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Appendix D
(Consent Form)

POLICY AND PROCEDURES FOR
ALCOHOL AND OTHER DRUG TESTING

POLICY
I. PURPOSE
    Southern Illinois University Edwardsville is concerned with the health, safety and welfare of student-athletes who participate in its programs and represent the University in competitive athletics. The program takes the position that drug testing is appropriate to insure the health and safety of our student-athletes, to promote fair competition in intercollegiate athletics, to affirm compliance with the NCAA rules and regulations on drug and alcohol abuse, and to identify student-athletes who are improperly using drugs or alcohol and to assist them before they injure themselves or others, or become physiologically or psychologically dependent. Further, the Southern Illinois University Edwardsville Intercollegiate Athletics Program ("Athletics Program") recognizes its responsibility to provide educational programming that will support positive decision-making processes. The athletics program will encourage and support programming which educates student-athletes on the physiological and psychological dangers inherent in the misuse of drugs and alcohol, inform student-athletes about the local, state, and federal laws concerning the use and possession of alcohol and drugs, and reinforce alternative activities supporting a drug or alcohol free lifestyle. A drug and alcohol program which embraces an educational, screening, and (if necessary) rehabilitation component, will facilitate a positive decision-making process for our student-athletes.
II. CONDITIONS OF ELIGIBILITY
    All student-athletes must sign a NCAA form in which the student-athlete consents to be tested, during NCAA postseason championships, for the use of drugs prohibited by NCAA legislation. In addition, all student-athletes must sign a University consent form to allow for testing and limited release of test results, as set forth in these procedures, as a condition of eligibility.

PROCEDURES
I. EDUCATION PROGRAM
     During the academic calendar (Fall/Spring), at least four different educational programs on health, alcohol use, drug use, and wellness will be offered. Student-athletes will be required to attend at least two sessions per academic year as a condition of continuing eligibility for the succeeding year. These requirements may be fulfilled as a team or individual activity. Freshman enrolled in University 112 for student-athletes may apply that class to fulfill one of the required sessions.
II. TESTING PROCEDURES
    Effective Fall Semester, 2001, the Athletics Program will conduct substance abuse testing in accordance with the accepted procedures set forth in this document. As part of this testing, a student-athlete may be asked to take a urine, saliva, and/or breathalyzer test to detect illegal drugs, non-prescribed drugs, alcohol, narcotics and/or steroids at such times and places as directed by the Athletics Program.
The drugs or drug-classes TO BE TESTED for include, but are not limited to the following: ALCOHOL, STIMULANTS, ANABOLIC AGENTS, DIURECTICS, STREET DRUGS, PEPTIDE HORMONES AND ANALOGUES (see Appendix A). Testing will be conducted for all student-athletes on the squad list. This includes student-athletes actively participating, student-athletes who are medically disabled, student-athletes who are red-shirted, student-athletes who are partial qualifiers, and those who have exhausted their eligibility, but are still receiving athletic aide. Unannounced testing may occur at any time of any day with a minimum two (2) hour notice. The selection for testing will be based on random selection, a prior positive test as outlined in section IV, reasonable suspicion of misuse/abuse or other reasonable cause.
    The REFUSAL to provide a sample will be considered a positive test and will include all of the sanctions of that positive level.
    All urine samples for testing will be collected in compliance with NCAA as well as United States Department of Transportation (DOT) drug testing guidelines (see Appendix B). Collected samples will remain under constant supervision of the Head Athletic Trainer prior to being shipped to the testing facility. Identification information, for each sample, will remain under the constant supervision of the Head Athletic Trainer until results are returned to him/her from the testing facility.
    The Athletics Program bans the use of substances and methods that alter the integrity or validity of urine samples provided during drug testing. Examples of banned methods include catheterization, urine substitution, and tampering with or modification of renal excretion by the use of diuretics, probenecid, bromantan or related compounds, and epitestestosterone administration. Any urine sample tested for the presence of banned substances may also be tested for the presence of substances used to alter the integrity or validity of urine samples. A positive finding for these substances will be considered a positive test and sanctions of that positive level will be imposed.
    The results of the testing program will become a part of the student-athletes medical record and are considered to be confidential. Records and other information shall remain in the confidential possession of the Head Athletic Trainer or his/her designee and may be released only as stated on the consent form and as set forth in the Procedures section. In the event of a valid subpoena to release the record, wherever possible, the affected student will be notified before compliance with the subpoena.
    The Athletics Program will also issue a positive test finding with its particular sanctions to a student-athlete upon conviction or plea of guilty of the following:
1. Driving under the influence (DUI, DWI).
2. Public Intoxication.
3. Drunk and Disorderly.
4. Violation of Illinois' Zero Tolerance Law (625 ILCS 5/11-501.8).
5. Other alcohol and other drug offenses, including possession.
    Any student-athlete who has not tested positive in prior testing who voluntarily seeks counseling prior to being selected for a random test will not face automatic testing, but will be referred to the appropriate counseling service. The student-athlete will be responsible for any costs that are incurred. The student-athlete will remain in the random testing pool. ALL TEST RESULTS accumulate during the ENTIRE TIME that an individual is a student-athlete at Southern Illinois University Edwardsville.

