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Appendix A
Study Activities
The committee held data-gathering sessions that were open to the
public at four of its five meetings. Committee members also visited several
military installations, including Camp Pendleton, California; Fort Belvoir,
Virginia; Keesler Air Force Base, Mississippi; San Diego Naval Base, Cali-
fornia; and Fort Hood, Texas. The agendas for the open sessions of the
committee’s meetings and for the site visits are presented below.
MEETING ONE
Committee on Prevention, Diagnosis, Treatment and
Management of Substance Use Disorders in the U.S. Armed Forces
March 30-31, 2011
Hotel Monaco
700 F Street, NW
Washington, DC
10:00 a.m. Welcome and Introductory Remarks
Charles O’Brien, M.D., Ph.D., Committee Chair,
University of Pennsylvania
10:10 a.m. The Charge to the Committee: A Discussion
with the Sponsor
Capt. Robert DeMartino, TRICARE Manage-
ment Activity
Alfred Ozanian, Ph.D., TRICARE Management
Activity
271
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272 SUBSTANCE USE DISORDERS IN THE U.S. ARMED FORCES
12:00 p.m. Lunch
1:00 p.m. Introduction to SUD Prevention, Diagnosis,
Treatment, and Management in the Armed
Forces: What Is the Status Quo?
Alfred Ozanian, Ph.D., TRICARE Management
Activity
Les McFarling, Ph.D., Army Center for Sub-
stance Abuse Programs
Charles Gould, U.S. Navy Bureau of Medicine
and Surgery
Lt. Col. Mark S. Oordt, Ph.D., Air Force Medi-
cal Operations Agency
3:30 p.m. Break
3:45 p.m. Responding to Substance Use Disorders in Mili-
tary Personnel and Their Dependents
Keith Humphreys, Ph.D., Stanford University
5:00 p.m. Public Comment Period
5:30 p.m. Meeting Close
MEETING TWO
Committee on Prevention, Diagnosis, Treatment and
Management of Substance Use Disorders in the U.S. Armed Forces
May 3, 2011
DoubleTree Hotel
1515 Rhode Island Avenue, NW
Washington, DC
8:50 a.m.-9:00 a.m. Welcome and Introduction
Charles O’Brien, M.D., Committee Chair, Uni-
versity of Pennsylvania
9:00 a.m.-9:30 a.m. Q&A on MHS and TRICARE
Don Jansen, Congressional Research Service
9:30 a.m.-10:00 a.m. The Reserve Components and Access to Care
Brig. Gen. Margaret Wilmoth, Ph.D., Office of
the Assistant Secretary of Defense for Health
Affairs
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APPENDIX A 273
SUD Prevention, Diagnosis, Treatment, and
Management in the Armed Forces: The Medical
Perspective
10:00 a.m.-10:50 a.m. Barbara Marin, Ph.D., Walter Reed Army Medi-
cal Center
Col. John J. Stasinos, M.D., Dept. of the Army,
Office of the Surgeon General
10:50 a.m.-11:20 a.m. Capt. Mary Rusher, M.D., Naval Medical Center
San Diego
11:20 a.m.-11:40 a.m. Lt. Col. Mark S. Oordt, Air Force Medical
Operations Agency
11:40 a.m.-12:00 p.m. Q&A
12:00 p.m.-1:00 p.m. Lunch
1:00 p.m.-1:45 p.m. SUDs in the Military: Medical vs. Personnel
Vladimir Nacev, Ph.D., Defense Centers of
Excellence
1:45 p.m.-2:30 p.m. Prescription Drug Misuse Among Active Duty
Service Members
Diana D. Jeffery, Ph.D., TRICARE Management
Activity
2:30 p.m.-2:45 p.m. Break
2:45 p.m.-3:45 p.m. Access to SUD Care: Confidentiality and Stigma
Col. Charles Milliken, M.D., Walter Reed Army
Institute of Research
3:45 p.m.-4:30 p.m. Substance Use Disorders in the Military: The
NIDA Perspective
Wilson Compton, M.D., National Institute on
Drug Abuse
Eve Reider, Ph.D., National Institute on Drug
Abuse
4:30 p.m.-5:00 p.m. Public Comment Period
5:00 p.m. Meeting Close
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274 SUBSTANCE USE DISORDERS IN THE U.S. ARMED FORCES
SITE VISIT: MARINE CORPS BASE CAMP
PENDLETON, CALIFORNIA
