performance Drugs and alcohol can interfere with the human body functioning at full potential Relating Well Consider the relationships in your lives and the influence that others have on you, as well as the influence you have on them Making high-risk choices with drugs and alcohol can negatively impact relationships Living Well Everyone has a pendulum that swings between pleasure and stress as a result of every-day actions

Drugs and alcohol are unhealthy ways to cope with stress and can have serious negative impacts As of 10 June 2015 10 Education and Prevention Outreach Activities The ARNG-preferred universal substance abuse prevention training for the annual requirement is Strong Choices. Working Well Everyone works on a team, in some capacity. A team needs to work as a cohesive unit to be successful Making high-risk choices with drugs and alcohol not only impacts the individual, but also negatively impacts the entire team, preventing the team from achieving their mission Leading Well Leadership plays a critical role in supporting a cultural shift

towards Soldiers making low-risk choices with drugs and alcohol Its important that Commanders approach the subject with their Soldiers appropriately. Leaders must analyze what they say to their Soldiers and how they say it As of 10 June 2015 11 Prevention Education: Standard Drinks The Standard Drink is a metric used to measure the amount of alcohol that a person intakes. 1.5 oz. of 80-proof spirits 5 oz. of wine with 7-12% alcohol content 12 oz. of beer with 4-6% alcohol content As of 10 June 2015 Make Strong Choices 12

Prevention Education: Low-Risk Guidelines The 0-1-2-3 Low Risk Guidelines are designed to help Soldiers make low-risk choices when it comes to alcohol and drugs. if you are underage, pregnant, at risk for alcoholism or planning on 0 Drinks operating a motor vehicle; 0 illegal or non-prescribed drugs 1 Maximum number of standard drinks in one hour 2 Maximum number of standard drinks in one day if you are a daily drinker or regular drinker number of standard drinks in one day if you are an occasional 3 Maximum drinker or drink only on special occasions If you or a friend are making high-risk choices and/or need help, contact your Substance Abuse Program team. As of 10 June 2015 13 Soldier Referrals to Community Resources The ADCO and PC can refer Soldiers to community resources as needed. Soldiers can be referred to SAMHSA-approved community providers for

scheduling an assessment and follow-on intervention if they: Self-refer for a substance abuse issue, Are Command referred to the ARNG SAP, or Test positive during a urinalysis The Soldiers Commander must be involved throughout this process. As of 10 June 2015 14 ARNG Drug Testing The ARNG conducts drug testing according to the AR 600-85 in order to facilitate early detection of drug abuse and deter Soldiers from using illegal or non-prescribed drugs. Commanders work with the State Drug Testing Coordinators (DTCs) to conduct

random urinalysis testing per regulation. 10% per month or 25% per quarter Unit Prevention Leaders (UPLs) will conduct the urinalysis testing and assign observers to watch the Soldier provide a specimen. Specimens will be tested for: d-ampehetamine, d-methamphetamine, cocaine, hydrocodone, hydromorphone, methylenedioxy-amphetamine, methylendioxymethamphetamine, heroin, codeine, morphine, synthetic cannabinoids, tetrahyrocannabinol, oxycodone, oxymorphone, alpha-hydroxalprazolam, lorazepam, nordiazepam, oxazepam, and temazepam As of 10 June 2015 15 ARNG Drug Testing If a urinalysis comes back positive, the type of drug that is positive will determine whether a Medical Review Officer (MRO) is going to review it or not. MRO Reviewable Drugs Oxycodone/ Oxymorphone

Morphine Codeine Amphetamines and methamphetamines Prescription medications such as Valium, Zanex, and steroids MRO Non-Reviewable Drugs THC Cocaine MDMA (Ecstasy) MDA (Ecstasy) PCP Heroin If the urinalysis comes back positive for an MRO Reviewable Drug, the MRO will determine whether the drug is from legitimate or illegitimate use.

