Opnav Instruction 5350.4D
Opnav Instruction 5350.4D
Opnav Instruction 5350.4D
OPNAVINST 5350.4D
N135
4 Jun 09
OPNAV INSTRUCTION 5350.4D
From:
Subj:
OPNAVINST 5350.4D
4 Jun 09
Zncl:
1.
Purpose
OPNAVINST 5350.4D
4 Jun 09
important element to managing an effective alcohol and drug
abuse prevention program is maintaining a command climate
intolerant of any alcohol or drug abuse.
5.
Policy
d.
members.
OPNAVINST 5350.4.D
4 Jun 09
alcohol free. Those members who choose to consume alcoholic
beverages must do so lawfully and responsibly. Responsible use
is the application of self-imposed limitations of time, place,
and quantity when consuming alcoholic beverages. Alcohol
consumption is never an acceptable excuse for misconduct or poor
judgment. Any misconduct or irrational behavior where alcohol
use is involved must be addressed immediately and effectively.
Most individuals will respond to immediate and effective
intervention. Alcohol abuse left unaddressed has potential to
place both the member and the Navy in danger. Therefore, while
it remains an individual choice as to whether or not to drink
alcoholic beverages, members who choose to drink shall do so in
an appropriate place, at an appropriate time, and in an
appropriate quantity. Alcohol shall not be consumed to the
extent that it:
(1) Impairs rational and full exercise of a member's
nental and physical faculties while in a duty status or in the
performance of military duties;
161 Reduces member's dependability and reliability;
( > )
Reflects discredit upon the member personally or
lpon Navy; 2r
OPNAVINST 5350.4D
4 Jun 09
of non-alcoholic beverages must be provided for those who choose
not to drink alcohol. All military personnel are ultimately
responsible for their own actions.
h. Navy's policy on drug abuse is "zero tolerance." Navy
members determined to be using, possessing, promoting,
manufacturing, or distributing drugs and/or drug abuse
paraphernalia (in violation of applicable provisions of
reference ( b ) ,Federal, State, local statutes, or this
instruction) shall be disciplined as appropriate and processed
for ADSEP as required. Members diagnosed as drug dependent
shall be offered treatment prior to separation.
OPNAVINST 5350.4D
4 Jun 09
.
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t - i u r ~ l ; q the
OPNAVINST 5350.4D
4 Jun 09
( 4 1 In any event, members diagnosed as alcohol abusers
OPNAVINST 5350.4D
4 Jun 09
irlnalysis
OPNAVINST 5350.4D
4 Jun 09
( 1 ) Provide screening, referral, treatment
d.
OPNAVINST 5350.4D
4 Jun 09
( 2 ' Establish administrative procedures for execution of
JPNAV 535C 1 , Drug and Alcohol Abuse Statement of Understanding.
1 3 ) Maintain a urinalysis program consistent with the
policies in enclosure (2) of this instruction.
e.
;ha1 1 :
OPNAVINST 5350.4D
4 Jun 09
implementat~on,policy compliance, and appropriate use of
assigned resources throughout the activities. OPNAV (N135)
personnel may augment NAVINSGEN inspection teams as appropriate.
g . Chief of Naval Operations, Special Assistant for Naval
Investigative Matters and Security (CNO (N09N)) is designated by
the Secretary of the Navy as the DON senior agency security
3fficial per reference (h), and is responsible for establishing,
directing, and overseeing an effective DON Personnel Security
program and for implementing and complying with all directives
issued by higher authority.
required,
)::
I.
The Director, Department of the Navy Central
~djudication~acility (DON CAF) reports directly to Director,
NAVCRIMINVSVC and is the personnel security adjudicative
3eterminati~nauthority for all individuals affiliated with the
DON. Director, DON CAF has responsibility for adjudicating
information from personnel security investigations and other
~elevantinformation to de~ermineeligibility for access to
siassified information, and/or assignment to sensitive national
security positions and communicate the results via Joint
Personnel Adjudication System.
j.
shall :
ti Pr3vide detailed procedural guidance to identify and
screen out alcohol or drug abusers or drug traffickers seeking
to enter :ne Navy.
OPNAVINST 5350.4D
4 Jun 09
( L ' Implement detailed
accepting individuals into the
pre-entry drug use or underage
potential for creditable naval
( 2 '
IDEP) compiete the Navy Zero Tolerance Policy for Delayed Entry
2ersonnel course prior to reporting to Recruit Training Command
(RTCi Great Lakes.
( 5 , Conduct urinalysis using a non-instrumented drug
zest for ~ L DEP
L
personnel within 24 hours prior to shipping to
OPNAVINST 5350.4D
4 Jun 09
ue assigned primary duties as Alcohol and Drug Control Officer
(ADCO). OPNATT (N135) shall be notified once an individual is
assigned as ADCO and of all changes in ADCOs. ADCOs are
responsible for providing guidance to Drug and Alcohol Program
Advisors (DAPAs) assigned to subordinate commands and monitor
foilowing aspects of their substance abuse prevention programs:
la) Alcohol and drug abuse prevention education
yrograms are implemented and maintained (e.g., Alcohol-AWARE,
Personal Responsibility and Values Education and Training
(PREVENT),Alcohol and Drug Abuse Management Seminars (ADAMS)
for Leaders~Supervisors,Skills for Life (SFL))
,b) Subordinate commands conduct urinalysis per the
grocedures dutlined in enclosure (2).
. c ) Program assessment reports are submitted as
requireci.
Subordinate commands actively support local
Lnitiatlves, including alcohol deglamorization, and implement
3 U I CWI drid other alcohol and drug abuse countermeasures
-onsister_t vl'itk.the threat environment.
t L ' )
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Commander, Navy Installations Command (CNIC), and
Zommander, Navy Region Commands (COMNAVREGCOMs) shall comply
~ i t hall provisions outlined in paragraph 8k of this
instruction. In addition, CNIC and all COMNAVREGCOMs shall
ensure
OPNAVINST 5350.4D
4 Jun 09
:neckpoints, sobriety checks during entry and exits to base,
inspection and enforcement programs covering persons, vehicles,
and property .
r
3.
-
4.
-
Chaplain;
5.
-
6.
-
~edicalDepartment representative;
'7.
-
8.
-
9.
-
NAVCRIMINVSVC representative.
club manager;
OPNAVINST 5 3 5 0 . 4 D
4 Jun 09
ib) Commanders are encouraged to include NDAAC
issues as agenda items for other scheduled meetings.
1 3 3 Revoke, for a minimum of 1 year, on-base driving
OPNAVINST 5350.4D
4 Jun 09
,%lcohoiic neverayes at command functions where alcohol use has
neen authorized. Activities which may encourage personnel to
drink irresponsibly shall not be tolerated.
( 4 ; Provide specxfic
responsible use of alcohol.
local command instruction or
~rganizationand regulations
(5
creer .
i ~ Those
)
individuals identified as treatment
faliures, per enclosure (1) of this instruct.ion. At commanding
~fficers'discretion, waiver process can be initiated.
iA
OPNAVINST 5350.4D
4 Jun 09
,-'I
abus F .
OPNAVINST 5350.4D
4 Jun 09
:3nd other dpplicable alcohol incidents are documented and
reported per reference (f),article 1070-320, and comply with
provision at reference (1.1).
Additionally:
ia) Incidents involving alcohol or drug abuse that
,2ffect security clearance eligibility shall be referred to Navy
Fersonnel Command (NAVPERSCOM), Enlisted Performance and
,3eparations Branch (PERS-832) .
b) incidents involving alcohol or drug abuse by
members assigned to special programs (i.e.,Nuclear Program,
Naval Air Crewman, Air Traffic Control, Personal Reliability
Proyram (PRPI, Submarine Duty) shall be reported to the
3ppropriat e program manager per references (m) and (n).
