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AR 600-85 Army Substance Abuse Program (ASAP) (28 Dec 2012)

Comments: To view or download the complete regulation, click on the link to it in the box above these comments.

Chapter 7
Identification, Referral, and Evaluation

...
7-2. Methods of identification

a. Early ID is a critical aspect of the ASAP intervention process. Identification occurs through a variety of methods--

Comments: "ASAP" is the Army Substance Abuse Program.

(1) Voluntary (self) ID.
(2) Command ID.
(3) Drug testing ID.
(4) Alcohol testing ID.
(5) Medical ID.
(6) Investigation/apprehension.
...
7-3. Voluntary (self) identification

a. Voluntary (self) ID is the most desirable method of discovering alcohol or other drug abuse. ... The Soldier's unit commander must become involved in the evaluation process. ... Normally Soldiers with an alcohol or other drug problem should seek help from their unit commander; however, they may initially request help from their installation ASAP, a MTF, a chaplain, or any officer or non commissioned officer in their chain of command. ... The Limited Use policy will apply when Soldiers seek help from any of the listed personnel or organizations.

Comments: The "Limited Use Policy", which prevents use of evidence of substance abuse to punish a soldier or affect their characterization of service under certain circumstances, is described below.

b. In situations where a Soldier reveals to a chaplain that he or she is abusing or has abused alcohol or a drug, privileged communication could limit a chaplain from notifying a Soldier's unit commander. However, the Soldier may waive the communication privilege and allow the chaplain to inform the unit commander. This is required for a Commander to enroll the Soldier in ASAP. If the Soldier does not waive his or her privilege, the chaplain would inform the Soldier that:

(1) Professional alcohol and drug rehabilitation counseling is available through the ASAP counseling services.

(2) The Chaplain cannot assist the Soldier's entry into the ASAP without going through the member's unit commander.

c. Identification resulting from a Soldier seeking emergency treatment for an actual or possible alcohol or other drug overdose, not subsequent to a traffic accident or criminal offense, is considered to be a variation of volunteering. For reporting purposes, such cases will be classified as self referral.

d. The Limited Use Policy restricts the consequences of the Soldier's involvement in the ASAP (see para 10-12 through 10-14). These provisions are unchanged by the mandatory initiation of separation processing of drug abusers, and such separation processing must comply with the provisions of limited use and AR 600-8-24 and AR 635-200.
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7-8. Medical identification
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(1) If a Soldier reveals, as part of a routine medical screening with a physician or other health care provider, his personal abuse of alcohol or other drugs, the health care provider will evaluate further, with possible ASAP referral for in-depth evaluation and rehabilitation. The revelation of personal abuse, by itself, will not subject the individual to adverse administrative action. Urinalysis which may follow such disclosure will be covered under the Limited Use Policy. ...
...
7-10. Self referrals

The ASAP counseling staff will conduct an initial interview with all eligible personnel who self-refer to the ASAP counseling center for assistance. During the initial interview, the counselor will advise the Soldier of the unit commander's role in the referral, evaluation and rehabilitation process, or other disposition, explain Limited Use Policy , and provide information about ASAP services. ...
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Evaluation process for military personnel

7-12. Screening/evaluation

a. An in-depth individual biopsychosocial evaluation interview will be conducted with all individuals who are either referred for evaluation or who voluntarily seek assistance. The ASAP counselor will explain the Limited Use Policy. ...
...
d. If a unit commander believes a Soldier does not have 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 rehabilitation services are indicated, the Soldier will be provided services until separation.
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Section II
Administrative and Uniform Code of Military Justice Actions for Soldiers

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

a. Commanders may take the following actions against Soldiers who test positive for illegal drugs or for illicit use of legal drugs when a MRO determines the Soldier has no legitimate medical purpose for taking the drug:

Comments: "MRO" is Medical Review Officer.

(1) Administrative actions-

(a) Oral or written counseling/reprimand.

(b) Suspension of access to classified information.

Comments: Although separation action must be initiated, it is not mandatory.

(2) UCMJ actions-

(a) Nonjudicial punishment.

(b) Court Martial.

b. Any legal or administrative actions should be based on the substance abuse-related incident that resulted in the referral to the ASAP; actions will NOT be based on the screening or enrollment determinations.