Committee on Prevention, Diagnosis, Treatment and Management of
Substance Use Disorders in the U.S. Armed Forces
July 18, 2011
Marine Corps Consolidated Substance Abuse Counseling Center
(CSACC) & The Navy Substance Abuse and Rehabilitation Program
7:45 a.m.-8:00 a.m. Check-In at Camp Pendleton Main Gate
8:00 a.m.-8:30 a.m. Meet with CSACC Director John Veneziano
8:30 a.m.-9:30 a.m. Meet with CSACC Staff
9:30 a.m.-10:00 a.m. Break
10:00 a.m.-12:00 p.m. Meet with Drug Demand Reduction
Coordinators
12:00 p.m.-1:00 p.m. Lunch
1:00 p.m.-2:00 p.m. Meet with Staff from Navy Drug and Alcohol
Counselor School
2:00 p.m.-3:00 p.m. Meet with Marines Assigned for Temporary
Duty at CSACC
3:00 p.m.-4:00 p.m. Debrief with John Veneziano
MEETING THREE
Committee on Prevention, Diagnosis, Treatment and Management of
Substance Use Disorders in the U.S. Armed Forces
July 19, 2011
Beckman Center of the National Academies
100 Academy Way
Irvine, California
9:10 a.m.-9:30 a.m. Welcome and Introduction
Charles O’Brien, M.D., Committee Chair, Uni-
versity of Pennsylvania
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APPENDIX A 275
9:30 a.m.-10:15 a.m. Purchased Care for Service Members and Their
Families: The TRICARE SUD Benefit
John Sparks, TRICARE Regional Office-West
Frank Maguire, M.D., TriWest
Andrea Brooks Tucker, TRICARE Regional
Office-South
Debbie Del Rosario and Gary Proctor, M.D.,
ValueOptions
Marie Mentor, TRICARE Regional Office-North
Ian Schaffer, M.D., and John Wagoner, M.D.,
Healthnet Federal Services
10:15 a.m.-10:30 a.m. Break
10:30 a.m.-11:15 a.m. Panel: Prevention for Members of the Armed
Forces and Their Families
John M. Morrow, Ph.D., Substance Abuse and
Mental Health Services Administration
Abigail Gewirtz, Ph.D., University of Minnesota
Ron Astor, Ph.D., University of Southern
California
11:15 a.m.-11:45 a.m. Substance Abuse and Military Families
Barbara Cohoon, Ph.D., National Military Fam-
ily Association
11:45 a.m.-12:15 p.m. Seeking Safety: Therapy for Comorbid PTSD
and SUD
Lisa Najavits, Ph.D., Harvard University
12:15 p.m.-1:15 p.m. Lunch
1:15 p.m.-1:45 p.m. Workforce Training
Anthony Hassan, Ph.D., University of Southern
California
1:45 p.m.-2:15 p.m. Prescription Drug Monitoring in the Military
Eugene Moore, PharmD, TRICARE Pharmacy
Operations
Cdr. Joseph B. Lawrence, PharmD, M.B.A.,
TRICARE Pharmacy Operations
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276 SUBSTANCE USE DISORDERS IN THE U.S. ARMED FORCES
Josh Devine, PharmD, TRICARE Pharmacy
Operations
Libby Hearin, PharmD, TRICARE Pharmacy
Operations
2:15 p.m.-2:45 p.m. Alcohol Abuse in the Military: Findings from the
Millennium Cohort Study
Isabel Jacobson, M.P.H., Naval Health Research
Center
2:45 p.m.-3:00 p.m. Break
3:00 p.m.-3:45 p.m. A General’s Story
Lt. Gen. David Fridovich, Dept. of the Army
3:45 p.m.-4:45 p.m. Advancements in the Treatment of Pain: Efforts
to Prevent Opioid Dependence
Lt. Col. Kevin Galloway, Army Pain Manage-
ment Task Force
Col. Chester Buckenmaier, M.D., Walter Reed
Army Medical Center
Col. John J. Stasinos, M.D., Dept. of the Army,
Office of the Surgeon General
4:45 p.m.-5:00 p.m. Public Comment Period
5:00 p.m. Meeting Close
SITE VISIT: FORT BELVOIR, VIRGINIA, ADDICTION PROGRAMS
Committee on Prevention, Diagnosis, Treatment and Management of
Substance Use Disorders in the U.S. Armed Forces
November 15, 2011
8:00 a.m. Arrive at Fort Belvoir Tulley Gate
8:30 a.m.-9:00 a.m. Tour of the Fort Belvoir Community Hospital
Anthony H. Dekker, D.O., Chief, Addiction
M
edicine at Fort Belvoir Community
Hospital
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APPENDIX A 277
