Substance Use Disorders in the U.S. Armed Forces (2013) / Chapter Skim
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1 Introduction
1 Introduction
Pages 15-24
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From page 15... ...
for active duty service members, members of the National Guard and Reserves, and military dependents. The IOM committee charged with conducting this study was also tasked with assessing access to SUD care within each of these subpopulations, as well as the education and credentialing of SUD care providers, and with offering specific recommendations to DoD on where and how improvements in these areas could be made.
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From page 16... ...
This plan was to include recommendations for SUD prevention, training for health care professionals treating SUDs, SUD services for military dependents, and the dissemination of SUD prevention materials. The bill did not become law, but it did lead to a provision within the National Defense Authorization Act for Fiscal Year 2010.2 Section 596 of the act authorized the Comprehensive Plan on Prevention, Diagnosis, and Treatment of Substance Use Disorders and Disposition of Substance Abuse Offenders in the Armed Forces (Comprehensive Plan)
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From page 17... ...
The Military Health System also is modifying policies requiring licensed mental health practitioners to practice under the supervision of physicians and prohibiting the use of opioid agonist therapy. The Comprehensive Plan observes that because of "ongoing, overseas military operations, the Services are facing increasing demand for substance abuse and mental health services" (DoD, 2011, p.
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459. Since Senator McCaskill and other TABLE 1-1 Military Policies Addressing Substance Use Disorders as of February 2009 Policy Number Policy Name Date of Enactment DoD Directive 1010.1 Military Personnel Drug Abuse 9 December 1994a Testing Program DoD Directive 1010.4 Drug and Alcohol Abuse by DoD 3 September 1997a Personnel DoD Instruction 1010.6 Rehabilitation and Referral Services 13 March 1985 for Alcohol and Drug Abusers DoD Directive 1010.9 DoD Civilian Employee Drug Abuse 23 August 1988b Testing Program DoD Instruction 6490.03 Deployment Health 11 August 2006 Army Regulation 600-85 The Army Substance Abuse Program 2 February 2009 AFI44-121 Alcohol and Drug Abuse Prevention 26 September 2001 and Treatment (ADAPT)
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From page 19... ...
to meet the needs of the population served by programs and services TABLE 1-2 Military Policies Addressing Substance Use Disorders as of May 2012 Policy Number Policy Name Date of Enactment Army Regulation 600-85 Rapid Action Revision 2 December 2009 Air Force Instruction 44-121 Alcohol and Drug Abuse 11 April 2011 Prevention and Treatment Program SECNAVINST 5300.28E Military Substance Abuse 23 May 2011 Prevention and Control OPNAV Instruction 5350.4D Navy Alcohol and Drug Abuse 4 June 2009 Prevention and Control Marine Corps Order 5300.17 Marine Corps Substance Abuse 11 April 2011 Program
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for determining the advisable ratio of phy sician and nonphysician health care providers of SUD care for members of the armed forces. • Availability of and access to care for the active duty and reserve components of the armed forces -- The report was to compare the adequacy of the availability of and access to care for SUDs for members of the active duty and reserve components of the armed forces.
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From page 21... ...
Appendix A provides a list of the speakers who addressed the committee at these public meetings and the topics of their presentations. The committee also made site visits to SUD programs at Camp Pendleton, Fort Belvoir, San Diego Naval Hospital, Keesler Air Force Base, and Fort Hood to speak directly with individuals who provide SUD care to service members in the settings in which this care is provided.
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From page 22... ...
Chapter 3 provides a summary of the structure of the Military Health System and describes the avenues for SUD care within this system. Chapter 4 examines the changing standards of care for SUDs, the impact of recent health care reform and drug control strategies, and current standards for addiction treatment.
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From page 23... ...
2012. Coincident posttraumatic stress disorder and depression predict alcohol abuse during and after deployment among Army National Guard soldiers.
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