opnavinst 5350.4 d - Navy Medicine - U.S. Navy
opnavinst 5350.4 d - Navy Medicine - U.S. Navy
opnavinst 5350.4 d - Navy Medicine - U.S. Navy
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OPNAVINST <strong>5350.4</strong>D<br />
4 Jun 09<br />
-._xper Ler:ce slight stimulation, feeling of less inhibition, loss<br />
~f consciousness, or suffer from Sudden Sniffing Death Syndrome<br />
triis means the user can die from the lst, loth, or 100th time<br />
hey 3bus~ an Inhalant).<br />
Intervention. Act or process of confronting or otherwise<br />
iirectiny an individual to obtain help for an alcohol or other<br />
1r.ig 2robier. Nany individuals who have alcohol or drug<br />
)roblems deriy those problems or are unwilling to seek help.<br />
Tommanding officers, supervisors, shipmates, counselors, other<br />
nedica~ prc)f'essionals, or spouses can intervene.<br />
Licensed Independent Practitioner (LIP). LIP is a licensed<br />
:>sychologist, physician, psychiatrist or other medical<br />
urofessional who has the clinical responsibility for the<br />
screeninq, assessment, and treatment of alcohol and other drug<br />
-1lents. A 1,IP clinically supervises counselors and has the<br />
i~timate responsibility for the treatment of clients under their<br />
iliper~~is i91:<br />
Medical Screening. Actual assessment of an individual's alcohol<br />
>r other drug problems to determine if a diagnosis of alcohol<br />
1b~s2 or dependency is warranted and to determine treatment<br />
-equirements. <strong>Navy</strong> drug and alcohol counselors collect<br />
-nformatioil and impressions for the screening, but the actual<br />
ilagnos;s mllst be made by a LIP or qualified medical officer.<br />
MTF (Medical Treatment Facility). Any DoD or authorized<br />
-~vi!;an ~nstltution that provides medical, surgical, or<br />
:)slrcniatric care and treatment for sick or injured DoD personnel<br />
il;d tileir '~arnlly members. Alcohol and other drug treatment in<br />
he <strong>Navy</strong> IS the responsibility of the Chief, BUMED. Alcohol<br />
'reatnenc may be an integral department of an MTF or may exist<br />
Ir operate :ndependently and report to a cognizant MTF.<br />
NDSL (<strong>Navy</strong> Drug Screening Lab). There are three NDSLs in the<br />
Vavy, which are located in San Diego, CA; Jacksonville, FL; and<br />
;reat LaKes, IL. They analyze urine specimens for the presence<br />
)t zontro-ied substances and other illegal drugs under forensic<br />
~onditions NDSLs also provide expert witnesses in legal<br />
~roceedinys. NDSLs are monitored by AFIP and are inspected<br />
~uarferly hy BUMED and annually by DoD and CNO.<br />
Enclosure (4)
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