Mental Health Evaluations for Immigration Waivers: Why They Matter in 2025

Introduction

Applying for an immigration waiver can be overwhelming. For many families, success depends on more than legal documents. A mental health evaluation—sometimes called an immigration psychological evaluation—can be the difference between approval and denial.

In 2025, USCIS continues to recognize hardship waiver mental health assessments as critical evidence. These evaluations help demonstrate the emotional, psychological, and financial impact that separation or deportation would have on U.S. citizen or lawful permanent resident family members.

What Is an Immigration Psychological Evaluation?

An immigration psychological evaluation is a professional mental health assessment completed by a licensed clinician. It provides detailed insight into the emotional and psychological impact of immigration challenges on the applicant and their family.

These reports are often required in cases involving:
  • Extreme hardship waivers
  • Asylum applications
  • VAWA petitions (Violence Against Women Act)
  • U visas for crime victims
  • Cancellation of removal proceedings

Immigration Hardship Waiver Evaluations: What You Should Know in 2025

Why Mental Health Evaluations Matter for Immigration Waivers

1. Demonstrating Extreme Hardship

USCIS requires strong evidence that deportation or denial would cause extreme hardship to family members. A hardship waiver mental health assessment documents depression, anxiety, PTSD, or other conditions caused by family separation.

2. Strengthening Legal Cases

Immigration attorneys often rely on USCIS mental health reports to support arguments in court or waiver petitions. A professional evaluation can validate claims that would otherwise be dismissed as subjective.

3. Showing Impact Beyond Finances

While financial hardship is important, USCIS also considers emotional well-being. A psychological evaluation highlights the human side of the case, showing how family members would suffer emotionally if the waiver is denied.

What USCIS Looks for in Mental Health Reports

For an evaluation to be effective, it must:
  • Be written by a licensed mental health professional
  • Include a detailed history of the applicant and family members
  • Provide clinical findings and professional diagnoses (if any)
  • Explain the connection between deportation and emotional hardship
  • Offer clear, evidence-based conclusions

Court-Ordered Substance Abuse Assessment: What to Expect

How Evaluations Support Hardship Waivers in 2025

Immigration laws change, but the role of psychological reports remains consistent. In 2025, mental health evaluations are still one of the strongest tools applicants can use to prove hardship.

Benefits include:

  • Giving judges and officers credible evidence from licensed experts
  • Documenting how children, spouses, or parents would suffer
  • Providing a professional voice that supports the attorney’s case

USCIS Policy Manual on Extreme Hardship

Steps to Get a Hardship Waiver Mental Health Assessment

  • Consult Your Attorney – Ask if a mental health evaluation would strengthen your case.
  • Choose a Licensed Provider – Make sure the evaluator has experience with immigration cases.
  • Attend the Evaluation – Be honest and thorough during the interview process.
  • Submit the Report – Your attorney will include the USCIS mental health report in your waiver application.

Conclusion

In 2025, mental health evaluations for immigration waivers remain a critical part of building a strong case. Whether you need an immigration psychological evaluation, a hardship waiver mental health assessment, or a USCIS mental health report, these evaluations provide powerful evidence that legal documents alone cannot.

By investing in a professional evaluation, you give your case the best chance of success—and protect your family’s future.

Schedule Your Immigration Psychological Evaluation with AACS Atlanta

DUI Intervention vs. Alcohol Education: Which One Do You Need?

Introduction

If you’ve been charged with a DUI or a related alcohol offense, the court or DMV may require you to complete either a DUI intervention program or an alcohol education class. While both deal with alcohol use, they serve different purposes and carry different legal weight.

Choosing the right program is essential. The wrong choice could delay license reinstatement, extend probation, or even lead to non-compliance with court orders. This blog will help you understand the differences between DUI intervention and alcohol education so you can meet requirements and move forward.

What Is Alcohol Education?

Alcohol education classes are typically assigned to first-time offenders or individuals with minor alcohol-related offenses.

