When a service member receives nonjudicial punishment under Article 15 of the Uniform Code of Military Justice for a substance-related incident, the punishment itself is only part of the consequence. A separate question follows: should the member be retained or processed for administrative separation? That decision turns in large part on a judgment about the likelihood that the member will offend again. The military does not use a single mechanical recidivism score. Instead, commanders and clinical staff weigh a combination of clinical assessment, rehabilitative response, performance history, and regulatory criteria to predict whether the member can be rehabilitated and retained or presents an unacceptable risk of repeating the conduct.
The regulatory backdrop
Department of Defense policy on problematic substance use is set out in DoD Instruction 1010.04, which directs the services to identify members who show signs of problematic substance use and to refer them for assessment, intervention, and treatment. Each service then implements that policy through its own separation regulations and substance abuse programs. The Army, for example, addresses separation for alcohol or drug rehabilitation failure in its enlisted separations regulation, and the Navy and other services have parallel provisions. Across the services, the common framework is that a substance-related event triggers a clinical evaluation and, where appropriate, enrollment in a treatment program, and that the member’s response to that program becomes central to the retention decision.
Clinical assessment as the starting point
The first input is a clinical evaluation by qualified substance abuse program personnel. After a substance-related incident and the associated nonjudicial punishment, the member is typically referred for assessment to determine whether a substance use disorder exists and what level of treatment is appropriate. The clinical picture, including the severity of use, any diagnosis, the presence of co-occurring conditions, and the member’s insight and engagement, informs a professional judgment about prognosis. This clinical input is advisory to the command but carries significant weight, because the regulations tie continued service to the member’s potential for rehabilitation as judged by the clinical staff in consultation with the commander.
Rehabilitative response and the rehabilitation-failure standard
The single most important predictor in this setting is how the member responds to rehabilitation. The services generally provide an opportunity for treatment, and a member who fails to participate adequately in, or fails to respond successfully to, that rehabilitation may be processed for separation as a rehabilitation failure. Failure can take the form …