ARMY SUBSTANCE ABUSE PROGRAM USAG Vicenza

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ARMY SUBSTANCE ABUSE PROGRAM USAG Vicenza

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ASAP MISSION

• Prevent alcohol and other drug abuse.
• Identify abuse as early as possible.
• Restore both military and civilian employee.
• Ensure prevention education is provided at all
  levels.
• Utilize local and community resources and
  facilities.
• Staff remain current to drug trends.

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USAG VicenzaASAP Functional Areas

• Prevention
• Education
• Identification
• Treatment or Rehabilitation
• Program Evaluation

AR 600-85
ASAP Prevention Office 634-7554
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Under Age Drinkers

• who

Need Leader Supervision and Guidance Violate
other Regulations Risk end of tour
Prematurely! High potential for UCMJ Actions
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HIGH RISK OUTCOMES

• Alcohol and Drug Related Apprehensions
• Sexual Assaults
• Indebtedness
• STDs
• Emergency Room incidents
• Suicide Gestures
• ..Leaving The Army with the Monkey on your
  back

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AR 600-85 Prohibits ingestion of any Hemp products
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Alcohol Terminal Learning Objectives

• Define what ALCOHOL is.
• Knowledge about the immediate and long term
  effects of high risk drinking
• Define standard alcohol drink.
• What is Responsible Drinking
• Preventing problems associated with drinking
• Knowledge about the way a human body deals with
  alcohol
• Understand the meaning of BAC

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What is Blood Alcohol Content (BAC)?

• Blood Alcohol Content or Concentration (BAC) -
  The amount of alcohol present in a 100 milliliter
  (mL) volume of blood.
• The BAC is related to the users
• Body Weight
• Metabolism
• Drinking Speed

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Effects of Alcohol and BAC
BAC
Effects

• No loss of coordination, slight euphoria and loss
  of shyness. Depressant effects are not apparent.
• Feeling of well-being, relaxation, euphoria, and
  lower inhibitions. Minor impairment of reasoning
  and memory. .05 is the legal limit on duty in the
  U.S. Army.
• Slight impairment of balance, speech, vision, and
  reaction time. Judgment and self-control are
  reduced, caution and reason are impaired. In most
  states the legal limit is .08.
• Significant impairment of motor coordination and
  loss of good judgment. Speech is slurred and
  balance, vision, reaction time, and hearing are
  impaired. It is illegal in all states to operate
  a motor vehicle at this stage.

.02 - .03
.04 - .06
.07 - .09
.1 - .125
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Effects of Alcohol and BAC
BAC
Effects
.13 - .15

• Gross motor impairment and lack of physical
  control. Blurred vision and serious loss of
  balance. Euphoria is reduced and dysphoria
  (anxiety, restlessness) begins to appear.
• Dysphoria predominates, nausea begins to appear.
  The drinker appears to be a sloppy drunk.
• Needs assistance in walking total mental
  confusion. Dysphoria with nausea and some
  vomiting.
• Loss of consciousness.
• Coma, and possible death due to respiratory
  arrest.

.16 - .20
.25
.30
.40 and
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Ingestion of Alcohol

• Alcohol can be inhaled, injected, absorbed
  through mucus membranes or drank. By far
  drinking is the most common mode of ingestion.
• Although some (about 20) of alcohol is absorbed
  in the stomach the majority is absorbed in the
  small intestine.
• Once absorbed into the blood stream, alcohol
  quickly travels to all cells of the body
  including the brain.

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Elimination of Alcohol

• As soon as the alcohol gets into the body, the
  body begins working to get rid of it.
• Only about 2-10 is expelled directly from the
  body through breath, urine, sweat, etc..

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Elimination of Alcohol

• The body eliminates most by chemically breaking
  it down.
• The liver is primarily responsible for chemically
  breaking down alcohol or metabolizing it.
• On average the liver can eliminate approximately
  .012 to .020 of your BAC per hour depending on
  your metabolism rate.

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Normal BAL Equation

• Male BAL rises .02-.025 per drink
• Female BAL rises .028-.033 per drink
• Metabolism takes one hour per drink for males and
  2 hours per drink for females
• Legal intoxication is defined by BAL
• Functional intoxication is determined by
  Tolerance

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Metabolism

• How can we speed up the process? We
  cant speed it up.
• Drinking Coffee Wide awake drunk
• Cold Shower Wet, clean drunk
• Exercise Tired, sweaty, smelly drunk
• Only Time Burns Alcohol !!!

