Machine generated contents note: Summary -- 1. Introduction -- Background -- Charge to the Committee -- Approach to the Charge -- Organization of the Report -- References -- 2. Understanding substance use disorders in The Military -- Understanding Substance Use Disorders -- Scope of the Problem -- Development of Military Substance Abuse Policy: A Brief Overview -- Composition and Sociodemographic Characteristics of the Armed Forces -- Prevalence of Substance Use in the Military -- Health Care Burden of Substance Use Disorders -- Conceptual Approach to Prevention, Intervention, and Treatment of Alcohol Use Problems -- Summary -- References -- 3. The Military Health System -- Eligibility for Care -- Direct Care: Military Treatment Facilities -- Purchased Care: TRICARE -- Care for Substance Use Disorders for Military Service Members and Dependents -- Summary -- References -- 4. Changing Standards Of Care For Substance Use Disorders -- Health Care Reform and Parity Requirements.

Office of National Drug Control Policy's National Drug Control Strategy -- National Quality Forum's Voluntary Consensus Standards -- Practice Improvement Efforts -- Clinical Practice Guideline of the Department of Veterans Affairs and DoD -- Summary -- References -- 5. Best Practices In Prevention, Screening Diagnosis, And Treatment Of Substance Use Disorders -- Prevention -- Screening, Diagnosis, and Treatment -- Summary -- References -- 6. Policies And Programs On Substance Use Disorders -- Department of Defense -- Air Force -- Army -- Navy -- Marine Corps -- SUD Policies and Programs for Military Dependents in the Direct Care System -- Summary of Key Findings -- References -- 7. Access To Care For Substance Use Disorders -- Framework for Access to Care -- Care Availability, Access, and Utilization in the Direct Care System -- Care Availability, Access, and Utilization in the Veterans Health Administration -- Care Availability, Access, and Utilization in the Purchased Care System.

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Of Key Findings -- References -- 8. Substance Use Disorder Workforce -- Air Force Workforce -- Army Workforce -- Navy Workforce -- Marine Corps Workforce -- DoD Efforts to Review Staffing Requirements -- Summary of Key Findings -- References -- 9. Conclusions And Recommendations -- Increasing Emphasis on Efforts to Prevent Substance Use Disorders -- Developing Strategies for Identifying, Adopting, Implementing, and Disseminating Evidence-Based Programs and Best Practices for SUD Care -- Increasing Access to Care -- Strengthening the SUD Workforce -- Conclusion -- References -- APPENDIXES -- A. Study Activities -- B.S.459 (111th): Support for Substance Use Disorders Act -- C. Section 596 of Public Law 111-84, October 28, 2009 -- D. Program Reviews -- E. Features of Tricare and Related Purchased Care Plans -- F. Workforce Standards for Substance Use Disorder (SUD) Care -- G. Access Standards for Tricare Prime Enrollees -- H. Levels of Care.