Key features include:

Education on the effects of alcohol on the body and driving

Awareness of legal and social consequences of drinking and driving

Shorter duration compared to intervention programs

Focus on prevention rather than treatment

👉 Courts and DMVs often use alcohol education to ensure drivers understand the risks before they repeat the offense.

Out-of-State DUI: How to Handle Assessments in 2025

What Is DUI Intervention?

DUI intervention programs are more intensive and are typically required for:

  • Repeat DUI offenders
  • Drivers with high BAC levels
  • Cases where alcohol abuse is suspected
These programs go beyond education. They include:
  • Structured counseling sessions
  • Group or individual therapy
  • Substance abuse assessments
  • Development of recovery and prevention plans

👉 DUI intervention addresses behavior change rather than just knowledge, helping participants avoid repeat offenses.

DUI Intervention vs. Alcohol Education: Key Differences

Factor Alcohol Education DUI Intervention
Who Needs It First-time or minor offenders Repeat or high-risk offenders
Focus Awareness and prevention Treatment and long-term behavior change
Duration Short-term classes Longer, structured programs
Court/DMV Use License reinstatement, probation High-level compliance for repeat cases

Court-Ordered Substance Abuse Assessment: What to Expect

How to Know Which One You Need

1. Court Order or DMV Notice

Your legal documents will state whether you must complete alcohol education or DUI intervention. Always follow the exact order.

2. Level of Offense

If it’s your first DUI with a low BAC, you’ll likely be required to attend alcohol education classes. For multiple offenses or higher BAC levels, courts usually assign intervention programs.

3. Substance Abuse Assessment

Sometimes, the court requires an assessment first. Based on results, the judge or DMV will decide which program is necessary.

Why Choosing the Right Program Matters

Selecting the wrong program can have serious consequences:

  • Delayed license reinstatement
  • Probation violations
  • Additional fines or penalties
  • Risk of extended legal supervision

Compliance with the exact program type is the fastest way to regain your driving privileges and meet all legal obligations.

DMV DUI Requirements by State

Conclusion

Understanding the difference between DUI intervention and alcohol education is critical when meeting court or DMV requirements.

Alcohol education is usually for first-time or low-level offenders.

DUI intervention is required for repeat or high-risk offenders and focuses on treatment.

By following your court order, confirming the right program, and completing it on time, you’ll protect your driving record and avoid further legal complications.

Start Your Court-Approved DUI or Alcohol Education Program With AACS Counseling

Alcohol and Drug Evaluation for DUI Cases: Clearing Legal Confusion

Facing a DUI charge can feel overwhelming, especially when the court or probation officer requires an alcohol and drug evaluation. Many offenders are unsure why this step is necessary, what happens during the process, and whether it always leads to treatment. This blog will explain the purpose of a DUI evaluation, the documents you’ll need, and how it affects your legal situation—so you can move forward with clarity and confidence.

What Is an Alcohol and Drug Evaluation for DUI Cases?

A DUI evaluation is a professional assessment ordered by the court, probation, or state agency. Its goal is to determine whether alcohol or drug use contributed to the DUI charge and if treatment or education is necessary.

This evaluation is not meant to punish you. Instead, it helps the court understand your situation and decide on the most appropriate requirements for your case.

Why Courts Require an Evaluation

Courts and probation officers require evaluations for several reasons:

  • Identify substance use risks – Evaluators look for patterns of alcohol or drug use.
  • Promote safety – Reducing the chances of repeat DUI offenses.
  • Support rehabilitation – Referring offenders to treatment or education if needed.
  • Legal compliance – Completing an evaluation may be a condition of probation, sentencing, or license reinstatement.

Failing to complete the evaluation can delay your case and may result in further penalties.

