Screening and Brief Intervention
Other Program Standards
(VA and DoD, 2010).11 A recent Government Accountability Office (GAO) (2011b) study concluded that in general, the VA service delivery system is comprehensive, but the actual provision of specialty services varies among VA facilities. Starting in 2004, VA medical facilities became authorized TRICARE providers and expanded the SUD continuum of care available to certain ADSMs living near one of these facilities (DoD, 2011b). TMA reported to the committee, however, that few ADSMs accessed VA treatment through TRICARE during 2011 (West Region = 15, North Region = 77, and South Region = 18).12
As members of the National Guard and Reserves are not eligible for direct care unless activated (i.e., placed on federal orders for deployment
11 Personal communication, Daniel Kivlahan, Department of Veterans Affairs, November 16, 2011.
12 Personal communication, Frank Lee, TRICARE Management Activity, March 2, 2012.