...    10-6. Separation Actions
    The following policies will apply to separations initiated under provisions of AR 135-175, AR 135-178, AR 600-8-24, and AR 635-200. The basis for separation for alcohol and drug abuse  and  authority  for  retention  are  as  follows:

    a. Soldiers  determined  by  the  commander  as  a  rehabilitation  failure,  as determined  in  paragraph  8-13,  will  be  processed  for  separation  in  accordance  with  separation  regulations;  in addition,  Soldiers  with  a  subsequent  alcohol-  or  drug-related  incident  of  misconduct  at  any  time  during  the  12-month  period  following  successful  completion  of  the  ASAP  or  during  the  12-month  period  following  removal  from the program, for any reason, will be processed for separation as an alcohol or drug abuse rehabilitation failure. The term  "process  for  separation"  means  that  the  separation  action  will  be  initiated  and  processed  through  the  chain  of command  to  the  separation  authority  for  appropriate  action.

    b. Except  for  Soldiers  referred  to  a  court-martial  authorized  to  impose  a punitive  discharge,  commanders  will  process  for  separation  all  Soldiers  who  are—
    (1) Identified  as  illegal  drug  abusers  (as  defined  in  this  regulation).
    (2) Involved  in  two  serious  incidents  of  alcohol-related  misconduct within  a  12-month  period.  A  serious  incident of  alcohol-related misconduct  is  defined  as  any  offense  of  a  civil  or  military  nature  that  is  punishable  under  the UCMJ  by  confinement  for  a  term  exceeding  1  year.
    (3) Involved  in  illegal  trafficking,  distribution,  possession  with  intent  to  distribute,  or  sale  of  illegal  drugs.
    (4) Tested  positive  for  illegal  drugs  a  second  time  during  their  career.
    (5) Convicted  of  DWI  or  DUI  a  second  time  during  their career.

    c. For  Active  Army and  U.S.  Army  Reserve  Active  Guard  Reserve  (AGR)  Soldiers  who  meet  separation  criteria  in  paragraph  b,  above,  but  for  whom  commanders  support  retention,  the  retention  authority  will  be  elevated  to  the  first  GO  in  the  chain  of command with a judge advocate or legal advisor available in accordance with the provisions below. For instances in which  the  retention  authority  is  elevated  it  may  not  be  delegated.

    (1) NCOs  (corporal  and  above) processed  for  separation  as  provided  for  in  paragraph  b(1),  above,  require  a  retention  decision  from  the  first  GO  in the  chain  of  command.  All  separation  decisions  (including  retention  in  the  Army)  for  specialist  and  below  will remain  with  existing  separation  authorities.

    (2) All  enlisted  Soldiers  processed  for  separation  as  a  result  of  drug  or alcohol  misconduct  as  provided  for  in  paragraphs  b(2)  through  b(5),  above,  require  a  retention  decision  from  the first  GO  in  the  chain  of  command.

    (3) All  separation actions  on  enlisted  Soldiers  with  18  or  more  years  of  qualifying  service  for  retired  pay  will  be  submitted  to  HQDA for  final  decision  in  accordance  with  existing  regulatory  provisions.

    ...

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

    a. Deployments.

    (1) Legal and administrative actions against a Soldier on deployment orders with a confirmed positive drug test may be suspended at the discretion of the separation authority until the Soldier's unit redeploys from the theater of combat operations.

    (2) The unit commander in consultation with the ASAP counseling staff will determine the deployment availability of Soldiers enrolled in the ASAP. The same standards used for other medical treatment will be applied. Ordinarily, Soldiers:

    (a) Enrolled in the ASAP who are receiving Level I counseling  services  will  be  carefully assessed  to  determine  their  progress  in  treatment  and  their  access  to  ASAP  services  to  include  tele-behavioral medicine  in  the  theater  area  of  operation.  Final  determination  on  Soldier  deployment  availability  will  be  made  by the  commander,  in  consultation  with  the  counselor.  When  the  commander  determines  a  Soldier  to  be  in  need  of further  Level  I  services  unavailable  in  theater,  the  Soldier  will  remain  at  the  current  duty  station  until  treatment  is completed.  Upon  successful  completion,  as  determined  by  the  commander  in  accordance  with  paragraph  8-13a, Soldiers  will  be  eligible  for  deployment.

    (b) Undergoing  inpatient  detoxification  have  a  temporary  physical  profile  and  are  not  deployable.

    (c) Participating  in,  or  awaiting  admittance  to,  an  ASAP  partial  inpatient  care  program  are  not  deployable  until successful  completion  of  the  inpatient  and  outpatient  follow-up  services.  Upon  successful  completion,  Soldiers  will be  eligible  for  deployment.

