Security requirements provide for the medical assessment of employees to identify potential threats against the nuclear information, materials, and weapons over which DOE holds jurisdiction. When effectively integrated with the services of personnel security, counterintelligence, and other allied security professionals, medical services contribute directly to national security. In addition, workplace violence has increasingly been recognized as safety and security concern which warrants organizational planning and response. The following policy, guidance, and additional resources may apply.

• 1. Access Authorization Programs
• 2. Human Reliability Programs
• 3. Physical Protection Programs
• 4. Workplace Violence Programs
• 5. Counterintelligence Programs

• 1. Access Authorization Programs
  
• Criteria and Procedures for Determining Eligibility for Access to Classified Matter or Special Nuclear Material (10 CFR 710). Indicates medically-related criteria and procedures for a personnel security program that will ensure accurate, timely, and equitable determinations of individuals' eligibility for access to classified information and Special Nuclear Material (SNM).

• Policy Guidance: Use of Consultant Psychiatrists and Referrals for Psychiatric Evaluation (1994)
• The Psychologist in Security Determinations (ORISE 01-1472, 2001)
• Access Authorization: Defining Significant Defects in Judgement or Reliability (ORISE 05-0258, 2005)
• The Potential Threat to DOE from Select Interest Groups (ORISE 2001-0958, 2001)
• Office of Hearings and Appeals: Security Cases

• OPM - Adjudication of Psychiatric/Psychological Objections (2008)
• DOJ - Amerithrax Case: Report of the Expert Behavioral Analysis Panel (RSN, 2011)
• DoD - Defense Personnel Security Research Center Adjudicative Desk Reference (ADR)
• DoD - Insider Risk Evaluation and Audit (2009)
• DoD - Changes in Espionage by Americans (1947-2007) (2008)
• DoD - Technological, Social, and Economic Trends That Are Increasing U.S. Vulnerability to Insider Espionage (2005)
• APA* - American Psychiatric Association (APA) Clinical Practice Guidelines
• APA* - American Psychiatric Association (APA) Diagnostic and Statistical Manual of Mental Disorders (DSM)
• APA* - American Psychiatric Association (APA) DSM-5: The Future of Psychiatric Diagnosis
• APA** - American Psychological Association (APA) Guidelines for Practitioners
• NIMH - Transforming Diagnosis: National Institute of Mental Health Reorienting Research Away from DSM Categories (April 29, 2013)

• 2. Human Reliability Programs
  
• Human Reliability Program (HRP) (10 CFR 712) - Indicates requirements for the medical and psychological assessment of HRP personnel with respect to judgement and reliability where work relates significantly to nuclear weapons and materials.

• Audit Report: Management Controls over Selected Aspects of the Department of Energy's Human Reliability Program (OAS-M-10-01, 2009)
• Inspection Report: The Human Reliability Program at Lawrence Livermore National Laboratory (DOE/IG-0721, 2006)
• Inspection of Allegations Relating to Irregularities in the Human Reliability and Alcohol Abuse Within the Office Secure Transportation (OST) (INS-L-11-01, S09IS012/S09IS013) (2010)
• Tools for Clinicians - Conditions and Medications of Concern
• Predictors of Emergent Risk and Integrity Lapses (PERIL) (2013)
• Medical Assessments (ORISE 04-0115, 2004)
• The Psychologist in Security Determinations (ORISE 01-1472, 2001)
• Semi-Structured Interview Component of the Human Reliability Program (ORISE 04-0116, 2004)
• Use of the Minnesota Multiphasic Personality Inventory (MMPI) in the HRP Psychological Evaluation (ORISE 04-0117, 2004)
• Approval for Use of the Minnesota Multiphasic Personality Inventory (MMPI) Revised Form (RF) and Psychological Assessment Inventory (PAI) (10 CFR 712.14(f)(1)
• HIPAA Privacy Regulations: Overview and Possible Effects on the Human Reliability Program (ORISE 03-0614, 2003)
• Reporting Prescription Drugs, Over-the-Counter Medications, and Dietary Supplements (ORISE 08-NSEM-0227, 2008)

