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Army Substance Abuse Program

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The Army Substance Abuse Program is run by the Army Center Substance Abuse Program and supported by a the Soldier's Chain of Command to include the Commander. The program is governed by AR 600-85, MEDCOM Reg 40-51, ALARACT 062/2011, DA Pam 600-85, and the Employee Assistance Program (EAP).

Mission and Objectives

The Army Center for Substance Abuse Programs (ACSAP) mission is to strengthen the overall fitness and effectiveness of the Army’s workforce, to conserve manpower, and to enhance the combat readiness of Soldiers. The following are the objectives of the ACSAP:

  • Increase individual fitness and overall unit readiness.
  • Provide services which are proactive and responsive to the needs of the Army’s workforce and emphasize alcohol and other drug abuse deterrence, prevention, education, and rehabilitation.
  • Implement alcohol and other drug risk reduction and prevention strategies that respond to potential problems before they jeopardize readiness, productivity, and careers.
  • Restore to duty those substance-impaired Soldiers who have the potential for continued military Service.
  • 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.
  • Ensure all personnel assigned to ASAP staff are appropriately trained and experienced to accomplish their missions.
  • Achieve maximum productivity and reduce absenteeism and attrition among civilian corps members by reducing the effects of the abuse of alcohol and other drugs.
  • Improve readiness by extending services to the Soldiers, civilian corps members, and Family members.
File:ASAP.jpg
ASAP tests for drugs and alcohol in every soldier.

Concept and 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 substance abuse prevention, drug and alcohol testing, early ID of problems, rehabilitation, and administrative or judicial actions is essential. Commanders will ensure that all officials and supervisors support the ASAP. Proposals to provide ASAP services that deviate from procedures prescribed by this regulation must be approved by the Director, ASAP. Deviations in clinical issues also require approval of the Commander, U.S. Army Medical Command (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 two overarching tenets of the ASAP are Prevention and Treatment.

Eligibility Criteria

  • The ASAP services are authorized for personnel who are eligible to receive military medical services or are

eligible for medical services under the Federal Civilian Employees Occupational Health Services Program. In addition to Soldiers, eligibility includes—

  1. United States (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 when they are eligible for medical care under the provisions of AR 40–400, paragraphs 3–14 through 3–16.
  5. Members of the U.S. Navy, U.S. Marine Corps, U.S. Air Force, and U.S. Coast Guard when they are under the administrative jurisdiction of an Army commander who is subject to this regulation.
  6. Nonuniformed outside continental United States (OCONUS) personnel who are eligible to receive military medical services.
  • When Soldiers are under the administrative jurisdiction of another Service, they will comply with the alcohol and other drug program of that Service. All drug test results and records of referrals for counseling and rehabilitation will be reported through Army alcohol and drug abuse channels to the ACSAP.
  • When elements of the Army and another Service are so located that cost effectiveness, efficiency, and combat readiness can be achieved by combining facilities, 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).
  • Members of the Army National Guard (ARNG) and United States Army Reserve (USAR) who are not on AD are eligible to use ASAP services on a space/resource available basis.
Title of Table
TENETS CAPABILITY DEFINITION
Prevention Education and Training Instruction for the Soldiers and other beneficiaries with increased knowledge, skills, and/or

experience as the desired outcome.

Prevention Deterrence Action or threat of action to be taken in order to dissuade Soldiers or government employees from abusing or misusing substances. The Army’s primary mechanism of deterrence

is Random Drug Testing.

Prevention Identification/Detection The process of identifying Soldiers and other beneficiaries as potential or actual substance

abusers. This identification can be via self ID, command ID, drug testing ID, medical ID, investigation or apprehension ID.

Prevention Referral Modes by which Soldiers and other beneficiaries

can access ASAP services. Modes are self-referral and command referral.

Treatment Screening An in-depth individual biopsychosocial evaluation interview to determine if Soldiers and other beneficiaries need to be referred for treatment. This capability is a MEDCOM responsibility.
Prevention/Treatment Targeted Intervention An educational/motivational program which focuses on the adverse effects and consequences

of alcohol and other drug abuse. The methods used by the Army are the Army Drug and Alcohol Prevention Training (ADAPT) program and “Prime for Life. All Soldiers and other beneficiaries screened for substance abuse issues will receive targeted intervention, whether they are enrolled in the program or not.

Treatment Rehabilitation Clinical intervention with the goal of returning Soldiers and other beneficiaries to full duty or identify Soldiers who are not able to be successfully rehabilitated. This capability is a MEDCOM responsibility.
Prevention Risk Reduction Compile, analyze, and assess behavioral risk and other data to identify trends and units with high-risk profiles. Provide systematic prevention and intervention methods and materials to commanders to eliminate or mitigate individual

high-risk behaviors.

References

  1. AR 600-85 The Army Substance Abuse Program
  2. United States Army Center for Substance Abuse
  1. AR 600-85 [1]
  2. The Army Substance Abuse Program Website [2]
  3. ALARACT 062/2011 [3]
  4. DODI 4000.19 [4]
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