members of Congress first raised concern about this issue, several of the branches have updated their policies addressing SUDs. Table 1-2 displays the SUD policies in place as of this writing (May 2012).

CHARGE TO THE COMMITTEE

As required by Public Law 111-84, DoD sponsored this independent review by the IOM. The IOM was awarded the contract through the Department of Health and Human Services’ Contracting Office in October 2010 and commenced its search for committee members in December. The committee’s composition was finalized in April 2011, and its first information gathering meeting was held in Washington, DC, in March 2011. The committee’s review concluded in June 2012.

The committee was charged with addressing the following issues:

  • Protocols for the prevention, diagnosis, treatment, and management of SUDs in members of the armed forces—The committee’s report was to provide an assessment of the adequacy and appropriateness of protocols used by the Military Health System with respect to the prevention, diagnosis, treatment, and management of SUDs in members of the armed forces.
  • Care for SUDs in military medical treatment facilities and under the TRICARE program—The report was to provide an assessment of the adequacy of the availability of and access to care for SUDs in military medical treatment facilities and under the TRICARE program. It was to address the following areas: the sufficiency of clinical scope (i.e., the range and depth of clinical activities) 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 Prevention and Treatment Program

11 April 2011

SECNAVINST 5300.28E

Military Substance Abuse Prevention and Control

23 May 2011

OPNAV Instruction 5350.4D

Navy Alcohol and Drug Abuse Prevention and Control

4 June 2009

Marine Corps Order 5300.17

Marine Corps Substance Abuse Program

11 April 2011



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