    ​b.  Reassignments.

    (1) Soldiers  enrolled  in  the  ASAP  who  are  receiving  Level  I  counseling  services  will  be  carefully  assessed  to determine their progress in treatment and their access to ASAP services at the gaining installation. Final determina-tion  on  Soldier  reassignment  availability  will  be  made  by  the  commander,  in  consultation  with  the  counselor.  When a  commander  determines  that  a  Soldier  needs  further  services  at  the  current  installation,  the  Soldier  will  remain stabilized  until  the  commander  determines  that  the  Soldier’s  progress  supports  reassignment.  The  servicing  ASAP CD will provide the effective date of stabilization (date of determination) to the military personnel office for enlistedpersonnel  or  the  appropriate  DA  assignment  authority  for  officers.

    (2)   Continuity  of  client  counseling  is  critical  to  successful  rehabilitation.  The  losing  CD  will  monitor  the  departure of  enrolled  Soldiers,  notify  the  gaining  ASAP,  and  ensure  that  ASAP  client  records  are  forwarded  through  the  local MTF’s  patient  administration  division  to  the  gaining  ASAP  counseling  center.  If  the  losing  ASAP  counseling  center  is unable  to  determine  the  location  of  the  gaining  ASAP  counseling  center  within  60  days,  the  losing  CD  will  provide     ACSAP  with  the  social  security  account  number.  The  ACSAP  will  then  query  the  Total  Army  Personnel  Database  for assignment  information  and  contact  the  gaining  ASAP  counseling  center  to  verify  the  Soldier’s  assignment.  The gaining  ASAP  counseling  center  will  notify  the  losing  ASAP  counseling  center  and  patient  administration  division  of the  Soldier’s  assignment  in  the  most  expeditious  manner  and  request  the  Soldier’s  ASAP  outpatient  medical  record.

    (3)  To  complete  the  mandatory  follow-up  outpatient  program,  patients  who  have  received  ASAP  inpatient  care should  be  stabilized  in  their  current  assignment  for  12  months  from  the  date  of  the  inpatient  enrollment.  The  servicing ASAP  CD  will  provide  the  effective  date  of  stabilization  (date  of  enrollment)  to  the  Military  Personnel  Office  for enlisted  personnel  or  the  appropriate  DA  assignment  authority  for  officers.  Soldiers  serving  in  CONUS  should  be stabilized in their present unit assignment for 12 months from the date of inpatient enrollment, and their records should be  annotated  to  ensure  stabilization.  Soldiers  serving  OCONUS  will  not  be  involuntarily  extended  beyond  their established  date  eligible  for  rotation  overseas  to  complete  the  mandatory  follow-up  Level  I  program.  Follow-up rehabilitation  can  be  obtained  at  the  next  CONUS  duty  station.  However,  unit  commanders  should  encourage  Soldiers  to extend their overseas tour voluntarily, under the provisions of AR 614–30, paragraph 6–2 g, to receive the maximum benefit  of  this  program.  Stabilization  may  be  terminated,  requests  for  early  termination  of  the  12  month  stabilization will  be  forwarded  through  U.S.  Army  Medical  Command  (MCHO–CL–H),  2050  Worth  Road,  Fort  Sam  Houston,  TX 78234–6000  to  Headquarters,  Department  of  the  Army  (DAPE–HRS),  Army  Center  for  Substance  Abuse  Programs, 4501  Ford  Avenue,  Suite  320,  Alexandria  VA 22302–0000.


    Section III Legal actions for Soldiers
    ...
    10-13. Definition of the Limited Use Policy

    a. Unless waived under the circumstances listed in paragraph 10-13d of this regulation, Limited Use Policy prohibits the use by the government of protected evidence against a Soldier in actions under the UCMJ or on the issue of characterization of service in administrative proceedings. Additionally, the policy limits the characterization of discharge to "Honorable" if protected evidence is used. Protected evidence under this policy is limited to:

    (1) Results of command-directed drug or alcohol testing that are inadmissible under the MRE. ...

Comments: The "MRE" are the "Military Rules of Evidence".

(2) Results of a drug or alcohol test collected solely as part of a safety mishap investigation undertaken for accident analysis and the development of countermeasures is further described in paragraph 4-5.

