1 00:00:00,200 --> 00:00:02,422 I've been asked to spend some time this 2 00:00:02,422 --> 00:00:04,200 afternoon exploring some of the 3 00:00:04,200 --> 00:00:06,367 substance related concerns that we see 4 00:00:06,367 --> 00:00:08,478 here in Okinawa . I want to start off 5 00:00:08,478 --> 00:00:10,478 by saying that these air ultimately 6 00:00:10,478 --> 00:00:12,367 questions about fitness and force 7 00:00:12,367 --> 00:00:14,680 readiness . The abuse or the misuse of 8 00:00:14,680 --> 00:00:17,020 substances such as alcohol and drugs 9 00:00:17,360 --> 00:00:20,130 can all lead to questions about fitness , 10 00:00:20,290 --> 00:00:22,512 and these leads to concerns about force 11 00:00:22,512 --> 00:00:24,730 readiness combined . Here in Okinawa , 12 00:00:24,750 --> 00:00:27,450 we see approximately 330 cases that are 13 00:00:27,450 --> 00:00:29,783 referred to either our program or the M . 14 00:00:29,783 --> 00:00:31,728 C . C s Substance Abuse Counseling 15 00:00:31,728 --> 00:00:34,980 Center . Occasionally we see instances 16 00:00:34,980 --> 00:00:36,980 of illegal drug use for individuals 17 00:00:36,980 --> 00:00:38,980 that had been home on leave and who 18 00:00:38,980 --> 00:00:41,147 used in the legal drug and then have a 19 00:00:41,147 --> 00:00:43,202 positive your analysis while back on 20 00:00:43,202 --> 00:00:44,980 duty . Occasionally , we do see 21 00:00:44,980 --> 00:00:47,036 individuals who had secured and over 22 00:00:47,036 --> 00:00:49,147 the counter cough preparation or some 23 00:00:49,147 --> 00:00:51,202 sort of an other kind of an over the 24 00:00:51,202 --> 00:00:53,202 counter medication that they use it 25 00:00:53,202 --> 00:00:55,202 legally . But the best majority the 26 00:00:55,202 --> 00:00:57,313 cases we have here or alcohol related 27 00:00:57,410 --> 00:00:59,466 different drugs , alcohol included , 28 00:00:59,466 --> 00:01:01,632 present with different risks . What is 29 00:01:01,632 --> 00:01:03,577 common to all of them is that they 30 00:01:03,577 --> 00:01:05,410 cause alterations in our natural 31 00:01:05,410 --> 00:01:08,130 physiology that could cause changes in 32 00:01:08,130 --> 00:01:12,120 perception , the way we see and sense 33 00:01:12,120 --> 00:01:14,342 things and cognition , the way we think 34 00:01:14,342 --> 00:01:16,398 and ultimately and are functioning . 35 00:01:16,860 --> 00:01:18,971 Impairments of perception . Cognition 36 00:01:18,971 --> 00:01:21,120 are incompatible with sorts of duties 37 00:01:21,120 --> 00:01:23,240 that were asked to do in the Marines 38 00:01:23,240 --> 00:01:25,250 and the Navy . Dress the cause , 39 00:01:25,250 --> 00:01:27,028 intoxication or a high could be 40 00:01:27,028 --> 00:01:29,360 particularly hard on the kidneys , 41 00:01:29,370 --> 00:01:32,570 liver or even the brain . The misuse of 42 00:01:32,570 --> 00:01:34,792 alcohol in the use of drugs can lead to 43 00:01:34,792 --> 00:01:37,020 questions about fitness for duty . CEOs 44 00:01:37,020 --> 00:01:39,187 are left wondering about the fitness , 45 00:01:39,187 --> 00:01:41,290 the readiness , the character , the 46 00:01:41,290 --> 00:01:43,179 reliability and the safety of the 47 00:01:43,179 --> 00:01:45,610 Marines and their unit . Those who 48 00:01:45,610 --> 00:01:47,820 abuse drugs and drink maladaptive lee 49 00:01:47,830 --> 00:01:50,340 are not fit to fight . There are , 50 00:01:50,340 --> 00:01:52,400 however , resource is available for 51 00:01:52,400 --> 00:01:54,400 individuals who are struggling with 52 00:01:54,400 --> 00:01:56,344 substance related concerns and for 53 00:01:56,344 --> 00:01:58,360 units when they have concerns about 54 00:01:58,360 --> 00:02:01,410 Marines or sailors , primary care 55 00:02:01,410 --> 00:02:03,620 providers , battalions and squadrons , 56 00:02:03,630 --> 00:02:05,810 surgeons , Oscar and combat stress 57 00:02:05,810 --> 00:02:07,990 platoon providers and CCS counseling 58 00:02:07,990 --> 00:02:09,712 staff . Hospital mental health 59 00:02:09,712 --> 00:02:12,150 providers . Chaplains are some of the 60 00:02:12,150 --> 00:02:14,970 most commonly accessed individuals when 61 00:02:14,980 --> 00:02:16,980 service members or unit leaders air 62 00:02:16,980 --> 00:02:18,980 having concerns about substances in 63 00:02:18,980 --> 00:02:21,091 their unit . However , for the Navy , 64 00:02:21,180 --> 00:02:23,291 Drug and Alcohol Program advisers and 65 00:02:23,291 --> 00:02:25,180 for the Marines , substance abuse 66 00:02:25,180 --> 00:02:27,840 control officers are also ways the 67 00:02:27,840 --> 00:02:30,062 Marines , sailors or their unit leaders 68 00:02:30,062 --> 00:02:32,229 can seek services for those struggling 69 00:02:32,229 --> 00:02:34,118 with substance related concerns . 70 00:02:34,118 --> 00:02:36,173 Marines and sailors air not property 71 00:02:36,173 --> 00:02:39,080 there individuals who committed to the 72 00:02:39,080 --> 00:02:40,858 defense of this nation and that 73 00:02:40,858 --> 00:02:43,660 requires fitness that requires 74 00:02:43,670 --> 00:02:46,740 readiness , illegal drugs , THEA legal 75 00:02:46,740 --> 00:02:48,684 use of legal drugs and maladaptive 76 00:02:48,684 --> 00:02:50,851 drinking , or all threats to fitness . 77 00:02:50,851 --> 00:02:52,160 And these were all threats to readiness .