The Army and Air National Guard's senior enlisted leaders met at the I.G. Suggestions to improve substance use treatment engagement in the Military Health System will be discussed.Ĭopyright © 2020 Elsevier Inc. Efforts to improve substance use treatment in the Military Health System should include initiatives to more accurately identify soldiers with undiagnosed SUD. Soldiers were more likely to engage in treatment if they received their index diagnosis in a specialty behavioral health setting. Active duty soldiers were more likely to initiate and engage in substance use treatment than National Guard/Reserve soldiers, yet overall, engagement rates were low (25.0% and 15.7%, respectively). In the first 150 days postdeployment 3.3% of active duty soldiers and 1.0% of National Guard/Reserve soldiers were diagnosed with an SUD. Among soldiers diagnosed with an SUD, we examined the rates and predictors of substance use treatment initiation and engagement according to the Healthcare Effectiveness Data and Information Set criteria. We used data from the Substance Use and Psychological Injury Combat study to determine the proportion of active duty (n = 338,708) and National Guard/Reserve (n = 178,801) enlisted soldiers returning from an Afghanistan/Iraq deployment in fiscal years 2008 to 2011 who had an SUD diagnosis in the first 150 days postdeployment. Electronic address: is known about the rates and predictors of substance use treatment received in the Military Health System among Army soldiers diagnosed with a postdeployment substance use disorder (SUD). Electronic address: 8 Institute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, 415 South Street, Waltham, MA, USA.
Electronic address: 7 NORC at the University of Chicago, 4350 E W Highway, Bethesda, MD 20814, USA. Electronic address: 6 Kennell and Associates, Inc., 3130 Fairview Park Drive, Suite 450, Falls Church, VA 22042, USA. Electronic address: 5 Kennell and Associates, Inc., 3130 Fairview Park Drive, Suite 450, Falls Church, VA 22042, USA. Electronic address: 4 Institute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, 415 South Street, Waltham, MA, USA. Electronic address: 3 VA Health Services Research & Development, Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, 795 Willow Road, Menlo Park, CA 94025, USA Department of Surgery, Stanford University, 291 Campus Drive, Stanford, CA 94305, USA. Electronic address: 2 Institute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, 415 South Street, Waltham, MA, USA. 1 Institute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, 415 South Street, Waltham, MA, USA Veterans Health Administration, Rocky Mountain Mental Illness Research Education and Clinical Center, 1700 N.
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