What to Expect During a DUI Evaluation

When you attend your appointment, the evaluator will review your case and ask detailed questions. Here’s what usually happens:

  1. Personal Interview – Questions about your alcohol and drug use history, family background, and lifestyle.
  2. Review of Court Documents – Bring all court papers, arrest records, and probation requirements.
  3. Standardized Questionnaires – Short assessments designed to measure risk levels.
  4. Discussion of DUI Incident – An open conversation about the events that led to your DUI charge.
  5. Recommendation – The evaluator will determine whether you need education, treatment, or no further steps.

How Long Does the Evaluation Take?

Most DUI evaluations last 60 to 90 minutes. The length depends on the complexity of your case and the documents provided.

Cost of a DUI Evaluation

The cost varies by state and provider but usually ranges between $100 and $250. In some cases, courts may require you to pay directly, while probation officers confirm proof of completion.

What Happens After the Evaluation?

After completing the evaluation, the provider sends a written report to the court or probation officer. Based on the findings:

  • You may be referred to alcohol or drug education classes.
  • You may need to attend treatment sessions.
  • If no treatment is needed, your report will reflect that.

Following these recommendations is crucial to avoid probation violations or additional penalties.

Legal Consequences of Skipping the Evaluation

Not completing your evaluation can result in:

  • Delays in probation or license reinstatement.
  • Additional fines or penalties.
  • Possible probation violation charges.

FAQs About DUI Alcohol and Drug Evaluations

Does every DUI require an evaluation?

Yes, in most states, DUI offenders must complete an alcohol and drug evaluation as part of sentencing or probation requirements.

Will the evaluator decide if I need treatment?

Yes. The evaluator will recommend education or treatment if necessary, but the court makes the final decision based on the report.

Conclusion

A DUI alcohol and drug evaluation may seem intimidating, but it is a structured process designed to assess your situation fairly. By preparing ahead—bringing the right documents, answering honestly, and following recommendations—you can complete this requirement smoothly and avoid unnecessary legal setbacks.

If you’ve been ordered to complete an evaluation, schedule your appointment as soon as possible to stay in compliance and move forward.

Court-Ordered Alcohol and Drug Evaluation: Legal Requirements Explained

If you have been ordered by the court or probation to complete an alcohol and drug evaluation, you may be unsure of what comes next. This evaluation is not optional—it is a legal requirement that helps the court understand your situation and determine appropriate next steps. Missing or delaying the evaluation can lead to serious consequences, including extended probation, fines, or even jail time. In this guide, we explain the full process, deadlines, and what you can expect.

What Is a Court-Ordered Alcohol and Drug Evaluation?

A court-ordered alcohol and drug evaluation is a professional assessment conducted by a licensed evaluator. Courts often require this after charges like:

The evaluation provides a report to the court that outlines your history with alcohol or drugs, your risk level, and recommendations for treatment if needed.

Legal Requirements and Compliance Deadlines

When the court orders you to complete an evaluation, compliance is mandatory. Typically, you must:

  • Schedule the evaluation within a specific timeframe (often 10–30 days).
  • Complete all paperwork and attend the session in person or via approved telehealth options.
  • Submit the evaluator’s report to the court or probation officer by the deadline.

⚠️ Failure to comply can result in:

  • Extension of probation terms
  • Additional fines and court costs
  • Driver’s license suspension
  • Possible jail time

What Happens During the Evaluation?

The process is straightforward and confidential. You will:

  1. Provide Documentation – Bring your court order, ID, and any legal documents related to your case.
  2. Answer Questions – The evaluator will ask about your personal, legal, and substance use history.
  3. Assessment Tools – You may complete standardized questionnaires to measure risk levels.
  4. Professional Report – The evaluator sends a written report with recommendations to the court.

Common Court Recommendations After Evaluation

Based on the results, the court may require:

  • Educational classes (e.g., DUI school)
  • Substance abuse counseling
  • Outpatient or inpatient treatment
  • Random drug and alcohol testing
  • Continued probation monitoring

Why Completing Your Evaluation Quickly Matters

Many defendants underestimate the importance of deadlines. Completing your court-ordered alcohol and drug evaluation early shows compliance, responsibility, and a willingness to address the issue. This can work in your favor when the judge reviews your case.

