SUMMARY of CHANGE AR 600–85 The Army Substance Abuse Program This administrative revision, dated 11 March 2014--o Supersedes Army Directive 2012-14
Michigan Department of Community Health, Mental Health & Substance Abuse Administration BUREAU OF SUBSTANCE ABUSE & ADDICTION SERVICES SUBSTANCE ABUSE TREATMENT
CHAPTER Substance Abuse and Dependence ... scription drugs that calm us down or ease our pain. ... Let us consider the example of intoxication. TRUTH FICTION
Download The Journal of Substance Abuse Treatment (JSAT) features original research, systematic reviews and reports on meta-analyses and, with editorial approval, special articles on the assessment and treatment of substance use and addictive d
SOS-258 (011-02- 4) Page 1 of 2 SUBSTANCE USE EVALUATION (ALCOHOL AND DRUGS) SECTION 1: GENERAL INFORMATION and HISTORY (to be completed by driver/applicant)
Download The Journal of Substance Abuse Treatment (JSAT) features original research, systematic reviews and reports on meta-analyses and, with editorial approval, special articles on the assessment and treatment of substance use and addictive d
Providers with DCF SAMH contracts report SA Outcomes for all clients receiving ... 394.674 (2)(a) F.S., requires the following for services to be paid by the .... 6A-5 . Effective July 1, 2014. II. Substance Abuse Admission Data File Layout with Vali
Sep 1, 2006 ... incidents. Further, it does not preclude investigations by law enforcement agencies. 1. COMMENTS AND QUESTIONS REGARDING THIS BULLETIN SHOULD BE ... as well as analyzing incident trends to prevent recurrence. ... analysis of incidents
Download Study par- ticipants were administered a brief instrument that screened for mental ..... open-label trials in patients with major depression and hiv infection. All.
Download dr. ferrando began his september 2005 prn lecture by explaining that depression is the most common psychiatric disorder for which hiv-infected patients receive treatment. “A number of epidemiological studies have been conducted,” he said
Download Study par- ticipants were administered a brief instrument that screened for mental ..... open-label trials in patients with major depression and hiv infection. All.
Headquarters Department of the Army Washington, DC 17 October 2006 Army Programs Army Lessons Learned Program (ALLP) *Army Regulation 11–33 Effective 17 November 2006
BHS-LC-106 (Rev. 1/10) Page 5 of 14 Michigan Department of Community Health Substance Abuse Licensing Section APPLICATION FOR A SUBSTANCE ABUSE LICENSE
Download dr. ferrando began his september 2005 prn lecture by explaining that depression is the most common psychiatric disorder for which hiv-infected patients receive treatment. “A number of epidemiological studies have been conducted,” he said
Revised 9/01/17 1 SUBSTANCE ABUSE PREVENTION AND CONTROL . TREATMENT PLAN . PATIENT INFORMATION . 1. Name (Last, First, and Middle): 2. Date of Birth (mm/dd/yyyy): 3
of Harris County with
fundamental changes to the 25-year-old Maine Substance Abuse Testing Law so that it can better meet today's conditions and challenges. The goal of these changes is to be corrective of behaviors that endanger the individual, coworkers or clients, not
The National Child Traumatic Stress Network www.NCTSN.org Making the Connection: Trauma and Substance Abuse When Mary was 11, her mother “left this man, Dave” to
substance abuse among aging adults: a literature review september 2002. substance abuse among aging adults: ... project director
PATIENT HEALTH QUESTIONNAIRE (PHQ-9) NAME: DATE: Over the last 2 weeks, how often have you been bothered by any of the following problems? Not at all Several
Page 3 of 14 EXPLANATORY FOOTNOTES - FOR PAGE TWO (2) OF APPLICATION (1) Check if substance abuse/alcohol highway safety education or other classes are offered by the
Download recovery. Many factors contribute to the prominent role of substance use and abuse in LGBT people. Legal prohibitions against. LGBT behavior and ...... The social, cultural, psychological, and developmental issues and treatment conside
substance abuse prevention and control progress note (birp format) revised 9/5/17 1 . progress note type 1. date: _____ 2
Public Safety Substance Abuse Journal by MEDTOX June 2009 of marijuana use. A false-positive screening result, because it is purporting to be positive, automatically
ARMY SUBSTANCE ABUSE PROGRAM (ASAP) ENROLLMENT For use of this form, see AR 40-66; the proponent agency is the OTSG
The person named below is being referred to the ASAP for a comprehensive assessment to determine whether or not the individual meets the criteria for enrollment. 1. Name (Last, First, MI).
