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

OPNAVINST 5350.4D
4 Jun 09
. Personal Responsibility. Members are individually
responsible for successfully completing all treatment
recommendations and maintaining a career free of any subsequent
3lcohol abuse.
. Treatment Failures. Navy is committed to providing quality
;are for all members in need of alcohol abuse/dependency
,-reatment. Comply with provisions of reference (h). Per
reference fr , however, commands shall process for ADSEP all
nembers considered to be treatment failures, unless a written
dalver LS obtained from NF-VPERSCOM (PERS-832) via OPNAV (N135) .
Per paragraph lb of this enclosure, senior enlisted personnel (E5
dnd above) and officers may be eligible for a second period of
reatment ~f their commanding officer evaluates them as
oossesslng exceptional potential for further useful naval
;ervlce, provlded more than 3 years have elapsed since previous
~ncident. A SARP screening is required to determine amenability
for another period of treatment (refer to reference (c) for
Jnilsted members and reference (d) for officers). A sample
leiter req~esting the ADSEP waiver is contained in appendix A to
-his enclosure.
. T-f? following are examples of treatment failures:
( Any member who incurs an alcohol incident any time
ill thelz career after a period of treatment at Level 1 or above
-hat &as precipitated by a prior incident.
id, Any member who has incurred an alcohol incident, has
:]+en 3 corrndnd referral, or has self-referred, and has been
;rreened by medical personnel and found to be in need of
reatrnerlt dnd who commences but subsequently fails to complete
any prescrlhed treatment or incurs an alcohol incident.
,Conduct, wl-lich amounts to a refusal, failure to complete, or
]on-amenab~~lty shall be determined by the medical officer or
-LP. L'o~d:l(~t which amounts to an alcohol incident shall be
leterminec! hy the member's commanding officer.)
Any member who fails to participate in, fails to
roilo~-, or falls to successfully complete any medically
prescribed dnd command-approved aftercare plan. This
JeternnirlatAr)n must be made by the member's commanding officer in
-onsu 1 tat :or: ;vi th the DAPA and SARP .
Enclosure (1)