develop the skills and resources needed to maintain a substance-free lifestyle. Normally, individuals remain in aftercare for 6 months to a year after entering the ADAPT program. Procedures also include assessment of drinking behavior and duty performance at 3, 6, and 12 months after discharge from treatment at higher levels of care. The treatment team evaluates the individual’s progress quarterly and keeps the commander informed (U.S. Air Force, 2011). The committee did not have access to information about treatment success rates.

Finally, ADAPT works closely with the Behavioral Health Optimization Program (BHOP) (described further below), which provides brief intervention in a primary care setting to respond to behavioral health needs. Clients are referred by primary care physicians and are seen for three to four sessions. These sessions focus, for example, on planned behavior change, screening for depression, and planning for relapse prevention. The committee found that BHOP does not see a large number of clients with substance abuse problems because primary care providers often refer these patients directly to ADAPT for further assessment. Nevertheless, the existence of BHOP and its relationship with ADAPT are a strength of the Air Force’s approach to addressing behavioral health concerns, including substance abuse.

Overall, the committee finds that ADAPT offers a comprehensive array of services, providing interventions at different levels of intensity and complexity depending on the initial assessment of individuals referred to the program. Thus, brief intervention is available for high-risk individuals as is more intensive treatment, with the latter ranging from outpatient to day treatment to inpatient care. Aftercare plans, which include relapse prevention, also are offered.

Alcohol Brief Counseling (ABC)

Purpose and Goals Clinical Focus Program Evaluation/Outcomes Target Population EBPs
  • ABC is an individualized, targeted preventive intervention for members seen in ADAPT who are not diagnosed with a substance use disorder.
  • Prevention
  • Outcome survey To rrack self-reporced impact of intervention on substance use and program quality monitoring (tracked locally only)
  • Active Duty
  • Reserve
  • National Guard
  • ABC utilizes standardized assessment tools (AUDIT, CEOA, SIP, RTCQ) and motivational interviewing

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