of substance abuse, both among the general population and within the military in particular. 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. Chapter 5 reviews best practices in prevention, screening and diagnosis, and treatment of SUDs. Chapter 6 summarizes the existing SUD policies and programs in DoD, the Army, the Navy, the Air Force, and the Marine Corps. Chapter 7 tackles the issue of access to care for active duty service members and their dependents, as well as for members of the Reserves and National Guard. Chapter 8 reviews the regulations and instructions governing addiction counselors and licensed practitioners in each branch of the U.S. armed forces to assess current standards. The report concludes with a chapter reviewing all of the committee’s major findings and recommendations for improvements to SUD prevention, diagnosis, and treatment for active duty service members, members of the Reserves and National Guard, and military dependents.


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