An SAP Program can make all the difference in your career if you have lost the ability to work due to a failed or refused alcohol and drug test. SAP programs are facilitated by Substance Abuse professionals who can get you the education and treatment you need to combat any underlying substance abuse issues that may have caused you to fail the test. All SAP Programs, if applied correctly, start with an initial assessment and end with a reassessment of conditions before clearance is granted. At the time of the initial face-to-face assessment/evaluation, your evaluator will ask questions related to your substance use history to determine if any underlying substance abuse issues are going on in the day-to-day life that could cause you to violate DOT alcohol and drug regulations in the future.