BY ORDER OF THE AIR FORCE MANUAL 44-198 …

BY ORDER OF THE SECRETARY OF THE AIR FORCE

AIR FORCE MANUAL 44-198 24 JANUARY 2019

Certified Current 5 October 2022

Medical

AIR FORCE CIVILIAN DRUG DEMAND REDUCTION PROGRAM

COMPLIANCE WITH THIS PUBLICATION IS MANDATORY

ACCESSIBILITY: Publications and forms are available on the e-Publishing website at e-Publishing.af.mil for downloading or ordering.

RELEASABILITY: There are no releasability restrictions on this publication.

OPR: AFMOA/SGB Supersedes: AFI 90-508, 28 August 2014

Certified by: AFMOA/CC (Brigadier General James H. Dienst)

Pages: 99

This Air Force Manual (AFMAN) implements Air Force Policy Directive 44-1, Medical Operations. It applies to all Air Force Title 5 and Title 10 employees who work on Air Force, Air National Guard and Air Force Reserve Bases; Air Reserve Technicians when in a civilian status; tentative selectees for testing designated positions (TDPs); and, to contract employees when drug testing is explicitly included in the employee's contract. This Manual does not apply to Title 32 National Guard Dual Status and Non Dual Status Technicians who are regulated by National Guard Technician Personnel Regulations and applicable regulations promulgated by the Chief of the National Guard Bureau. The program covers full-time, part-time and intermittent Air Force Title 5 employees who are U.S. citizens paid from appropriated funds and non-appropriated funds. The Air Force Civilian Drug Testing Program assigns responsibility for carrying out the program at installation and higher Air Force levels.

This Manual requires the collection and or maintenance of information protected by the Privacy Act of 1974 authorized by Title 5, United States Code (U.S.C.) 7301; 10 U.S.C. 8013; 42 U.S.C. 290dd-2, et seq.; Executive Order (EO) 11478; EO 12564; Numbering System for Federal Accounts Relating to Individual Persons, November 22, 1943 as amended by EO 13478, Amendments to EO 9397 Relating to Federal Agency Use of Social Security Numbers, November 18, 2008; DoD Instruction 1010.09; Air Force Manual (AFMAN) 44-197; and, AFI 44-121. The applicable SORN System of Records Notices F044 AF SG I, Air Force Drug Testing Program, and F044 Air Force Surgeon General, Alcohol and Drug Abuse Prevention and Treatment Program, are available at: . The authorities to waive wing/unit level requirements in this publication are identified with a Tier ("T-0, T-1, T-2,

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AFMAN44-198 24 JANUARY 2019

T-3") number following the compliance statement. See AFI 33-360, Publications and Forms Management, for a description of the authorities associated with the Tier numbers. Submit requests for waivers via AF Form 679, Air Force Publication Compliance Item Waiver Request/Approval, through the chain of command to the appropriate Tier waiver approval authority, or alternately, to the requestor's commander for non-tiered compliance items. The waiver approval authority for non-tiered compliance items is the Air Force Medical Operations Agency (AFMOA)/Biomedical Sciences Corps (SGB). This publication may be supplemented at any level, but all direct Supplements must be routed to the OPR of this publication for coordination prior to certification and approval. Ensure that all records created as a result of processes prescribed in this publication are maintained in accordance with AFMAN 33-363, Management of Records, and disposed of in accordance with Air Force Record Disposition Schedule located in the Air Force Records Information Management System. Send comments and suggested improvements using the Air Force Form 847, Recommendation for Change of Publication, to AFMOA/SGB.

Chapter 1-- Program Overview

6

1.1. Overview.................................................................................................................

6

1.2. General Guidance Regarding Illicit Drug Use by Civilian Personnel. ...................

6

1.3. Goals of the Civilian Drug Demand Reduction Program. ......................................

6

Chapter 2-- Roles and Responsibilities

8

2.1. The Assistant Secretary of the Air Force for Manpower and Reserve Affairs

(SAF/MR). ..............................................................................................................

8

2.2. The Air Force Surgeon General (SG). ...................................................................

8

2.3. The Deputy Chief of Staff for Manpower, Personnel and Services (AF/A1). ........

8

2.4. The Air Force Medical Review Officer (MRO). ...................................................

8

2.5. The Judge Advocate General ..................................................................................

9

2.6. The Air Force Medical Operations Agency (Biomedical Sciences Corps

(AFMOA/SGB) and Mental Health Division (AFMOA/SGH) Directorates. ........

9

2.7. Air Force Drug Testing Program Manager (AFMOA/SGB). .................................

9

2.8. The Air Force Drug Testing Collection Manager (AFMOA/SGB). .......................

9

2.9. The MAJCOMs....................................................................................................... 10

2.10. Air Force Personnel Center (AFPC). .................................................................... 11

2.11. Servicing Civilian Classification Function. ........................................................... 11

2.12. The Civilian Personnel Section (CPS). ................................................................... 11

2.13. The Human Resource Office (HRO). ..................................................................... 11

AFMAN44-198 24 JANUARY 2019

3

2.14. Installation Commander/Director. .......................................................................... 12

2.15. Installation SJA....................................................................................................... 12

2.16. The Medical Treatment Facility Commander or Director, the Guard Medical Unit Commander/Director, and the Reserve Medical Unit Commander/Director. . 13

