Adult Counseling
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California Gambling Education and Treatment Services

California Gambling Education and FREE Treatment Services



California Association of Marriage and Family Therapy


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Due to the Covid 19 crisis, I am currently available to see clients online via TeleHealth. This is now covered by most insurance/ EAP carriers. Please feel free to contact me if you would like to set up a session.



Substance Abuse Professional as required by the

Department of Transportation 

What is a Substance Abuse Professional?

The Department of Transportation (DOT) defines the Substance Abuse Professional (SAP) as “a person who evaluates employees who have violated a DOT drug and alcohol regulation, such as testing positive for alcohol and controlled substance use, or refusing to be tested. The SAP makes recommendations concerning education, treatment, follow-up testing, and aftercare.”

A SAP is defined as an individual who is a licensed physician (Doctor of Medicine or Osteopathy), a licensed or certified social worker, a licensed or certified psychologist, a licensed or certified employee assistance professional, or an alcohol and drug abuse counselor certified by the National Association of Alcoholism and Drug Abuse Counselors Certification Commission (NAADAC) or by the International Certification and Reciprocity Consortium (ICRC).

The SAP must have knowledge of and clinical experience in the diagnosis and treatment of substance abuse-related disorders and understand how the SAP role relates to the special responsibilities employers have for ensuring the safety of the traveling public. The SAP must receive qualification training and complete an examination given by a nationally recognized professional or training organization and must comprehensively cover all the elements required for the qualification training. The SAP must also complete at east 12 professional development hours every three year.

All positive tests and refusal to test now have consequences.  Only DOT specially trained SAP's can provide the drug and alcohol assessments.  The SAP MUST require education and/or treatment in all cases.  In order for the employee to return to work, they must comply with the recommendations.  The return-to-duty process is mandatory following completion of SAP recommendations.

The Department of Transportation (DOT) issued revisions to the drug and alcohol testing procedures in 49 CFR Part 40 effective August 1, 2001.  One of the revisions deals with the Substance Abuse Professional (SAP) and Return-to-Duty.

SAP Services include:

Assessment with Treatment Recommendations

Referrals for Appropriate Treatment

Case Management

Follow Up Assessment

For a complete review of the 49 CFR Part 40 or SAP guidelines, download the following file (available in both WORD and PDF formats):

Overview of 49 CFR Part 40 DOT from the DOT website Click Here

Overview of the Office of Drug & Alcohol Policy and Compliance from the DOT website Click Here

What is an SAP from the DOT Web Site pdf format Click Here

You will need Acrobat Reader to view - download is free.




Lisa Montalvo, MFT, CEAP, SAP

1395 San Carlos Avenue, Suite C#4

San Carlos, California 94070

Phone (650) 631-0909



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