Army Regulation (AR) 600-85 (U.S. Army, 2009) guides the implementation of the Army Substance Abuse Program (ASAP). AR 600-85 “provides comprehensive alcohol and drug abuse prevention and control policies, procedures, and responsibilities for Soldiers of all components, Army civilian corps members, and other personnel eligible for Army Substance Abuse Program (ASAP) services” (U.S. Army, 2009, p. 1). The regulation’s 18 chapters and 8 appendixes specify the purpose and authority of the regulation; articulate staffing roles and responsibilities; review the policies for alcohol and other drug testing for officers, soldiers, and civilian employees; and list services available for civilian corps members, family members, and retirees. The regulation also addresses procedures for identification, referral, and evaluation of individuals with suspected SUDs; describes the rehabilitation procedures and programs for prevention, education, and training; and specifies legal and administrative procedures. Drug testing standards are listed, and the risk reduction program is described. Chapters also detail procedures for program evaluation, data collection, and record keeping. The regulation concludes with descriptions of services for the Army National Guard and Army Reserve, a review of Army awards and campaigns, and guidance for resource management.
The Army Center for Substance Abuse Programs manages the ASAP services as part of its mission “to strengthen the overall fitness and effectiveness of the Army and to enhance the combat readiness of its personnel and units by eliminating alcohol and/or other drug abuse” (U.S. Army, 2009, p. 104). Located within the Army’s Human Resources Policy Directorate, ASAP is a Command program that emphasizes readiness and personal responsibility. ASAP provides prevention (education, deterrence, identification/detection, referral, and risk reduction programs) and treatment (screening and rehabilitation) services. Box 6-2 summarizes ASAP’s prevention and treatment capabilities.
ASAP prevention and treatment services are currently in transition. In October 2010, personnel, resources, and equipment used for screening and rehabilitation services in ASAP were transferred from Medical Command (MEDCOM) to Installation Management Command (IMCOM) to consolidate the program’s prevention and rehabilitation services within one Command. Services are being reengineered “to promote a full spectrum of care based on a public health model.”3 The committee’s discussions with ASAP staff during site visits to the Fort Belvoir and Fort Hood Army bases revealed strong support for the consolidation of prevention and treatment
3 Personal communication, Col. John Stasinos, Addiction Medicine Consultant for the Army Office of the Surgeon General, November 15, 2011.