OPNAVINST 5 3 5 0 . 4 D
4 Jun 09
(;3)
!
3'.
,-3
Conduct periodic gate and quarterdeck searches and
?ea; t h and <elfare inspect ions.
( , 3
Attend (or provide representation at) quarterly
N D M C meetings, which are responsible for analyzing the nature
and extent of the local alcohol and drug threat and developing
arAactiorL gLan.
as follows:
OPNAVINST 5350.4D
4 Jun 09
expeditlo2us processing, commands are encouraged to submit the
electronic 3 A A R , which may be obtained from
p :
. + .,- . -spawar.na.q
. mil/ index.htm.
( c ) DAAR is not used to request administrative
2ctior. 3r;ly DAARs are filed in member's permanent service
record. Alcohol DAARs are not filed in member's permanent
service record but are maintained in the ADMITS database. Both
lrug and alcohol related incident DAARs are recorded in ADMITS.
.
afficers, Chief Petty Officers (CPOs), and enlisted
supervisory personnel are responsible for exercising positive
leadership and demonstrating full support for NADAP programs.
They shal l :
OPNAVINST 5350.4D
4 Jun 09
( 1 1 Educate, train, and motivate subordinates to create
qroup-peer pressure that rejects substance abuse and reinforces,
both 3n and off-duty, positive individual and social activity.
( L I
When
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A i l personnel are responsible for their personal
lecislons relating to alcohol and drug use and are fully
iccountabl+ for any substandard performance or illegal acts
~esuitingfrom such use. Members arrested for alcohol-related
~fiense9y c - l l ~ i l authority (i.e.,DUI/DWI, public intoxication,
lisorderly c-onduct),shall promptly notify their commanding
~fficer. Fdilure to do so constitutes an offense punishable
inder reference tb), article 92. Additional responsibilities
in^
~ :P
OPNAVINST 5350.4D
4 Jun 09
setting d s'rong
personal example of responsible behavior, both
Jn and off-duty, and fostering a climate that motivates
subordinates to conduct themselves at all times as professional
Navy members.
i s ) Command responsibility. Commands will ensure
uollcles anu programs are implemented to reinforce the message
~f responsible use of alcohol by all members who choose to
~lrlnk. Ensure all hands understand that intoxication is not an
2xcuse for m~sconduct. Take appropriate corrective action when
rlolations m d e r this instruction and other violations occur,
;)er reference (b).
i c ) Shipmate responsibility. Shipmates take
responslblt3 care of shipmates. All members must be aware of the
darning slgcs of alcohol abuse and take positive steps to ensure
.shipmaces do not abuse alcohol. This includes intervening
~ e f o r eexcessive drinking occurs, stopping a shipmate from
Irlving whl,e under the influence of alcohol, and immediately
:hallenqicq ~ndppropriatebehavior resulting from alcohol use,
not3 7ri and off-duty.
3.
Kecords Management. Records created as a result of this
instruction, regardless of media and format, shall be managed
ner reference ( o ).
,.I
Forms
Tne following forms are available on Naval Forms
~ r i l i n eat
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OPNAVINST 5350.4D
4 Jun 09
?epor
rsst ;ng, :
Drug
(1
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OPNAVINST 5350.4D
4 Jun 09
3istr~but;or~:
~lectronic.o n l y v i a Department of t h e Navy Issuances Web s i t e
OPNAVINST 5 3 5 0 . 4 D
4 Jun 09
SCREENING AND TREATMENT
Overview
Enclosure (1)
OPNAVINST 5350.4D
4 Jun 09
( 2 , fi command or self-referral requires no credible
~vldenceot an alcohol-related incident (see referral below).
*~IembersLn this category may receive a second period of
treatment as prescribed by an appropriate medical officer or LIP
~t any period In their career.
2 .
It
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30at
(GOBI,
Chaplain; and
i"
Enclosure (1)
OPNAVINST 5 3 5 0 . 4 D
4 Jun 0 9
1 :
cF
Peer,co-worker concerns ;
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n;sconduct
. and
~ ~ c o h omisuse
l
or abuse that is not recognized and
.-reatedat the earliest stage through the command or selfreferral process may remain unchecked to the point where it
resuics In an alcohol related incident. An alcohol related
;Y
an ~ f f e n s e ,punishable under reference (b), or
.l, -~- i l l a n,aws, committed by a member, where in the judgment of
the member's commanding officer, offender's consumption of
.
Enclosure (1)
OPNAVINST 5 3 5 0 . 4 D
4 Jun 09
alcohol was a contributing factor. Alcohol abuse/dependency
screening is mandatory for members who return to drinking and
incur an alcohol incident. The following are examples of events
after which members shall be screened:
DUI / DWI ;
,_
~lcohol-relatedcivilian arrest;
Domestic violence where alcohol is a factor; or
I;
-1.
(if
statement or reason for referral (for nonincidenr o r DAAR (for incident);
..
(
Enclosure (1)
OPNAVINST 5350.4D
4 Jun 09
L.
Once assessment is completed, medical officer/LIP will
provide the command with a written screening summary that shall
contain a treatment recommendation and statement of member's
2menabillty to treatment. Screening summary shall not contain
recommendations for discipline, retention, or separation from
service.
L .
Commanding officers shall, in all but exceptional cases,
follow recommendations of the screening summary. In those rare
situations where the commanding officer elects not to comply
~ i t hrecommendations contained in the screening summary, a
Mrltten notification shall be forwarded to OPNAV (N135) via the
sppropr~atechain of command.
4:
Enclosure (1)
OPNAVINST 5 3 5 0 . 4 D
4 Jun 09
feasible, sthers in their household, should be counseled and
encouraged to participate on a voluntary basis in the treatment
process. Family members who are themselves alcohol or drug
dependent shall be encouraged to enter treatment voluntarily for
their owr, benefit and the service member's benefit. Per
reference ( p i , eligible family members may receive alcohol and
drug abuse services offered through the service member's
selected dependent health care option (i.e., TRICARE Prime,
I'RICARE Extra, or TRICARE Standard). Within limits of
regulations, commands are encouraged to assist with
rransportat~onand accommodations for family members when
req~ired.
.
Aftercace Plan
d.
Treatment Facility Responsibilities. Upon transfer of
neaicai cars from one SARP facility to another and/or completion
3f a treatment program, SARP shall forward a copy of a summary
,f care ti, member's command and the local SARP. The summary may
sontain referrals for additional medical/social services, and an
~ftercarepldn, including recommendations for ongoing
nartlcipatlon in approved self-help groups and clinically
nor11tored outpatient-counseling groups (continuing care) . SARP
VII? ensure aftercare plans include recommended continuing care
as needed, and are tailored to the needs of the member and
:omand. 3peciai attention should be given to needs of
c3eployablt. i i n L ts .
Enclosure (1)
OPNAVINST 5350.4D
4 Jun 09
.
Personal Responsibility. Members are individually
responsible for successfully completing all treatment
recommendations and maintaining a career free of any subsequent
3lcohol abuse.
.
Treatment Failures. Navy is committed to providing quality
;are for all members in need of alcohol abuse/dependency
,-reatment. Comply with provisions of reference (h). Per
reference f r , however, commands shall process for ADSEP all
nembers considered to be treatment failures, unless a written
dalver LS obtained from NF-VPERSCOM (PERS-832) via OPNAV (N135).
Per paragraph lb of this enclosure, senior enlisted personnel (E5
dnd above) and officers may be eligible for a second period of
reatment ~f their commanding officer evaluates them as
oossesslng exceptional potential for further useful naval
;ervlce, provlded more than 3 years have elapsed since previous
~ncident. A SARP screening is required to determine amenability
for another period of treatment (refer to reference (c) for
Jnilsted members and reference (d) for officers). A sample
leiter req~estingthe ADSEP waiver is contained in appendix A to
-his enclosure.
.
