Substance Abuse Professional
(SAP)
Back-to-Work
Evaluation
He also holds an Master Addiction Counselor (MAC) certification and is a
Substance Abuse Professional (SAP) as certified by the National
Association of Addiction Counselors in accordance with the rules and
regulations of the U.S. Dept. of Transportation.  He has worked in the
addiction treatment field for twenty years. He has served as both executive
and clinical directors of a council on alcohol and drug abuse, and is a
noted  speaker, trainer and workshop leader, developing and conducting
programs and services for various businesses, school districts, probation
departments and treatment centers.  

For S.A.P. referrals contact:
Gordon Leith, LPC, SAP
at (210) 590-9292 or (210) 710-8768
The DOT (Department of Transportation) requires companies employing individuals
who hold commercial driver licenses (CDLs) to  perform random, pre-employment,
post accident, reasonable suspicion, and return to duty drug and alcohol tests.

Under CFR 49 Part 40, any individual who tests positive for drugs and/or alcohol must
be referred to a qualified S.A.P. (Substance Abuse Professional) who will provide a
comprehensive face-to-face assessment and clinical evaluation and  recommend a
course of treatment.  

The  S.A.P.  process includes:

*Face to face clinical assessment
*Referral for treatment and/or education (level determined by  S.A.P.)
*S.A.P. monitoring of employee in treatment
*Face to face follow up clinical evaluation to determine if employee  has complied
*Follow up testing schedule
*After care recommendations (as deemed necessary)
*Written reports sent to the employer's designated representative  keeping them
abreast of referrals, monitoring, and recommendations.

Due to the DOT requirements, potential liabilities, and a variety of negative
consequences surrounding substance abuse, it is a sound business decision to be
linked with a qualified Substance Abuse Professional (S.A.P.). Regulations apply to:
FMCSA, FAA, FRA, FTA, USCG, and RSPA.

Gordon Leith has a Master's Degree in counseling with a dual specialization in
Substance Abuse Treatment and Mental Health from St. Mary's University in San
Antonio, Texas. He is licensed by the State of Texas as a Professional Counselor. He
has twenty years experience working as a drug counselor.
"REQUEST FOR SERVICES" FORM"
Office (210) 590-9292
Fax (210) 568-4663
CLICK HERE FOR S.A.P. BROCHURE
THE SUBSANCE ABUSE PROFESSIONAL
GENERAL INFORMATION
                                                               MEDICAL-MARIJUANA  
              DOT OFFICE OF DRUG AND ALCOHOL POLICY AND COMPLIANCE NOTICE
The Department of Transportation’s Drug and Alcohol Testing Regulation – 49 CFR Part 40, at
40.151(e) – does not authorize “medical marijuana” under a state law to be a valid medical
explanation for a transportation employee’s positive drug test result.


Recently, the Department of Justice (DOJ) issued guidelines for Federal prosecutors in states that
have enacted laws authorizing the use of “medical marijuana.” http://www.justice.
gov/opa/documents/medical-marijuana.pdf.  

We have had several inquiries about whether the DOJ advice to Federal prosecutors regarding
pursuing criminal cases will have an impact upon the Department of Transportation’s
longstanding regulation about the use of marijuana by safety-sensitive transportation employees –
pilots, school bus drivers, truck drivers, train engineers, subway operators, aircraft maintenance
personnel, transit fire-armed security personnel, ship captains, and pipeline emergency response
personnel, among others.    

We want to make it perfectly clear that the DOJ guidelines will have no bearing on the Department
of Transportation’s regulated drug testing program.  We will not change our regulated drug testing
program based upon these guidelines to Federal prosecutors.


That section states:

§ 40.151 What are MROs prohibited from doing as part of the verification process?
As an MRO, you are prohibited from doing the following as part of the verification process:
(e) You must not verify a test negative based on information that a physician recommended that
the employee use a drug listed in Schedule I of the Controlled Substances Act. (e.g., under a state
law that purports to authorize such recommendations, such as the “medical marijuana” laws that
some states have adopted.)

Therefore, Medical Review Officers will not verify a drug test as negative based upon information
that a physician recommended that the employee use “medical marijuana.”  Please note that
marijuana remains a drug listed in Schedule I of the Controlled Substances Act.  It remains
unacceptable for any safety-sensitive employee subject to drug testing under the Department of
Transportation’s drug testing regulations to use marijuana.

We want to assure the traveling public that our transportation system is the safest it can possibly
be.

Jim L. Swart
Director
Office of the Secretary of Transportation
Office of Drug and Alcohol
Policy and Compliance
Department of Transportation
===========================UPDATE============================
See Important D.O.T.
Updates at
Bottom of Page
DOT FINING DRIVERS WITH VIOLATIONS WHO CONTINUE TO
DRIVE WITHOUT COMPLETING
SAP RETURN-TO-DUTY PROCESS.


                                             HERE ARE THE REGS

49 CFR Part 382.103(a):  "This part applies to every person and to
all employers of such persons..."

49 CFR Part 382.507:  Any employer or driver who violates...shall be
subject to...civil and/or criminal penalty provisions..."

Under this regulation, a driver and an employer are equally
responsible for consequences of a violation. For example:  a driver
is part-time with Company A and part-time with Company B. He
tests positive on a Company A test, and is removed from
safety-sensitive functions, including driving. He also must be
removed from safety-sensitive functions for Company B. But he
must first inform Company B of the violation. If he does not, he
faces serious fines for driving, when he knows he cannot drive.

Because of confidentiality, Company A could not report the violation
to Company B. The driver is the only source of this information.

Drivers need to be aware that they cannot safely hide a violation
from other employers, or from any future employers.
                                         How the SAP Process Works
The process works like this:
·       
 Evaluation. You meet with a SAP who conducts an evaluation. The evaluation process takes
approximately 2 hours to complete.  Several evaluative instruments are administered.

·        
 Determination. The SAP determines if you need assistance with the alcohol misuse or illegal
drug problem. The SAP must provide appropriate documentation to that person who is your company's
designated employer representative (DER) to the Department of Transportation (DOT).

·        
 Education or treatment referral. The SAP will refer you to the appropriate education or
treatment services based upon the needs identified in your evaluation. At a minimum, the SAP or SAP
must recommend substance abuse education. If necessary, you will receive a referral to two facilities that
provide the services you are required to complete.

·         
Return-to-duty evaluation: The SAP will conduct follow-up evaluation to determine if you have
complied with the recommendations for treatment or education that you were given when you first
evaluation.

·        
 Follow-up testing. The SAP will develope a  follow-up testing schedule. The SAP may
recommend drug and alcohol testing for those employees who have problems of abuse of more than one
substance. You are required to complete at least six tests in the first year upon your return to safety
sensitive duty on your job. The SAP will recommend continuation of testing up to sixty months. The SAP
may also recommend a "continuing care" regimen (aftercare, meeting with your 12-Step sponsor,
12-Step meetings, etc).