2.17. The Alcohol and Drug Abuse Prevention and Treatment Program Manager. ....... 13

2.18. The DDRPM/DTPAM. ........................................................................................... 14

2.19. Civilian Rehabilitation Team. ................................................................................. 15

2.20. Unit Commander/Director. ..................................................................................... 16

2.21. Supervisor. .............................................................................................................. 17

2.22. Employee. ............................................................................................................... 18

2.23. Integrated Delivery System. ................................................................................... 19

2.24. Drug Testing Laboratory. ....................................................................................... 19

2.25. Employee Unions.................................................................................................... 19

Chapter 3-- Guidance and Procedures

21

3.1. Applicability and Types of Testing......................................................................... 21

3.2. Designation of TDPs............................................................................................... 26

3.3. Notice to Current Employees.................................................................................. 27

3.4. Technical Guidelines for Drug Testing................................................................... 28

Chapter 4-- Processing Test Results

42

4.1. Confidentiality of Test Results. .............................................................................. 42

4.2. Opportunity to Justify a Laboratory-Verified Positive Test Result, Adulterated Specimen Result or Specimen Not-Suitable-for-Testing Result.............................. 42

4.3. MRO Review of Medical Records.......................................................................... 43

4.4. Reporting of Results under the Air Force Civilian Drug Testing Program. .......... 43

4.5. Maintenance and Confidentiality of Records.......................................................... 44

Chapter 5-- Findings of Drug Use Required Actions

46

5.1. Finding of Drug Use. .............................................................................................. 46

5.2. Mandatory Administrative and Disciplinary Actions. ............................................ 46

5.3. Safe Haven Provision. ............................................................................................ 47

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AFMAN44-198 24 JANUARY 2019

5.4. Employee Counseling and Assistance. .................................................................. 47

Chapter 6-- Statistics

48

6.1. Statistical Information............................................................................................. 48

Chapter 7-- Litigation

50

7.1. Production of Drug Testing Reports and Other Documents During Litigation's Discovery Process.................................................................................................... 50

Chapter 8-- Use of Drug Testing Software

51

8.1. DoD Drug Testing Software. .................................................................................. 51

Chapter 9-- Employee Training

52

9.1. Supervisory Training Requirements. Note: ........................................................... 52

9.2. Employee Education. .............................................................................................. 52

Chapter 10-- Substance Abuse Counseling, Assistance and Referrals

54

10.1. Overview................................................................................................................. 54

10.2. Referral Process. ..................................................................................................... 54

10.3. Employee Counseling and Assistance. ................................................................... 55

10.4. Counselor Responsibilities...................................................................................... 56

Attachment 1-- GLOSSARY OF REFERENCES AND SUPPORTING INFORMATION

57

Attachment 2-- AIR FORCE APPROPRIATED AND NONAPPROPRIATED FUND

EMPLOYEE DRUG TESTING DESIGNATED POSITIONS

64

Attachment 3-- INSTRUCTIONS FOR COMPLETING THE DRUG TESTING CCF

73

Attachment 4-- SAMPLE LETTER - NOTICE OF DRUG TESTING AS A CONDITION

OF EMPLOYMENT FOR NON-AIR FORCE EMPLOYEES

ACCEPTING A TESTING DESIGNATED POSITION

76

Attachment 5-- SAMPLE LETTER - EMPLOYEE NOTIFICATION OF DRUG

TESTING RESULTING FROM AN ACCIDENT OR SAFETY MISHAP

78

Attachment 6-- SAMPLE LETTER- EMPLOYEE NOTIFICATION FOR DRUG

TESTING AS A RESULT OF REASONABLE SUSPICION

79

Attachment 7-- SAMPLE LETTER - EMPLOYEE SELECTION NOTIFICATION FOR

TESTING DEPARTMENT OF THE AIR FORCE

80

Attachment 8-- SAMPLE LETTER - NOTIFICATION LETTER FOR DRUG TESTING AS A CONDITION OF EMPLOYMENT FOR CURRENT AIR FORCE

AFMAN44-198 24 JANUARY 2019

5

EMPLOYEES MOVING FROM A NON-TESTING DESIGNATED

POSITION TO A TESTING DESIGNATED POSITION

82

Attachment 9-- SAMPLE BRIEFING FOR URINE SPECIMEN COLLECTION

OBSERVERS

84

Attachment 10-- SAMPLE ESCORT INSTRUCTIONS

87

Attachment 11-- SAMPLE RELEASE OF PATIENT INFORMATION MEMORANDUM

89

Attachment 12-- SAMPLE AUTHORIZATION FOR RELEASE OF PATIENT

INFORMATION DURING OR AFTER TREATMENT OR

REHABILITATION

90

Attachment 13-- SAMPLE LETTER ? INITIAL SUBSTANCE ABUSE ASSESSMENT

APPOINTMENT LETTER

91

Attachment 14-- SAMPLE LETTER - INITIAL SUBSTANCE ABUSE ASSESSMENT

APPOINTMENT LETTER FOR SUPERVISOR

92

Attachment 15-- SAMPLE CONSENT TO PROVIDE URINE SPECIMEN FOR DRUG

TESTING

93

Attachment 16-- SAMPLE LETTER - NOTICE OF DRUG TESTING AS A CONDITION

OF EMPLOYMENT FOR INDIVIDUALS NEWLY ASSIGNED TO A

TESTING DESIGNATED POSITIN

94

Attachment 17-- SAMPLE SUPERVISOR INSTRUCTIONS

96

Attachment 18-- SAMPLE LAST CHANCE AGREEMENT

97

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