2. Rank/Grade.
6. Is Servicemember/Employee expected to depart installation within 90 days?
7. Is Servicemember/Employee on flying status?
YES
NO
YES
9. Type of Referral: Biochemical (Type Drug) Medical Investigation/Apprehension
3. SSN.
4. DOB (YYYYMMDD )
5. Yrs Act/Fed Svc.
8. Is Servicemember/Employee involved in Personnel Reliability Program?
NO
YES Self
Command
NO Supervisor
Other
10. Record of Civilian Arrests/Convictions, Courts Martial, Company Punishments, and Disciplinary Problems, including those Pending: (Specific dates and offenses)
11. Performance: (Give specifics of fair or unsatisfactory ratings) Performance/ Efficiency: Excellent Good Behavioral/ Conduct: Excellent Good 12. Reasons for Referral: (Check appropriate spaces) a. Physical Signs b. Personality Changes
Fair Fair
Unsatisfactory Unsatisfactory
c. Other Behavioral Indicators
Flushed Face
Irritability
Decreased Quality of Work
Nervousness
Increased Defensiveness
Sporadic Work
Red or Bleary Eyes
Increased Use of Excuses
Mood Changes after Lunch
Hand Tremors
Intolerant of Co-workers or Subordinates
Drinking Before Lunch
Hangovers on the Job
Drinking During the Day
Minor Illnesses
Drinking After Lunch
Minor Injuries
Drinking During Duty
Unexcused Absences
Longer Lunch Hours
Other
Absenteeism Improper Use of Drugs
d. Behavioral changes needed for soldier/employee to become effective/functioning in until:
Unusual Excuses for Absences
Avoidance of Supervisor or associates 13. PATIENT IDENTIFICATION (For typed or written entries give: Name - last, first, middle; grade; date; hospital or medical facility):
DA FORM 8003, FEB 2003
EDITION OF NOV 91 IS OBLOLETE.
APD LC v2.00 PAGE 1 OF 2
14. Other Problems: 15.
Financial
Marriage/Family
Is soldier/employee seen by other helping agencies? Community Mental Health Service
Medical
Other
Chaplain
(specify)
Other
16. Commander's/Supervisor's Recommendation: No further action needed at this time. Soldier/employee needs alcohol and/or drug education. I suspect soldier/employee has an alcohol and/or other drug problem. Other (specify).
17. Immediate Supervisor's Name.
18. Date ( YYYYMMDD)
19. Phone.
20. Commander's/Supervisor's Signature.
21. Date (YYYYMMDD)
22. Phone.
REHABILITATION TEAM MEETING RESULTS (MANDATORY FOR MILITARY) Record of contact with commanders/supervisors concerning this referral - Record face-to-face rehabilitation team meeting results or telephone concurrences, to include dates of programmatic agreements.
Note: Results of rehabilitation team meetings must also be recorded on SF 600.
*TO:
FROM:
DATE: (YYYYMMDD)
1. Per your basic memorandum and agreements made during rehabilitation team meeting on , the following actions have been taken by the Army Substance Abuse Program (ASAP) in an effort to assist referred soldier/employee with his/her problem(s): Returned to duty, no further action required. Placed on extended evaluation (30/60 days). Alcohol/drug education Rehabilitation:
Track:
Date
Time:
(YYYYMMDD)
Bldg#:
Time:
Date (YYYYMMDD)
Bldg#:
2. If you have any questions, please call the following counselor: at: Clinical Director
* Note for Federal Employees: To be completed ONLY with written consent of employee. DA FORM 8003, FEB 2003
