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Thursday, September 27, 2012

IOM: Military Needs Better Care for Addicts

By David Pittman
MedPage Today
Originally published September 17, 2012


The U.S. Defense Department needs more providers trained in treating substance abuse in the armed forces, according to an Institute of Medicine report.
The prevalence of comorbid behavioral conditions "necessitates access to providers with advanced levels of training rather than certified counselors or peer support by individuals in recovery," the report, released Monday, read.
The Department of Defense (DOD) asked the IOM to assess the way it handles the prevention, screening, diagnosis, and treatment of substance use disorders (SUDs) for service members, National Guard troops, members of the Reserves, and military dependents.
IOM researchers held public information gathering meetings, conducted five site visits to military bases to meet with primary care and behavioral health providers, and received information and data on services from the military.
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Specifically, the IOM found:
  • Shortages of SUDs counselors across all branches
  • Wide variation in training and credentialing requirements for counselors across the branches
  • Outdated training manuals for Air Force and Navy substance abuse counselors
  • A noticeable shortage of a workforce trained in SUD prevention including physicians trained in addiction medicine or psychiatry