• OPM - Adjudication of Psychiatric/Psychological Objections (2008)
• DOJ - Amerithrax Case: Report of the Expert Behavioral Analysis Panel (RSN, 2011)
• DoD - Nuclear Weapons Personnel Reliability Program (PRP) Regulation (DoD 5210.42-R, June 30, 2006, Incorporating Change 1, November 10, 2009)
• IAEA - Nuclear Security Recommendations on Physical Protection of Nuclear Material and Nuclear Facilities (INFCIRC/225/Revision 5) (Nuclear Security Series No. 13, 2011 - Indicates responsibility of a State for physical protection for all nuclear material in use, storage, and transport and that the State should ensure that processes are in place to determine the trustworthiness of persons with authorized access to sensitive information or, as applicable, to nuclear material or nuclear facilities.
• IAEA - Computer Security at Nuclear Facilities (Nuclear Security Series No. 17, 2011) - Indicates the interactions between computer security and other domains of security, including physical and personnel security
• NIMH - Transforming Diagnosis: National Institute of Mental Health Reorienting Research Away from DSM Categories (April 29, 2013)

• 3. Physical Protection Programs
  
• Secretarial Medical Services: The White House Military Office
• White House Archives: The White House Medical Unit
• White House Museum: White House Doctor's Office and Clinic
• Federal Protective Force Personnel: Protection Program Operations, Appendix A, Section A, 4.b., Medical, Physical Fitness, Firearms, and Training Standards, address requirements for DOE Federal Officers, Federal Agents, and Special Agents (DOE O 473.3, 2011) - Indicates that all armed Federal protective force personnel must either meet applicable OPM medical requirements or at a minimum conform to the medical standards for contractor protective force personnel under 10 CFR 1046.
• OPM - Medical Requirements: 1811 Criminal Investigation Series
• OPM - Medical Requirements: GS-084 Nuclear Materials Courier Series
• OPM - Medical Eligibility: Adjudication of Medical Disqualifications of [Veterans'] Preference Eligibles (2010)
• OPM - Adjudication of Psychiatric/Psychological Objections (2008)
• OPM - Employment of Individuals Who Have Undergone Vision Correction Procedures (2004)
• OPM - Part 339 - Medical Qualification Determinations for Federal Employees (5 CFR 339)
• Medical and Physical Fitness Qualification Standards [for Contractor Protective Force Personnel] (Appendix A of Subpart B to Part 1046 Physical Protection of Security Interests) (10 CFR 1046, 1993) - Indicates the specific medical and physical fitness standards for contractor Security Protective Offices (SPO), as well as the process for individualized medical assessments and appeals.
• Contractor Protective Force Personnel: Protection Program Operations, Attachment 2, Section A, 4.b., Medical, Physical Fitness, Firearms, and Training Standards (DOE O 473.3, 2011) - Indicates that all contractor protective force personnel must meet the medical and physical fitness standards under 10 CFR 1046.
• Medical and Physical Fitness Qualification Standards [for Contractor Protective Force Personnel] (Appendix A of Subpart B to Part 1046 Physical Protection of Security Interests) (10 CFR 1046, 1993) - Indicates the specific medical and physical fitness standards for contractor protective force personnel, as well as the process for individualized medical assessments and appeals.
• 10 CFR 851, Security, and Integrated Safety Management: Application of Health and Safety Principles to Security Personnel
• OSHA - May 2008 OSHA Concurrence Regarding Work-Relatedness of Cardiac Events Among Exercising Protective Force Personnel
• IAEA - Nuclear Security Recommendations on Physical Protection of Nuclear Material and Nuclear Facilities (INFCIRC/225/Revision 5) (Nuclear Security Series No. 13, 2011) - Indicates responsibility of a State for physical protection for all nuclear material in use, storage, and transport and that the State should provide a 24 hour guarding service and response forces trained and adequately equipped for their function in accordance with national laws and regulations.
• OPM - Part 339 - Medical Qualification Determinations for Federal Employees (5 CFR 339)
• OPM - Adjudication of Psychiatric/Psychological Objections (2008)
• DOJ - Early Intervention Systems for Law Enforcement Agencies: A Planning and Management Guide (2003)
• DOJ - Early Warning Systems: Responding to the Problem Officer (2001)
• DoD - Center for Deployment Psychology: Resources - Tools for the Therapist
• DoD - Special Operations Forces Medical Handbook (2001)
• DoD - Tactical Combat Casualty Care (TCCC): Education and Training
• ACSM - American College of Sports Medicine Position Stands
• APA* - American Psychiatric Association (APA) Clinical Practice Guidelines
• APA* - American Psychiatric Association (APA) Diagnostic and Statistical Manual of Mental Disorders (DSM)
• APA* - American Psychiatric Association (APA) DSM-5: The Future of Psychiatric Diagnosis
• APA** - American Psychological Association (APA) Guidelines for Practitioners
• NIMH -Transforming Diagnosis: National Institute of Mental Health Reorienting Research Away from DSM Categories (April 29, 2013)
• IACP - Police Psychological Services Section: Homepage
• IACP - Police Psychological Services Section: Guidelines - Fitness for Duty Evaluations Guidelines
• ACOEM - Guidance for the Medical Evaluation of Law Enforcement Officers

