CSAPT ProcessCradle to Grave

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CSAPT ProcessCradle to Grave

• Jerry Cole

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Center for Substance Abuse Prevention Treatment
(CSAPT)

• Leadership Experience
• Myths
• Save the world
• They just want to stop the process
• Truths
• Environment
• Enabling

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Center for Substance Abuse Prevention Treatment
(CSAPT)

• Treatment
• Process
• Screening
• MOE
• Assessment
• Early Intervention/education and/or Treatment
• Recommendations
• Command Needs
• Admin sep or OP commitments
• Marines Needs
• Continuing Care

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TREATMENT/EDUCATION PROCESS

• Illegal Drug use
• a. UCMJ/Admin Separation
• b. Refuse Treatment
• c. Recommendation for Admin Sep

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TREATMENT/EDUCATION PROCESS

• Alcohol Related Incident (ARI)
• Occurs when, in the commanders' judgment, the
  ingestion of alcohol was a contributing factor to
  an event that resulted in a violation of the
  UCMJ.

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TREATMENT/EDUCATION PROCESS

• What should happen when a Drug/ARI takes place?
• Document the incident by entries in Page 11, 12
  or 13, eval, FITREP.
• Refer clearance eligibility incidents to
  Department of the Navy Central Adjudicating
  Facility (DONCAF).
• Take appropriate disciplinary action
• Refer the individual to the unit Substance
  Abuse Control Officer (SACO) for initial
  screening and referral to the nearest CSAPT for
  evaluation

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TREATMENT/EDUCATION PROCESS

• Heres where we come in
• a. Incident
• b. SACO schedules Screening Appointment
  with CSAPT

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SCREENING

• Service member reports to CSAPT, on time
• and sober
• Service member is Screened by one of the
  Counselors on Staff
• Screening is done in accordance with the
  Diagnostic and Statistical Manual of Mental
  Disorders (DSM-IV)

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SCREENING

• The process by which a patient is determined
  appropriate and eligible for admission to a
  particular program
• Background Information
• Establishing a Rapport

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SCREENING

• Early Intervention/Education Counselor will
  form an opinion and schedule the patient for
  early intervention classes. (No diagnosis)
• Treatment Counselor will form an opinion and
  submit a recommendation to the Medical Officer
  for evaluation.

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MEDICAL OFFICERS EVALUATION

• Counselors recommendation
• Medical Officers Concurrence or Non-
• Concurrence
• Patients Record returned to Counselor
• for Assessment

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ASSESSMENT

• Process where the counselor identifies and
  evaluates a patients strengths, weaknesses,
  problems and needs for the development of a
  treatment plan.

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TREATMENT

• Early Intervention (Education)
• Outpatient (OP)
• Intensive Outpatient (IOP)
• Residential

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TREATMENT

• Early Intervention (Education)

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TREATMENT

• Outpatient (OP)
• a. This service provides drug and alcohol
• education and counseling.
• b. Regularly scheduled sessions
• c. New problems may require
• additional treatment
• d. Length of treatment varies

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TREATMENT

• Intensive Outpatient (IOP)
• This service is designed for Marines who
• require more intensive treatment.
• a. More time
• b. More sessions
• c. Length of treatment varies
• d. New problems may require additional
• treatment

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TREATMENT

• Residential
• This service is for Marines who are alcohol
• and/or drug dependent
• a. Length of treatment varies
• b. Treatment provided by Hospitals with
• alcohol treatment capabilities
• c. Drug treatment is provided by Naval
• Hospitals

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PROCESS

• Medical Officers Concurrence
• Directors Approval
• Directors Recommendation Ltr to CMD
• Patient is placed in treatment

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PATIENT PLACEMENT

• Placement recommendation based on the assessment,
  not the drug or alcohol diagnosis. The Medical
  Officer is the deciding authority.

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INTERDISCIPLINARY TEAM

• CSAPTs will assemble an IDT, at least weekly,
  to review the treatment plan and progress for
  each patient.
• IDT will consist of appropriately trained
  individuals able to assess, intervene, and treat
  patients regarding drug and alcohol use. (e.g.,
  Physicians, Substance Abuse Counselors, and the
  Medical Officer.)

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AFTERCARE

• The Commanding Officer will place Marines that
  complete treatment in an aftercare status for 12
  months.
• CSAPT provides a written aftercare plan
• Plans vary for each person
• Aftercare services are provided at the unit
  level, not the CSAPT

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AFTERCARE

• Aftercare requires close supervision and
  mandatory completion to include participation in
  self-help groups.
• Unit SACOs are responsible for Monitoring.
• Marines must meet with the unit SACO at least
  bi-weekly.

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INCIDENT COMMAND/SELF REF
IND TREATMENT PLAN DEVELOPED
MOE
ASSESSMENT
SACO SCREENING
TREATMENT COMPLETE
AFTERCARE
SACC SCREENING
YES
TREATMENT
NO
DSM MET
DONE/RTD
TREATMENT FAILURE PROCESSED FOR SEPARATION
YES
NO
RTD EARLY INTERVENTION
Patient Placement and Treatment Process
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Questions ?