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URINALYSIS-LAB POSITIVES

NADAP WEBINAR

18 AUG 11

http://www.npc.navy.mil/support/NADAP/

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Prevention

Command Prevention Team• DAPA, UPC, CMEO, FAP, SAPR, NC

Fleet Best Practices• NADAP Website:

http://www.public.navy.mil/bupers-npc/support/nadap

• Not all will apply

Source: ADMITS

934K 1.09M

1.17M

Navy Urinalysis Statistics

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Understanding Today’s Environment

Sailors are turning to prescription medication or substances other than illicit drugs• Spice, Bath Salts, inhalants to name a few• Oxycodone/Oxymorphone are Opiods• Possibly abused meds:

- Oxycontin, Percocet treat pain

- Vicodin (Hydrocodone) treat pain

- Xanax (Benzodiazepine) treat panic and anxiety disorder

- Adderall treat anxiety (ADHD)

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OPNAVINST 5350.4D ENCL (2) contain Navy minimum testing requirements

Random 4 tests – 15% monthly Check-in w/in 72hrs of reporting Unit Sweep requirement removed MEPS positives: Not Enlistment Eligible Devices intended to defeat urinalysis prohibited Forensically accurate and legally defensible results Greatest challenges are in collection and

transportation of samples

Urinalysis Requirements

Random, Unannounced testing

Strict direct observation

• Whizzinators

• Homemade devices

Personnel in secured area

• Dilution

Mandatory for all personnel

Urinalysis – Critical Elements

Urinalysis – Critical Elements

Navy Drug Screening Laboratory (NDSL) System

NDSL-SDSan Diego,

CANDSL-JAX

Jacksonville, FL

NDSL-GTLKSGreat Lakes, IL AFMES

Rockville MD

All DoD Drug Screening Labs operate under a common Standard Operating Procedures Manual

Tripler Army

Lab, Hawaii

NDSL Testing Panel

All samples are tested for: Marijuana (THC) Cocaine Amphetamines & Methamphetamine Designer Amps (e.g., ecstasy) Heroin (6-MAM)

NDSL Testing Panel

Samples that are “pulse tested” Oxycodone, Oxymorphone Opiates (codeine and morphine) PCP

New Tests (Benzos, Hydros, Oxys)

Special Tests

Attach a memo to 2624

Steroids

Over The Counter (O-T-C) products

• AFMES tests to determine if product will cause positive results

Spice

• Testing for active NCIS investigations

Special Tests

Retests

• Questions

Discrepancies with testing, collection or transportation, if yes throw it out

• Court ordered

• Positive samples retained for 1 year, and came be extended upon request by submitting command

Passive inhalation of marijuana is a legitimate defense: Myth

Cold/sinus medications will cause positives for Amphetamine: Myth

Amphetamines will test positive for methamphetamine: Myth

Determination of Wrongful Use

Determination of Wrongful Use

Herbal supplements and O-T-C products will test positive• Not possible if purchased in U.S.• Contact NDSL or NADAP if outside U.S.

Someone put it in my drink• Stop, time for a sanity check!

I “accidentally” took another’s medicine• Contact NADAP or NDSL for guidance

Determination of Wrongful Use

Assign an investigator (Use process similar to mishap investigation)

ADMITS (previous results)

Contact NADAP, if needed

NCIS involvement

• Interrogation

• Administer lie detector

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Determination of Positive Urinalysis

CO determined drug abuse incident

• Submit DAAR within 30 days of incident/sample date

• Process for Administrative separation

• Service member sent to SARP screening

• Treatment required prior to separation if drug dependent

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Determination of Positive Urinalysis

CO determined drug abuse incident Service member elected ADMIN board

• Send ADMIN board package to PERS 832 for final determination

• Provide NADAP N135F/ISIC copy of PERS 832 No further ADSEP message if found not guilty

• Process for ADSEP if found guilty

Service member sent to SARP screening

Treatment required prior to separation if drug dependent

Determination of Positive Urinalysis

CO determined not a drug abuse incident due to prescribed medication

• Command request technical review from servicing drug lab

• Send Determination of Positive Urinalysis letter to NADAP N135F/ISIC

• NADAP clear positive in ADMITS

• NADAP conduct MRO process in IFTDTL for AMP/MET/OXC/OXM/COD/MOR positives

LABPOS Still in the Navy report by Echelon 2 from ADMITS/check for

multiple positives

LAB POSITIVE STILL IN THE NAVY

MRO PROCESS

Check personnel record for rank/rate separation date and code not downloaded in ADMITS yet

Send report to Echelon 2 ADCO for action/resolution

Drug abuse/service memberelected Administrative board

Send ADMIN board package to PERS 832 for final determination

Commanding Officer determined drug abuse incident

Not Guilty Guilty

Command provide OPNAV N135F/ISICCopy of PERS 832 retain message

NADAP (N135F) clearpositive in ADMITS

Submit DAAR within 30days of incident/sample date

Process forAdministrative separation

Service member sent toSARP screening/treatmentrequired prior to separation

if drug dependent

Commanding Officer determined not a drug abuse incident due to

prescribed medication

Command request technicalreview from servicing

drug laboratory

Send Determination of Positive Urinalysis letter to

NADAP N135F/ISIC

NADAP clear positive in ADMITS

NADAP conducts MROprocess in IFTDTL for AMP/MET OXC/OXM/COD/MOR

NADAP check personnelrecord for separation date

and code/check statuswith command if past

6 months

Lanorfeia Holder (Acting Director, NADAP)

• Comm: 901-874-4249 DSN: 882

• lanorfeia.holder@navy.mil

Tim Williams (urinalysis)

• Comm: 901-874-4247 DSN: 882

• timothy.williams8@navy.mil

Danny Lara (urinalysis)

• Comm: 901-874-4240 DSN: 882

• danilo.lara@navy.mil

NADAP POC Information