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Substance Use Disorders in the U.S. Armed Forces (2013)

Chapter: Appendix A: Study Activities

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Suggested Citation:"Appendix A: Study Activities." Institute of Medicine. 2013. Substance Use Disorders in the U.S. Armed Forces. Washington, DC: The National Academies Press. doi: 10.17226/13441.
×

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, California; 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 Management Activity

Alfred Ozanian, Ph.D., TRICARE Management Activity

Suggested Citation:"Appendix A: Study Activities." Institute of Medicine. 2013. Substance Use Disorders in the U.S. Armed Forces. Washington, DC: The National Academies Press. doi: 10.17226/13441.
×
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 Substance Abuse Programs

Charles Gould, U.S. Navy Bureau of Medicine and Surgery

Lt. Col. Mark S. Oordt, Ph.D., Air Force Medical Operations Agency

 
3:30 p.m. Break
 
3:45 p.m.

Responding to Substance Use Disorders in Military 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, University 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

Suggested Citation:"Appendix A: Study Activities." Institute of Medicine. 2013. Substance Use Disorders in the U.S. Armed Forces. Washington, DC: The National Academies Press. doi: 10.17226/13441.
×
 

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 Medical 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

Suggested Citation:"Appendix A: Study Activities." Institute of Medicine. 2013. Substance Use Disorders in the U.S. Armed Forces. Washington, DC: The National Academies Press. doi: 10.17226/13441.
×

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, University of Pennsylvania

 
Suggested Citation:"Appendix A: Study Activities." Institute of Medicine. 2013. Substance Use Disorders in the U.S. Armed Forces. Washington, DC: The National Academies Press. doi: 10.17226/13441.
×
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 Family 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

Suggested Citation:"Appendix A: Study Activities." Institute of Medicine. 2013. Substance Use Disorders in the U.S. Armed Forces. Washington, DC: The National Academies Press. doi: 10.17226/13441.
×

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 Management 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 Medicine at Fort Belvoir Community Hospital

 
Suggested Citation:"Appendix A: Study Activities." Institute of Medicine. 2013. Substance Use Disorders in the U.S. Armed Forces. Washington, DC: The National Academies Press. doi: 10.17226/13441.
×
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 Medicine 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 Program Manager

 
3:45 p.m.

Return to the Fort Belvoir Community Hospital River Garage

Suggested Citation:"Appendix A: Study Activities." Institute of Medicine. 2013. Substance Use Disorders in the U.S. Armed Forces. Washington, DC: The National Academies Press. doi: 10.17226/13441.
×

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, University of Pennsylvania

 
9:15 a.m.-9:45 a.m.

NIAAA Update on Treatment for Alcohol Problems Among Active Duty Military Personnel and Veterans

Bob Huebner, Ph.D., National Institute on Alcohol 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

Suggested Citation:"Appendix A: Study Activities." Institute of Medicine. 2013. Substance Use Disorders in the U.S. Armed Forces. Washington, DC: The National Academies Press. doi: 10.17226/13441.
×

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 Treatment (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

Suggested Citation:"Appendix A: Study Activities." Institute of Medicine. 2013. Substance Use Disorders in the U.S. Armed Forces. Washington, DC: The National Academies Press. doi: 10.17226/13441.
×

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 Services, 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, Department 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), Prevention 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 Program 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

 
Suggested Citation:"Appendix A: Study Activities." Institute of Medicine. 2013. Substance Use Disorders in the U.S. Armed Forces. Washington, DC: The National Academies Press. doi: 10.17226/13441.
×
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 Center, 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, Department 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 Services, 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 Behavioral Health

Ms. Nicolette Dennis, LCSW, Acting Chief of Intensive Outpatient Program

MAJ Agius, M.D., Chief, Hospital & Administrative Psychiatry

 
Suggested Citation:"Appendix A: Study Activities." Institute of Medicine. 2013. Substance Use Disorders in the U.S. Armed Forces. Washington, DC: The National Academies Press. doi: 10.17226/13441.
×
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 representative, 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