9:00 a.m.-9:30 a.m. Tour of the Residential Treatment Center, Fort
Belvoir Community Hospital (4 South)
Anthony H. Dekker, D.O., Chief, Addiction
M
edicine at Fort Belvoir Community
Hospital
9:30 a.m.-10:00 a.m. Tour of the Inpatient Residential Treatment
Program, Fort Belvoir Community Hospital (4
North)
Maj. Brunt, M.D., Staff Psychiatrist
10:00 a.m.-11:00 a.m. The Pain Clinic at Fort Belvoir
Ben Krepps, M.D., Director of the Pain Clinic at
Fort Belvoir Community Hospital
11:00 a.m.-11:30 a.m. Inpatient Residential Treatment Program, Fort
Belvoir Community Hospital (4 North)
Jennifer Weaver, M.D., Program Director
11:30 a.m.-12:15 p.m. Lunch
12:30 p.m.-12:45 p.m. Shuttle to the Dewitt Army Hospital Warrior
Zone
12:45 p.m.-1:30 p.m. Co-Occurring Program, Dewitt Army Hospital,
Warrior Transition Brigade
Chideha Ohuoha, M.D., M.P.H., Program
Director
1:30 p.m.-2:00 p.m. Army Substance Abuse Program, Dewitt Army
Hospital
Doryan Dixon, Program Manager for ASAP
Dr. Jorge Grandella, ASAP Clinical Supervisor
2:00 p.m.-3:45 p.m. Army Substance Abuse Program, Dewitt Army
Hospital
Ms. Susan Jessup, LCSW, LCAS, Clinical Pro-
gram Manager
3:45 p.m. Return to the Fort Belvoir Community Hospital
River Garage
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278 SUBSTANCE USE DISORDERS IN THE U.S. ARMED FORCES
MEETING FOUR
Committee on Prevention, Diagnosis, Treatment and Management of
Substance Use Disorders in the U.S. Armed Forces
November 16, 2011
Keck Center of the National Academies
500 Fifth Street, NW
Washington, DC
9:00 a.m.-9:15 a.m. Welcome and Introduction
Charles O’Brien, M.D., Committee Chair, Uni-
versity of Pennsylvania
9:15 a.m.-9:45 a.m. NIAAA Update on Treatment for Alcohol Prob-
lems Among Active Duty Military Personnel and
Veterans
Bob Huebner, Ph.D., National Institute on Alco-
hol Abuse and Alcoholism
9:45 a.m.-10:30 a.m. Improving Population Care of Substance Use
Disorders in the Military: The Primary Care
Imperative
Col. Charles Engel, M.P.H., M.D., Department
of Defense Deployment Health Clinical
Center
10:30 a.m.-10:45 a.m. Break
10:45 a.m.-11:30 a.m. A Systems Perspective of Substance Use and
Abuse in the Military
Harold Holder, Ph.D., Prevention Research
Center of the Pacific Institute for Research
& Evaluation
11:30 a.m.-12:15 p.m. Implementing Evidence-Based Practices for
Identification and Management of Substance Use
Conditions in the Veterans Health Administration
Daniel Kivlahan, Ph.D., Office of Mental Health
Services, Veterans Health Administration
12:15 p.m.-12:30 p.m. Public Comment Period
12:30 p.m. Meeting Close
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APPENDIX A 279
SITE VISIT: KEESLER AIR FORCE BASE, MISSISSIPPI
Committee on Prevention, Diagnosis, Treatment and Management of
Substance Use Disorders in the U.S. Armed Forces
January 27, 2012
7:30 a.m. Arrive at White Avenue Gate
Meet 1Lt. Julianna Petrone at Visitors Center
7:45 a.m.-8:15 a.m. Tour of Mental Health Flight Clinics
8:30 a.m.-9:15 a.m. ADAPT Drunk Busters Presentation at the
Triangle
1Lt. Julianna Petrone, LISW, ADAPT Program
Manager
SSgt. Cecilia Cardenas, ADC in Training,
ADAPT NCOIC Prevention Activity at
Keesler AFB
9:30 a.m.-10:15 a.m. Alcohol and Drug Abuse Prevention and Treat-
ment (ADAPT)
1Lt. Petrone, LISW, ADAPT Program Manager
Paul Ahlberg, ADC, ADAPT Counselor
SrA. Stephanie Tipton, ADC in training, ADAPT
Counselor
SSgt. Cecilia Cardenas, ADC in Training,
ADAPT NCOIC
10:15 a.m.-10:45 a.m. Families OverComing Under Stress (FOCUS)
Kim Perez, LPC, Family Resiliency Trainer
Eva Shinka, LSCW-C, Assistant Site Director
10:45 a.m.-11:00 a.m. Behavioral Health Optimization Program
(BHOP)
