• in military treatment facilities and the TRICARE program; whether active duty and reserve component personnel and their dependents needing SUD treatment are able to make use of the existing programs and services; what obstacles exist to providing preventive services for individuals (e.g., active duty, Reserve, and National Guard personnel and their dependents); and what obstacles exist to providing substance use treatment for individuals (e.g., active duty, Reserve, and National Guard personnel and their dependents) who need such treatment.

  • Credentials and other requirements for physician and nonphysician health care professionals—The report was to provide an analysis of the adequacy and appropriateness of current credentials and other requirements for physician and nonphysician health care professionals who treat members of the armed forces with SUDs.
  • Staffing ratio of physician and nonphysician care providers—The report was to address and offer recommendations on evidence-based methodology(ies) for determining the advisable ratio of physician 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.
  • Adequacy of SUD programs for dependents of armed forces members—The report was to assess the adequacy of programs for the prevention, diagnosis, treatment, and management of SUDs for dependents of members of the armed forces, whether such dependents suffer from their own SUD or are affected by the SUD of a member of the armed forces. The following areas were to be addressed: whether such programs and services are sufficient in scope and capacity to meet the needs of dependents, whether dependents with a need for SUD treatment are able to make use of these programs and services, and what obstacles exist to providing preventive services and/or SUD treatment to individuals who need such treatment.

APPROACH TO THE CHARGE

To respond to this broad charge, the IOM assembled a committee with diverse expertise in the areas of SUD prevention, screening and diagnosis, treatment, access, and workforce education and credentialing. Additionally, because the study required examination of three distinct populations (active



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