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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.
In this book, the IOM makes recommendations for permitting independent practice for mental health counselors treating patients within TRICARE-the DOD's health care benefits program. This would change current policy, which requires all counselors to practice under a physician's supervision without regard to their education, training, licensure or experience.
This text is offered as a medical legal resource of the physician assistant profession. It is intended for use through all phases of the professional development of the physician assistant, from the high school student sorting through options in career choices, to physician assistant students, practicing physician assistants and supervisory physicians, or those who are considering practicing with a physician assistant. The history and development of the profession is reviewed, allowing an understanding of the role the physician assistant plays in the healthcare team approach to patient care. The scope of practice is defined, along with the key collaboration between the physician assistant and the supervising physician. Regulatory requirements are delineated by state, including basic requirements and maintenance of licensure and certification.
As the healthcare environment changes, the need for outcomes-based tre atment planning becomes even more critical. This book guides the reade r through current outcomes-based research as it pertains to surgery. F irst, it gives a complete overview of the practice of evidence-based s urgery (EBS), with topics such as treatment planning, policy issues, a nd ethical issues. Then it gives practical, step-by-step advice on the methodology of EBS, with chapters on study design, outcomes measures, adjustments for complications and comorbidities, cost, and data sourc es. Last, it publishes the results of numerous respected EBS studies.