BOX 8-1
12 Core Functions of Substance Abuse Counselors

  • Screening
  • Intake
  • Orientation
  • Assessment
  • Treatment planning
  • Counseling (individual, group, and significant others)
  • Case management
  • Crisis intervention
  • Patient education
  • Referral
  • Reports and record keeping
  • Consultation with other professionals with regard to patient treatment/services

SOURCE: U.S. Air Force, 2010.

identification and referral of individuals needing ADAPT services, supervision of nonprivileged personnel, development and tracking of quality improvement metrics, and chairing of treatment team meetings. Additional responsibilities relate to HIV testing requirements; coordination with the Resiliency Element on community referral guidelines; coordination with Air Force Reserve and National Guard members, including ensuring that they receive appropriate services; and provision of monthly status reports on all ADAPT program clients and fitness-for-duty or status recommendations.


AR 600-85 specifies staffing requirements for the Army Substance Abuse Programs (ASAPs). ASAPs operate under the direction of alcohol and drug control officers (ADCOs), who are responsible for staff management and supervision, management of the drug and alcohol testing program, coordination of all risk reduction and prevention services, coordination of and assistance with Command referrals, development of an ASAP staff training plan, evaluation of prevention activities, and preparation and approval of all reports. A prevention coordinator, an employee assistance program coordinator, a drug testing coordinator, a risk reduction program coordinator, a suicide program manager, a clinical director, counselors, clinical consultants, and substance abuse professionals support the ADCO and the delivery of ASAP services. As of February 2012, 63 ADCOs supervised 349 ASAP prevention staff. Table 8-2 shows the number of individuals in nonclinical positions, who generally provide support for prevention and drug testing efforts.

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