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UNCLASSIFIED

Army Regulation 600 – 85

Personnel—General

The Army

Substance

Abuse

Program

Headquarters Department of the Army Washington, DC 23 July 2020

SUMMARY of CHANGE

AR 600 – 85

The Army Substance Abuse Program

This administrative revision, dated 7 August 2020—

o Corrects guidance on breathalyzer testing (para 3–2 a ).

This major revision, dated 23 July 2020—

o Incorporates Army Directive 2016 – 04, Realignment of the Army Substance Abuse Program’s Clinical Care (paras 1 – 1 , 2 – 5 , 2–10 a , 2–14 a , 2–15 a -b, 2-18a, 2-18l, 2-18t, 2-19a, 2-20g, 2 – 24, chap 7 , 8 , 13 , and 14 ).

o Requires clinical realignment policy updates with primary responsibility for The Surgeon General (paras 1 – 7 , 2 – 1 , 2 – 2 , 2 – 5 , 2 – 18 , 2 – 21 (o), 2 – 24, 2–24h, 2 – 33, 4 – 2, 4 – 9, 4 – 14, 5 – 8, 7 – 1, 7 – 3, 8 – 1, 8 – 3, 8 – 5, 8 – 6, 8 – 7, 8 – 9, 9 – 4, 9 – 6, 9 – 8, 10 – 12, 10 – 26, 13 – 4, B – 8, and D – 1).

o Changes the definition of the acronym for Criminal Investigation Command to Criminal Investigation Division and updates the title for special agents (paras 1 – 7 , 2 – 11 , 2–17 h , app A, and glossary).

o Requires functional realignment policy updates with responsibility for Installation Management Command (paras 2 – 18 , 2 – 20 , 2 – 21 , 2 – 31 , 4 – 2 , 4–2 d , 4–2 k , 4–11 c , 4–13 a , 4 – 13 (5), 4 – 13(6), 4 – 15, 5-5h, 5 – 12, 5 – 15, 5-16b, 5- 17d, 6, 6-2f, 6-2j, 6 – 5, 6 – 6, 6 – 8, 7-3d, 7-5d, 9 – 5(6), 9 – 5(9), 9-12c, 9 – 14, 9 – 16, 9 – 17, 12-3a, 12-3b, 12-5a, 12- 5d, 13-3e(1), 15-8c, B – 3, D – 2, D-3h, D-3i, D-3n, E-5e, E-5t, E-6f, E-7b, E-10d(2), and table 12 – 1 ).

o Updates unit risk inventory administration timing (paras 2–16 f and 2–28 i ).

o Incorporates guidance from Army Directive 2012 – 07, Administrative Processing for Separation of Soldiers for Alcohol or Other Drug Abuse (paras 2–16 j , 2–21 k , 3–3 a , 4–15 f , 10 – 6 and 16–6 g ).

o Replaces DA Form 3997 with Army Law Enforcement Reporting and Tracking System (paras 2 – 25 and app A).

o Updates roles and responsibilities for Family Advocacy Program activities (paras 2–32 k , 12 – 4 , and table 12 – 1 ).

o Incorporates Army Directive 2016 – 15, Change in the Army Random Deterrence Drug Testing Program (paras 4–2 c and 4–8 a (5)).

o Incorporates Army Directive 2013 – 10, Synthetic Cannabinoids (“Spice”) and “Bath Salts” Probable Cause and Competence for Duty Testing (paras 4–2 m ).

o Changes Army Central Clearance Facility to Department of Defense Consolidated Adjudications Facility (paras 4–8 a (4), 4–8 b , 5–11 a , 10–5 a , 16 – 8 , and 16–8 a ).

o Implements Army Directive 2015 – 14, Use of the Electronic Data Interchange Person Identifier for Identification in the Military Personnel Drug Testing Program (paras 4–13 e (1), 4–15 g , 5–10 e (2), 10–10 c , and D – 3 ).

o Implements Army Directive 2015 – 06, Designation of Certain Positions as Testing Designation Positions Under the Army Drug-Free Federal Workplace Program (paras 5–8 b (13)( c )14, 5–8 b (13)( c )17, and .)

o Updates Soldier substance abuse awareness training requirement (para 9–9 c ).