(3) Information concerning drug or alcohol abuse or possession of drugs incidental to personal use, including the results of a drug or alcohol test, collected as a result of a Soldier's emergency medical care solely for an actual or possible alcohol or other drug overdose. To qualify for Limited Use protection, Soldiers must inform their unit commander of the facts and circumstances concerning the actual or possible overdose. The commander must receive this information as soon after receipt of the emergency treatment as is reasonably possible. If treatment takes place at a civilian facility, the Soldier must give written consent to the treating civilian physician or facility for release of information to the Soldier's unit commander concerning the emergency treatment rendered. If the medical treatment resulted from an apprehension by military or civilian law enforcement authorities, or if the admission for treatment resulted from other than abuse of alcohol or drugs, such as for injuries resulting from a traffic accident, the limited use protection will not be available to the Soldier.

(4) A Soldier's self-referral to the ASAP.

(5) Admissions and other information concerning alcohol or other drug abuse or possession of drugs incidental to personal use occurring prior to the date of initial referral to the ASAP and provided by Soldiers as part of their initial entry into the ASAP. This includes an enrolled Soldier's admission to a physician or ASAP counselor concerning alcohol or other drug abuse incidental to personal use occurring prior to the initial date of referral to the ASAP.

(6) Drug or alcohol test results, if the Soldier voluntarily submits to a DOD or Army rehabilitation program before the Soldier has received an order to submit for a lawful drug or alcohol test. Voluntary submission includes Soldiers communicating to a member of their chain of command that they desire to be entered into a rehabilitation program. This limited use protection will not apply to test results, which indicate alcohol or other drug abuse occurring after the voluntary submission to the rehabilitation program.

Comments: Examples of when the Limited Use Policy does and does not apply.

Examples: The unit commander has ordered a urinalysis on Monday for all members of the unit (an inspection under MRE 313). Before receiving an order (or having knowledge of a pending test) to appear for the urinalysis, a Soldier approaches the platoon sergeant, admits having used illegal drugs over the weekend, and indicates a desire to receive help. Later that day, the Soldier is ordered to and provides a specimen for the urinalysis, which results in a positive report for cocaine use. Those results are protected by the limited use policy unless there is some evidence that demonstrates the use reflected by the test occurred after the admission was made to the platoon sergeant. Later that week, the commander orders another unit inspection for the following Monday. The inspection is conducted properly under MRE 313, and the Soldier once again has a positive result for cocaine. These test results, as interpreted by an Army Forensic Toxicology Drug Testing Laboratory (FTDTL) expert, indicate the Soldier had used cocaine after admitting use to the platoon sergeant. This test result is not protected by the Limited Use Policy.

(7) The results of a drug or alcohol test administered solely as a required part of a DOD or Army rehabilitation or treatment program.

b. The Limited Use Policy does not prevent a counselor from revealing, to the commander or appropriate authority or others having a need to know, knowledge of certain illegal acts which may compromise or have an adverse impact on mission, national security, or the health and welfare of others. The unit commander will report the information to the appropriate authority. Likewise, information that the client presently possesses illegal drugs or that the client committed an offense while under the influence of alcohol or illegal drugs, other than prior illegal possession incident to the prior use, is not covered under this policy. Limited use is automatic. It is not granted, and it cannot be vacated or withdrawn. It may be waived in the situations described in paragraph 10-13d of this regulation.

c. An order from competent authority to submit to urinalysis or breath or blood alcohol test is presumed a lawful order. Soldiers who fail to obey such orders may be the subject of appropriate disciplinary action under the UCMJ.

d. The Limited Use Policy does not preclude the following:

(1) The introduction of evidence for impeachment or rebuttal purposes in any proceeding in which the evidence of drug abuse (or lack thereof) has first been introduced by the Soldier. ...

(2) The initiation of disciplinary or other action based on independently derived evidence, including evidence of continued drug abuse after initial entry into the ASAP.

e. If the command is made aware of a Soldier's illegal drug use through the Soldier's self-referral and admissions, the requirement to initiate separation proceedings pursuant to the appropriate enlisted or officer separation regulation will not apply. The unit commander may initiate a separation action; however, the information is protected by the Limited Use Policy.
...
Chapter 15
Army Substance Abuse Program in the Army National Guard
General

15-1. Scope


The ASAP policies and procedures in this regulation apply to all components of the Army, including the Army National Guard. However, due to the different laws and conditions that affect National Guardsmen when they are on state and federal duty, some additional ASAP policies and procedures also apply. This chapter establishes those specific policies, responsibilities, and procedures for implementing and managing the ASAP in the ARNG.