T-f?
(
Any member who incurs an alcohol incident any time
thelz career after a period of treatment at Level 1 or above
-hat &as precipitated by a prior incident.
ill
Enclosure (1)
OPNAVINST 5350.4D
4 Jun 09
4
n.
1.
Complete all disciplinary and/or administrative actions
prac t 1 cab1e .
.-
(I.
Zns~irenember has a complete sea bag (for residential
?reacrnentl orders, and records (pay, service, medical, dental,
;creening file) prior to transfer to SARP for treatment. Seal
1: 1 record:
to deter tampering.
Enclosure (1
OPNAVINST 5 3 5 0 . 4 ~ 1
4 Jun 09
Personnel assigned to nuclear power, air traffic control
duty, PRP and other special programs may be suspended or
decertified per references (m) and (n). Specific program
managers shall be consulted for guidance regarding suspension,
decertification, and reinstatement.
r .
his enclosilr~,~)
;
.
spec; a
,
Jispos~tionof New ~ccessions. Officer and enlisted
accessions shall be disciplined for offenses in the same manner
as any 3 t n e r member. Differences in administrative handling are
3s fo! ; 3 w s
4 .
&r,g
Enclosure (1)
OPNAVINST 5350.4D
4 Jun 09
)r received counseling, treatment, or rehabilitation in any DoD
I .
T r l 2 provision does not preclude use of disclosed
~nrormariclnto establish basis for separation in a separation
uroceedinu, ro deny or revoke clearance eligibility by the DON
3AF, or tc "ake other administrative action. Nor does it
,preclude ~ritroductionof evidence for impeachment or rebuttal
ourposes i n any proceeding in which illegal substance abuse (or
lack thereof' has first been introduced by the member.
I .
;[st?
Enclosure (1
OPNAVINST 5350.4D
4 Jun 09
APPENDIX A
SAMPLE LETTER
ADMINISTRATIVE SEPARATION WAIVER REQUEST
Ser 001
Date
Trom:
?'I :
.;ub1
Znc;:
rererra;,
ri.
Appendix A to
Enclosure (1)
OPNAVINST 5350.4D
4 Jun 09
;uhj:
r.
Provide history of previous treatment(s), status of
aftercare 1 ~f any) (e.g.,"Member successfully completed
iP~Level 1;: treatment on 28 February 2005 at ARC, Jacksonville,
Jlorida. Member is currently in aftercare or member completed
aftercare 3a 39 October 2005.")
r:.
(:ommanding officer's comrnents/endorsement (provide brief
;ummary ( ~ fmember ' s performance) .
Appendix A to
Enclosure (1)
OPNAVINST 5350.4D
4 Jun 09
APPENDIX B
SAMPLE NAVPERS 1070/613, ADMINISTRATIVE REMARKS, PAGE 13 ENTRY
FOR ENLISTED SERVICE RECORD
.
L r adm~~listrative
separation process determines misconduct
2nd votes tc retain member, and the command has not recommended
;ecretary o f t h e Navy overturn the recommendation and discharge
:he member with a general discharge, execute a NAVPERS 1070/613
varninu d' +-hattime.
2nt r y .
inc,au?
The following
leficiencle:; in your performance and/or conduct, however, are
-dentified: (List specific deficiencies, "pattern of
nisconduct" is NOT specific enough.)
- ) T od~r r
Appendix B to
Enclosure (1)
OPNAVINST 5350.4D
4 Jun 09
..
o r c ) c e s sl
n c
(Member's Signature)
(Date)
- -- . -- -
.
.
Signature i
TYPE NAME
:spy : :
:ornmand ; e c - ~ ity
r
Manager
Appendix B to
Enclosure (1)
OPNAVINST 5350.4D
4 Jun 09
APPENDIX C
SAMPLE LETTER
ALCOHOL TREATMENT COMPLETION LETTER
5350
Ser
Date
Commandins Officer ,
?rom :
'
..
ALCV)HOL
.i,o u
hla3re
ic)s
dlrected to participate in the prescribed aftercare
k~lanprovid~d in enclosure (1). Your commitment to this plan is
;ital + 7y,o\ArLong-term recovery.
(Commanding Officer)
-,,py
'71 :
'omand !lii:-'$
'ornmand Socur 1ty Manager
;~eld Service Record (w/o encl)
Appendix C to
Enclosure (1)
OPNAVINST 5350.4D
4 Jun 09
APPENDIX D
DISPOSITION OF NAVY RESERVISTS
.
PIA APE,
1:.
L n ~ ~ r - ~ e n t program
lsrl
may be recommended, but should be
iuthorized on a non-pay, additional Inactive Duty Training (IDT)
i r l Lls
basl&.
.
if a member is diagnosed as alcohol or drug dependent by
physician, medical officer, or LIP using DSM IV criteria,
.nember shall be ordered to receive treatment appropriate to the
lependency diagnosed. Member should be counseled to seek
cequired treatment through an accredited inpatient/outpatient
-reatment facility available to the member from civilian
:-eso~~rces.
,-<
!
Use of military treatment facilities is authorized,
lowever, 'reatment at military facilities will be under
individudlly prepared permissive letter type orders. Orders
+ J i l l illearly set forth the fact that pay, allowances, and
,et:remen- polnts are not authorized.
OPNAVINST 5350.4D
4 Jun 09
jovernmen: transportation is not available or member desires
use other than government transportation, such transportation
~ 1 1 1be at the member's own expense and not subject to
reimbursement.
'~2
.
I T d reserve member is diagnosed as an alcohol abuser or
~lcohoidependent and treatment is not available, the command
.;hallL maintain the member in an enhanced, command-level program,
~ n dshall counsel the member to seek appropriate treatment
~hroughavailable civilian resources.
i.
\.
.
3.eference (f), article 1620-020, and reference ( q )
.;houid be donsulted for procedures regarding exercise of NJP
3uthority and courts-martial jurisdiction over Navy Reserve
;~ersonneln o t on extended active duty.
D-2
Appendix D to
Enclosure (1)
OPNAVINST 5350.4D
4 Jun 09
aosslble. Inactive duty reservists, both officer and enlisted,
nay be processed for Other Than Honorable (OTH) discharge for
lrug abuse established through urinalysis conducted on IDT.
a. A pos~tiveurinalysis test for marijuana during the
.;rst 29 days of a Navy Reserve member's continuous active duty
nay not by itself, constitute evidence to support disciplinary
~ction.
cases of extremely heavy abuse, the body can store
ne drug and ~t may be detected at levels above the DoD
?staSiished cut-off for up to 30 days. Hence, use of marijuana
-onceivab~ycould have taken place prior to entry on active duty
i t a cime when the member was not subject to reference (b).
"ake actlon as appropriate under paragraph 6c when use of drugs
Ls confirmed, but member's status under reference (b) is
~nc-lear
Xerusa- to participate in an ordered treatment program
-onstitutes grounds for immediate ADSEP processing and loss of
,-earanc-eel iqlbility.
1 .
[{embers of the Navy Reserve not on extended active duty
lave -10 specific right to treatment incident to processing for
+dministracive discharge. A dependency determination (alcohol
1-r d r i ~ g ! ~ s therefore,
,
not specifically required as part of the
4DSEP process.
-i,r
Appendix D to
Enclosure (1)
OPNAVINST 5350.411
4 Jun 09
DRUG TESTING PROGRAM
Enclosure (2)
OPNAVINST 5350.4D
4 Jun 09
:loldt;arj dL this provision will subject Navy military members to
ciiscipllnary action under reference (b) including violation of
2rticle 9 2 , Failure to Obey a Lawful Order, adverse
2drninistrat;ve action, or both. Violation of this provision is a
disqualifying factor when clearance eligibility is required.
a . Ndvy members who abuse drugs, including those who selfrefer, per the provisions outlined in enclosure (1) of this
instruction, will be screened for dependency, disciplined as
ipproprlat?, and processed for ADSEP, and be considered for
ziearance denial/revocation. Members diagnosed as drug
dependent wlll be offered treatment prior to separation.