III. TESTING PRIOR TO NCAA CHAMPIONSHIP
    Teams and/or individuals likely to advance to NCAA Championship competition are subject to testing. Testing may be required of all team members or individual student-athletes within thirty (30) days prior to participation in NCAA Championship competition.
IV. SANCTIONS AFTER POSITIVE TEST RESULTS
    A positive test for alcohol for any student-athlete under 21 years of age will result in the sanctions set forth in this policy. Any student-athlete, 21 years of age or older who tests positive for alcohol may be subject to sanctions pursuant to the rules of the applicable sport.

1. FIRST POSITIVE TEST RESULT

  1. Head Athletic Trainer and Director of Athletics notified.
  2. Director of Athletics will notify Head Coach.
  3. Additional testing whenever the Athletics Program conducts testing over the next twelve (12) months with a minimum two (2) hour notice.
  4. Mandatory conference call with parents/guardians, and Director of Athletics or his/her designee.
  5. Suspended immediately upon positive notification for the next first full day of athletic competition. Suspension from athletic contests does not relieve student-athlete from any other responsibility as a team member, including, but not limited to attendance at all practices or other team events.
  6. The student-athlete will be required to have an evaluation at the Southern Illinois University Edwardsville's Counseling Services office. The evaluation may also occur at an external agency. Recommendations from Counseling Services or any external agency will be forwarded to the Director of Athletics and the student-athlete must comply with the recommendations. The evaluation and any recommendation must be completed within a two-week period of the incident. The student-athlete is responsible for all costs incurred for these services.
2. SECOND POSITIVE TEST RESULT
  1. Head Athletic Trainer and Director of Athletics notified.
  2. Director of Athletics will notify Head Coach.
  3. Additional testing whenever the Athletics Program conducts testing over the remainder of the student-athletes eligibility, with a minimum two (2) hour notice.
  4. Mandatory conference call with parents/guardians, and Director of Athletics or his/her designee.
  5. Suspended immediately upon positive notification for the next three (3) full days of scheduled competition.
  6. The student-athlete will be required to have an evaluation at the Southern Illinois University Edwardsville's Counseling Services office. The evaluation may also occur at an external agency. Recommendations from Counseling Services or any external agency will be forwarded to the Director of Athletics and the student-athlete must comply with the recommendations. The evaluation and any recommendation must be completed within a two-week period of the incident. The student-athlete is responsible for all costs incurred for these services.
3. THIRD POSITIVE TEST RESULT
  1. Head Athletic Trainer and Director of Athletics notified.
  2. Director of Athletics will notify Head Coach.
  3. Termination of team membership.
  4. Cancellation and non-renewal of Athletic Scholarship.
  5. Mandatory conference call with parents/guardians, and Director of Athletics or his/her designee.
V. CONVICTION OF TRAFFICKING/DEALING
    A student-athlete will be terminated from team membership upon conviction of trafficking/dealing in any illegal substance. Termination will also include a recommendation for non-renewal of any athletic scholarship.
VI. REFERRAL PROCESS
    In the event of a positive test, the student-athlete will be required to seek counseling and comply with any recommendations of the counselor. Part of the referral process will include signing a waiver and release of information that allows the Director of Athletics or his/her designee to contact parents/guardians and allows release of any treatment plan or recommendations to the Director of Athletics and parents/guardians. This waiver will also allow the Director of Athletics or his/her designee to monitor compliance with the treatment plan. Failure to comply with the recommendations of the Counseling Services office or external counseling agency will subject the student-athlete to suspension from the team for a period of time designated by the Director of Athletics.
VII. APPEAL PROCESS
