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

OPNAVINST 5350.4D
4 Jun 09
DSM (Diagnostic and Statistical Manual of Mental Disorders). A
nanual prepared by the American Psychiatric Association as a
g7~ide for cLinica1 practitioners. DSM has many uses. In the
iicohol and other drug field, it provides the diagnostic
Jrlterla tor alcohol abuse, alcohol dependence, drug abuse, and
3rug dependence. Each updated edition of the DSM is identified
ny a romar numeral, e.g., DSM IV, etc. All references to the
'ISM in this instruction refer to the current edition at time of
~pplicat icrl.
DUI/DWI (Driving Under the ~nfluence/Driving While Intoxicated).
3:JI, Dl41 refers to the operation of, or being in the physical
:ontrol of ~2 motor vehicle or craft while impaired by any
substance, Legal or illegal. Definitions vary slightly from State
-o Stat?. In ali States, a recorded BAC for alcohol of .08 is
srlma facl;. proof of DUI/DL\TI without any other evidence. It
;hould bs noted that in many States, drivers can be impaired at
Levels lower than .08 and can be convicted on other evidence
dLthodt d recorded BAC (see Substantiated DUI/DWI). Additionally,
jperatlon L)L, or being in physical control of a motor vehicle or
:raft wit!: any recorded BAC for alcohol by a person under the age
,t ZL 1s aydinst the law. Further guidance concerning DUI/DWI is
.oiltained reference (b) , article 111 and its analysis.
Heavy Drinker. For survey or other data collection purposes, a
yeavy drinker is defined as one who drinks five or more drinks
:ley typica- drinking occasion at least once a week.
Illegal Drug. Category of substances including controlled
.~ubstances, controlled substance analogues, and all other
2rohibited (whether by law or regulation) drugs (e.g., LSD,
narijuana, 1-*ocaine, heroin, sometimes referred to as illicit
hugs .
Impaired. ler reference (b), "impaired" means any intoxication
-,vhich is sufficient to diminish the rational and full exercise
jf the member's mental or physical faculties.
Inhalant Abuse (Huffing). Intentional inhalation or breathing
~i gas, f~mes, or vapors of a chemical substance or compound
~ ~ i :he r h lncent of inducing intoxication, excitement, or
,?upefaction in the user. Nearly all abused inhalants produce
>ffects slnilar to anesthetics, which slow down the body's
Eunction. Depending upon the level or dosage, the user can
Enclosure (4)