-Jr;naiysls.
.
Commanders, commanding offi-cers,and OICs shall
conduct an aggressive urinalysis program, tailored as necessary
ta meet unique unit and local situations. The minimum monthly
testing requirement is 15 percent of assigned personnel, with a
naximum of up to 40 percent of assigned personnel tested. Unit
sweeps are, although no longer mandated, an effective detection
dca deterrence tool and are recommended for use by all commands.
3mmands may submit up to five unit sweeps per fiscal year.
Zommands shall conduct an end of fiscal year unit sweep of all
individua:~rot tested in the course of the year. Specific
types of ilrlnalysis authorized per reference (s) are outlined in
t h i s enclosure and in reference (t). All confirmed incidents of
drug use shdil be reported to NAVPERSCOM (PERS-832) if the
indlvldual possesses a security clearance or is assigned to a
sensltLve ~,ilet. Frequent, random urinalysis is the most
?frect,ve means to detect and deter drug abuse. Main objectives
:)f +be 1r;na~ysls program are to:
.
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3
: drug
7.
,;trvP
foilowing c:rcumstances:
Enclosure (2)
OPNAVINST 5350.4D
4 Jun 09
( 1 Inspection. During inspections performed under
reference u ) , section 313.
i 2 1 , Search and Seizure.
3 1
(
udi
Enclosure (2)
OPNAVINST 5350.4D
4 Jun 09
1.
L .
lrlspections Under Reference (u), Section 313.
Jrlnaiysis inspections are designed to ensure the security,
nilitary t~tness,and good order and discipline of a unit. Such
lnspectloris, conducted as an incident of command, help ensure
assigned personnel are fit and ready for duty. Results of
~ r ~ n a l y s iinspections
s
may be used for any purpose, including
loss of ciearance eligibility, disciplinary action and
characterization of service in separation proceedings. Further
guldance concerning inspections is contained in reference (u),
sectien 31 3 ,
Enclosure (2)
OPNAVINST 5350.4D
4 Jun 09
.
Inspections Authorized by Commanders, Commanding
lfficers, and OICs. Commands may order urinalysis inspections
j3~stas they may order any other inspection to determine and
2nsurs the security, milltary fitness, and good order and
jisclpline of the command. Commands may use any method of
;electing personnel or groups of members for urinalysis
~nspectior,including, but not limited to:
ID)
) t _ h e r w i s e , OF
Selection, random or
Enclosure (2)
OPNAVINST 5350.4D
4 Jun 09
dn unauthorized absence. All newly reporting personnel shall be
sested within 72 hours of arrival.
ic) End of fiscal year testing (IU). To ensure 100
percent of Navy personnel are tested annually, commands shall
review all personnel onboard who were not tested during the
zourse of the year and conduct an end of fiscal year unit sweep
for all personnel who fall into this category.
d . Service-Directed Testing (00). Service-directed testing
1s an inspection directed by Secretary of the Navy or CNO. See
2arayraph 5 f ~ r
specific test categories.
Enclosure (2)
OPNAVINST 5350.4D
4 Jun 09
A serious accident or incident in which
ixiusua l! .y r:tireless acts were performed.
t b ~A motor vehicle offense involving excessive
.?)
Alcohol treatment.
.
Treatment Facility Clients (RO). Military members who
dr? attending treatment at a SARP facility shall undergo
urinalysis 3s a deterrent to their use of drugs. Testing of
rllents 11-1 numbers above limits prescribed for other commands is
duthor rzed.
L. B r l y Prisoners/Detainees (00). Testing is mandatory for
31, personnel to detect presence of any drugs in these
Enclosure (2)
OPNAVINST 5 3 5 0 . 4 D
4 Jun 09
, i
.
Special Programs (00). Personnel in receipt of orders
ts hlllets requiring screening will undergo urinalysis as part
3f the screening process per reference (f). Urinalysis is also
required within 30 days prior to detachment from current duty
stdtlon.
.
'Init Quotas
3.
Edch Navy command is required to conduct an aggressive
urlnalysis program. The minimum monthly testing requirement is
f ~ ? i ~tlmes
r
-I month.
The 4 tests must include a minimum of 15
aercent or 311 assigned personnel. In addition, each Navy
Enclosure (2)
OPNAVINST 5350.4D
4 Jun 09
:omrnand must conduct an end of fiscal year unit sweep for all
nembers no: tested throughout the course of the year. All Navy
?ersonnei assigned to a Joint Service command are required to
partlclpate in the Joint Service command's urinalysis program
lnless specLfic authorization is granted from OPNAV (N135) to
sstablisn a12d maintain a separate urinalysis program. Any Navy
zornrnands that fail to meet the monthly random urinalysis
-equlremen: must notify their echelon 3 commander in the
Eolloding month with the reason for failing to comply with this
.nstructicn. Echelon 3 commanders shall notify OPNAV (N135).
( ;
iJnlt Sweeps (IU): Unit sweeps (IU) are, although no
LL7nyer mar~dated,an effective detection and deterrence tool and
vscornmended for use by all commands. Commands may submit up to
f 11.e urir t sweeps per fiscal year.
Enclosure (2)
OPNAVINST 5350.4D
4 Jun 09
( 3 1 Commands shall conduct urinalysis on all newly
rzported personnel within 72 hours of arrival using the unit
sweep (13)premise.
.
Critl~diElements to an Effective Drug-Testing Program.
Although there are many facets of an effective drug-testing
urogram, there are four critical elements required to ensure a
.;uccessf~~L
program. If any one of these elements is missing the
i3rogram 1~ question is susceptible to compromise.
.
,:omland random urinalysis must be unpredictable and
~tlannounced. To be effective, commands must check NDSP each day
:o see lf it- w i l i be a testing day. When UPCs do not check NDSP
l a l l y , p9te1:tial for patterns is present and drug users can and
~liilidentrfy and exploit those patterns by planning drug use
?round any ~dentifiablepattern. This is called "gaming" the
system.
n.
Gbserver must watch the urine leave the body and enter
:he bottle. For females, direct view is recommended and for
:nales a 9C degree angle is recommended. Drug users will go to
m y length t o defeat a command's drug testing program and avoid
Jetectloc. Commands can prevent such actions by ensuring strict
:idher?nce + o direct observation for each member of the command,
?o exceptLons. THE OBSERVER SHOULD NEVER LOSE SIGHT OF THE
SOTTLE, SHOULD NEVER TAKE POSSESSION OF THE BOTTLE, AND SHOULD
Enclosure (2)
OPNAVINST 5 3 5 0 . 4 D
4 Jun 09
THE LJRINE LEAVE THE BODY AND ENTER THE BOTTLE. Direct
observation can be either the weakest link or the strongest
element. ;: is strongly recommend commands maintain a Khaki
presence and involvement during collection and observation.
liATCH
.
Inunedlately after notification, personnel selected are
req~iredto remaln in a secured area until sample is provided.
lne of the methods employed by drug users to avoid detection is
'o show ! ~ p
at the end of a day after ingesting large volumes of
tLuids and ~~~oiding
a number of times. This is often done after
zaking a d~ureticthat accelerates one's basal metabolism rate.
Yoldiny personnel in a secured area under watch until a sample
is provided is a safeguard against drug users exploiting a
zornrnand's drug testing program.
.
Personnel selectec cannot be excused from drug testing.
2stabllsh a command policy that mandates all personnel selected
f ~ ) rurinalysis will report to a specified area within a period
2f time a f t e r notification and remain until a sample is
nrovided. One method drug users are using to avoid detection is
- o yet excused from providing a sample after being notified of
the requirement. Interviews with NAVCRIMINVSVC have identified
3aLlors uslng many different excuses (e.g., family problems,
feeling sic;, simply disappearing from command, not being able
"a void, emergent tasking at work) to avoid having to provide a
;ampit?.
