taking those medications even when there is peer pressure to stop their use. There is no discussion of medications with Food and Drug Administration approval for treatment of alcohol and opioid use disorders.

In addition, NDACS offers a prevention specialist course to provide education and training on designing and implementing evidence-based SUD prevention programs at the local Command level. The prevention specialists are trained to use the strategies of SAMHSA’s Center for Substance Abuse Prevention and to use the National Registry of Evidence-Based Programs and Practices to select prevention programs for their local community (DoD, 2011, Appendix C). Intern counselors must complete 270 hours of alcohol and other drug abuse education (including 3 hours of ethics training) during 7 weeks of the NADCS curriculum and 120 hours (3 weeks) of supervised practical experience to complete the 10-week curriculum. Certified alcohol and drug counselors I must complete 195 hours of supervised practical experience plus 2,000 hours (1 year) of supervised work experience and must pass the alcohol and drug counselor I certification exam. Alcohol and drug counselors II must complete 6 hours of ethics training, 300 hours of supervised practical experience, and 6,000 hours of supervised work experience and must pass the IC&RC alcohol and drug counselor certification exam. Certified clinical supervisors must have alcohol and drug counselor II certification plus 30 hours of clinical supervision training, 10,000 hours of work experience, and 4,000 hours of supervision experience and must pass the IC&RC certified clinical supervision certification exam. All counselors must have a minimum of 50 hours of supervision per year (1 hour per week). See Table 8-4 for numbers of SARP providers by job title.

TABLE 8-4 Substance Abuse Rehabilitation Program (SARP) Workforce

Position Active Duty Civilian Contractor
Licensed Independent Practitioners
   Licensed clinical social workers   16 1
   Licensed clinical psychologists   18 2
   Psychiatrists     5  
   Substance abuse counselors (alcohol and drug counselors I) 87 11 2
   Substance abuse counselors (alcohol and drug counselors II) 39 43 3
   Certified prevention specialists     8  

SOURCE: Personal communication, Charles Gould, Naval Bureau of Medicine, March 1, 2012.

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