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Chapter 3

Section 3C- Procedures for Identification and Referral of Suspected or Identified Substance Abusers for ADAPT Services.

3.7. Self-Identification. Air Force members with substance abuse problems are encouraged to seek assistance from the unit commander, first sergeant, substance abuse counselor, or a military medical professional. Following the assessment, the ADAPT Program Manager will consult with the Treatment Team, and determine an appropriate clinical course of action.

3.7.1. Drugs. An Air Force member may voluntarily disclose evidence of personal drug use or possession to the unit commander, first sergeant, substance abuse evaluator, or a military medical professional. Commanders will grant limited protection for Air Force members who reveal this information with the intention of entering treatment.

Comentario: Si uno se entrega por el consumo de drogas, no se puede usar ese hecho para una demanda disciplinaria o para decidir su calificación de servicio. Commanders may not use voluntary disclosure against a member in an action under the Uniform Code of Military Justice (UCMJ) or when weighing characterization of service in a separation. Disclosure is not voluntary if the Air Force member has previously been: Apprehended for drug involvement. Placed under investigation for drug abuse. When a member is considered placed under investigation is determined by the circumstances of each individual case. A member is under investigation, for example, when an entry is made in the Security Forces blotter, when the Security Forces Investigators log shows an initial case entry, or when the Office of Special Investigations (OSI) opens a case file. A member is also considered under investigation when he or she has been questioned about drug use by investigative authorities or the members commander, or when an allegation of drug use has been made against the member. Ordered to give a urine sample as part of the drug-testing program in which the results are still pending or have been returned as positive. Advised of a recommendation for administrative separation for drug abuse. Entered treatment for drug abuse. The limited protection under this section for self-identification does not apply to: The introduction of evidence for impeachment or rebuttal purposes in any proceeding in which the evidence of drug abuse (or lack thereof) has been first introduced by the member. Disciplinary or other action based on independently derived evidence (other than the results of commander-directed drug testing), including evidence of continued drug abuse after the member initially entered the treatment program.

3.7.2. Alcohol. Commanders must provide sufficient incentive to encourage members to seek help for problems with alcohol without fear of negative consequences. Self identification is reserved for members who are not currently under investigation or pending action as a result of an alcohol-related incident. Self-identified members will enter the ADAPT assessment process and will be held to the same standards as others entering substance abuse education, counseling and treatment programs.
3.16. Completing the Program.

3.16.1. Successful Completion. Patients will not be considered to have successfully completed treatment until they meet the DSM criteria for early full remission. The TT determines, based on DSM criteria, patient progress towards agreed upon goals and/or issues as stated in the treatment plan, when the patient is effectively in recovery and no longer requires program resources.

Comentario: "DSM" significa "Diagnostic Statistical Manual" (el manual diagnóstico y estadístico); "TT" signfica "Treatment Team" (equipo de tratamiento).

3.16.2. Failing the Program. The TT determines a patient to have failed the program based on a demonstrated pattern of unacceptable behavior, inability or unwillingness to comply with their treatment plan, or involvement in alcohol and/or drug related incidents after receiving initial treatment. The determination that a patient has failed treatment is based on the patients repeated failure to meet and maintain Air Force standards (behavior), rather than solely on the use of alcohol. Individuals who have been determined as failing the ADAPT program shall be considered for administrative separation by their commander IAW AFI 36-3207, or AFI 36-3208.

Comentario: "IAW" significa "In Accordance With" (según).