*This regulation supersedes AR 600–85, dated 26 November 2016. The following Army directives are now rescinded: Army Directive 2013-11, dated 2 May 2013, Army Directive 2015-06, dated 27 January 2015, Army Directive 2015-14, 31 March 2015, Army Directive 2015-21, dated 8 April 2015, Army Directive 2016-04, dated 1 March 2016; Army Directive 2016-15, dated 22 April 2016; and Army Directive 2016-35, dated 7 October 2016. AR 600–85 • 23 July 2020

UNCLASSIFIED

i

Headquarters Department of the Army Washington, DC

*Army Regulation 600 – 85

23 July 2020 (^) Effective 23 August 2020

Personnel—General

The Army Substance Abuse Program

History. This publication is an admin- istrative revision. The portions affected by this administrative revision are listed in the summary of change.

Summary. This regulation governs the Army Substance Abuse Program. It identifies Army policy on alcohol and other drug abuse, and it identifies as- signed responsibilities for implementing the program.

Applicability. This regulation applies to the Regular Army, the Army National Guard/Army National Guard of the United States when in Title 10 status (Na- tional Guard in Title 32 status should refer to chapter 15 ), U.S. Army Reserve, and Department of the Army civilian employ- ees. Chapter 15 applies specifically to the Army National Guard of the United States, while chapter 16 applies to the U.S. Army Reserve. However, other chapters of the regulation apply to Sol- diers of the U.S. Army Reserve and the

Army National Guard, when indicated. Chapter 5 applies to Department of the Army civilian employees. Chapter 6 ap- plies to Department of the Army civilian employees, Family members, and military retirees. Proponent and exception authority. The proponent of the deterrence, drug testing, prevention, and training provi- sions of this regulation is the Deputy Chief of Staff, G – 1. The proponent of the clinical and rehabilitation provisions of this regulation is The Surgeon General. The proponent of the respective provi- sions has the authority to approve excep- tions or waivers to those provisions that are consistent with controlling law and regulations. The proponent may delegate this approval authority, in writing, to a di- vision chief within the proponent agency or its direct reporting unit or field operat- ing agency, in the grade of colonel or the civilian equivalent. Activities may request a waiver to this regulation by providing justification that includes a full analysis of the expected benefits and must include formal review by the activity’s senior le- gal officer. All waiver requests will be en- dorsed by the commander or senior leader of the requesting activity and forwarded through their higher headquarters to the policy proponent. Refer to AR 25 – 30 for specific guidance. Army internal control process. This regulation contains internal control provisions in accordance with AR 11 – 2 and identifies key internal controls that must be evaluated (see appendix G).

Supplementation. Supplementation of this regulation and establishment of command and local forms are prohibited without prior approval of the Deputy Chief of Staff, G – 1 (DAPE – AR), 300 Army Pentagon, Washington, DC 20310 – 0300. Suggested improvements. Users are invited to send comments and sug- gested improvements on DA Form 2028 (Recommended Changes to Publications and Blank Forms) directly to the Deputy Chief of Staff, G – 1 (DAPE – AR), 300 Army Pentagon, Washington, DC 20310 – 0300. Committee management. AR 15 – 1 requires the proponent to justify establish- ing/continuing committee(s), coordinate draft publications, and coordinate changes in committee status with the U.S. Army Resources and Programs Agency, Depart- ment of the Army Committee Manage- ment Office (AARP – ZA), 9301 Chapel Road, Building 1458, Fort Belvoir, VA 22060 – 5527. Further, if it is determined that an established “group” identified within this regulation, later takes on the characteristics of a committee, as found in the AR 15 – 1, then the proponent will fol- low all AR 15 – 1 requirements for estab- lishing and continuing the group as a com- mittee. Distribution. This regulation is avail- able in electronic media only and is in- tended for the Regular Army, the Army National Guard/Army National Guard of the United States, and the U.S. Army Re- serve.

Contents (Listed by paragraph and page number)

Chapter 1 General, page 1 Purpose • 1 – 1, page 1 References and forms • 1 – 2, page 1 Explanation of abbreviations and terms • 1 – 3, page 1 Responsibilities • 1 –^ 4,^ page^1

Contents—Continued

Contents—Continued

Contents—Continued

Contents—Continued

AR 600–85 • 23 July 2020 (^) vii

Section II

Contents—Continued

AR 600–85 • 23 July 2020 (^) ix

Table List

Table 1 – 1: Overarching tenets and supporting capabilities of Army Substance Abuse Program, page 2 Table 10 – 1: Use of Soldiers’ confirmed positive test result, page 60 Table 12 – 1: High risk factors, page 73 Table E – 1: Required military urinalysis collection supplies, page 125 Table E – 2: Required civilian urinalysis collection supplies, page 125