Suggested Citation:"Appendix A: Study Activities." Institute of Medicine. 2013. Substance Use Disorders in the U.S. Armed Forces. Washington, DC: The National Academies Press. doi: 10.17226/13441.
×
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Suggested Citation:"Appendix A: Study Activities." Institute of Medicine. 2013. Substance Use Disorders in the U.S. Armed Forces. Washington, DC: The National Academies Press. doi: 10.17226/13441.
×
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Suggested Citation:"Appendix A: Study Activities." Institute of Medicine. 2013. Substance Use Disorders in the U.S. Armed Forces. Washington, DC: The National Academies Press. doi: 10.17226/13441.
×
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Suggested Citation:"Appendix A: Study Activities." Institute of Medicine. 2013. Substance Use Disorders in the U.S. Armed Forces. Washington, DC: The National Academies Press. doi: 10.17226/13441.
×
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Suggested Citation:"Appendix A: Study Activities." Institute of Medicine. 2013. Substance Use Disorders in the U.S. Armed Forces. Washington, DC: The National Academies Press. doi: 10.17226/13441.
×
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Suggested Citation:"Appendix A: Study Activities." Institute of Medicine. 2013. Substance Use Disorders in the U.S. Armed Forces. Washington, DC: The National Academies Press. doi: 10.17226/13441.
×
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Suggested Citation:"Appendix A: Study Activities." Institute of Medicine. 2013. Substance Use Disorders in the U.S. Armed Forces. Washington, DC: The National Academies Press. doi: 10.17226/13441.
×
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Suggested Citation:"Appendix A: Study Activities." Institute of Medicine. 2013. Substance Use Disorders in the U.S. Armed Forces. Washington, DC: The National Academies Press. doi: 10.17226/13441.
×
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Suggested Citation:"Appendix A: Study Activities." Institute of Medicine. 2013. Substance Use Disorders in the U.S. Armed Forces. Washington, DC: The National Academies Press. doi: 10.17226/13441.
×
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Suggested Citation:"Appendix A: Study Activities." Institute of Medicine. 2013. Substance Use Disorders in the U.S. Armed Forces. Washington, DC: The National Academies Press. doi: 10.17226/13441.
×
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Suggested Citation:"Appendix A: Study Activities." Institute of Medicine. 2013. Substance Use Disorders in the U.S. Armed Forces. Washington, DC: The National Academies Press. doi: 10.17226/13441.
×
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Suggested Citation:"Appendix A: Study Activities." Institute of Medicine. 2013. Substance Use Disorders in the U.S. Armed Forces. Washington, DC: The National Academies Press. doi: 10.17226/13441.
×
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Problems stemming from the misuse and abuse of alcohol and other drugs are by no means a new phenomenon, although the face of the issues has changed in recent years. National trends indicate substantial increases in the abuse of prescription medications. These increases are particularly prominent within the military, a population that also continues to experience long-standing issues with alcohol abuse. The problem of substance abuse within the military has come under new scrutiny in the context of the two concurrent wars in which the United States has been engaged during the past decade--in Afghanistan (Operation Enduring Freedom) and Iraq (Operation Iraqi Freedom and Operation New Dawn). Increasing rates of alcohol and other drug misuse adversely affect military readiness, family readiness, and safety, thereby posing a significant public health problem for the Department of Defense (DoD).

To better understand this problem, DoD requested that the Institute of Medicine (IOM) assess the adequacy of current protocols in place across DoD and the different branches of the military pertaining to the prevention, screening, diagnosis, and treatment of substance use disorders (SUDs). Substance Use Disorders in the U.S. Armed Forces reviews the IOM's task of assessing access to SUD care for service members, members of the National Guard and Reserves, and military dependents, as well as the education and credentialing of SUD care providers, and offers specific recommendations to DoD on where and how improvements in these areas could be made.

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