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Signs of Physical Impairment

• Slurred Speech

• Staggering

• Nausea/Vomiting

• Slow Reactions

• Blurred Vision

• Impaired Motor Skills

• Unconsciousness

• Unexpected Reactions

• Dialted Pupils

• Dizziness

• Extreme Emotions

• Loss of Inhibitions

• Aggressive Behavior

• Blackouts

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Long Term Effects

• Vitamin Deficiencies
• Skin Problems
• Loss of Muscle Tissue
• Sexual Impotence
• Stomach Damage
• Small Intestine Damage
• Loss of Feeling in Hands and/or Feet

• Pregnancy Complications
• Liver Cirrhosis/Cancer
• Heart Disorders
• Blood Disorders
• Lung Disease
• Brain Damage
• Death

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Physiological aspects of alcohol

• Black Out NOT Passing Out
• Blackout is alcohol induced amnesia Individual
  is still functioning

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Binge Drinking
The practice is commonly called "binge drinking."
For a man that means five or more drinks at one
sitting, for a woman four or more drinks. That's
the level of alcohol consumption known to lead to
problems, including fights, car accidents,
property damage, and sexual assaults.
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High Risk Group

• 500,000 students between 18 and 24
  unintentionally injured each year under the
  influence of alcohol.
• More than 600,000 students are assaulted by
  another student who's been drinking.
• An estimated 400,000 students a year have
  unprotected sex while drinking.
• Seventy thousand are victims of date rape.
• And more than 100,000 say they were too drunk to
  know whether the sex they had was consensual.

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Alcohol Poisoning

• Results from drinking more alcohol than the liver
  can metabolize
• Brain and body functions stop

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What to Do If You Suspect Alcohol Poisoning

• If You Suspect Alcohol Poisoning
• Call For Help!!! 119 for Italy, 911 for USA,
  Staff Duty, MPs,, Ambulance, etc.).
• Stay with the person until help arrives.
• Put the person on his/her side to prevent choking
  on vomit.
• Be prepared to give Emergency Medical personnel
  as much information as possible, including any
  drugs or medications the person may have taken.
• DO NOT try to give the person anything to eat or
• DO NOT put the person in a cold shower. They
  could drown, pass out or go into shock.

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Low Risk Drinking
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(No Transcript)
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Blood Alcohol Level (BAL) is All About How Much
How Fast You Drink


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0-1-2-3 Drinking Rule

• 0 if you drive, are on duty, watching kids, or
  taking medications, pregnant etc.
• 1 drink per hour maximum
• 2 drink limit if you drink daily, or almost daily
• 3 drink limit per 24 hour period

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Drinking Tips

• Eat before and during drinking.
• Before you Celebrate Designate. Identify a
  responsible driver or use public transportation.
• Dont chug your drinks drink slowly and make
  your drinks last.
• Alternate between alcoholic and nonalcoholic
  drinks.
• Remember the word HALT, dont drink if youre
  Hungry, Angry, Lonely, or Tired.

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Drinking Tips

• Do not lose control of yourself.
• Remember, its ALWAYS ok NOT to drink.
• Avoid binge or other high risk drinking
  behaviors.
• Take a buddy and watch each others back
• Dont leave your buddy behind
• Dont drink when taking medication

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5 Ways to be referred to ASAP

• Command
• Self (Preferred Method)
• Apprehension
• Medical
• Biochemical

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Limited Use Policy

• Encourages Self-Referrals
• Protects soldier against UCMJ action in certain
  situations such as self-admission of problem,
  overdose in medical emergencies, assisting buddy
  that is in need of medical help
• Self-Admission must occur before SM has knowledge
  of Urine test

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Alcohol
Always think before you d...
Terminal Learning Objectives
1. What is ALCOHOL ?
2. Effects and signs of alcohol misuse.
3. Responsible Drinking
4. What happens with ALCOHOL in the human body ?
5. BAC
Guaranteed Your IQ isnt going UP AFTER you
start!!!!
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Remember your
WARRIOR
P
ersonal Courage
R
espect
I
ntegrity
D
uty
E
xcellence
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USAG VicenzaASAP Prevention Office

• l
• USAG Vicenza
• 634-7554