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Substance Abuse Professional Duties

Initial Assessment Planning

  • Identify the type of test or rule the employee has failed or violated.
  • Identify who made the referral to the SAP.
  • Gather any necessary releases.
  • Create a reference file for the client.
  • Review the client's benefits.
  • Review company policies and collective bargaining agreements.

Initial Assessment

  • Explain to the client your role as a SAP as defined by the DOT regulations and the employer's substance abuse policy.
  • Make a subjective review of the client's physical appearance and demeanor.
  • Take a psychological and social history of the client.
  • Review client's work history.
  • Administer a standardized formal assessment tool.
  • Determine the level of care placement according to ASAM criteria.
  • Review the client's health care benefits and financial resources that are available to pay for treatment.
  • Recommend a level of care and the most appropriate education and/or treatment resource.
  • Obtain employee signature on release forms.
  • Report to employer and other designated individuals.

Follow-up Assessment

  • Assess level of participation and completion of treatment.
  • Decide on follow-up monitoring support.
  • Explain the RTD agreement.
  • Recommend a follow-up testing program.
  • Submit a report to the employer.

Monitoring after Return-to-Duty

  • Monitor ongoing participation in post treatment care.
  • Monitor the RTD testing program.
  • If there is a DOT or RTD agreement violation, send notification to the employer.

*The Department of Transportation Guidelines differ between each operational area.

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