.
Enclosure (2)
OPNAVINST 5350.4D
4 Jun 09
retain pos--1ve samples in frozen storage for 1 year unless
cequested by submitting command to retain the sample for an
ldditional period of time. When a sufficient quantity of a
;pecimen 1.3 available to permit retesting, NDSL will conduct a
retesr :
Pihen requested by submitting command;
1:
L
Retests Requested by Member. Members may request a
~etest3f a specimen at an NDSL upon request if, in the judgment
?f the member's commanding officer, circumstances warrant
addltionai 'esting. A member may request a sample retest at a
laborator?- orher than a NDSL at their own expense when, in the
Ip;nioIl of -he NDSL commanding officer, a sufficient quantity of
3. specrimer! 1
:
; available for retesting and the member's
zommandinc; officer favorably endorses the request. In such
:ases, OPNA-J (N135) will often review all information and rule
~c the request. The laboratory that the urine sample is to be
-ested ln mist meet DoD certification requirements. Samples may
ne retested only for the drug which was previously identified to
De posltil-e Requests for portions of samples for such
:?testing rn,~stbe submitted to OPNAV (N135) via member's
~ommand. 4:- requests for retests shall be submitted to OPNAV
i N l i K l to: flnal approval/disapproval.
L..
Enclosure (2)
OPNAVINST 5350.4D
4 Jun 09
:.
3s:ny all information available (including self~drnisslon,Ilrinalysis results, SARP screening results, service
cecord, aLd chain of command recommendations), the commanding
~tficermLst make an initial decision on whether the member's
drug use was -,vrongful.Proceed as directed below and either:
I t
Enclosure (2)
OPNAVINST 5350.4D
4 Jun 09
, L . P . , member's admission
.
:dembcrs who self-refer as a result of prescription
nedlcation may be retained on active duty, provided commands
sllbml~a request to OPNAV ( N 1 3 5 ) that explains why the positive
lrinalysls ,s not a drug abuse incident. See appendix D of this
enclosure ror example of Determination of Positive Urinalysis
,et t e r .
Enclosure (2)
OPNAVINST 5 3 5 0 . 4 D
4 Jun 09
1
,-
ii.
a.
Urindlysis testing shall be conducted with the full
expectation that administrative or disciplinary action might
result, See paragraph of this enclosure for critical elements
required I or an effective drug-testing program.
1 .
Comxand UPCs shall be designated in writing by the
c-3nmandlny officer. UPC shall be responsible for maintenance
2nd admin~strationof the command urinalysis program including
tralnlny of assistant UPCs and observers. Officers or CPOs
should ser-.i? as TJPCs and observers to the greatest extent
possible. ',TheE it is not feasible to use an officer or CPO,
3n;y the n-ioat trusted junior personnel should be used. In all
rases where ~ u n i o rpersonnel are used as command UPCs,
ir~rialysisprogram must undergo a quarterly inspection by an
~ f f i c e ror CPO and results of the inspection forwarded to the
-ommandlriy officer. To facilitate collection of a unit sweep
here ail nands are to be tested, designation in writing of an
9 d d i t ;orAal 1JPC is recommended.
Jse
C J ~
.
J~:der no circumstances shall command UPC and observers
,>rovl3e the-r own samples for inclusion in the same batch number
vhen ronductlng urinalysis. If the command requires the UPC and
~bservers +-cbe tested (e.g.,unit sweep), an assistant UPC or
!PC from another command shall be used. In such cases where an
dssistant VPC from the same command is used, primary UPC and
lbserirer samples shall be submitted in a separate batch from all
~ t h e rcomand urine samples.
y.
irinol,l~icernent
. Members designated for testing should report
Enclosure (2)
OPNAVINST 5350.4D
4 Jun 09
1 7 cases
1 - 1
Enclosure (2)
OPNAVINST 5 3 5 0 . 4 D
4 Jun 09
I.
YIail-ny as soon as practical after collection reduces
2ossibility of tampering and the chance of sample deterioration.
3very effort should be made to mail specimens to NDSL the same
day, as specified in appendix B.
d.
Pa-LCY. Drug dependent persons, current drug abusers,
~ n d
persorx whose pre-service drug abuse indicates a tendency to
?ontlnue ab,~seshall not be permitted to enter the Navy.
3ecruitinc~procedures shall include positive measures to
identify and screen out drug abusers at point of application for
zn~lstment appointment, or commission. Any applicant for Navy
,vno has a positive urinalysis during the application process for
m y branci- of service at a military entrance processing station
shall be permanently disqualified for enlistment eligibility.
Specla1 Programs.
j-r
Enclosure (2)
OPNAVINST 5350.4D
4 Jun 09
a. Zharacterization. An enlistment eligibility waiver
:annot be used to characterize a discharge.
sacrament in
traditional religion
American (Indian)
accommodated.
w ~ t : file
~
provisions of reference (h).
Enclosure (2)
OPNAVINST 5 3 5 0 . 4 D
4 Jun 09
Enclosure (2)
OPNAVINST 5350.4D
4 Jun 09
APPENDIX A
USE OF DRUG URINALYSIS RESULTS
FROM DOD CERTIFIED DRUG LABS*
2.
inspect:or,
random sample
u n l + sweep
<.
Medical
general
command-directed
competence for
staff (military)
alcohol rehab
Naval brigs
entrance testing
accession training
**
Appendix A to
Enclosure (2)
OPNAVINST 5350.4D
4 Jun 09
APPENDIX B
COLLECTION AND TRANSPORTATION OF URINE SPECIMENS
G .
UP(: snould be an E7 or above and shall be designated in
@r:tiny. LJPC will maintain urine specimen bottles National
Stock Number (NSN) 6640-00-165-5778 - male, NSN 6530-00-837-7472
Eernaie? and prepare each as follows:
IR:
IU:
10:
Random Sample
Unit Sweep/Accession raining Pipeline
Inspection Generic
KO:
NO:
OPNAVINST 5350.4D
4 Jun 09
f ) Premise codes need not be explained on chain of
:l~stody form. Should circumstances require more identification,
include doc~lmentationwith shipment to NDSL.
5.
J?!:
! : ,
Batch number.
Specimen number.
(?
:ti
signature of member.
I!-
N;
tness.
OPNAVINST 5350.4D
4 Jun 09
chat UPC does not lose physical custody of either sample from
"me of collection until the samples are mailed to the NDSL.
I
Observer shall observe service member urinating
directly znto the specimen bottle, placing cap on the bottle,
2nd delivering bottle directly to UPC.
;
.
';PC shall ensure each service member verifies
identifyir,,~
~nformationby signing the ledger and initialing the
specimen bottle label. If the service member refuses to sign,
7e11ficati3~may be accomplished by the observer and witnessed
71.''JPC
LIP\:
.
J R ' dill confirm information on the DD 2624. Dates on
cne form m-1st be in the following format: four-digit year, twol i y i t monta, dnd two-digit day (20060312 for 12 March 2006). If
nontr: or day is single digit, place zero in left box of that
2ntry. 30 2624 and bottle labels may be prepared in advance.
:n
his case, UPC must verify the information on the label and
;pecirnen custody document match. UPC shall sign and date DD
! & i 3 In b l o c k IL2 when collection of all samples is completed.
Appendix B to
Enclosure (2)
OPNAVINST 5350.4D
4 Jun 09
r . ;i -s recommended that tamper-resistant tape be used on
all samples collected. UPCs should procure tamper-resistant
tape via procedures and ordering information outlined in
parayraph 2a(6) below. It is recommended the UPC or service
nember seal the bottle by affixing one end of the tape near the
label and p~llingtape directly across the widest part of the
:-ap and down the opposite side of the bottle. If the UPC
affixes the tape, it is recommended the procedure be done in the
oresence of the member. In any event, failure to use tamperresistant tape does not invalidate an otherwise technically
-orrect coliection process where proper chain of custody has
neen mair:ta:ned
throughout the process.
