Substance Abuse Rehabilitation Program
Frequently Asked Question's
Q: How do I schedule a screening or treatment appointment?
A: If you're in the military, contact your Command: Drug and Alcohol Program Advisor (DAPA) if you are active duty Navy; Substance Abuse Coordinating Officer (SACO) if you are active duty Marine; Collateral Drug and Alcohol Rehabilitation (CDAR) if you are active duty Coast Guard; Unit Drug and Alcohol Coordinator (UDAC) if you are active duty Army.
Q: Can Family members or Military Retirees be provided screenings and treatment?
A: All family members and military retirees must coordinate services through the TRICARE Regional Appointment Center via their primary health care provider for referrals to a civilian agency or with the Substance Abuse Rehabilitation Department (SARP), Naval Hospital Bremerton.
Q: How Do Family members Participate in The Service Members Care?
A: Substance use disorders are considered a "Family Disease" or "Family Disorder." The staff at SARP, Naval Hospital Oak Harbor encourages patients to ask spouses / family members to accompany them to screening appointments. This helps SARP Counselors get good information regarding the impact alcohol and drugs have on the whole family. Balancing this process against the patients right to privacy is occasionally problematic, but we strongly encourage family participation. We also encourage family members to explore the benefit of self help support groups in our community, such as ALANON.
Q: How do I enroll in the Continuing Care Program once I complete treatment?
A: Please contact our office and speak with our administrative support staff or your command DAPA for enrollment. Remember, Continuing Care is NOT After Care. After Care is provided by the Command through the DAPA for 52 weeks following treatment.
Q: How do I enroll for the PREVENT course?
A: Please contact the PREVENT coordinator at (360) 396-6067 and speak to the Director for scheduling dates and times.
Q: How do I set up OUTREACH programs for training, education, or General Military Training for our command?
A: Please contact our office. We will work with you to meet your scheduling needs.
Working Hours: (7:30 a.m. - 4:00 p.m.)
Phone Numbers: (360) 257-2394
FAX: (360) 257-2396
Q: MILPERSMAN 1910-152 states that members may be separated for alcohol rehab failure when they lack potential but the new OPNAVINST 5350.4C says commands shall process for admin separation all members considered to be treatment failures. What is the correct policy?
A: The proper procedure is the OPNAVINST 5350.4C. Member shall be processed unless a waiver is obtained from NPC. This change is reflected in the MILPERSMAN, March 2000 CD release.
Q: How do we request a waiver?
A: Request for waivers should be addressed to PERS-832 via PERS-602. Prior to requesting a waiver the member should be screened by the appropriate MTF/ATF. Only members who are amenable to treatment will be considered for processing waivers. Waiver requests should include a statement from the Commanding Officer addressing the member's performance of duty and potential for further service. In addition, a full description of the member's alcohol abuse history shall be given. Click here for a sample waiver.
Screening is an initial intervention regarding possible alcohol or other drug abuse or dependence problems. It has the two-fold purpose of determining if a problem exists and opening the treatment process for the patient. Active duty patients identified as having a preliminary diagnosis of "abuse" or "dependence" will have a review by a Licensed Independent Practitioner to confirm the diagnosis. The level of intervention for the next step in treatment is determined by the American Society of Addiction Medicine Patient Placement Criteria, version II (ASAM-PPCII). Washington State does not certify SARP, Naval Hospital Oak Harbor to do screenings for the resolution of DWI/DUI matters.
Substance Use Disorder Treatment
The treatment process starts once the screening assessment has been completed and the Licensed Independent Practitioner or Medical Officer determines which treatment program will be best suited for the patient.
IMPACT (ASAM Level 0.5)
IMPACT is the lowest level of intervention provided at SARP. It consists of five days (8:00 a.m. - 12:00 p.m.) of education related to alcohol use. Washington State has certified IMPACT as an Alcohol and Drug Information School (ADIS) for court and drivers' license purposes. IMPACT is generally aimed at those patients with a first time substance related problem.
Outpatient (OP) (ASAM Level 1.0)
Outpatient treatment is generally aimed at early alcohol related problems where a pattern of abuse has occurred, but there appears to be no addiction problem. Aimed at risk reduction, responsible use of alcohol, which may include a choice for abstinence. Usually more than 20 but less than 50 hours in length, exclusive of pre-care.
