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.

REFERENCES

Blume, A. W., K. B. Schmaling, and M. L. Russell. 2010. Stress and alcohol use among soldiers assessed at mobilization and demobilization. Military Medicine 175(6):400-404.

Bray, R. M., M. R. Pemberton, L. L. Hourani, M. Witt, K. L. Olmsted, J. M. Brown, B. Weimer, M. E. Lance, M. E. Marsden, and S. Scheffler. 2009. Department of Defense survey of health related behaviors among active duty military personnel. Research Triangle Park, NC: RTI International.

Bray, R. M., M. R. Pemberton, M. E. Lane, L. L. Hourani, M. J. Mattiko, and L. A. Babeu. 2010. Substance use and mental health trends among U.S. military active duty personnel: Key findings from the 2008 DoD Health Behavior Survey. Military Medicine 175(6):390-399.

Brewin, B. 2011. Military’s drug policy threatens troops’ health, doctors say. Nextgov, http://www.nextgov.com/health/2011/01/militarys-drug-policy-threatens-troops-health-doctorssay/48321/ (accessed June 12, 2012).

DoD (Department of Defense). 2009. Status of drug use in the Department of Defense personnel. Falls Church, VA: DoD.

DoD. 2011. Comprehensive plan on prevention, diagnosis, and treatment of substance use disorders and disposition of substance use offenders in the armed forces. Washington, DC: Office of the Under Secretary of Defense.

Horgan, C. M., G. Strickler, and K. Skwara. 2001. Substance abuse: The nation’s number one health problem. Key indicators for policy—update. Waltham, MA: Heller School, Brandeis University.

IOM (Institute of Medicine). 2009. Combatting tobacco in military and veteran populations. Washington, DC: The National Academies Press.

IOM. 2010. Returning home from Iraq and Afghanistan: Preliminary assessment of readjustment needs of veterans, service members, and their families. Washington, DC: The National Academies Press.



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