.
L
2 member claims to be unable to submit a complete
a am pie, cr ;ubrrLits less than the 30-milliliter minimum, it is
as follows :
Appendix B to
Enclosure (2)
OPNAVINST 5 3 5 0 . 4 D
4 Jun 09
$3.
S h L p urine specimens in the (12 bottle) shipping
-ontairler. UPC shall pack specimens for shipment as follows:
( 0 )Remove
\ ~ 2 ;After
Appendix B to
Enclosure (2)
OPNAVINST 5350.4D
4 Jun 09
.)resent, ;- is recommended empty cells be filled with paper to
reduce movement during shipment (do not use vermiculite or
;l-lr-eddedpaper i .
Ensure each bag or pouch contains sufficient
lbsorbenc material. Two types of material are available: a
;mall 1 t o 2 square inch absorbent pad for use with single
;peclrnen bags; and a 5 inch by 5 inch absorbent pad for the 12~peclrnenbag container. A 5 inch by 5 inch absorbent pad can
m i y absorb the fluid in 6 bottles, therefore, a box of 12
m t t L e s ;ns:.de a 12-specimen bag will require 2 such absorbent
lads.
(':I
Packaging shipping container. Once the interior
:~dterproofccntainer(s) with absorbent are sealed:
iai
.~ C ~ ~
Appendix B to
Enclosure (2)
OPNAVINST 5350.4D
4 Jun 09
ib) Multi-specimen bag:
Envelope
Envelope, packing list; S/N 8105-00-857-2247
,'me
144 Tower Dr
Burr Ridge, IL 60527
800-323-4840 (Toll-free)
(in California):
9566 Vassar Ave
Chatsworth, CA 91311
800-382-3371 (Toll-free)
.
Hand deliver urinalysis samples directly to an NDSL by
:ommarid 'JPC negates requirement for a secondary container in
: o l l e c t l o r - i packaging. Primary container with absorbent
n a t e r i a l , llowever, must still be sealed.
'
JPc
Appendix B to
Enclosure (2)
OPNAVINST 5350.4D
4 Jun 09
1
Commands using a Fleet post office/postal center or
.~ostalrepresentatives to mail urinalysis samples to an NDSL
;hould document DD 2264, block 12d with the following statement
"Released T o Fleet Post Office/Postal Center or Postal
qepresentative," as appropriate. This will facilitate receipt
2nd handlin(x of specimens and eliminate any discrepancy report
'rom NDSL.
i-1
I
"Released to (name, rate/rank) to hand carry to drug
zest~nylaboratory." In such case, the person transporting
;pecimens >vould sign the DD 2624 upon receiving specimens.
14
*Cumber XXi .
( " '
'Xeleased to (Air carrier) Flight XXX, Bill of
ding Nu~nbc?r XXX. "
(7,
I).
Appendix B to
Enclosure (2)
OPNAVINST 5350.4D
4 Jun 09
ulastic oag. Add sufficient packing material to prevent
shlftiny of contents. U.S. Postal regulations allow up to four
i2--bottleshipping containers to be consolidated into a larger
30X.
LdDordtory Handling
a
r h r commanding officer of the cognizant NDSL or director
DoD-certlfled laboratory is responsible for maintaining an
,nternaL ~dentlficationsystem to maintain accountability of
3pecimens drid samples within the laboratory.
):
A::
Appendix B to
Enclosure (2)
OPNAVINST 5350.4D
4 Jun 09
vhlle lr: tr~insit. Designated individual shall then describe the
-ondition of shipping container in the appropriate block and
;iyn 3nd a a r e the DD 2624.
.
3es-gnated individual shall then open the container and
inventory :oritents. Accountability shall be maintained on
;pecimens as portions are transferred to sample test containers
2nd routed throughout the lab. Original specimen bottles, with
-esiduai ur-ne, shall be held in a secure location until
:>re~rcninarh~
andlor confirmation testing of samples is complete.
r.
Identification of DD 2624:
i c l ,
Appendix B to
Enclosure ( 2
OPNAVINST 5350.4D
4 Jun 09
I
b! Date received
'
z ) NDSL findings
.
TI^^ laboratory certifying official shall sign the DD
i 6 2 4 certifying that the results are accurate and have been
Appendix B to
Enclosure (2)
OPNAVINST 5350.4D
4 Jun 09
APPENDIX C
DRUG SCREENING LABS
.Add1ess
Telephone/Message Address
:ommandin9 Officer
;Xavy Drug Screening Laboratory
30x 113 Bldg H2033
<AS Jacksonx-ille, FL 32212-0113
2 -ma;:
DSN: 942-7755
Commercial: (904) 542-7755
NDSL JACKSONVILLE
FL//JJJ//
'ommanding O f f icer
NalTy Drug Screening Laboratory
3ox 89 5FilrJ
:.reat Lakes i:,
60088-6819
,< -ma
DSN: 792-2045
Commercial: (847) 688-2045
NDSL GREAT LAKES
IL//JJJ//
[email protected]
:anunanding Officer
"Vavy Drug Screeniny Laboratory
34125 Farenholt Ave Suite 40
id^ 3 1 2 ~ ~ 0 ,
92134-5298
DSN: 522-7141
Commercial: (619) 532-7141
NDSL SAN DIEGO CA//JJJ//
i-mal-
AREAS OF RESPONSIBILITY
WSL
" d D S 2 3reat
Appendix C to
Enclosure (2)
OPNAVINST 5350.4D
4 Jun 09
APPENDIX D
SAMPLE LETTER
DETERMINATION OF POSITIVE URINALYSIS LETTER
iuhj:
Tram..
0 0 .,
iubj:
,<et:
(Dl
znr-
~ddress
1
Appendix D to
Enclosure (2)
OPNAVINST 5350.4D
4 Jun 09
EDUCATION AND TRAINING POLICY AND REQUIREMENTS
I .
CNE'I'C shall provide alcohol and drug abuse education for
~niistedrec-ruits, Senior Enlisted Academy, officer candidates
except YSNA), and officers in pre-fleet assignment or entry
yrograms. Alcohol and drug abuse prevention information shall
3-so oe pr~>videdin leadership courses and GMT programs. CPPD
aversee alcohol and drug abuse prevention education and
_r-ainlny,including Alcohol-AWARE, ADAMS, DAPA, UPC, and PREVENT
ourses. C'PPD is also responsible for quality assurance and
?valuatior o f awareness and prevention education and has
'-irri~~lil~r
approval authority. Scheduling of alcohol and drug
ibuse prevention education and training will be published each
zisca; year by CPPD.
~
i
:
:
$
C'rlef,
'1.
Superintendent, USNA shall incorporate substance abuse
~reventloneducation into the standard curriculum under
.ognizanc~of CNO.
Enclosure (3)
OPNAVINST 5350.4D
4 Jun 09
e. "-'i+T
of Chaplains of the Navy (CNO (N097)) shall
zoordinate with the Chaplains School to train members of the
\:haplain Corps to identify abusers and to counsel and refer Navy
~ersonneland their family members.
.
4x1~-commanders, commanding officers, and OICs shall
2nsure asslyned personnel receive periodic training on alcohol
dnd drug abuse prevention, including requirements for AlcoholAWARE and ADAMS, and training required by this instruction for
nembers asslgned as DAPA or for other command functions related
-.I the alcohol and drug abuse prevention program.
5.
Educaclon Requirements
Tri~i:lal Entry.
.
Jomnand Indoctrination. Alcohol and drug abuse
?revention education shall be included as part of each command's
Lndoctrlna+_onof new personnel.
