TABLE 8-3 Army Substance Abuse Program (ASAP) Clinical Workforce as of December 2011

Position Civilian
Physicians

Nonpsychiatrist M.D.s certified in addiction medicine

None authorized for ASAP

Psychiatrists certified in addiction medicine

None authorized for ASAP
Licensed Independent Practitioners

Licensed clinical psychologists (Ph.D.)

  17

Licensed clinical social workers

219

Licensed professional counselors

165

Licensed marriage and family therapists

  70
Counselors (not licensed independent practitioners)

Master’s-level substance abuse certification

406
Other

Social workers (not licensed clinical social workers)

  24

SOURCE: Personal communication, Les McFarling, Ph.D., Army Center for Substance Abuse Program, February 22, 2012.

standards for provision of SUD-related treatment services (U.S. Navy, 1999). Substance Abuse Rehabilitation Program (SARP) site directors are usually psychiatrists or doctoral-level psychologists licensed as independent practitioners. Licensed clinical social workers also are available to see patients. Civilian counselors are certified or licensed. Active duty alcohol and drug counselors must be certified or seeking certification. The Navy Certification Board is a member of IC&RC.

Navy instructions are silent on the credentials and training required for alcohol and drug abuse counselors. The Navy School of Health Sciences hosts the Navy Drug and Alcohol Counselor School (NDACS), which provides training to meet certification standards for alcohol and drug counselor I (nonreciprocal), alcohol and drug counselor II, and certified clinical supervisor. NDACS holds five 10-week classes per year. Three weeks of clinical rotation are included in the 10-week course. Course work, based on the Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Substance Abuse Treatment’s Treatment Assistance Protocol 21 (SAMHSA, 1998), emphasizes counseling skills, group counseling skills, integration of 12-step programs with treatment, and biopsychosocial and spiritual aspects of substance abuse and dependence. The 1,172-page Student Guide for Navy Drug and Alcohol Counselor School (U.S. Navy, 2011) includes a lesson on the pharmacology of alcohol and other drug use and the effects on the brain. The discussion of pharmacological therapy, however, is limited to psychiatric medications and the need to continue



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