While in no way are we suggesting you utilize the criteria listed below to “Diagnose” a member, it is helpful to understand some of what we evaluate for at the ADAPT Program.  You can see how easy it is to meet the diagnosis of substance abuse as each of the four criteria deal with social related consequences.  Therefore, any concerns you have for a member early on, prior to the person having any form of substance related incident, may help us all curtail their substance use in a prevention forum as opposed to a treatment forum.

Substance Abuse Criteria:

1. Recurrent or continued substance use resulting in a failure to fulfill major role obligations at work, school, or home.  (i.e. – repeated absences or poor work performance due to hangovers; substance related absences or suspensions for school; neglect of children or household.)

2. Recurrent or continued substance use in situations in which it is physically hazardous.  (i.e. – driving an automobile or operating a machine when impaired by substance use.)

3. Recurrent or continued substance related legal problems. (i.e. – DUI charge, LOR’s, LOC’s.)

4. Continued substance use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of the substance.  (i.e. – arguments with spouse about consequences of intoxication, physical or verbal fights.)

Substance Dependence Criteria

A maladaptive pattern of substance use leading to clinically significant impairment or distress as manifested by three (or more) of the following, occurring at any time in the same 12-month period:

1. Substance is often taken in larger amounts or over longer period than intended

2. Persistent desire or unsuccessful efforts to cut down or control substance use

3. A great deal of time is spent in activities necessary to obtain the substance (e.g., visiting multiple doctors or driving long distances), use the substance (e.g., chain smoking), or recover from its effects

4. Important social, occupational, or recreational activities given up or reduced because of substance abuse

5. Continued substance use despite knowledge of having a persistent or recurrent psychological, or physical problem that is caused or exacerbated by use of the substance

6. Tolerance, as defined by either:
need for read amounts of the substance in order to achieve intoxication or desired effect

            markedly diminished effect with continued use of the same amount

7. Withdrawal, as manifested by either:
characteristic withdrawal syndrome for the substance; or

the same (or closely related) substance is taken to relieve or avoid withdrawal symptoms

 

• Information for Commander/Supervisors
• General Information 
• BAC Calculators
• Diagnostic Information
• What to do if you or someone you know has a drinking problem?
• Alternative resources to Drinking and Driving