ARMY SUBSTANCE ABUSE PROGRAM USAG VICENZA

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ARMY SUBSTANCE ABUSE PROGRAM USAG VICENZA

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ASAP Mission Statement

• Strengthen the Overall Fitness and Effectiveness
  of Army's Total Workforce and
• Enhance the Combat Readiness of its Soldiers

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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.

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Soldiers abuse many substances
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HEMP PRODUCTS ARE LEGAL
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Ingesting Hemp Products are Prohibited iaw ar
600-85
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SPICEMost herbal incenses appear as an olive
green leafy material very similar in appearance
to marijuana, oregano
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Salvia divinorumMany US states have passed laws
criminalizing the substance
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ALCOHOL 1 Substance of abuse for soldiers
Its Legal Easy to get Relatively
inexpensive Socially acceptable Media often
encourage drinking
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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.

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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

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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

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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.

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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

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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

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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
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CLUB DRUGS
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ROOFIES
COCAINE
Ketamine
GHB
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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

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5 Ways to be referred to ASAP

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

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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

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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
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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

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Recognizing the Problem

• How can I know when one of my soldiers has a
  serious drinking or an illegal drug problem?

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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

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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?
• Its not my responsibility.
• I should give him/her another chance.
• I might be wrong.
• Were supposed to take care
• of each other.

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Effective One-on-One Intervention

• Stay focused on the facts as you know them.
• Identify the choices and their likely
  consequences.
• Dont buy in to alibis, 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!
  

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• 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
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USAG VICENZAASAP Prevention Office

• 634-7554