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

OPNAVINST 5350.4D
4 Jun 09
:. 3s:ny all information available (including self-
~drnisslon, Ilrinalysis results, SARP screening results, service
cecord, aLd chain of command recommendations), the commanding
~tficer mLst make an initial decision on whether the member's
drug use was -,vrongful. Proceed as directed below and either:
(1 Jetermine that the member is a drug abuser.
letermine that the member's positive urinalysis was the result
~f know in^ drug use and initiate mandatory ADSEP processing.
,4embers diagnosed as drug dependent will be offered treatment
urror to separation.
Determine that the member is not a drug abuser:
Jetermlne Lnat the member's positive urinalysis was the result
2f dnknowing drug use or a break in the chain of custody of the
;rrne sample. In such cases, the positive urinalysis should not
ne conslder~d a drug abuse incident and no DAAR submission is
required. If the positive urinalysis is determined not to be a
drug abuse incident, the command shall notify OPNAV (N135) and
.he c:omrnand's immediate senior in command, echelon 2 or 3 via
~fflciai correspondence of the circumstances that warranted such
3 de+ermirLdtion. See appendix D for example of Determination of
Jr~sit
ivp rJrinalysis Letter.
,I. It -est result is to be used in a court-martial or
~drn~nistra:ive proceeding, and trial or administrative
uroceedino (-annot be completed within 1 year from date of
positive test results, cognizant command must request an
extension r)f the 1 year period of custody for positive test
-esults from tne NDSL that performed the test(s). When
~rlnalysis results are used as evidence in a general or special
-ourt-mart-(31, the command should consult with the trial counsel
-9 determine wnen the laboratory may discard the positive
;amp Le.
!I. Joluntdry Self-referral Policy. All Navy personnel who
self-refer for drug abuse to a qualified self-referral agent and
;oriforn tc dl1 requirements for self-referral, as listed in
2nclosure 1) of this instruction, shall be screened for drug
dependency dc an appropriate medical facility by either a
aedical atf~cer or LIP.
1. Personnel who self-refer and screen as drug dependent
;hal, be cocsidered valid self-referrals and are exempt from any
Enclosure (2 )