1. URINALYSIS-LAB POSITIVES
NADAP WEBINAR
18 AUG 11

2. Prevention Command Prevention Team DAPA, UPC, CMEO, FAP, SAPR, NC
Fleet Best Practices
NADAP Website:
Not all will apply
Navy would prefer members commands act prior to having incident.
Question: Do your sailors know the self referral process?
Question: Do all members of your command understand the Command Referral process?

3. Navy Urinalysis Statistics
1.17M
1.09M
934K
Since FY-01, the number of Sailor positive for illicit drugs has significantly decreased.
FY-07, there were 686 fewer Sailors positive as compared to FY-06. This equates to a cost avoidance of $102.9M.
Increased testing is a deterrence.
Source: ADMITS 3

4. 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)
Question: Why the increased focus?
Answer: Navy Leadership has come to the realization that alcohol abuse is a contributing factor in many other incidents.

5. Urinalysis Requirements
OPNAVINST D 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 5

6. Urinalysis – Critical Elements
Random, Unannounced testing
Strict direct observation
Whizzinators
Homemade devices
Personnel in secured area
Dilution
Mandatory for all personnel
A highly effective urinalysis program is comprised of the Four Critical Elements:
Use Navy Drug Screening Program to conduct a random unannounced urinalysis program. We recommend testing in small numbers more often to reduce predictability.
Ensure all observers are thoroughly trained to watch the urine leave the body and enter the cup and as a matter of standard procedure, check for use deceptive devices.
Ensure those personnel selected for urinalysis are sequestered to a secure area, under strict observation, until they have completed urinalysis.
Urinalysis is mandatory for all personnel 6

7. Urinalysis – Critical Elements
These are just a few of the items that can be found for sale on the Internet. Do a Web search on “How to beat a drug test”, you will come up with thousands of sites.
No product available on the market, Internet or otherwise, will mask drugs in urine.
The point to reinforce is these products, although marketed as cleansing or masking agents are nothing more that diuretics but if Sailors think there is something they can use to defeat the program, some will try

8. Navy Drug Screening Laboratory (NDSL) System
NDSL-GTLKS
Great Lakes, IL
AFMES
Rockville MD
Tripler Army
Lab, Hawaii
NDSL-SD
San Diego, CA
AFIP is DoD lab that conducts research and development that allows us to say with certainty no masking or cleansing agents
Refer to critical element Keep in secured area until sample provided
NDSL-JAX
Jacksonville, FL
All DoD Drug Screening Labs operate under a common Standard Operating Procedures Manual

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

10. NDSL Testing Panel Samples that are “pulse tested”
Oxycodone, Oxymorphone
Opiates (codeine and morphine)
PCP
New Tests (Benzos, Hydros, Oxys)

11. 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 11

12. 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

13. Determination of Wrongful Use
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

14. 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

15. 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

16. 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

17. 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

18. 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

19. LAB POSITIVE STILL IN THE NAVY
MRO PROCESS
LABPOS Still in the Navy report by Echelon 2 from ADMITS/check for multiple positives
Commanding Officer determined
not a drug abuse incident due to
prescribed medication
Check personnel record for rank/rate
separation date and code not
downloaded in ADMITS yet
Commanding Officer determined
drug abuse incident
Send report to Echelon 2
ADCO for action/resolution
Command request technical
review from servicing
drug laboratory
Submit DAAR within 30
days of incident/sample date
Drug abuse/service member
elected Administrative board
Send Determination of
Positive Urinalysis letter to
NADAP N135F/ISIC
Process for
Administrative separation
Send ADMIN board package to
PERS 832 for final determination
Per OPNAVINST D, the UPC conducts urinalysis testing per the requirements of Enclosure (2). The critical elements for effective drug testing are (1) Random, Unannounced testing, (2) Strict direct observation, (3) Personnel in secured area, (4) Mandatory for all personnel.
Having positive for a controlled substance, illegal substance, or a legal drug not prescribed, may be considered a drug-related incident. The Navy conducts 100% testing of the urine samples for THC (marijuana), cocaine, heroin, amphetamine, meth amphetamine and ecstasy. Urine is “pulse tested” for codeine, morphine, oxycodone and oxymorphone.
Commands are required to meet Navy’s minimum monthly testing requirements of conducting 4 Random Tests per month at 15% of assigned personnel and orward samples to the appropriate Drug Screening Laboratory. Urinalysis results are forwarded to both the command and to ADMITS. If a commanding officer determines that a positive urinalysis is not a drug abuse incident (i.e., unknowing ingestion, valid prescription, etc.), the decision will be forwarded to NADAP, copy ISIC. Upon receipt, NADAP will review information and if concurs, remove the positive result from ADMITS.
ADMITS data, which is entered directly from the NDSL, via FTDTLIMS, is used for both the total number of samples and for the number of positive samples. Alcohol and Drug Control Officers (ADCO) at the Echelon II, III and IV also have access to the ADMITS data and receive urinalysis results from FTDTLIMS. All NDSL feed urinalysis results to FTDTLIMS.
Service member sent to
SARP screening/treatment
required prior to separation
if drug dependent
NADAP clear positive in ADMITS
Not Guilty
Guilty
NADAP conducts MRO
process in IFTDTL for AMP/MET
OXC/OXM/COD/MOR
Command provide OPNAV N135F/ISIC
Copy of PERS 832 retain message
NADAP check personnel
record for separation date
and code/check status
with command if past
6 months
NADAP (N135F) clear
positive in ADMITS

20. NADAP POC Information Lanorfeia Holder (Acting Director, NADAP)
Comm: DSN: 882
Tim Williams (urinalysis)
Comm: DSN: 882
Danny Lara (urinalysis)
Comm: DSN: 882