Maj. David Cordry, Clinical Neuropsychologist,
Mental Health Flight Commander
Dr. Myron Horn, Clinical Psychologist, BHOP
Consultant
11:00 a.m.-11:45 a.m. Question and Answer Session
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280 SUBSTANCE USE DISORDERS IN THE U.S. ARMED FORCES
SITE VISIT: SAN DIEGO NAVAL AIR STATION, CALIFORNIA
Committee on Prevention, Diagnosis, Treatment and Management of
Substance Use Disorders in the U.S. Armed Forces
March 1, 2012
8:00 a.m.-8:30 a.m. Welcome/In-Brief
Warren Peter Klam, M.D., M.S.(MM), CAPT
MC USN (r), Director, Mental Health
S
ervices, and Chairman, Psychiatry, General,
Child, Adolescent and Addiction Psychiatry,
Naval Medical Center, San Diego
8:30 a.m.-9:30 a.m. Substance Abuse Rehabilitation Program (SARP)
Mary K. Rusher, M.D., CAPT MC USN, Depart-
ment Head, Substance Abuse Rehabilitation
Program, Naval Medical Center, San Diego
Joanne Rigoloso, Social Worker, Clinic Head at
SARP
Charlie Gould, Director of SARP at Navy
Bureau of Medicine (BUMED)
9:30 a.m.-10:15 a.m. Center for Personal and Professional
Development
Tara Leverett, Chief Yeoman (YNC), Preven-
tion and Outreach, Center for Personal and
Professional Development West
10:15 a.m.-10:30 a.m. Break
10:30 a.m.-11:15 a.m. DAPA/Command Master Chief NMCSD—
CMDCM Duberek
Valerie Sudduth, Hospital Corpsman (HM1),
Assistant Command Drug and Alcohol Pro-
gram Administrator, Naval Medical Center,
San Diego
Nelson Ferrer, Hospital Corpsman Chief (HMC),
Command Drug and Alcohol Program
Administrator, Naval Medical Center, San
Diego
11:15 a.m.-12:00 p.m. Fleet and Family Services
Mr. Richard Arriaga, Director, Fleet and Family
Support Center, San Diego
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APPENDIX A 281
12:00 p.m.-1:00 p.m. Lunch
1:00 p.m.-1:45 p.m. Primary Care
Steven Sovich, M.D., Primary Care Physician,
Naval Medical Center, San Diego
1:45 p.m.-2:30 p.m. Pain Management Specialist
Steven Hanling, M.D., CDR MC USN, Pain
Management Provider, Naval Medical
C
enter, San Diego
2:30 p.m.-2:45 p.m. Break
2:45 p.m.-3:30 p.m. Substance Abuse Rehabilitation Program (SARP)
Mary K. Rusher, M.D., CAPT MC USN, Depart-
ment Head, Substance Abuse Rehabilitation
Program San Diego, Naval Medical Center,
San Diego
3:30 p.m.-4:00 p.m. Out-Brief
Warren Peter Klam, M.D., M.S.(MM), CAPT
MC USN (r), Director, Mental Health
S
ervices, and Chairman, Psychiatry, General,
Child, Adolescent and Addiction Psychiatry,
Naval Medical Center, San Diego
SITE VISIT: CARL R. DARNALL ARMY MEDICAL
CENTER, FORT HOOD, TEXAS
Committee on Prevention, Diagnosis, Treatment and Management of
Substance Use Disorders in the U.S. Armed Forces
March 15, 2012
7:00 a.m. Arrive at Fort Hood Main Gate
Check into Visitor’s Center
8:00 a.m.-8:30 a.m. Introduction to Department of Behavioral
Health
LTC Gray, M.D., Chief, Department of Behav-
ioral Health
Ms. Nicolette Dennis, LCSW, Acting Chief of
Intensive Outpatient Program
MAJ Agius, M.D., Chief, Hospital & Adminis-
trative Psychiatry
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282 SUBSTANCE USE DISORDERS IN THE U.S. ARMED FORCES
8:30 a.m.-10:30 a.m. Intensive Outpatient Program (IOP)
Ms. Dennis, LCSW, Acting Chief of IOP
program
Dr. Shehan, Staff Psychiatrist for IOP program
and ASAP
Ms. Barnard, Administrator, IOP
10:30 a.m.-11:30 a.m. Primary Care/Respect-Mil
Dr. Ingram, Chief of Family Medicine
Dr. Borah, Staff Psychiatrist (Respect-Mil repre-
sentative, dept BH)
Ms. April Arrington, Administrator, DFCM
1:00 p.m.-5:00 p.m. Army Substance Abuse Program (ASAP)
Ms. Pickering, LMFT, LCDC, Clinical Program
Director
Ms. Thompson, Administrator, ASAP