FAQ Section

Q1: Is a court-ordered evaluation mandatory?

Yes. If the court orders an evaluation, you must complete it. Ignoring the requirement can lead to harsher penalties.

Q2: What happens if I don’t complete my evaluation?

Non-compliance may result in probation violations, fines, license suspension, or even jail time. The court takes these deadlines seriously.

Q3: Can I choose where to get my evaluation?

Usually, yes. However, the provider must be court-approved and licensed to conduct evaluations in your state.

Conclusion

A court-ordered alcohol and drug evaluation is more than a formality—it is a legal requirement that can affect your future. By completing the evaluation on time and working with a qualified provider, you not only meet court requirements but also show commitment to personal responsibility and recovery.

👉 Need help scheduling your evaluation? At AACS Counseling, our licensed evaluators provide court-approved assessments that meet all legal requirements.

Ecstasy Possession: Why Alcohol and Drug Evaluations Matter

Being charged with possession of ecstasy (MDMA) can be a wake-up call. Courts across the country frequently require individuals with possession charges to complete an Alcohol and Drug Evaluation, and ecstasy is no exception. This process is essential in determining whether the incident was a one-time mistake or part of a larger pattern of substance use.

What is Ecstasy?

Legally, it’s a Schedule 1 controlled substance, meaning it has a high potential for abuse and no accepted medical use under federal law. It’s commonly associated with party and club scenes due to its euphoric and stimulant effects.

Even a small amount of MDMA in your possession could land you a felony charge in many jurisdictions, especially if accompanied by other aggravating factors like:

  • Being near a school zone
  • Having prior convictions
  • Evidence suggesting intent to distribute

Because of the drug’s classification and potential for harm, courts often take these cases very seriously, even if it’s your first offense.

Why You May Be Required to Complete an Alcohol and Drug Evaluation

When someone is charged with possession of ecstasy, judges and prosecutors frequently require a clinical substance abuse evaluation as part of the legal process. This evaluation helps determine:

  • Whether the individual shows signs of a substance use disorder
  • If the incident was isolated or part of a pattern

What level of education, treatment, or monitoring (if any) may be appropriate It can also influence decisions related to:

  • Sentencing alternatives
  • Pretrial diversion or conditional discharge programs
  • Probation requirements
  • License reinstatement (if someone is driving)

counseling

Where to Complete an Alcohol and Drug Evaluation

When searching for providers, ensure they are certified to offer this service. At AACS Counseling, we specialize in Alcohol and Drug Evaluations. We are a nationwide service that has made our service extremely accessible through the use of virtual appointments. However, we also offer in-person appointments. If you are interested in or require this service, please do not hesitate to contact us. “If you’re facing a legal issue or need a professional evaluation, AACS Counseling is here to help. Call us today at 800.683.7745 or visit our website to schedule your appointment.”

Alcohol and Drug Evaluation: What to Expect During Your First Appointment

If you have been asked to complete an alcohol and drug evaluation, you may feel nervous or unsure about what to expect. The good news is that the process is clear and straightforward. This evaluation helps courts, employers, or agencies understand your situation and provide the right guidance for treatment or next steps.

In this guide, we’ll explain what happens during your first alcohol and drug evaluation appointment. You’ll learn what documents to bring, how long it takes, what questions are asked, and what the possible outcomes look like.

Step 1: Checking In and Paperwork

When you arrive, you’ll first complete some basic paperwork. This usually includes your identification details, personal background, and reason for the evaluation. If the court or probation officer referred you, bring any paperwork they gave you. This ensures the evaluator understands the exact requirements.

Tip: Always bring a government-issued ID and any legal or referral documents.

Step 2: The Interview

Next comes the face-to-face or virtual interview with a licensed professional. The evaluator will ask about your history with alcohol or drugs, medical background, family situation, and lifestyle. These questions help them understand whether substance use has affected your daily life, work, or relationships.

