BY ORDER OF THE
SECRETARY OF THE AIR FORCE
AIR FORCE INSTRUCTION 44-121
18 JULY 2018
Incorporating Change 1, 21 November 2019
Medical
ALCOHOL AND DRUG ABUSE
PREVENTION AND TREATMENT
(ADAPT) PROGRAM
COMPLIANCE WITH THIS PUBLICATION IS MANDATORY
ACCESSIBILITY: Publications and forms are available on the e-Publishing website at
www.e-Publishing.af.mil for downloading or ordering.
RELEASABILITY: There are no releasability restrictions on this publication.
OPR: AFMOA/SGHW
Supersedes: AFI 44-121, 8 July 2014
Certified by: AFMOA/CAG
(Brig Gen James H. Dienst)
Pages: 40
This Air Force Instruction implements Air Force Policy Directive 44-1, Medical Operations. It
establishes guidance for the United States Air Force Alcohol and Drug Abuse Prevention and
Treatment Program. This instruction provides guidance for the identification, treatment and
management of personnel with substance use disorders and describes Air Force policy regarding
alcohol, prescription drug, and illicit drug misuse, as well as other addictive behaviors. This
instruction applies to all active duty United States Air Force members, and to members of the
United States Air Force Reserve Command and Air National Guard whenever eligible for
Department of Defense medical services. The Air Force Reserve Command and Air National
Guard do not have separate systems to provide behavioral health treatment, including substance
use disorder treatment. Clarification about Air Force Reserve specific policies, processes, and/or
procedures should be directed to Headquarters Air Force Reserve Command/Surgeon General’s
Mental Health Consultant at Robins AFB, GA. When not eligible for Department of Defense
medical services, Air Reserve Component members will obtain, when needed, non-military
substance use disorder services at their own expense.
This Instruction requires the collection and or maintenance of information protected by the Privacy
Act of 1974 authorized by Title 10, United States Code (U.S.C.) 8013, 42 U.S.C.290dd-2, et seq.,
and Executive Order 11478, Executive Order 9397, Numbering System for Federal Accounts
Relating to Individual Persons, November 22, 1943 as amended by Executive Order 13478,
Amendments to Executive Order 9397 Relating to Federal Agency Use of Social Security
Numbers, November 18, 2008. The applicable SORN System of Records Notice F044 Air Force
Corrective Actions Applied on, 19 December 2019
