@article{4bdd4163083748cb813f41393d5ebc3e,
title = "Post-deployment screening in the military health system: An opportunity to intervene for possible alcohol use disorder",
abstract = "Unhealthy alcohol use in the military remains a serious threat to health and military readiness and raises the question of how to improve detection that facilitates diagnosis and treatment. Army active duty soldiers are routinely screened for possible alcohol use disorder in pre- and post-deployment health surveillance surveys. We examined the likelihood of having a follow-up behavioral health visit or receiving an alcohol use disorder diagnosis among soldiers returning from deployments associated with the Afghanistan or Iraq operations in fiscal years 2008-13, based on their post-deployment screening results. After we controlled for demographic and military treatment facility characteristics, military history, and comorbidities, we found that people who screened positive for possible alcohol use disorder were significantly more likely to have such a visit and receive such a diagnosis. Routine post-deployment alcohol screening represents an opportunity for timely intervention by the Military Health System for military members whose results indicate elevated risk for alcohol use disorder.",
author = "Adams, {Rachel Sayko} and Dietrich, {Erich J.} and Gray, {Joshua C.} and Milliken, {Charles S.} and Natalie Moresco and Larson, {Mary Jo}",
note = "Funding Information: This study was funded by the Uniformed Services University of the Health Sciences (USUHS) Research Program (Grant No. HU0000117-2-0001). Funding to develop the Substance Use and Psychological Injury Combat Study was from the National Center for Complementary and Integrative Health (Grant No. R01 AT008404) and National Institute on Drug Abuse (Grant No. R01 DA030150). The authors acknowledge Grant A. Ritter for statistical support and guidance; Axiom Resource Management for compiling the data files; and Jill M. Londagin, manager of the Army{\textquoteright}s Substance Use Disorder Clinical Care Program, for perspectives on the Army Substance Abuse Program. Chester Buckenmaier III of the Uniformed Services University is the Department of Defense (DoD) government sponsor. The Defense Health Agency{\textquoteright}s Privacy and Civil Liberties Office and the Office of the Surgeon General/U.S. Army Medical Command provided access to DoD data. The content of this publication is the sole responsibility of the authors and does not necessarily reflect the views or policies of the National Institutes of Health; USUHS; DoD; or the Departments of the Army, Navy, or Air Force. Mention of trade names, commercial products, or organizations does not imply endorsement by the US government. Funding Information: This study was funded by the Uniformed Services University of the Health Sciences (USUHS) Research Program (Grant No. HU0000117-2-0001). Funding to develop the Substance Use and Psychological Injury Combat Study was from the National Center for Complementary and Integrative Health (Grant No. R01 AT008404) and National Institute on Drug Abuse (Grant No. R01 DA030150). The authors acknowledge Grant A. Ritter for statistical support and guidance; Axiom Resource Management for compiling the data files; and Jill M. Londagin, manager of the Army?s Substance Use Disorder Clinical Care Program, for perspectives on the Army Substance Abuse Program. Chester Buckenmaier III of the Uniformed Services University is the Department of Defense (DoD) government sponsor. The Defense Health Agency?s Privacy and Civil Liberties Office and the Office of the Surgeon General/U.S. Army Medical Command provided access to DoD data. The content of this publication is the sole responsibility of the authors and does not necessarily reflect the views or policies of the National Institutes of Health; USUHS; DoD; or the Departments of the Army, Navy, or Air Force. Mention of trade names, commercial products, or organizations does not imply endorsement by the US government. Publisher Copyright: {\textcopyright} 2019 Project HOPE-The People-to-People Health Foundation, Inc.",
year = "2019",
doi = "10.1377/hlthaff.2019.00284",
language = "English",
volume = "38",
pages = "1298--1306",
journal = "Health Affairs",
issn = "0278-2715",
number = "8",
}