TABLE 8-2 Army Substance Abuse Program (ASAP) Prevention Workforce

Position Civilian
Alcohol and drug control officers (ADCOs)   63
Risk reduction program coordinators   55
Drug testing coordinators 132
Suicide program managers   34
Prevention coordinators   81
Employee assistance program coordinators   47
Total 412

SOURCE: Personal communication, Les McFarling, Ph.D., Army Center for Substance Abuse Program, February 22, 2012.

Clinical providers must have a master’s or doctoral degree in social work, psychology, counseling, or marriage and family therapy from an accredited university and a state-issued independent license. Counselors not licensed as independent practitioners must have a master’s degree and a national recognized certification in substance abuse rehabilitation. ASAP requires a minimum of 2 years of sobriety or postrehabilitation experience for counselors in recovery from an SUD. Department of Defense (DoD) regulations require Medical Command (MEDCOM) to continue to credential ASAP clinicians despite the recent relocation of ASAP’s clinical services to the Installation Management Command (IMCOM). The credentialing process follows regulations specified in AR 40-68 (Medical Services: Clinical Quality Management). Table 8-3 shows the numbers of clinical providers currently assigned to ASAP. As the table indicates, ASAP staffing does not include physicians. Military treatment facilities provide physician support when needed for SUD patients with comorbid conditions, including suicidality, posttraumatic stress disorder (PTSD), and traumatic brain injury, and those requiring medication assistance. The committee heard testimony that as of May 2011, the staffing rate for the ASAP clinics was just 66 percent.1 During 2011, the Army made substantial efforts to recruit and retain ASAP practitioners, but there were too few applicants who met the Army’s counselor requirements, and ASAPs continue to be understaffed.


Navy Instruction 5350-4D (U.S. Navy, 2009) specifies the operation of the Navy’s alcohol and drug abuse prevention and control programs. Bureau of Medicine (BUMED) Instruction 5353.4A operationalizes the


1 Personal communication, Col. John Stasinos, M.D., Addiction Medicine Consultant for the Army Office of the Surgeon General, May 3, 2011.

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