15-2. Applicability

a. This chapter applies to all ARNG Soldiers, except for personnel in the following duty categories, who are covered by the provisions in the other chapters of this regulation:

(1) Active duty of 30 days or more that is not for training, including AD in an Active Guard Reserve status under Title 10 USC.

(2) Special tours of active duty for training (ADT) of 30 days or more.

(3) Initial AD training (IADT).

(4) Involuntary ADT of 45 days or more.

(5) Soldiers ordered to AD status during periods of partial, full, or total mobilization.
...
Policies and procedures

15-11. Policy

Illegal drug use is misconduct and the abuse of alcohol or the use of illicit drugs by both military and civilian personnel is inconsistent with the standards of performance, discipline, and readiness necessary to accomplish the Army's mission.

a. The ARNG Soldiers identified as illegal drug users will be simultaneously:

(1) Counseled by the unit commander for possible enrollment in a state-certified, community-based alcohol or other drug counseling and rehabilitation service within 45 days of verified positive drug test.

(2) Processed for administrative separation within 45 days of receipt of the verified positive drug test. Soldiers may be considered for disciplinary action prior to separation.
...
15-14. Referral of alcohol and illegal drug abusers to a state-certified rehabilitation program

Chapter 7 of this regulation applies to the ARNG...
...
15-16. Administratively separating drug abusers

Chapter 10 of this regulation applies to the ARNG, except that:

a. Unit commanders will process every ARNG Soldier identified as an illegal drug user for administrative separation. The separation action will be forwarded to the separation authority, which will make a final determination on separating or retaining the Soldier.
...

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


16-1. Scope

The ASAP policies and procedures in this regulation apply to all components of the Army, including the USAR. However, due to the different laws and conditions that affect Army Reservists when their are on reserve and AD, some additional ASAP policies and procedures also apply. This chapter establishes policies, responsibilities, and specific procedures for implementing and managing the ASAP within the USAR.

16-2. Applicability

a. This chapter applies to USAR Soldiers while not on AD for 31 days or more in the following categories:

(1) Troop program units.

(2) Individual Mobilization Augmentee Program.

(3) Individual Ready Reserve.

(4) Soldiers serving on various tours of ADT, Temporary Tours of AD, and AD for Special Work for less than 31 days. Soldiers performing tours of 31 days or more will comply with provisions listed for Active Army personnel.

b. This chapter does not apply to USAR Soldiers activated under a Presidential Selected Reserve Call-up, partial, full, or total mobilization. ASAP policies for Active Army Soldiers apply to these Soldiers.
...

Policies and procedures

16-8. Policy

...

a. The USAR Soldiers identified as drug abusers will be--

(1) Counseled by the unit commander, in person or by certified mail for possible enrollment in the USAR ASAP. Command counseling sessions will be conducted within 30 calendar days, or by the close of the next drill session, after the receipt of MRO-verified positive drug test report.

(2) Flagged immediately ... to suspend favorable personnel actions until separation procedures for misconduct are adjudicated.

(3) Processed for administrative separation. Administrative separation will be initiated and processed to the separation authority for decision on any Soldier with a positive drug test that could not have resulted from legitimate medical use of a drug. Processing will be initiated within 30 calendar days of receipt of a positive drug test or if the case requires MRO review, within 30 calendar days of receipt of the MRO-verified positive drug test report. In addition, Soldiers may be considered for disciplinary action under the UCMJ if use on AD can be validated.
...
16-11. Referral of alcohol and illegal drug users in the U.S. Army Reserve Army Substance Abuse Program

Chapter 7 of this regulation applies to the USAR...
...
b. ... Soldiers will be advised that they:

(1) Must promptly arrange for an evaluation, which should take place not later than 30 days from date of the command counseling session.

(2) Sign a consent statement for release of counseling information, which allows the counseling personnel to share necessary information with the commander or designee. ... Methadone maintenance and mandatory Disulfiram (Antabuse) treatment will not satisfy the rehabilitation requirements of this chapter. Soldiers may refuse to sign the consent statement. However, these Soldiers may be deemed not to be participating sufficiently in rehabilitation. Refusal to sign may result in their being processed for separation for rehabilitation failure.

(3) Must understand that failure to seek counseling, refusal to sign a consent to release information to the commander, or to participate and complete rehabilitation successfully, will result in initiation of separation proceedings under appropriate officer or enlisted separation regulations.