    Student-athletes who test positive under the terms of the Alcohol and Other Drug Testing Policy and Procedures will be entitled to a meeting with the Director of Athletics or his/her designee prior to imposition of any sanction. Requests for such a hearing must be made in writing to the Director of Athletics within forty-eight (48) hours of notification of a positive test result. The student-athlete may have an advocate or other representation present if the student so desires. However, the role of an advocate or other representative is limited to advising and the student-athlete must present his or her own case. The meeting should take place no more than seventy-two (72) hours after the written request is received. Either the student-athlete or other parties involved may request an extension of this time to the Director of Athletics, upon showing good cause. These proceedings shall include an opportunity for the student-athlete to present evidence, as well as to review the results of the drug test. The proceedings shall be confidential. The decision by the Director of Athletics or his/her designee will be final.
    A student-athlete who tests positive for a banned substance by the laboratory retained by the University may, within 72 hours following receipt of notice of the laboratory finding, contest the finding. The student-athlete may request the names of other laboratories from the Director of Athletics. In order to contest the finding, the student-athlete must authorize in writing the transmission of his/her urine sample from the first laboratory to any one of the other laboratories identified by the Director of Athletics. He/she must also authorize in writing the transmission of the test results by the second laboratory to the Director of Athletics. If the retest is positive, the student-athlete is responsible for the cost of additional laboratory fees. If the laboratory selected by the student-athlete finds that the student-athlete does not have a banned substance in his/her urine sample, the Director of Athletics will rely upon the second test result, which concluded that the student-athlete's urine did not contain any banned substance.
VIII. RESPONSIBILITY OF THE STUDENT ATHLETE
If the student-athlete tests positive under the guidelines set forth in the Athletics Program Alcohol and Other Drug Policy and Procedures, it will be the student-athlete's responsibility to pay for any services, which are required by sanctions.
IX. TESTING FOR REASONABLE CAUSE
    Nothing in this policy shall prevent or limit Southern Illinois University Edwardsville's right to require a student-athlete to submit to testing when there is cause to do so. For purposes of this section, "cause" shall be defined as behavior, conduct, or performance by the student-athlete which leads the University to conclude that there is the likelihood that the student-athlete is taking or is under the influence of illegal drugs (as defined above) or alcohol. Reasonable cause may be based on information received that a student-athlete is using illegal drugs or alcohol. In said case, the determination that "cause" exists to require a student-athlete to submit to testing, with or without notice, will be made only after consultation between the Director of Athletics, Head Athletic Trainer, and the Head Coach of the sport. All must agree that the observations, behavior, conduct or performance of the student-athlete is such that testing for cause is required to protect the health of the student-athlete, the health of others and/or to protect the integrity of the sport. Additionally, a saliva test or breathalyzer may immediately be required upon determination by a Coach that a student-athlete appears to be currently under the influence of or impaired by alcohol. If a student-athlete refuses to submit to such a test, he/she shall be suspended and will receive sanctions for a positive test result.
X. DRUG TESTING PROTOCOL
    The Athletics Program will follow the Alcohol and Other Drug Testing Protocol located in Appendix B.
Appendix A
NCAA BANNED DRUGS
The following is a list of banned-drug classes:
(a) Stimulants
amiphenazolefencamfamine
amphetaminemeclofenoxate
bemigridemethamphetamine
benzphetaminemethylphenidate
bromantannikethamide
caffeine1pemoline
chlorphenterminepentetrazol
cocainephendimetrazine
cropropamidephenmetrazine
crothetamidephentermine
diethylpropionpicrotoxine
dimethylamphetaminepipradol
doxapramprolintane
ephedrinestrychnine
ethamivanand related compounds
ethylamphetamine 
 