This part is private, so answer honestly. The evaluator is not there to punish you but to give an accurate recommendation.

Step 3: Screening Tools and Assessments

During most evaluations, you’ll also complete short questionnaires or screening tools. These measure patterns of alcohol or drug use and mental health. The evaluator may also ask about stress, anxiety, or depression, since these often connect with substance use.

Step 4: Duration of the Evaluation

An alcohol and drug evaluation usually lasts between 60 to 90 minutes. The time may vary depending on your background and the details required. Virtual evaluations can sometimes be faster but follow the same steps.

Step 5: Results and Recommendations

At the end, the evaluator reviews all the information and prepares a written report. This report will include one of the following outcomes:

  • No treatment needed.

  • Education classes recommended.

  • Counseling or treatment program required.

These recommendations are shared with the court, probation officer, or employer who referred you.

Step 6: Costs and Payment

The cost of an alcohol and drug evaluation varies by state and provider. On average, you can expect to pay $100–$250. Some providers may offer sliding-scale fees if you are facing financial hardship. Always ask about costs in advance.

FAQs About Alcohol and Drug Evaluations

How long does an alcohol and drug evaluation take?
Most evaluations take 60–90 minutes, depending on your history and required paperwork.

Do I need to bring court papers?
Yes. If the court, probation, or an attorney referred you, bring all documents. These help the evaluator understand what is required in your case.

Final Thoughts

Your first alcohol and drug evaluation may feel stressful, but knowing the process can ease your nerves. Bring the right documents, be honest, and remember that the goal is to support your recovery and meet legal or workplace requirements.

At AACS Counseling, we provide confidential, affordable, and professional evaluations that meet state and court standards.

The Legal and Health Consequences of Binge Drinking: Unmasking the Risks

Binge drinking is often viewed as a social or recreational activity, especially among young adults, but its consequences can extend beyond hangovers. Binge drinking can lead to serious health and legal consequences, which can affect your overall well-being and your criminal record. Before you know it, you may find yourself having to complete a DUI Evaluation for court purposes.

What Qualifies as Binge Drinking?

According to the Centers for Disease Control and Prevention (CDC), binge drinking is defined as a pattern of alcohol consumption that brings blood alcohol concentration (BAC) to 0.08% or higher.

Binge drinking usually occurs when:

  • Men consume five or more drinks in approximately 2 hours
  • Women consume four or more drinks in approximately 2 hours

Common Legal Consequences

  1. DUI/DWI

One of the most common and dangerous outcomes can lead to:

  • License suspension or revocation
  • Fines (ranging from hundreds to thousands of dollars)
  • Jail time or probation
  • Mandatory alcohol education or treatment program
  • Permanent criminal record in many states

2. Public intoxication

Being visibly drunk in public can result in:

  • Arrest and overnight detention
  • Criminal charges or citations
  • Fines and court costs (some jurisdictions consider it a misdemeanor offense)

3. Disorderly Conduct

Binge drinking often leads to behaviors like:

  • Fighting
  • Yelling
  • Vandalism
  • Refusing police orders

It can result in fines, probation, community service, and/or a criminal record.

4. Underage Drinking

For individuals under 21, binge drinking carries additional legal consequences:

  • Minor in Possession (MIP)
  • Fake ID charges
  • Suspension of driving privileges
  • Barred from financial aid or academic institutions

5. Assault, Sexual Misconduct, or Property Damage

Many violent or destructive incidents occur when individuals are under the influence of alcohol. Binge drinking increases the risk of:

  • Physical altercations
  • Sexual assault accusations
  • Destruction of property
  • Domestic violence incidents

If alcohol is involved, charges can lead to harsher sentencing.

Prevention and Early Intervention

In most cases, following a DUI, you will either have to take an Alcohol and Drug evaluation (if not convicted or the charge was reduced) or a DUI Evaluation (if convicted). In both cases, AACS Counseling provides these services. You have the option to complete this requirement either in person or virtually.