Figure List

Figure 4 – 1: The medical review process, page 35 Figure 4 – 2: The drug result reporting process, page 36 Figure B – 1: Commander’s actions upon receiving positive drug test results, page 107 Figure B – 2: A commander’s action when a Soldier is suspected of abusing drugs or alcohol, page 108 Figure D – 1: Sample Memorandum of Certification of Correction, page 120 Figure D – 2: Commander's UA briefing, page 121 Figure D – 3: Unit Prevention Leader's UA briefing, page 122 Figure D – 4: Urinalysis observer's briefing and memorandum, page 123 Figure D – 4: Urinalysis observer’s briefing and memorandum--Continued, page 124

Glossary

AR 600–85 • 23 July 2020 (^2)

Table 1 – 1 Overarching tenets and supporting capabilities of Army Substance Abuse Program — Continued

Tenets Capability Definition

Deterrence Drug testing Action or threat of action to be taken in order to dissuade Soldiers or government employ- ees from abusing or misusing substances. The Army’s primary mechanism of deterrence is random drug testing.

Prevention Identification (ID) or detection The process of identifying Soldiers and other beneficiaries as potential or actual substance abusers. This ID can be via self-ID, command ID, drug testing ID, medical ID, investigation or apprehension ID.

Prevention Referral Modes by which Soldiers and other beneficiar- ies can access garrison ASAP referral for pre- vention. Modes are self-referral and command referral.

Treatment Referral An in-depth individual biopsychosocial evalua- tion interview to determine if Soldiers and other beneficiaries need to be referred for treatment. This capability is a Defense Health Agency (DHA) responsibility. Modes are self- referral and command referral.

Prevention Targeted education An educational/motivational program that fo- cuses on the adverse effects and conse- quences of alcohol and other drug abuse.

Treatment Counseling Services Clinical intervention with the goal of returning Soldiers and other beneficiaries to full duty or identify Soldiers who are not able to success- fully rehabilitated. This capability is a DHA re- sponsibility.

Prevention Risk reduction Compile, analyze, and assess behavioral risk and other data to identify trends and units with high-risk profiles. Provide systematic preven- tion and intervention methods and materials to commanders to eliminate or mitigate individual high-risk behaviors.

d. The Army maintains the following principles: (1) Abuse of alcohol, use of illegal drugs and misuse of prescription drugs are inconsistent with Army values, and the standards of performance, discipline, and readiness necessary to accomplish the Army’s mission. (2) Unit commanders must intervene early and refer all Soldiers suspected of alcohol- or other drug-use problems to BH for a SUD evaluation. The unit commander will support treatment plans for all Soldiers. (3) Participation is mandatory for all Soldiers who are command referred and/or subsequently enrolled in manda- tory treatment. Failure to attend mandatory counseling sessions may constitute a violation of Article 86 of the Uniform Code of Military Justice (UCMJ, Art. 86). (4) Soldiers who fail to participate adequately in or to respond successfully to treatment will be processed for administrative separation. In addition to existing separation policies for alcohol- or other drug-abuse treatment failures, Soldiers with a subsequent alcohol- or drug-related incident of misconduct at any time during the 12-month period following treatment or during the 12-month period following removal from the treatment program, for any reason, will be processed for separation as an alcohol- or drug-abuse rehabilitation failure. This expanded period does not prevent separation for other reasons authorized by existing administrative separation regulations or other authorities. The term “process for separation” means that the separation action will be initiated and processed through the chain of command to the separation authority for appropriate action.

AR 600–85 • 23 July 2020 (^3)

(5) Substance use disorder treatment will be addressed in a single program that is integrated with the behavioral health system of care to ensure holistic care. Treatment will generally be short term and conducted in a manner that supports the military environment and the readiness of the force. (6) An active and aggressive drug- and alcohol-testing program serves as an effective deterrent against alcohol and drug abuse. (7) The military police (MP), U.S. Army Criminal Investigation Command (USACIDC), and other investigative personnel will not enroll in or otherwise infiltrate substance use disorder treatment for the purpose of law enforcement activities or to solicit information from Soldiers enrolled in mandatory treatment.

