opnavinst 5350.4 d - Navy Medicine - U.S. Navy

OPNAVINST 5350.4D
4 Jun 09
L. Once assessment is completed, medical officer/LIP will
provide the command with a written screening summary that shall
contain a treatment recommendation and statement of member's
2menabillty to treatment. Screening summary shall not contain
recommendations for discipline, retention, or separation from
service.
L. Commanding officers shall, in all but exceptional cases,
follow recommendations of the screening summary. In those rare
situations where the commanding officer elects not to comply
~ith recommendations contained in the screening summary, a
Mrltten notification shall be forwarded to OPNAV (N135) via the
sppropr~ate chain of command.
c. IF treatment is recommended, commands should coordinate
=i quota w17n appropriate SARP. If level of treatment
recommended IS not available locally, determination of the
2earest facillty will be coordinated by the prescribing medical
facility. Members granted treatment will be placed in a
remporary additional duty status consistent with the
: equirement:; of SARP.
e. 31-~hs:ance abuse services are delivered within a variety
at treatmen- settings using a flexible continuum of care and
~~ariabie lengths of stay. Services range from relatively low-
~ntenslty, education-oriented programs to medically-managed inqatient
care. Levels of care and length of stay are dependent
,n the patlent's specific clinical needs and response to
-reatment rather than a pre-determined program length. Required
-reatment r,viil be per the America Society of Addictions Medicine
gatient Placement Criteria guidelines.
r. 4: completion of early intervention or treatment, the
3ARP dl11 provide a treatment summary to member's commanding
~fficer, ~~hlch shall include a prognosis, additional
-ecommendat~ons, and an aftercare plan, where applicable. A
*-reatment summary with continuing treatment recommendations will
ne forwarded to member's command when member has received
zartial tredtment at one facility and is returning to a facility
Ln the loca, area of thelr command to continue with less intense
' 1 eatmen'
: Fdmliy Participation. Per reference (a), family members of
-1~cohol or drug dependent Navy members and, to the extent
Enclosure (1)