ADAPCP

1. ADAPCP 6th ASG ALCOHOL & DRUG ABUSE PREVENTION & CONTROL PROGRAM Community Counseling Center Panzer Kaserne Bldg 2948 DSN 4312-530 CIV 07031-15-530 email: khalifeh@6asg.army.mil Jay J. Khalifeh, M.S.B.A. EDCO/CPC

2. References • AR 600-85 • FPM Ch 792, FPM Supplement 793-2, • FPM Letters 792-16 and 792-17 • Executive Order 12564, • DoD Instructions1010.5 and 1010.6 • DoD Directives 1010.4, 1010.7 and 1010.9 • Public Law 91-616, 92-255, and 100-71 • Health & Human Services Guidelines for Federal Workplace Drug Testing Program

3. TOPICS • Overview • Identification and Referral • Evaluation and Treatment • Biochemical Testing • Prevention Education • When do I have a problem • Classes of Drugs

4. TOPICS • What is a drink? • Guidelines for Responsible Drinking • Taking care of yourself • Disease Concept and the Brain • Drinking and Driving/BAC • Defense Mechanisms

5. Incompatibility of Substance Abuse and Government Service • Alcohol and drug abuse are incompatible with military service (AR 600-85), and any use of illicit drugs is considered abuse. The irresponsible use of alcohol (i.e., drunk on duty or driving under the influence of alcohol) is considered abuse and is subject to judicial and/or nonjudicial action.

6. ADAPCP’S MISSION • Identification & Referral • Evaluation & Treatment • Biochemical Testing • Education & Prevention

7. Alcohol & Drug Control Officer (ADCO) Education Coordinator (EDCO) Biochemical Testing Coordinator (BTC) Clinical Director Alcohol & Drug Abuse Counselor Adolescent Substance Abuse Counselors (ASACS) ADAPCP Organization

8. Identification and Referral • Self • Command • Biochemical • MP Blotter • Medical

9. Evaluation and Treatment • Evaluation by Counselor • Rehabilitation Team Meeting (RTM) • Commander • Soldiers Supervisor • ADAPCP Counselor • Possible Recommendations • No Enrollment • Outpatient Treatment • Inpatient Treatment

10. Biochemical Testing • Objectives • ID servicemembers using illicit drugs • To deter • Monitor rehabilitation progress • Develop data regarding drug use • Three Types of Testing • Commander-directed • Physician-directed • Rehabilitation testing

11. ADCO DRUGS TESTED • EVERYTIME: THREE DRUGS (Cocaine, Amphetamines, THC) • PLUS: ROTATE A FOURTH (PCP, LSD, Opiates, Barbs) • AND: CMD CAN REQUEST • SPECIFIC DRUGS • BE TESTED ADAPCP

12. Prevention Education • Unit Training • Alcohol & Drug Abuse Prevention Training (ADAPT) • Commander and Leadership • Civilian Supervisors Training • Alcohol Servers Training • Promotional Campaigns • Summer Sense • Celebrate Sober • Red Ribbon • 3 D (National Drugged and Drunk Driving)

13. Harmful Effects • Physical • Family/Social • Emotional/Psychological • Legal • Work

14. CLASSES OF drugs • DEPRESSANTS • STIMULANTS • HALLUCINOGENS • NARCOTICS

15. What Constitutes a Drink? • 1.5 ounces 80 proof distilled spirits • 12 ounce American beer • 5 ounce glass of wine • 12 ounce wine cooler • Absorption and oxidation

16. Set a Limit Healthy Activities Eat Know Signs/BAC Drink Standard Size Drink Straight In Morning When Hungry/Thirsty Engage in Contests Drink when upset Mix medicines Guidelines for Responsible Drinking DO’s DON’T’s

17. The disease concept of addiction Why is alcoholism and drug addiction considered a disease?

18. Characteristics of Substance Dependence • Obsessive and Compulsive • Chronic • Progressive and Fatal • Treatable

19. Criteria for Substance Abuse • Failure to fulfill role obligations at work or home • Physically Hazardous • Legal Problems • Continued use despite social/ interpersonal problems

20. Criteria for Substance Dependence • Tolerance • Withdrawal • Larger amounts taken or taken longer than intended • Persistent desire or unsuccessful efforts to cut down • Great deal of time spent obtaining, taking or recovering from substance • Important activities given up or reduced • Continued use despite physical/psychological problems

21. Health and Fitness • Eat Right • Exercise • Relaxation

22. Eat Right • Eat the Pyramid

23. Exercise • Aerobic • Anaerobic • Flexibility

24. Relaxation • Slow, deep breathing • Imagery

25. Drinking and Driving Punishment • The October 1998 ADAC and 12 October 1998, Stuttgarter Zeitung Nr. 235 magazines outlines. • From .03 to .049 - BAC with suspect driving or involvement in an accident; Driver’s license taken away for at least 6 months: 7 points against your driver’s license: Fined from 30 to 45 times your daily salary. • From .05 to .079 - USAREUR driver’s license suspended 3 months. Stopped by a routine traffic stop 2 points against your driver’s license and 200 DM fine • From .08 to .109 - Driving banned for one month, 4 points against driver’s license: 500 DM Fine: Higher penalties for 2nd and 3rd offenses. (BAC .08-.099 USAREUR driver’s license suspended for 6 months). • From .11 and above - You are considered absolutely unfit to drive a car. Driving privileges revoked for more than nine months if an accident 12 months. 7 Points against driving privileges. (BAC .10 and above USAREUR driver’s license suspended indefinitely. May request reinstatement after 1 year and successful completion of ADAPCP program). • From .16 and more - Punishment similar to .11 BAC and you may have to undergo a medical, psychological evaluation to determine whether you are fit to get a new driver’s license. At this BAC level you are also considered too inebriated to ride a bicycle. • How well do we manage stress?

26. Drinking and Driving Punishment • From .05 to .079 - USAREUR driver’s license suspended 3 months. Stopped by a routine traffic stop 2 points against your driver’s license and 200 DM fine • From .08 to .109 - Driving banned for one month, 4 points against driver’s license: 500 DM Fine: Higher penalties for 2nd and 3rd offenses. (BAC .08-.099 USAREUR driver’s license suspended for 6 months). • From .11 and above - You are considered absolutely unfit to drive a car. Driving privileges revoked for more than nine months if an accident 12 months. 7 Points against driving privileges. (BAC .10 and above USAREUR driver’s license suspended indefinitely. May request reinstatement after 1 year and successful completion of ADAPCP program). • From .16 and more - Punishment similar to .11 BAC and you may have to undergo a medical, psychological evaluation to determine whether you are fit to get a new driver’s license. At this BAC level you are also considered too inebriated to ride a bicycle. • How well do we manage stress?

27. Drinking and Driving Punishment • From .11 and above - Driving privileges revoked for more than nine months if an accident 12 months. 7 Points against driving privileges. (BAC .10 and above USAREUR driver’s license suspended indefinitely. May request reinstatement after 1 year and successful completion of ADAPCP program).

28. Drinking and Driving Punishment • From .16 and more - Punishment similar to .11 BAC and you may have to undergo a medical, psychological evaluation to determine whether you are fit to get a new driver’s license. At this BAC level you are also considered too inebriated to ride a bicycle. • How well do we manage stress?

29. Managing Stress • Be aware of your stressors and reactions. • Recognize what you can change • Moderate emotional reactions to stress • Moderate physical reactions to stress • Build physical reserves • Build emotional reserves

30. Defense Mechanisms Denial Externalization Rationalization Minimization Enabling