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

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OPNAVINST <strong>5350.4</strong>D<br />

4 Jun 09<br />

ADMITS (Alcohol and Drug Management Information Tracking<br />

System). The primary information management system for NADAP<br />

Drogram. ADMITS collects data on alcohol-related incidents,<br />

;creenings, treatment, drug testing results, etc.<br />

AFIP (Armed Forces Institute of Pathology). A DoD laboratory<br />

*:hat manages integrity of the DoD drug testing program. It<br />

~perates both open and blind quality control testing.<br />

Aftercare Plan. A post-treatment regimen of care prepared by<br />

'he SARP a+ the time a member successfully completes a treatment<br />

3rograrr~. Ttftercare plans are prepared in consultation with the<br />

nember's parent command and may include recommendations for<br />

.linlzai?y monitored outpatient counseling (continuing care),<br />

ittendance at self-help groups, and referrals for additional<br />

nedical ;oc:.al services. Member's failure to adhere to all<br />

provisions ct the aftercare plan may result in treatment<br />

failure. The aftercare plan is monitored at the command level<br />

:~y<br />

th? DAPA<br />

Alcohol Abuse. The use of alcohol to an extent that it has an<br />

ldverae effect on performance, conduct, discipline, or mission<br />

ltfec+lvenesa, and/or the user's health, behavior, family,<br />

*ommunit,] or Department of the <strong>Navy</strong>, or leads to unacceptable<br />

nehavlor as evidenced by one or more acts of alcohol-related<br />

qLsconduct. Aicohol abuse is also a clinical diagnosis based on<br />

ipeclric d~agnostic criteria delineated in DMS of Mental<br />

I~sorders ,Ti, and must be determined by a medical officer or<br />

-1P. A r-inlcal diagnosis of alcohol abuse generally requires<br />

;ome torn- of ~ntervention and treatment.<br />

Alcohol-AWARE. A command-level course that includes basic<br />

_nformatlo~ about alcohol use and associated risks, <strong>Navy</strong><br />

~oiicles, responsible drinking, and alternatives. In addition<br />

o belny ci requirement for all personnel, Alcohol-AWARE is a<br />

~ornrnand too- that can be used in a variety of ways. It is<br />

-argetea at the El to E4 and 01 to 03 population.<br />

Alcohol Dependence (see also Alcoholism). Psychological and/or<br />

>hysiglogiciil dependence on the drug alcohol as indicated by<br />

lvidence ot tolerance or symptoms of withdrawal as characterized<br />

I;/ the deve2opment of withdrawal symptoms 12 hours or so after<br />

-ngesr_ioil. People are said to be dependent on alcohol when<br />

ibstinence from use impairs their performance or behavior.<br />

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