“If you’re facing a legal issue or need a professional evaluation, AACS Counseling is here to help. Call us today at 800.683.7745 or visit our website to schedule your appointment.”

Understanding Alcohol and Drug Evaluations: When and Why They’re Required

An Alcohol and Drug Evaluation is often required following an incident that suggests possible substance misuse. This is usually mandated by the courts and sometimes by employers or state agencies. The evaluation serves a critical role: assessing whether a person’s substance use presents a risk to themselves or others, and if treatment or education is needed.

Common Incidents

1.    DUI, DWI, or Drugged Driving Arrests

  • Even a first-time offense can result in a court-mandated Judges and probation officers often require it to determine if there is an underlying pattern of substance misuse or if the incident was isolated.

2.    Drug Possession or Paraphernalia Charges

  • In these cases, a substance use evaluation helps legal professionals assess the risk of reoffending and determine the level of intervention needed.

3.    Workplace Violations or Accidents

  • This is especially common in industries regulated by the Department of Transportation (DOT), which requires a comprehensive SAP evaluation and a return-to-duty process for any drug or alcohol violation.

4.    School or College Violations

  • School resource officers or campus administrators may refer students to complete an evaluation before returning to classes or extracurricular

5.    Child Custody or Family Court Cases

  • The results can influence custody decisions, supervised visitation requirements, and treatment conditions.

6.    Mental Health Crisis or Behavioral Concerns

  • Hospitals, therapists, or social services may require an evaluation to determine whether substances are contributing to a mental health crisis.

7.    Probation or Parole Requirements

  • The evaluation helps determine whether additional treatment, monitoring, or restrictions should be added to probation terms.

Alcohol and Drug Evaluation

Where to Start?

At AACS Counseling, we specialize in Alcohol and Drug Evaluations. Not only do we have competitive pricing, but we also offer virtual as well as in-person appointments for your convenience. For more information, please visit our website www.aacscounseling.com.

“If you’re facing a legal issue or need a professional evaluation, AACS Counseling is here to help. Call us today at 800.683.7745 or visit our website to schedule your appointment.”

DUI Evaluation – Professional DUI Assessments | AACS Counseling

If you’ve been arrested for driving under the influence (DUI), one of the first steps in the legal process is often a DUI evaluation. This crucial assessment helps the court determine the extent of any substance use issues and what kind of treatment, if any, may be appropriate. At AACS Counseling, we specialize in providing professional, confidential DUI evaluations that meet court, probation, and DMV requirements.

What Is a DUI Evaluation?

A DUI Evaluation (sometimes called a drug and alcohol evaluation or alcohol assessment) is a structured assessment conducted by a licensed substance abuse professional.

The goal is to:

  • Understand your history of substance use
  • Determine the impact of alcohol or drugs on your driving behavior
  • Identify any potential substance use disorder
  • Recommend appropriate education or treatment options

At AACS Counseling, our DUI evaluations are comprehensive, judgment-free, and designed to help you move forward with your case.

Who Needs a DUI Evaluation?

You may be required to complete a DUI assessment if:

  • You’ve been arrested or convicted of a DUI or DWI
  • A court or probation officer mandates it
  • You are trying to get your driver’s license reinstated
  • You’re required to complete DUI classes or a substance abuse treatment program

Courts often use the results of your evaluation to decide the appropriate level of intervention—ranging from educational classes to outpatient counseling or more intensive programs.

DUI Out of State Evaluation

What to Expect During Your DUI Evaluation

At AACS Counseling, the DUI evaluation process is straightforward and respectful. Here’s what typically happens:

  1. Personal Interview
    You’ll discuss your personal history, substance use, and the circumstances of your DUI arrest.
  2. Standardized Screening Tools
    We use evidence-based tools to assess the severity of any alcohol or drug use.
  3. Review of Legal Documents
    You may need to provide your arrest report, BAC (blood alcohol content), and other relevant documents.
  4. Written Report
    After the evaluation, we provide a detailed report with recommendations for treatment or education, which you can submit to the court or legal authority.