.
Per:odic awareness through GMT. Alcohol and drug abuse
awareness education is scheduled periodically through the CNETC
;MT program
3.
Alcohol-AWARE (REQUIRED). Alcohol-AWARE is basic
-~,cohal awareness training for use at Navy commands. It targets
junior enilsted (El through E4) and junior officers (01 through
I . All Navy personnel shall complete Alcohol-AWARE course
~ l t h i n2 years of completion of recruit training or other
IccessI o n pcinc entry.
3.
SFL (RECOMMENDED). An interactive CD-ROM courseware
iesigned tc) indoctrinate 18 to 24 year old Sailors on Navy core
rdlues and provide information and facts needed for making
;o';nd,valile-based decisions.
Enclosure ( 3 )
OPNAVINST 5350.4D
4 Jun 09
s no_ r e y ~ ~ r e dit
, is strongly recommended for UPCs in order
lor commands to maintain integrity of their urinalysis programs.
I
"revention Specialist Training (RECOMMENDED). This
'oLrse prepares participants to work as alcohol, tobacco, and
~ r h e rd r u g abuse prevention specialists and to attain
Yertlflcatlon as a certified prevention specialist recognized by
-he International Certification and Reciprocity Consortium.
Tar '; i l - i p a n t s , dni;11 receive training in the five required domains.
Enclosure ( 3 )
OPNAVINST 5350.4D
4 Jun 09
i.
Trainlng Requirements
4.
ADCC.
ADCOs are encouraged to complete the DAPA course
addition, attendance at ADAMS, AWARE, and PREVENT are
recommended since these are major courses which ADCOs oversee.
:n
3kPrI.
Enclosure (3)
OPNAVINST 5 3 5 0 . 4 D
4 Jun 09
ACRONYMS AND DEFINITIONS
The r3llawl;iy definitions are for use within the NADAP Program
, m c i are not intended to modify the definitions found in
statutory provisions, regulations, or other directives.
(Alcoholics Anonymous). Worldwide self-help organization
lonsistinq of a fellowship of recovering alcoholics whose
Fjrimdry purpose is to "stay sober and help other alcoholics to
ichieve sobriety.
AA
"
Enclosure (4)
OPNAVINST 5350.4D
4 Jun 09
ADMITS (Alcohol and Drug Management Information Tracking
System). The primary information management system for NADAP
Drogram. ADMITS collects data on alcohol-related incidents,
Psychological and/or
>hysiglogiciil dependence on the drug alcohol as indicated by
lvidence ot tolerance or symptoms of withdrawal as characterized
I;/
the deve2opment of withdrawal symptoms 12 hours or so after
-ngesr_ioil. People are said to be dependent on alcohol when
ibstinence from use impairs their performance or behavior.
Enclosure (4)
OPNAVINST 5350.4D
4 Jun 09
YIconal dependence is a clinical diagnosis based on specific
I:agnostic criteria delineated in DSM IV, and must be determined
ny a medlca- officer or LIP. Untreated, alcohol dependence may
-cad r o deark.
~lcohol-IMPACT. Intensive goal-oriented early intervention
3esigned fox individuals who incur an alcohol-related incident.
i member w h o successfully completed Alcohol-IMPACT as a result
3i- an alconol incident, and incurs a subsequent incident does
, l o t neet t h e requirement for ADSEP processing. However, if a
nember hds dtcended IMPACT more than once, the second time does
?eeE the rey~irement for administrative processing if the member
-ncurS dn dLcohol related incident subsequent to the second
IMPACT ir?cerventi.on.
Alcohol Incident. An offense punishable under reference (b) or
:,\-lllarL authority committed by a member where, in the judgment
jr :he merrLber1scommanding officer, the consumption of alcohol
~d;. 4 contr-~buting
factor.
Alcoholism. A chronic, progressive disease in which the
.naividual is addicted to alcohol. Drinking and symptoms grow
t7Trse over +ime (same as alcohol dependence). For U.S. Navy
~urposes, 7 1 ; ~cerm "alcohol dependence" is used.
Anabolic Steroids. Any drug or hormonal substance, chemically
-3nd pharmacologically related to testosterone (other than
+stragens, progestins, and corticosteroids) that promotes muscle
j r o w t h , and includes any salt, ester, or isomer of such a drug
?r substance described or listed in reference (r), section 802,
i- that 5 d i r , ester, or isomer promotes muscle growth.
AOHCP (Addictions Orientation for Health Care Providers). A
;nort colirse focusing on the diagnosis of alcohol/drug abuse and
dependence. AOHCP, or similar training, is required for all
nealth cave professionals who are authorized to diagnose
;3~bstdnce
abuse or dependence.
A professional
?ssoclatlcn of physicians and other medical professionals who
s p e c ~ a i l z_c
~ alcohol and other drug treatment. The continuum
) r c d r ~model and other treatment innovations were developed
lrider the yuidance of ASAM.
Enclosure ( 4 )
OPNAVINST 5350.4D
4 Jun 09
BAC (Blood Alcohol Content or Concentration; also Blood Alcohol
Level). The percentage of alcohol in the blood system expressed
:n tne ratlo of grams of alcohol per 100 milliliters of blood.
i dynamlc measure resulting from a variety of factors- rate of
jrinking, strength of drink, body weight, gender, etc. Legal
_:mil of BAC varies from State to State.
Career. A c:areer is defined as all creditable service towards
retirement, to include all periods of service, regardless of
:ransitions between active duty and reserve or enlisted and
)f ficer ,
Chain of Custody. Process by which the integrity of a
~rinalyslssample is maintained from collection through testing
2nd used a: legal proceedings. Chain of custody procedures
r2qulre s z r l c t adherence to the use of custody documents,
Label;, ?:f-. . , by authorized personnel.
Continuing Care. A phase of treatment designed to provide
support f o ~members adjusting to an abstinent life style.
'ontinulny care in most cases will follow a phase of more
-ntense ictervention. The normal frequency of continuing care
; 2 hours per week or less.
Continuum of Care. The alcohol treatment model used by the U.S.
Navy and other military treatment providers. Period of
-reatment dries and may occur in a variety of settings. The
n d s i c phllqsophy is to place patients in the least intensive or
restr~ctlv? treatment environment commensurate with the severity
> f their needs. Patients can be moved to more or less intensive
-reatnent d c r i n g the treatment phase as their needs change or
:~roblemsare identified. The continuum of care is generally
31vided ictc five levels of intensity:
LexisL ,
Enclosure (4)
OPNAVINST 5350.4D
4 Jun 09
Level ;\,
o ll weeks.
Controlled Substance. A
.;chedules I through V of
) f ::ontroLieci substances
in -,he classification of
..
Enclosure (4)
OPNAVINST 5350.4D
4 Jun 09
DAPA (Drug and Alcohol Program Advisor). A collateral duty
:ommand pos~tion (commands with 500 personnel or more shall
-issign d f;l-l-?imeDAPA). DAPA is the commanding officer's
advisor JC all matters relating to alcohol or other drugs.
imong other duties, DAPAs conduct administrative screenings,
prepare required reports (e.g.,DAARS), provide prevention
-?ducation.dnd monitor aftercare.
DAPMA (Drug and Alcohol Program Management Activity). DAPMAs in
Norfolk and San Diego provide alcohol and other drug prevention
education t-raining,and technical assistance to Navy commands
>11amobile training teams, residential training, and electronic
nedi d .
Deglamorization. A term used in the alcohol and other drug
dbuse preve1;tion field. It means to "take the glamour out."
3eylaxor~zationis a command requirement and involves not
:2rornotiny alcohol, providing alternatives, assuring that non?icoholi: a ~ ~ e r n a t i v eare
s
available at official functions,
:2rovldiny 4 climate that says "it'sokay not to drink," etc.
