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ARMY SUBSTANCE ABUSE PROGRAM USAG VICENZA. Strengthen the Overall Fitness and Effectiveness of Army's Total Workforce and Enhance the Combat Readiness of its Soldiers. ASAP Mission Statement. MISSION. Prevent alcohol and other drug abuse. Identify abuse as early as possible.
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Strengthen the Overall Fitness and Effectiveness of Army's Total Workforce and Enhance the Combat Readiness of its Soldiers ASAP Mission Statement
MISSION • 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.
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 blood alcohol level equal to or greater than .05 grams of alcohol per 100 milliliters of blood Commanders by order or regulation may set local alcohol limits below 0.05 percent for soldiers on duty or prohibit the use of alcohol entirely during deployments as they deem necessary for mission accomplishment and to meet local conditions.
Average 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
Whatare 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
ROOFIES COCAINE Ketamine GHB
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 bottles - These are used to store the liquid form of certain drugs Dust masks/Vicks Vapo-Rub - These are combined to enhance the effects of the designer drugs. The Vicks is placed under the nose the the mask is used to keep the rub from dissipating
5 Ways to be referred to ASAP * Command * Self (Preferred Method) * Apprehension * Medical * Biochemical
Limited Use Policy 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
SUBSTANCE ABUSE GUIDELINES Impairment for Duty Is defined as a BAL of .05 or Higher (UCMJ) Requirements for successful outpatient counseling (AR600-85) • Attendance • Abstinence • Attitude • Aftercare Failure to Rehabilitate an Alcohol or drug problem can result in discharge (Chapter 9, AR635-200) Referrals DA Form 8003
Key Concepts • 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
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
Excuses Leaders often use for NOT Intervening • 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.
Effective One-on-One Intervention • 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!
True False 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
USAG VICENZAASAP Prevention Office 634-7554