(b) Anabolic Agents
Anabolic steroidsmethyltestosterone
androstenediolnandrolone
androstenedionenorandrostenediol
boldenonenorandrostenedione
clostebolnorethandrolone
dehydrochlormethyl-testosteroneoxandrolone
dehydroepiandrosterone (DHEA)oxymesterone
dihydrotestosterone (DHT)oxymetholone
dromostanolonestranozolol
fluoxymesteronetestosterone2 and related compounds
mesteroloneOther anabolic agents
methandienoneclenbuterol
methenolone
 
(c) Substances Banned for Specific Sports:
Rifle:
alcoholpindolol
atenololpropranolol
metoprololtimolol
nadololand related compounds
 
(d) Diurectics
acetazolamidehydroflumethiazide
bendroflumethiazidemethyclothiazide
benzthiazidemetolazone
bumetanidepolythiazide
chlorothiazidequinethazone
chlorthalidonespironolactone
ethacrynic acidtriamterene
flumethiazidetrichlormethiazide
furosemideand related compounds
hydrochlorothiazide
 
(e) Street Drugs:
heroinTHC
marijuana3(tetrahydrocannabinol)3
 
(f) Peptide Hormones and Analogues
chronic gonadrotrophin (HCG-human chorionic gonadotrophin)
corticotrophin (ACTH)
growth hormone (HGH, somatotrophin)
All the respective releasing factors of the above-mentioned substances also are banned.
erythropoietin (EPO)
sermorelin
(g) Definitions of positive depends on the following:
1for caffeine-if the concentration in urine exceeds 15 micrograms/ml
2for testosterone-if the administration of testosterone or the use of any other manipulation has the result of increasing the ratio of the total concentration of testosterone to that of epitestosterone in the urine to greater than 6:1, unless there is evidence that this ratio is due to a physiological of pathological condition. 3for marijuana and THC-if the concentration in the urine of THC metabolite exceeds 15 nanograms/ml
Appendix B

