ADAPCP

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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_at_6asg.army.mil

• Jay J. Khalifeh, M.S.B.A. EDCO/CPC

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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

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TOPICS

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

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TOPICS

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

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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.

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ADAPCPS MISSION

• Identification Referral
• Evaluation Treatment
• Biochemical Testing
• Education Prevention

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ADAPCP Organization

• Alcohol Drug Control Officer (ADCO)
• Education Coordinator (EDCO)
• Biochemical Testing Coordinator (BTC)

• Clinical Director
• Alcohol Drug Abuse Counselor
• Adolescent Substance Abuse Counselors (ASACS)

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Identification and Referral

• Self
• Command
• Biochemical
• MP Blotter
• Medical

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Evaluation and Treatment

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

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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

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ADCO
DRUGS TESTED

• EVERY TIME THREE DRUGS
• (Cocaine, Amphetamines, THC)
• PLUS ROTATE A FOURTH
• (PCP, LSD, Opiates, Barbs)
• AND CMD CAN REQUEST
• SPECIFIC DRUGS
• 
  BE TESTED

ADAPCP
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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)

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Harmful Effects

• Physical
• Family/Social
• Emotional/Psychological
• Legal
• Work

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CLASSES OF drugs

• DEPRESSANTS
• STIMULANTS
• HALLUCINOGENS
• NARCOTICS

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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

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Guidelines for Responsible Drinking
DOs
DONTs

• 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

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The disease concept of addiction
Why is alcoholism and drug addiction considered
a disease?
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Characteristics of Substance Dependence

• Obsessive and Compulsive
• Chronic
• Progressive and Fatal
• Treatable

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Criteria for Substance Abuse

• Failure to fulfill role obligations at work or
  home
• Physically Hazardous
• Legal Problems
• Continued use despite social/ interpersonal
  problems

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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

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Health and Fitness

• Eat Right
• Exercise
• Relaxation

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Eat Right

• Eat the Pyramid

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Exercise

• Aerobic
• Anaerobic
• Flexibility

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Relaxation

• Slow, deep breathing
• Imagery

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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 Drivers license
  taken away for at least 6 months 7 points
  against your drivers license Fined from 30 to
  45 times your daily salary.
• From .05 to .079 - USAREUR drivers license
  suspended 3 months. Stopped by a routine
  traffic stop 2 points against your drivers
  license and 200 DM fine
• From .08 to .109 - Driving banned for one month,
  4 points against drivers license 500 DM Fine
  Higher penalties for 2nd and 3rd offenses. (BAC
  .08-.099 USAREUR drivers 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 drivers
  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 drivers license. At this
  BAC level you are also considered too inebriated
  to ride a bicycle.
• How well do we manage stress?

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Drinking and Driving Punishment

• From .05 to .079 - USAREUR drivers license
  suspended 3 months. Stopped by a routine
  traffic stop 2 points against your drivers
  license and 200 DM fine
• From .08 to .109 - Driving banned for one month,
  4 points against drivers license 500 DM Fine
  Higher penalties for 2nd and 3rd offenses. (BAC
  .08-.099 USAREUR drivers 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 drivers
  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 drivers license. At this
  BAC level you are also considered too inebriated
  to ride a bicycle.
• How well do we manage stress?

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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 drivers license
  suspended indefinitely. May request reinstatement
  after 1 year and successful completion of ADAPCP
  program).

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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 drivers license. At this
  BAC level you are also considered too inebriated
  to ride a bicycle.
• How well do we manage stress?

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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

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Defense Mechanisms
Denial Externalization Rationalization Minimizati
on Enabling