Jay J. Khalifeh, M.S.B.A. EDCO/CPC 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

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

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

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

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.

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

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)

Identification and Referral Self Command Biochemical MP Blotter Medical

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

Biochemical Testing Objectives Three Types of Testing 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

DRUGS TESTED EVERY TIME: THREE DRUGS PLUS: ROTATE A FOURTH 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

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)

Harmful Effects Physical Family/Social Emotional/Psychological Legal Work

CLASSES OF drugs DEPRESSANTS STIMULANTS HALLUCINOGENS NARCOTICS

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

Guidelines for Responsible Drinking DO’s DON’T’s 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

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

Characteristics of Substance Dependence Obsessive and Compulsive Chronic Progressive and Fatal Treatable

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

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

Health and Fitness Eat Right Exercise Relaxation

Eat Right Eat the Pyramid

Exercise Aerobic Anaerobic Flexibility

Relaxation Slow, deep breathing Imagery

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?

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?

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).

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?

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

Defense Mechanisms Denial Externalization Rationalization Minimization Enabling