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
October 22, 2009
===========================UPDATE============================
See Important D.O.T.
Updates at
Bottom of Page
                                            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).