• 4. Workplace Violence Programs
  
• Workplace Violence Policy Survey of Department of Energy Contractor Sites
• Employers' Liability for Workplace Violence (ORISE 05-0982, 2005)
• Workplace Violence at DOE Sites: An Update Through 2004 (ORISE 05-1535, 2005)
• OSHA - Workplace Violence Homepage
• OSHA - Guidelines for Preventing Workplace Violence for Health Care & Social Workers (3148-01R, 2004)
• NIOSH - Workplace Violence: Safety and Health Topic
• NIOSH - Workplace Violence Prevention Strategies and Research Needs (Publication No. 2006-144, 2006)
• NIOSH - Violence on the Job (Publication No. 2004-100d, 2004)
• NIOSH - Preventing Homicide in the Workplace (Publication No. 93-109, 1995)
• OPM - Dealing with Workplace Violence: A Guide for Agency Planners
• APA - Workplace Issues
• APA - Managing Distress in the Aftermath of a Shooting

• 5. Counterintelligence Programs
  
• Counterintelligence Program (DOE O 475.1) (2004) - Indicates requirements for a program in conjunction with FBI and CIA to detect and deter insiders who engage in activities on behalf of a foreign intelligence service or international terrorist entity with full cooperation of all DOE elements to make available all appropriate files/records and databases following verification of access authorization and need-to-know.
• Counterintelligence Evaluation Program (10 CFR 709) (2006) - Indicates requirements for the evaluation in certain high risk programs of covered person's personnel security file and review of other relevant information available to DOE in accordance with applicable guidelines and authorities.
• Policy Guidance: Use of Consultant Psychiatrists and Referrals for Psychiatric Evaluation (1994)
• The Psychologist in Security Determinations (ORISE 01-1472, 2001)
• The Potential Threat to DOE from Select Interest Groups (ORISE 2001-0958, 2001)
• Audit Report on Review of the Status of the DOE's Counterintelligence Implementation Plan (DOE/IG-0448, 1999) - Indicates recommendations for implementation, including inclusion of Counterintelligence Officers on Personnel Evaluation Boards.
• Inspection Report: Office of Intelligence and Counterintelligence Internal Controls Over the Department of Energy's Sensitive Compartmented Information Access Program (DOE/IG-0790. 2008)
• White House - Presidential Decision Directive (PDD) 61: Energy Department Counterintelligence (1998) - Indicates requirements for counterintelligence professionals based at the weapons laboratories and instituting more extensive security reviews for DOE scientists working in sensitive programs.
• White House - Presidential Memorandum: National Insider Threat Policy and Minimum Standards for Executive Branch Insider Threat Programs (November 21, 2012) - Indicates minimum standards for Executive Branch Insider Threat Programs to deter, detect, and mitigate actions by employees who may represent a threat to national security, encompassing potential espionage, violent acts against the Government or Nation, and unauthorized disclosure of classified information.
• ONCE - Office of the National Counterintelligence Executive (ONCE): Insider Threat Homepage
• DOJ - Amerithrax Case: Report of the Expert Behavioral Analysis Panel (RSN, 2011)
• DOJ/FBI - Counterintelligence: The Insider Threat
• DOJ/FBI - Counterintelligence: Internet Social Networking Risks
• DOJ/FBI - Counterintelligence: Elicitation Techniques
• DoD - Insider Risk Evaluation and Audit (Technical Report 09-02, 2009)
• DoD - Changes in Espionage by Americans: 1947-2007 (Technical Report 08-05, 2008)

DHS Federal Law Enforcement Training Center (FLETC): Two Federal agents training in the Physical Techniques Division. 2012 DOE Security Protective Officer Training Competition (SPOTC): A participant navigating a firing range during the event sponsored by the National Training Center (NTC). Michael Ardaiz, MD, MPH, CPH Chief Medical Officer 1000 Independence Ave., S.W. Washington, DC 20585 (202) 586-8758 (phone) Michael.Ardaiz@hq.doe.gov Claudia Beach, RN, BA, COHN-S Occupational Health Nurse 19901 Germantown Rd. Germantown, MD 20874 (301) 903-9826 (phone) Claudia.Beach@hq.doe.gov This page was last updated on June 13, 2013