How can Soldiers be identified as having a substance abuse problem?

Soldiers can be identified as having a substance abuse problem through command identification and medical identification because these methods encompass a comprehensive approach to recognizing potential issues. Command identification allows leaders to notice behavioral changes, performance issues, or other indicators that may suggest a substance abuse problem. Commanders and peers are often in the best position to observe changes in a Soldier's behavior that could indicate a potential problem.

Medical identification, on the other hand, involves healthcare professionals assessing Soldiers for signs of substance abuse during medical examinations or evaluations. This can include interviews and screenings that can help identify Soldiers who might be struggling with substance issues.

The combination of observations from both command and medical personnel provides a holistic view, enabling timely intervention and support. This approach is more effective than relying solely on voluntary reporting or biochemical testing, which could miss individuals who do not seek help or are not detected through testing alone.