DAFI44-121 — Alcohol And Drug Abuse Prevention And Treatment (adapt) Program

DAFI44-121 governs the Department of the Air Force Alcohol and Drug Abuse Prevention and Treatment (ADAPT) Program.

Search DAFI44-121

  • Publication number: DAFI44-121
  • Title: ALCOHOL AND DRUG ABUSE PREVENTION AND TREATMENT (ADAPT) PROGRAM
  • Date: 2025-09-16

View DAFI44-121 on armypubs.army.mil


It covers identification, treatment, and management of personnel with substance use disorders, along with policy on alcohol, illicit drugs, prescription drug misuse, and other addictive behaviors. It requires protected information collection and maintenance and establishes procedures for supplements, waivers, and records.

Applies to: This instruction applies to all active-duty United States Space Force, Regular Air Force, Air Force Reserve, and Air National Guard personnel whenever eligible for Department of Defense (DoD) medical services.

Topics covered

  • Substance use disorders
  • Alcohol misuse
  • Illicit drug use
  • Addictive behaviors
  • Substance misuse prevention strategies
  • Alcohol brief counseling
  • Treatment program guidelines

Questions and answers

What happens when Air Reserve Component members are not eligible for DoD medical services?

When not eligible for DoD medical services, ARC members will obtain, when needed, non-military SUD services at their own expense.

How must records generated under DAFI44-121 be handled?

Ensure all records generated as a result of processes prescribed in this publication adhere to Air Force Instruction 33-322, Records Management and Information Governance Program, and are disposed in accordance with the Air Force Records Disposition Schedule, which is located in the Air Force Records Information Management System.

How are waiver requests for DAFI44-121 requirements submitted?

Submit requests for waivers through the chain of command to the appropriate tier waiver approval authority.

Ask Reggie.Bot a question about DAFI44-121