If As the test comes back positive for an MRO non-reviewable drug, then the DTC of 10 June 2015 immediately notifies the Commander and the Commander takes action. 16 ARNG Drug Testing The Medical Review Officer (MRO) will determine if the positive drug test is due to legal use (valid prescription) or illegal use/prescription abuse. Soldiers testing positive with an MRO case will be requested to provide evidence of legal use within 30 days: Provide a copy of the prescription from a physician, or a note from the prescription on their letterhead Provide a copy of prescriptions filled at your pharmacy, provided by the pharmacy

Provide photos of the prescription bottle; include prescription #, your name, Dr.s name, dosage directions and pharmacy phone # If the MRO determines illegal use, then the Soldier will be processed for separation and must seek treatment through a SAMHSA-approved provider. Processing for separation means that the separation action will be initiated and processed through the Chain of Command to the separation authority for appropriate action. As of 10 June 2015 17 ARNG Alcohol Testing Breathalyzers may be utilized by Commanders when available to test for alcohol. Commanders may test the Unit or parts of the Unit randomly for alcohol Blood Alcohol Content based on breath test of .05% is considered impaired on-duty

Test will be confirmed by a Medical Professional (MP) breathalyzer, a local police department breathalyzer, or a Blood Alcohol Content Test at the Medical Treatment Facility (MTF) As of 10 June 2015 18 ARNG Alcohol Related Incidents If an alcohol-related incident occurs with an ARNG Soldier, the Soldier will be referred to a community provider. Soldiers will be processed for administrative separation if they are involved in two serious incidents of alcohol related misconduct in a year. Punitive action may be requested by Commander with a single incident. Alcohol related incidents (misconduct) include: Impaired on duty

DWI/DUIs Underage drinking Providing alcohol to someone under 21 Negative incident involving alcohol fighting, child or spouse abuse etc. As of 10 June 2015 19 Limited Use Policy The Limited Use Policys purpose is to encourage those abusing drugs or alcohol to self-refer so that they can get help. Self-referral is the preferred method of identification. The following must occur for a Soldier to be protected by the Limited Use Policy:

Soldiers must voluntarily self-refer to the following individuals: Commander Military Chaplain (must provide consent to share information with Commander) SAP Office (ADCO or PC) NCO or Officer in their Chain of Command Soldiers must NOT have knowledge of a pending urinalysis or alcohol test prior to self-referring. If they have been ordered to drug test or are aware of a test, they will not qualify. Soldier must provide their Commander with the facts and circumstances of all drug or alcohol use. As of 10 June 2015 20 Limited Use Policy Limited Use Policy offers certain protection for a Soldier but is not a Get of Jail Free card. The Limited Use Policy does not protect a Soldier if:

The urinalysis comes back positive for a drug that the Soldier did not self-refer for The Soldier is caught for drug use or possession of drugs in the future The Soldier is involved in other illegal activities associated with previous use such as stealing, assault, etc. The Limited Use Policy does protect a Soldier by: Prohibiting the use of Protected Evidence against the Soldier in courts-martial, UCMJ action, and unfavorable characterization of service Limiting the characterization of discharge to Honorable should separation occur For more information on the Limited Use Policy, ask your State JAG.

As of 10 June 2015 21 Summary In order to provide a full continuum of services to Soldiers, the SAP program encompasses a variety of State ARNG activities and tasks. The Army National Guard Substance Abuse Program ensures Unit readiness for the ARNG. The SAP Program encompasses a variety of State ARNG activities and tasks: Prevention, education and outreach activities, to include marketing Referrals to licensed community-based providers for assessment and potential follow-up intervention

Self referrals to community based providers Deterrence through random drug testing Please refer to your States TAG Policy for additional guidance. As of 10 June 2015 22 Warrior Pride It takes Courage and Strength of a Warrior to Ask for Help. As of 10 June 2015 23 Questions & Answers Questions? Please do not hesitate to contact the SAP ADCO and/or PC for more information. Angela Cunningham, M.S., LPC

Alcohol and Drug Control Office Contractor-Accenture 3501 Military Circle, OKC OK 73111 (405)228-5146 Cell: (405) 323-3995 [email protected] As of 10 June 2015 John W. Waller Substance Abuse Prevention Coordinator Contractor-Accenture/ASM 3501 Military Circle, OKC, OK 73111 Mobile: 405-394-3339 Office: 405-228-5145 [email protected] [email protected] 24

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