Intensive Outpatient (IOP) (ASAM Level 2.0)
Intensive Outpatient is a form of treatment aimed at severe abuse or alcohol dependence. This service is performed for our patients at Bremerton Naval Hospital Substance Abuse Rehabilitation Program (SARP). All Whidbey Island NAS patients are assessed at SARP Oak Harbor and placed in pre-care pending TAD treatment to SARP Bremerton. This service is, as all programs are, tailored to the individuals needs, and may last from 2-6 weeks, depending on progress in pre-care.
Full Day Comprehensive Care (ASAM Level 3.0)
Full Day Comprehensive Care is designed to address severe abuse/addiction problems where medical management is not required. Patients entering care through SARP NAS Whidbey shall be admitted three days prior to transfer to Naval Hospital Whidbey Island for observation for withdrawal. They are then transferred to facilities that provide care for us at either Camp Pendleton or Point Loma, California under TAD orders. Care usually lasts less than six weeks, again depending on individual needs and responses to care.
Detoxification (ASAM Level 4.0)
Detoxification is performed to relieve patients of the discomfort associated with acute alcohol withdrawal and any life threatening complications. All patients requiring detoxification or medical management of any associated acute medical problems will be managed by a physician at Naval Hospital, NAS Whidbey Island.
Continuing Care (ASAM Level 1.0 - 0.0)
This is care which extends beyond "Core" OP, IOP, Full Day Comprehensive Care. Designed to help returning patients bridge back into self supported recovery after treatment. Not aftercare-which is a legalistic aspect of the Navy Recovery Plan monitored by the Command DAPA.
Our Department can provide 1-2 hour General Military Training, workshops, or information covering alcohol related issues. We will conduct in-service briefs about our program for senior command personnel and departments. We participate in community activities, as appropriate, providing alcohol information.
Treatment Program Requirements
TO PROVIDE THE MOST EFFECTIVE PROGRAM AND ENSURE QUALITY OF CARE, WE ASK THAT THE COMMAND ACCOMPLISH/ENSURE THE FOLLOWING PRIOR TO THE INDIVIDUAL'S ENTRANCE INTO THE TREATMENT PROGRAM
Arrival Times - ALL individuals scheduled for treatment will arrive on Monday at 0730.
DISCIPLINARY ACTION - Complete any/all disciplinary action so as not to interfere with the treatment process OR deferred until after the treatment program, or scheduled so as not to interfere with the daily treatment schedule.
COMMAND DUTIES - For Active Duty Personnel: Ensure all command duties for the individual are postponed as the individual is in a TAD status to the SARP. All restriction and extra duty awarded must be completed or suspended before entrance into the program. Members must have medical appointments, court dates, and other matters that may interfere with treatment taken care of or scheduled to not interfere with treatment.
DRESS CODE - All individuals must arrive in appropriate civilian attire.
LAB TESTS AND INOCULATIONS - All individuals entering treatment must have the following: Complete Blood Count, CHEMISTRY 7 with MAGNESIUM, Liver Function Test, and URINE DRUG SCREEN as ordered by the SARP; HIV testing in the last year; Purified Protein Derivate testing and Physical exam with noted results within 30 days preceding treatment. If you have questions or concerns contact the Substance Abuse Rehabilitation Program at (360) 257-2394 for assistance prior to the individual's entrance into the program. These requirements are the patients responsibility, have been ordered by the SARP. Failure to complete these admission requirements will result in the patient not being admitted to Core Treatment.
MEDICAL APPOINTMENTS - All medical/dental appointments, unless of an urgent nature, will be postponed. All medical conditions that may interfere with any of the treatment process must be identified in the individual's medical record. Any medical problems discovered while in the treatment program will be addressed by the medical staff at Naval Hospital Oak Harbor.
CIVILIAN ATTIRE - Clothing that supports or glamorizes alcohol/drugs are prohibited. All individuals will be attending a various number of Twelve Step meetings in the local community and civilian attire is preferred. With the exception of IMPACT, all individuals will be required to participate in some form of physical training. Sneakers/athletic shoes and athletic attire are required.
Naval Hospital Oak Harbor
Substance Abuse Rehabilitation Program
3475 N. Saratoga Ave
Oak Harbor, WA 98277-8800
Phone: (360) 257-2394
FAX: (360) 257-2396