practices and customs that encourage personnel to drink.
Old naval customs encouraged members to drink
excessive quantities of alcohol as a badge of courage or
a mark of respect. Those customs also encouraged
young sailors to engage in that practice to prove their
adulthood and virility. Todays Navy tries to develop
customs contrary to those beliefs. It recognizes that an
increasing tolerance for alcohol in large amounts is a
positive symptom of alcoholism. Consequently,
commands should emphasize drinking in moderation at
such functions as ships parties and picnics,
advancement celebrations, initiations, hail and fare well
parties, and graduations. Commands should ensure
functions that serve alcoholic beverages also offer
nonalcoholic and low-calorie beverages for those who
choose not to drink. Educational programs, as well as
leadership and example set by officers and petty
officers, are essential to changing attitudes about alcohol
consumption.
Helping Resources for Drug and Alcohol
Problems
Specialized alcoholism clinics and programs reach
some of those in need of help. However, many more
people with alcohol problems are already in contact with
other agencies. Although those agencies are not
primarily devoted to caring for alcoholics, they do or
could offer important services to these persons. These
agencies include hospitals, welfare agencies, family and
community services, legal aid, employment, and other
care-giving service organizations. General hospitals, for
example, admit many alcoholics for conditions
unrelated to alcoholism-or for alcohol-related problems
covered by other diagnoses. Similarly, many patients in
tuberculosis hospitals have alcohol problems. The
prison system holds many men and women with
drinking problems. An estimated 10 to 25 percent of
welfare cases involve alcoholism.
Recognition of the alcoholism problems of patients,
clients, and inmates and referral to treatment resources
would bring help to many more who need it.
DEPARTMENT OF
THE
NAVY
PROGRAMS. The Navy recognizes that drug and
alcohol abuse is preventable and treatable through
education, identification, counseling, and rehabilitation
programs. These are cost-effective ways to retain
personnel with potential for continued useful service but
whose continued abuse would render them unfit.
The Navy provides alcohol abuse prevention and
rehabilitation programs on three levels.
Level I. Local command programs. These
programs consist of both prevention and intervention
efforts. The programs involve discipline, inspections,
awareness education, leadership by positive role
modeling, administrative screening, referral, and
medical identification and intervention. The Navy
Alcohol and Drug Safety Action Program (NADSAP)
is available at some local commands.
Level II. Counseling and Assistance Center
(CAAC) programs. This level of therapeutic
nonresidential counseling and referral is designed for
those personnel whose degree of abuse or denial
requires attention beyond the capacity of Level I
programs. This level maybe used for referral of persons
to Level III and for persons waiting for space at a Level
III facility. The length of the program at Level II is
determined by the members commanding officer after
recommendation from the local counseling staff. The
maximum time allotted to a Level II counseling
program, however, will not exceed 4 weeks in length.
Programs at this level consist of clinical screening and
referral at all program levels; therapeutic nonresidential
counseling; outreach assistance; and education.
Level III. Residential rehabilitation programs.
Residential rehabilitation is designed for those members
who have been formally evaluated and diagnosed as
alcohol dependent and who require rehabilitation on a
full-time, live-in basis. They must, in the opinion of their
commanding officers, show potential for continued
naval service. Four Navy alcohol rehabilitation centers
(NAVALREHCENs) and 27 naval hospital alcohol
rehabilitation departments (ARDs) provide Level III
care. Residential rehabilitation involves a
multidisciplinary therapeutic approach that normally
lasts 6 weeks.
In general, persons may take part in Level I and II
programs on more than one occasion, as long as they
meet the basic criteria for admittance. However, they
normally have only one opportunity per Navy career to
take part in the Level III program. Sometimes the Navy
may have a great investment in a person who has a
relapse. In those cases, the commanding officer may
recommend the person for a second period in the Level
III program, not to exceed 3 weeks.
For personnel to complete recovery following
residential treatment, the Level II program recommends
they abstain from alcohol and attend Alcoholics
Anonymous meetings. The Navy views a persons abuse
of alcohol after residential treatment as a failure at
rehabilitation or as a failure to complete an alcoholism
treatment program.
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