Alcohol and Other Drug Testing Protocol

Specimen Collection Procedures
  1. Only those persons authorized by the Head AthleticTrainer will be allowed in the collection station.
  2. The Head Athletic Trainer may release a sick or injured student-athlete from the collection station or may release a student-athlete to return to competition or to meet academic obligations only after appropriate arrangements for testing of the student-athlete have been made and documented on the Student-Athlete Notification Form.
  3. Upon entering the collection station, the student-athlete will show photo identification (Southern Illinois University Edwardsville Student ID or Drivers License) to the Head Athletic Trainer. The student-athlete will record time of arrival and print name on the Student-Athlete Roster Form.
  4. When ready to provide the urine, the student-athlete will select a sealed beaker from a supply of such and will record his/her initials on the beaker's lid.
  5. A crewmember will monitor the furnishing of the specimen by observation in order to assure the integrity of the specimen.
  6. Once a specimen (at least 40-ml) is provided, the student-athlete is responsible for keeping the collection beaker closed and controlled.
  7. Fluids and food given to student-athletes who have difficulty voiding must be from sealed containers (certified by the crew chief) that are opened and consumed in the station. These items must be caffeine- and alcohol-free and free of any other banned substances.
  8. If the specimen is incomplete, the student-athlete must remain in the collection station until the sample is completed. During this period, the student-athlete is responsible for keeping the collection beaker closed and controlled.
  9. If the specimen is incomplete and the student-athlete must leave the collection station for a reason approved by the crew chief, the specimen must be discarded.
  10. Upon return to the collection station, the student-athlete will begin the entire collection procedure again.
  11. The laboratory will make final determination of specimen adequacy.
  12. If the laboratory determines that a student-athlete's specimen is inadequate for analysis another specimen may be collected.
  13. If a student-athlete is suspected of manipulating specimens (e.g., via dilution), SIUE will have the authority to perform additional tests on the student-athlete, to not exceed two consecutive negative tests.
  14. The crewmember that monitored the furnishing of the specimen by observation will sign the Student-Athlete Signature Form.
  15. The student-athlete will place the cap on each vial; the crewmember will then seal each vial in the required manner under the observation of the student-athlete and the head athletic trainer.
  16. The laboratory's copy of the Student-Athlete Signature Form shall not contain the name of the student-athlete.
  17. All sealed specimens will be secured in a shipping case. The Head Athletic Trainer will put the laboratory copy of the Student-Athlete Signature Form in the case, and prepare the case for forwarding.
  18. The student-athlete and witness will sign the Student-Athlete Notification Form, certifying that the procedures were followed as described in the protocol. Any deviation from the procedures must be described and recorded on the Student-Athlete Signature Form at that time. If deviations are alleged, the student-athlete will be required to provide another specimen.
  19. The crewmember will sign the Student-Athlete Signature Form, give the student-athlete or a designee a copy and secure all remaining copies. The compiled Student-Athlete Signature Forms constitute the "Master Code" for that drug testing.
  20. After the collection has been completed, the specimens will be forwarded to the laboratory and all copies of all forms forwarded to the designated persons.
  21. The specimens become the property of the designated laboratory.
  22. Failure to sign the Student-Athlete Notification Form or the Student-Athlete Signature Form, arrive at the collection station at the designated time without justification or not provide a urine specimen according to protocol is cause for the same action(s) as evidence of use of a banned substance. The Head AthleticTrainer will inform the student-athlete of these implications (in the presence of witnesses) and record such on the Student-Athlete Notification Form. If the student-athlete is not available, Head Athletic Trainer will notify the Director of Athletics. The student-athlete will be considered to have withdrawn consent and will be ineligible on that basis.
Chain of Custody
  1. The Head Athletic Trainer will package all specimen samples in a shipping container and securely seal the container and affix the shipping label and arrange for pickup via the laboratory's designated commercial courier.
  2. The securely sealed container will be placed in the custody of the Secretary of Intercollegiate Athletics until the courier arrives for pick up.
  3. A laboratory representative will receive the shipping case(s) and deliver them to the carrier.
  4. A laboratory employee will record that the shipping case(s) have been received from the carrier.
  5. The laboratory will record whether the numbered seal on each vial arrived intact.
  6. If a specimen arrives at the laboratory with security seals not intact, the student-athlete may need to provide another specimen.
Appendix C
Notification of Results and Appeals Process
  1. The laboratory will use a portion of the specimen for its initial analysis.
  2. Analysis will consist of sample preparation, instrument analysis and data interpretation.
  3. The laboratory director or designated certifying scientist will review all results showing a banned substance and/or metabolite(s) in specimen.
  4. By secure facsimile, the laboratory will inform the Director of Athletics of the results by each respective code number. Subsequently, the laboratory will mail the corresponding written report to the Director of Athletics.
  5. Upon receipt of the results, the Director of Athletics will break the number code to identify any individuals with positive findings.
  6. For student-athletes who have a positive finding, the laboratory will contact the Director of Athletics or his/her designate by telephone as soon as possible. The telephone contact will be followed by "overnight/signature required" letters (marked "confidential") to the Director of Athletics. The Director of Athletics shall notify the student-athlete of the finding.
  7. The laboratory will maintain all negative specimen samples for 7 days; all positive specimen samples are maintained for 12 months.
  8. Upon notification of a positive test, during the telephone conversation, the laboratory representative will advise the Director of Athletics that the remaining specimen will be available for transferring to a separate facility for additional testing. The student-athlete will be provided with a list of approved accredited testing laboratories for alternative testing.
  9. Copies of the report from the laboratory that contain results from the positive specimen will be forwarded to the Director of Athletics before the appeal call.
  10. Technical experts may serve as consultants to Athletics Program in connection with such appeals.
  11. The Head Athletic Trainer may serve as a consultant to the committee in appeal phone calls involving matters of collection protocol.