Why Choose AACS Counseling for Your DUI Evaluation?

AACS Counseling has years of experience helping clients navigate the legal system with compassion and professionalism. We offer:

  • Licensed and certified evaluators
  • Same-day appointments and fast report turnaround
  • Remote/online DUI evaluations available
  • Accepted by courts, probation, and DMVs across the state

We understand how stressful a DUI charge can be. Our goal is to provide support, not judgment, and help you fulfill your legal requirements with dignity and ease.

Schedule Your DUI Evaluation Today

If you need a court-ordered DUI evaluation or are unsure where to start, AACS Counseling is here to help. We offer flexible scheduling, affordable pricing, and expert guidance throughout the process.

Contact AACS Counseling today to book your DUI assessment and take the first step toward resolution and recovery.

Understanding DOT Drug and Alcohol Regulations: Compliance, Testing, and Return to Duty Program

The U.S. Department of Transportation (DOT) ensures public safety by enforcing strict alcohol and drug testing regulations for safety-sensitive employees. If they are caught violating those regulations, they will be required to complete a DOT Return to Duty Program.

Who Must Comply with DOT Drug and Alcohol Regulations?

DOT regulations apply to employees in safety-sensitive positions across multiple transportation sectors, including:

  • Commercial truck and bus drivers (regulated by FMCSA)
  • Pilots, flight attendants, and air traffic controllers (regulated by the FAA)
  • Train engineers and conductors (regulated by the FRA)
  • Maritime crew members (regulated by the USCG)
  • Pipeline workers and control room operators (regulated by PHMSA)
  • Transit employees (regulated by FTA)

If an employee performs duties that affect transportation safety, such as operating a vehicle or conducting maintenance, they are subject to DOT testing requirements.

Alcohol and Drug Evaluation

When Are Employees Tested?

DOT regulations (49 CFR Part 40) outline mandatory drug and alcohol testing under the following circumstances:

  1. Pre-employment – Before an individual begins safety-sensitive work
  2. Random testing – Unannounced and statistically selected throughout the year
  3. Reasonable suspicion – Based on observed behavior or appearance
  4. Post-accident – After qualifying accidents
  5. Return-to-duty – After a previous violation and before resuming work
  6. Follow-up testing – Conducted over at least 12 months after returning to duty

What Substances are Tested For?

DOT drug tests screen for the following five drug classes:

  • Marijuana (THC)
  • Cocaine
  • Amphetamines (including methamphetamine and ecstasy)
  • Opioids (including codeine, morphine, heroin, oxycodone, hydrocodone, and fentanyl)
  • Phenyclidine (PCP)

Alcohol testing is also performed using breath or saliva to detect concentrations at or above 0.02%

Consequences of a Positive Test

If an employee tests positive for drugs or has a blood alcohol concentration (BAC) of 0.04% or greater, they must be immediately removed from safety-sensitive duties and referred to a Substance Abuse Professional (SAP).

Consequences include:

  • Mandatory evaluation by a DOT-qualified SAP
  • Completion of an education and/or treatment program
  • Successful return-to-duty test
  • Unannounced follow-up testing (minimum of 6 times in the first 12 months) Refusing to test or tampering with a test carries the same consequences as a positive Employer Responsibilities
DOT-regulated employers are required to:
  • Develop a written drug and alcohol testing policy
  • Use certified laboratories and trained collectors
  • Maintain records and report violations to the appropriate authorities (e.g., FMCSA Clearinghouse)
  • Ensure employees receive education on testing procedures and consequences

Completing the DOT Return to Duty Program

At AACS Counseling, we specialize in the DOT Return to Duty Program. We help guide employees through the necessary steps to become eligible to return to work.

“If you’re facing a legal issue or need a professional evaluation, AACS Counseling is here to help. Call us today at 800.683.7745 or visit our website to schedule your appointment.”