A LADC evaluation is a face-to-face evaluation that includes a clinical interview and diagnostic testing by a licensed alcohol and drug counselor (LADC or MLADC). They are most often ordered by the courts and attorneys following alcohol or drug related arrests or convictions; and in custody cases.
The biopsychosocial interview includes your history with “everything.” It includes your alcohol and drug use history, legal history, social and relationship history, family history, medical history, and history of counseling or treatment, history of mental/emotion health concerns, strengths, weaknesses, education and work history and any other major life events that you have experienced. The goal is to draw an overall picture of your life and the impact alcohol and other drugs have on your goals and quality of life. The evaluation summarizes all of this information and then concludes with a clinical impression and clinical recommendations.
A positive random urine drug screen is a violation of 42 CFR Federal Rules for DOT safety sensitive positions. A SAP Evaluation is a face-to-face clinical interview with testing from which recommendations for treatment or education are made. Recommendations must be completed prior to the employee returning to safety sensitive duties. The SAP oversees the return to duty process, and this involves an initial interview, recommendations for education or treatment, a follow up interview, and a follow up random testing protocol.