1 – 8. Army Substance Abuse Program eligibility criteria a. Services are authorized for personnel who are statutorily eligible to receive ASAP services and/or who are eli- gible to receive medical care for substance use disorder treatment. b. When Soldiers are under the administrative jurisdiction of another Service, they will comply with the alcohol and drug programs of that Service. All drug test results and records of referrals for counseling and rehabilitation/treat- ment will be reported through Army alcohol- and drug-abuse treatment channels to the ARD. c. When elements of the Army and another Service are so located that cost effectiveness, efficiency, and combat readiness can be achieved by combining facilities, the Service to receive the support will be responsible for initiating a local Memorandum of Understanding and/or Inter-Service Support Agreement (refer to DoDI 4000.19). d. Members of the Army National Guard (ARNG) and U.S. Army Reserve (USAR) who are on active duty (AD) orders for more than 30 consecutive days, or those on AD orders with an approved Line of Duty (LOD), are covered for any injury, illness, or disease incurred or aggravated in the line of duty, are eligible for substance use disorder treatment and required to follow clinical care policies throughout this regulation.

1 – 9. Labor relations Activities must meet the applicable labor relations obligations prior to implementing the terms of this regulation as they relate to the conditions of employment of bargaining unit members. Questions regarding labor relations implica- tions and responsibilities concerning civilian drug testing should be addressed through the civilian personnel chain of command to the Deputy Chief of Staff, G – 1 (DAPE – AR), 300 Army Pentagon, Washington, DC 20310 – 0300.

Chapter 2

Responsibilities

2 – 1. Chief, National Guard Bureau The CNGB will— a. Develop and execute plans, policies, and procedures of the State ARNG ASAPs. b. Ensure that ARNG units comply with this regulation. c. Advise the DCS, G –^ 1 regarding the impact of alcohol, drug abuse and gambling disorder in the ARNG.

2 – 2. Deputy Chief of Staff, G – 1 The DCS, G – 1 will— a. Integrate, coordinate, and approve all nonclinical policies pertaining to the ASAP. b. Exercise general staff responsibility for plans, policies, programs, budget formulation, and related research and program evaluation pertaining to alcohol and drug abuse in the Army. c. Direct the Director, ARD to— (1) Provide guidance and leadership on all nonclinical alcohol and drug policy issues. (2) Exercise staff leadership and supervision over the ASAP. (3) Ensure the Risk Reduction Program (RRP) interfaces with related functional areas within the Director of Hu- man Resources Policy’s responsibilities and coordinates RRP activities with other related DoD, DA, and civilian agencies. (4) Oversee the Army’s Drug- and Alcohol-Testing Program. (5) Direct ASAP operations. (6) Develop ASAP goals and policies. (7) Review, assess, and recommend policy changes, as appropriate.

AR 600–85 • 23 July 2020 (^5)

e. Develop drug and alcohol SUDCC statistical data; evaluate SUDCC; and coordinate with the Director, ARD in total program assessments. f. Provide medical review officer (MRO) services for military and civilian personnel drug testing. g. Provide Substance Abuse Professional (SAP) services for civilian Department of Transportation (DOT) alcohol and drug testing (see DOT guidance at https://www.transportation.gov/odapc/substance-abuse-professional-guide- lines). h.. Design and furnish deployment-specific training packages for behavioral health and combat stress control med- ical units.

2 – 5. The Judge Advocate General TJAG will— a. Evaluate the legal aspects of the ASAP. b. Review laboratory forensic specimen handling procedures (chain of custody) and other drug- and alcohol-testing program elements for legal sufficiency when requested. c. Appoint a liaison to the ARD.

2 – 6. Commanders of Army commands, Army service component commands, and direct reporting units The Commanders of ACOMs, ASCCs, and DRUs will— a. Appoint a staff officer to serve as liaison with ARD on substance abuse issues and may request access to sub- stance abuse compliance metric databases that support report reviews. b. Appoint a representative to coordinate the RRP, its policies and statistics with the ARD and serve on a HQDA risk reduction working group. c. During prolonged deployments— (1) Determine optimal number of base area codes (BAC) and their alignment. (2) Provide detailed policy concerning random testing expectations and limitations. (3) Ensure ASAP capabilities are addressed in the personnel and/or medical operations plan or annex for deploy- ments. Minimum services would include drug testing and clinical assessment; however, based on mission, enemy, terrain, troops, time, civil considerations (METT – TC) and security, additional services may need to be provided.

2 – 7. Commanding General, U. S. Army Training and Doctrine Command The Commanding General, TRADOC will ensure that current and appropriate training on abuse of substances (illegal drug, controlled drug, alcohol or other),gambling disorder awareness, and information on the ASAP occurs at initial entry, pre-commissioning and is integrated into all other Army professional development courses.

