National Academies Press: OpenBook

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

Chapter: Appendix H: Levels of Care

« Previous: Appendix G: Access Standards for TRICARE Prime Enrollees
Suggested Citation:"Appendix H: Levels of Care." Institute of Medicine. 2013. Substance Use Disorders in the U.S. Armed Forces. Washington, DC: The National Academies Press. doi: 10.17226/13441.
×

Appendix H

Levels of Care

title

FIGURE H-1 Components of health care delivery systems.

SOURCE: Adapted from Berwick, 2002.

Figure H-1 depicts how the health care environment (i.e., policies, regulation, financing [Level D]), the organizational setting (i.e., health plans

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

and health systems [Level C]), and the delivery of care (i.e., clinics [Level B]) combine to affect patient care (i.e., the patient experience [Level A]). The committee suggests that these four levels of care provide a blueprint applicable to the development of a 21st-century system of substance use disorder (SUD) prevention and treatment services within the U.S. military.

REFERENCE

Berwick, D. M. 2002. A user’s manual for the IOM’s “quality chasm” report. Health Affairs 21(3):80-90.

Suggested Citation:"Appendix H: Levels of Care." Institute of Medicine. 2013. Substance Use Disorders in the U.S. Armed Forces. Washington, DC: The National Academies Press. doi: 10.17226/13441.
×
Page 371
Suggested Citation:"Appendix H: Levels of Care." Institute of Medicine. 2013. Substance Use Disorders in the U.S. Armed Forces. Washington, DC: The National Academies Press. doi: 10.17226/13441.
×
Page 372
Next: Appendix I: Summary of Policy-Relevant Strategies for the Prevention of Alcohol-Related Problems »
Substance Use Disorders in the U.S. Armed Forces Get This Book
×
Buy Paperback | $63.00 Buy Ebook | $49.99
MyNAP members save 10% online.
Login or Register to save!
Download Free PDF

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.

  1. ×

    Welcome to OpenBook!

    You're looking at OpenBook, NAP.edu's online reading room since 1999. Based on feedback from you, our users, we've made some improvements that make it easier than ever to read thousands of publications on our website.

    Do you want to take a quick tour of the OpenBook's features?

    No Thanks Take a Tour »
  2. ×

    Show this book's table of contents, where you can jump to any chapter by name.

    « Back Next »
  3. ×

    ...or use these buttons to go back to the previous chapter or skip to the next one.

    « Back Next »
  4. ×

    Jump up to the previous page or down to the next one. Also, you can type in a page number and press Enter to go directly to that page in the book.

    « Back Next »
  5. ×

    Switch between the Original Pages, where you can read the report as it appeared in print, and Text Pages for the web version, where you can highlight and search the text.

    « Back Next »
  6. ×

    To search the entire text of this book, type in your search term here and press Enter.

    « Back Next »
  7. ×

    Share a link to this book page on your preferred social network or via email.

    « Back Next »
  8. ×

    View our suggested citation for this chapter.

    « Back Next »
  9. ×

    Ready to take your reading offline? Click here to buy this book in print or download it as a free PDF, if available.

    « Back Next »
Stay Connected!