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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 />

BAC (Blood Alcohol Content or Concentration; also Blood Alcohol<br />

Level). The percentage of alcohol in the blood system expressed<br />

:n tne ratlo of grams of alcohol per 100 milliliters of blood.<br />

i dynamlc measure resulting from a variety of factors- rate of<br />

jrinking, strength of drink, body weight, gender, etc. Legal<br />

_:mil of BAC varies from State to State.<br />

Career. A c:areer is defined as all creditable service towards<br />

retirement, to include all periods of service, regardless of<br />

:ransitions between active duty and reserve or enlisted and<br />

)f ficer ,<br />

Chain of Custody. Process by which the integrity of a<br />

~rinalysls sample is maintained from collection through testing<br />

2nd used a: legal proceedings. Chain of custody procedures<br />

r2qulre s zrlct adherence to the use of custody documents,<br />

Label;, ?:f-. . , by authorized personnel.<br />

Continuing Care. A phase of treatment designed to provide<br />

support f o ~ members adjusting to an abstinent life style.<br />

'ontinulny care in most cases will follow a phase of more<br />

-ntense ictervention. The normal frequency of continuing care<br />

; 2 hours per week or less.<br />

Continuum of Care. The alcohol treatment model used by the U.S.<br />

<strong>Navy</strong> and other military treatment providers. Period of<br />

-reatment dries and may occur in a variety of settings. The<br />

ndsic phllqsophy is to place patients in the least intensive or<br />

restr~ctlv? treatment environment commensurate with the severity<br />

>f their needs. Patients can be moved to more or less intensive<br />

-reatnent dcring the treatment phase as their needs change or<br />

:~roblems are identified. The continuum of care is generally<br />

31vided ictc five levels of intensity:<br />

Level t ,.5, Early ~ntervention/Education Program (Alcohol-<br />

LMPACT I , 2 ) hours;<br />

LexisL , Outpatient Treatment, 40 hours/2 weeks;<br />

Level 'i, Intensive Outpatient/Partial Hospitalization<br />

T?P i 93 _LC hours/4 to 6 weeks;<br />

Lieve- ::I Inpatient Treatment, 1 to 2 weeks; and<br />

Enclosure (4)

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