Jubllc infdrmation and education that provide information on the
;lgn1ficart negative health and behavioral impact of alcohol
p l s u s e also a r e elements of deglamorization.
Detoxification. Medical management of the withdrawal from
2lcohol 31 other drugs. Withdrawal from alcohol or other drugs
"an be (I I2:e zhreateninq state for those addicted and requires
nedlcal management, normally in an in-patient status. Symptoms
j a r y from mild shakes to llfe-threatening convulsions.
3etoxlficat-ionis not treatment but is the medical stabilization
(by drugs, observation, and other means) of individuals going
hraugh ~~ithdrawal.If required, it precedes treatment.
Drink. ~1, d r l n ~of alcohol is defined as 1.5 ounce of liquor, 5
lunce of .~::ne, or 12 ounce of beer. They contain the same
Amount of d-coho: used by researchers for data collection
Durposes and in charts that estimate BAC.
Drug Abuse. ',Jrongfuluse, possession, manufacturing, or
s
t
b or introduction
~
onto a military installation, or
i t h e r praperty or facility under military supervision, of a
-ontroiled substance, prescription medication, over-the-counter
nedlcatl31- or intoxicating substance (other than alcohol).
"drongfuLt rrieans without legal justification or excuse, and
Enclosure (4)
OPNAVINST 5350.4D
4 Jun 09
Enclosure ( 4 )
OPNAVINST 5350.4D
4 Jun 09
DSM (Diagnostic and Statistical Manual of Mental Disorders). A
nanual prepared by the American Psychiatric Association as a
g7~idefor cLinica1 practitioners. DSM has many uses. In the
iicohol and other drug field, it provides the diagnostic
Jrlterla tor alcohol abuse, alcohol dependence, drug abuse, and
3 r u g dependence. Each updated edition of the DSM is identified
ny a romar numeral, e.g., DSM IV, etc. All references to the
'ISM in this instruction refer to the current edition at time of
~pplicati c r l .
DUI/DWI (Driving Under the ~nfluence/DrivingWhile Intoxicated).
3:JI, Dl41 refers to the operation of, or being in the physical
:ontrol of ~2 motor vehicle or craft while impaired by any
substance, Legal or illegal. Definitions vary slightly from State
-o Stat?. In ali States, a recorded BAC for alcohol of .08 is
srlma facl;. proof of DUI/DL\TIwithout any other evidence. It
;hould bs noted that in many States, drivers can be impaired at
Levels lower than .08 and can be convicted on other evidence
dLthodt d recorded BAC (see Substantiated DUI/DWI). Additionally,
jperatlon
or being in physical control of a motor vehicle or
:raft wit!: a n y recorded BAC for alcohol by a person under the age
,t Z L 1s aydinst the law. Further guidance concerning DUI/DWI is
.oiltained
reference (b), article 111 and its analysis.
L ) L ,
in the u s e r .
N e a r l y a l l abused
inhalants p r o d u c e
Enclosure (4)
OPNAVINST 5350.4D
4 Jun 09
-._xper
Ler:ce slight stimulation, feeling of less inhibition, loss
~f consciousness, or suffer from Sudden Sniffing Death Syndrome
t r i i s means the user can die from the lst, loth, or 100th time
hey 3 b u s ~an Inhalant).
Intervention. Act or process of confronting or otherwise
iirectiny an individual to obtain help for an alcohol or other
1r.ig 2robier. Nany individuals who have alcohol or drug
)roblems deriy those problems or are unwilling to seek help.
Tommanding officers, supervisors, shipmates, counselors, other
nedica~prc)f'essionals, or spouses can intervene.
Licensed Independent Practitioner (LIP). LIP is a licensed
:>sychologist,physician, psychiatrist or other medical
urofessional who has the clinical responsibility for the
screeninq, assessment, and treatment of alcohol and other drug
-1lents. A 1 , I P clinically supervises counselors and has the
i~timateresponsibility for the treatment of clients under their
iliper~~is
i91:
Medical Screening. Actual assessment of an individual's alcohol
>r other drug problems to determine if a diagnosis of alcohol
1 b ~ s 2or dependency is warranted and to determine treatment
-equirements. Navy drug and alcohol counselors collect
-nformatioil and impressions for the screening, but the actual
ilagnos;s mllst be made by a LIP or qualified medical officer.
MTF (Medical Treatment Facility). Any DoD or authorized
-~vi!;an ~nstltutionthat provides medical, surgical, or
:)slrcniatric care and treatment for sick or injured DoD personnel
il;d t i l e i r ' ~ a r n l l ymembers. Alcohol and other drug treatment in
he Navy IS the responsibility of the Chief, BUMED. Alcohol
'reatnenc may be an integral department of an MTF or may exist
Ir operate :ndependently and report to a cognizant MTF.
NDSL (Navy Drug Screening Lab). There are three NDSLs in the
Vavy, which are located in San Diego, CA; Jacksonville, FL; and
;reat LaKes, IL. They analyze urine specimens for the presence
) t zontro-ied substances and other illegal drugs under forensic
~onditions NDSLs also provide expert witnesses in legal
~roceedinys. NDSLs are monitored by AFIP and are inspected
~uarferlyhy BUMED and annually by DoD and CNO.
Enclosure ( 4 )
OPNAVINST 5350.4D
4 Jun 09
NDAAC (Navy Drug and Alcohol Advisory Council). Regional or
Area counclls with specified memberships (i.e.,commanding
>fficers, shore patrol, MWR, treatment providers) who meet
~egularlyt o determine the alcohol and other drug threat in
)raer to plan and implement countermeasures.
NDAC (Navy Drug and Alcohol Counselor). A military member or
-1vilian 2mployee specifically trained and certified to conduct
;creenlng, counseling, education, and treatment of alcohol and
ither druq abusers or those dependent on alcohol or other drugs.
.inits of practice are strictly defined and counselors must work
irlcier the c.: inical supervision of a LIP.
NDACS (Navy Drug and Alcohol Counselor School). Residential
;choo? for training active duty Navy drug and alcohol
.o:in.3"10~:: .
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OPNAVINST 5350.4D
4 Jun 09
+muse ir~d yeographical area or command. Prevention programs
L~ormaily~ncludethreat assessment, policy development and
-mplementar;on, public information activities, education and
2-rainlng, deglamorization, and evaluation. Effective prevention
programs arp tailored to the specific area or command (i.e.,
yommand community-based).
Referral (Alcohol). A form of early intervention in the
klrogression of alcohol abuse to avail members of help in
~vercaming dicohol abuse. There are two types of referrals,
vhich are \iefined below:
Right Spirit
LE?\~~LS.
~lcohoi-lnducedproblems.
lepends
31;
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OPNAVINST 5350.4D
4 Jun 09
Process by which a Navy member who
nelieves that they are dependent (addicted) on drugs may report
o a qualitled self-referral representative (as listed in
yarayraph 2h of this instruction) and receive screening at a
h;ARP faciilty for official determination of drug dependency).
14embers found to be drug dependent will be exempt from
Ilsclpllnary action for drug abuse if they accept and
gart~cipate in treatment offered by the Navy. However, a valid
;e-t-referral is still considered an incident of drug abuse, and
_he member wlll be processed for ADSEP. Type of discharge will
ne characterized by their overall service record, not just the
-ncldenr c t drug abuse. Members found not drug dependent, but
uho have Lsea drugs, will not be exempt from disciplinary
dct lor:, ~ 7 1l i 3e disciplined as appropriate, and will be
r~rocessed
ADSEP. Members found not drug dependent, and who
'lave not ~ s e ddrugs, but attempted to, will be disciplined
~ppropriareiy and processed for ADSEP or retained and returned
- 3 duty per with the needs of the Navy.
Threat Assessment.
Enclosure (4)
OPNAVINST 5350.4D
4 Jun 09
Enclosure (4)