ARMY SUBSTANCE ABUSE PROGRAMARMY SUBSTANCE ABUSE PROGRAM USAG VICENZAUSAG VICENZA

ARMY SUBSTANCE ABUSE PROGRAMARMY SUBSTANCE ABUSE PROGRAM USAG VICENZAUSAG VICENZA

Strengthen the Overall Fitness and Effectiveness of Strengthen the Overall Fitness and Effectiveness of Army's Total Workforce and Army's Total Workforce and

Enhance the Combat Readiness of its SoldiersEnhance the Combat Readiness of its Soldiers

ASAP ASAP Mission StatementMission Statement

MISSIONMISSION

• Prevent alcohol and other drug abuse.• Identify abuse as early as possible.• Restore both military and civilian employee.• Ensure prevention education is provided at all levels.• Utilize local and community resources and facilities.• Staff remain current to drug trends.

Soldiers abuse many substances

HEMP PRODUCTS ARE LEGAL

Ingesting Hemp Products are Prohibited iaw ar 600-85

SPICEMost herbal incenses appear as an olive green leafy

material very similar in appearance to marijuana, oregano

Salvia divinorumMany US states have passed laws criminalizing

the substance

ALCOHOL #1 Substance of abuse for soldiers

It’s Legal

Easy to get

Relatively inexpensive

Socially acceptable

Media often encourage drinking

Military personnel on duty will not have a Military personnel on duty will not have a blood alcohol level equal to or greater blood alcohol level equal to or greater

than than .05.05 grams of alcohol per 100 grams of alcohol per 100 milliliters of bloodmilliliters of blood

Commanders by order or regulation may set local alcohol Commanders by order or regulation may set local alcohol limits below 0.05 percent for soldiers on duty or prohibit the limits below 0.05 percent for soldiers on duty or prohibit the

use of alcohol entirely during deployments as they deem use of alcohol entirely during deployments as they deem necessary for mission accomplishment and to meet local necessary for mission accomplishment and to meet local

conditionsconditions.

Average BAL EquationsAverage BAL Equations

• Male BAL rises .02-.025 per drink• Female BAL rises .028-.033 per drink• Metabolism takes one hour per drink for males and two

hours per drink for females• Legal intoxication is defined by BAL

• Functional intoxication is determined by Tolerance

Typical Binge Drinker

• 19-26 year old, male and tend to binge drink on weekends, which at many colleges begin on Thursdays

• A Harvard University study found that two out of five students (nearly 43%) reported to be binge drinkers

• Women are catching up to men: 39% of women and 48% of men. The number of females indicating that they drank to get drunk had also increased more sharply than male drinkers

What are Inhalants?

• Breathable chemical vapors that produce mind altering effects.

• There are three types produce mind altering effects of inhalants

• Solvents

• Gases

• Nitrites

• Street names include poppers, snappers, ozone.

How are Inhalants Abused?

• Inhalants are ingested into the body by breathing in the vapors of the product. Several methods of inhalation can be used by abusers:

• Using a bag

• Using a rag

• Using pressurized containers

Wide Variety of Abused Items

• Rubber Cement

• Hair Spray

• Fabric Protector

• Chloroform

• Paint Thinner

• White Out

• Whippets

• Toxic Markers

• Lighter Fluid

• Gasoline

• Dust Off

• Nitrous Oxide

• Room Deodorizer

• Helium

Effects of Inhalants

Chronic Memory Loss

Emotional Instability

Slurred Speech

Body Tremors

Sight Disorders

Liver Damage

Hearing Loss

Kidney Damage

Bone Marrow Damage

Paralysis

Brain Damage

Sudden Sniffing Death

GHB

Ketamine

ROOFIES

COCAINE

PARAPHERNALIA

Light Sticks – Used to enhance the visual experience while on the drugs (individuals see “trails” of light)

Water Bottles & Fans - Used to prevent dehydration and increased body temperatures associated with raves

Pacifiers - Rave drugs tend to cause the user to grind their teeth, the pacifier prevents this

Eye-drop bottlesEye-drop bottles - These are used to store the liquid form of certain - These are used to store the liquid form of certain drugsdrugs

Dust masks/Vicks Vapo-RubDust masks/Vicks Vapo-Rub - These are combined to enhance the - These are combined to enhance the effects of the designer drugs. The Vicks is placed under the nose effects of the designer drugs. The Vicks is placed under the nose the the mask is used to keep the rub from dissipatingthe the mask is used to keep the rub from dissipating

5 Ways to be referred to ASAP5 Ways to be referred to ASAP 5 Ways to be referred to ASAP5 Ways to be referred to ASAP

* Command * Self (Preferred Method) * Apprehension * Medical * Biochemical

Encourages Self-Referrals

Protects soldier against UCMJ action in certain situations

such as: self-admission of problem, overdose in medical

emergencies, assisting buddy that is in need of medical

Help

Self-Admission must occur before SM has knowledge of Urine test

Limited Use Policy

Requirements for successful outpatient

counseling(AR600-85)

Impairment for Duty Is defined as a BAL of

.05 or Higher(UCMJ)

ReferralsDA Form 8003

Failure to Rehabilitate an Alcohol or drug problem can result in discharge (Chapter 9, AR635-200)

• Attendance• Abstinence• Attitude• Aftercare

SUBSTANCE ABUSE GUIDELINES

Leadership can make a difference

Metabolism defines legal intoxication

Tolerance defines practical intoxication

Trends of illegal substance use

Warning signs are there, if you care to see

Intervention is the key to effective action

Key Concepts

Recognizing the Problem

“How can I know when one of my soldiers has a

serious drinking or an illegal drug problem?”

Obvious Signs*

Alcohol related problems with:

The Law Personal Relations

Family** Job Performance**

Finances Health Matters

*These are only “obvious” if you have a good knowledge of the

soldier

** Family problems first, Job problems last

It will damage our relationship.

It might hurt his/her career.

Who am I to pass this kind of judgment?

It’s not my responsibility.

I should give him/her another chance.

I might be wrong.

We’re supposed to take care of each other.

Excuses Leaders often use for NOT Intervening

Stay focused on the facts as you know them.

Identify the choices and their likely consequences.

Don’t buy in to alibi’s, excuses or deal making.

Keep your own feelings on the back burner.

Encourage the individual to take initiative in getting real help but also promise to do what you have to do.

Do it!

Effective One-on-One Intervention

Self Investigation

Evaluation

Referral

INPATIENTADAPTReturn to Dutyor separate perCommander’s

Decision

One-day Class

RTD 365 Days to Dispo

Soldier

MedicalCommand Biochemical

Hospital Program

OUTPATIENT

Outpatient Program

Commander’sDisposition

OutpatientFollow-Up

Success = RTD Failure=Ch 9, AR635-200 action

ASAP Quiz

1. Soldiers who self refer to ASAP are not subject to an automatic flagging action

2. Soldiers who self refer do not require a commanders signature to enroll

3. A Soldier attending the 2 day Alcohol and Drug Abuse Prevention Training (ADAPT) does not need to be enrolled in ASAP

4. A Soldier enrolled in the Group Counseling Program at must attend every session for successful completion

5. A Soldier placed in inpatient rehabilitation has a mandatory 365 day enrollment

6. A Soldier declared a rehabilitation failure by the commander must be separated IAW Chapter 9 of AR635-200

True False

USAG VICENZAUSAG VICENZAASAP Prevention OfficeASAP Prevention Office

USAG VICENZAUSAG VICENZAASAP Prevention OfficeASAP Prevention Office

634-7554