2 – 8. Commanding General, U.S. Army Installation Management Command The Commanding General, IMCOM will— a. Provide guidance and leadership on the execution of the deterrence and prevention functions which includes substance abuse prevention and suicide prevention. b. Resource and staff the installation ASAP and support installation programs to achieve program objectives and to respond to the needs of commanders and supervisors. c. Coordinate and monitor the implementation of installation drug- and alcohol-testing programs. d. Appoint a staff officer to serve as a liaison with the ARD on substance abuse issues. e. Establish and implement supporting and supplemental plans consistent with the objectives and procedures es- tablished by the ASAP evaluation plan. f. Prepare IMCOM ASAP program objective memorandum and budget submissions, monitor execution of man- agement decision evaluation packages (MDEPs), MDEP code for the ASAP funds and the Quality Assurance Assess- ment Program (QAAP) and MDEP code for DoD Counternarcotic funds (VCND) allocated to IMCOM, and coordi- nate ASAP resource management with the IMCOM Chief, ASAP/R2. g. Monitor the installation EAP and keep the Director, ARD updated regarding all ASAP civilian services and related statistical data. h. Collect and maintain necessary management information to assess program effectiveness. i. Appoint a representative who will serve on the HQDA risk reduction working group. j. Ensure all installations with over 500 Regular Army Soldiers appoint a representative to coordinate the RRP policies and statistics with the ARD. k. Serve as an information resource to ACOMs, ASCCs, and DRUs on substance abuse issues for their units.

AR 600–85 • 23 July 2020 (^6)

l. Serve as liaison between ASAP managers and the Director, ARD on matters pertaining to ASAP manpower, budget, and administration. m. Ensure that installation programs are executing their responsibilities to provide substance abuse and gambling disorder prevention, education, and training to sustain and improve the skills and abilities of the ASAP installation staff in accordance with chapter 9. n. Allocate and monitor utilization of all available urinalysis (UA) quotas within the IMCOM, as required.

2 – 9. Commander, U.S. Army Reserve The Commander, USAR will— a. Develop and execute plans, policies, and procedures of the USAR ASAP in coordination with the Director, ARD. b. Recommend policies and operational tasks to the DCS, G – 1 regarding the participation of USAR Soldiers and their Families’ in the ASAP. (See chap 16 for specific USAR guidance.) c. Ensure USAR units comply with this regulation. d. Advise the DCS, G – 1 regarding the impact of alcohol, drug abuse and gambling disorder in the USAR.

2 – 10. Commanding General, U.S. Army Criminal Investigation Command The Commanding General, USACIDC will— a. Conduct and support operations, programs, and activities designed to deter, prevent, and suppress traffic in con- trolled substances in accordance with AR 190 – 30. b. Provide periodic drug assessment reports to the Director, ARD (who has responsibilities for ASAP program management) in accordance with AR 190 – 45.

2 – 11. Commander, U.S. Army Corps of Engineers The Commander, USACE is delegated the authority to promulgate a regulation to address Corps-specific policies, responsibilities, and procedures related to the ASAP. The USACE regulation will comply with the policies and pro- grams contained in this regulation. The Commander, USACE may delegate the responsibilities for implementing this publication to fit the unique organizational structure of the Corps. Prior to publication, the USACE regulation will be submitted to the Director, ARD for review and approval.

2 – 12. Director of Army Safety The DASAF will appoint a representative to coordinate RRP policy and statistics with the ARD and serve on a HQDA risk reduction working group.

2 – 13. Commanders of Regional Health Commands Commanders, RHC will— a. Provide oversight for the SUDCC activities staffed by Medical Treatment Facilities within the RHC’s area of responsibility. b. Ensure medical resources are available to conduct the required medical review of military and civilian drug tests results to include deployed areas. c. Ensure there’s a sufficient number of Professional Officer Filler System providers eligible to serve as MROs who are both trained and certified prior to deployment.

2 – 14. Commanders of military treatment facilities Commanders, MTF will— a. Provide adequate and appropriate administrative support, necessary to ensure high-quality behavior healthcare including treatment for SUD for all healthcare beneficiaries (Soldiers, DA Civilians, and Family members eligible to receive care) within MTF behavior health clinics. b. Ensure that SUDCC comply with guidance and requirements for Joint Commission accreditation. c. Ensure there is a sufficient number of Professional Other Filler System providers eligible to serve as MROs who are trained and certified prior to deployment. d. Establish and maintain relationships with installation HQs leaders, SUDCC, prevention, education, and drug testing personnel. e. Appoint on orders sufficient MROs to ensure completion of medical reviews within 15 working days in accord- ance with paragraph 4 – 14. Ensure that appointed MROs have completed MEDCOM-sponsored MRO training.