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ARN30190-AR 600-85-001-WEB-3
600-85, KSARNG, Substance Abuse Prevention & Control, 2007 Jun 1(2)
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7. Medical identification
a. During routine or emergency medical treatment, healthcare providers may note problematic substance use. In such instances, healthcare providers will refer the Soldier to the BH clinic fora SUD evaluation. If a Soldier reveals abuse of substances (illegal drug, controlled drug, alcohol or other) to a healthcare provider, the healthcare provider will refer to BH fora SUD evaluation, if necessary. The revelation of problematic substance use, by itself, will not subject the individual to adverse administrative action. UA which may follow such disclosure will be covered under the Limited Use Policy. When this ID method applies, the commander will describe the Limited Use Policy to the Soldier as soon as possible and support the medical referral of the Soldier to the BH clinic fora SUD evaluation. The healthcare provider will provide information about the Soldier’s alleged problematic substance use immediately to the Soldier’s commander, should it appear that any of the following conditions exist
(1) The Soldier is acutely impaired.
(2) Impaired judgment is evident.
(3) Potential danger to others exists as a result of problematic substance use (for example, Chemical or Nuclear Surety Programs, flight crews.
(4) Problematic substance use impacts the Soldier’s judgment, reliability, or trustworthiness to protect classified information.
b. If a healthcare provider notes problematic substance use during routine or emergency medical screening of a civilian employee or Family member, the healthcare provider will recommend the individual for referral to BH fora
SUD evaluation.
c. The evaluation, ID, and referral of healthcare providers with abuse of substances (illegal drug, controlled drug, alcohol or other) related problems are very sensitive issues. Healthcare providers are responsible for helping to identify and refer any colleague whose performance is impaired by alcohol or other drugs to the Impaired Health Care Provider Program. All healthcare providers will be responsible for reporting any problematic substance use concerns to the Impaired Health Care Provider Committee or chain of command. The medical health authority will manage the potentially impaired provider through the Impaired Health Care Provider Committee. When this ID method applies, the medical commander will describe the Limited Use Policy to the healthcare provider as soon as possible and support the medical referral of the Soldier to the BH clinic fora SUD evaluation.

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