title: Military inpatient residential treatment of substance abuse disorders: the Eisenhower Army Medical Center experience.
abstract: Opened in 2009, the Dwight D. Eisenhower Army Medical Center Inpatient Residential Treatment Facility (RTF) is the largest and most well-established inpatient substance use disorder treatment facility in the Department of Defense. The RTF is a 28-day inpatient treatment program that employs evidence-based practices and is based on Alcoholics/Narcotics Anonymous principles that are incorporated with a hybrid of military daily structure regime including early morning physical training. Family involvement is encouraged. The RTF is staffed by a multidisciplinary team specializing in addictions and admits Active/Activated Service Members (SMs) from all Service branches, typically those who have failed other military/civilian substance use disorder programs. Eighty-seven percent of SMs referred to the program successfully commenced, with continuous sobriety observed in over half of SMs 6 months later, and 1 year relapse rates comparable to other alcohol treatment programs. Limitations of our program evaluation efforts, lessons learned, and recommendations for the way ahead are shared.
authors.affiliation: Dwight D. Eisenhower Army Medical Center, 300 E. Hospital Road, Fort Gordon, GA 30905.
authors.forename: Scott R
authors.initials: SR
authors.lastname: Mooney
authors.affiliation: Dwight D. Eisenhower Army Medical Center, 300 E. Hospital Road, Fort Gordon, GA 30905.
authors.forename: Philip A
authors.initials: PA
authors.lastname: Horton
authors.affiliation: Dwight D. Eisenhower Army Medical Center, 300 E. Hospital Road, Fort Gordon, GA 30905.
authors.forename: John H
authors.initials: JH
authors.lastname: Trakowski
authors.affiliation: Unit 29353 Box 200, Army Post Office, AE 09014.
authors.forename: Janet H
authors.initials: JH
authors.lastname: Lenard
authors.affiliation: Dwight D. Eisenhower Army Medical Center, 300 E. Hospital Road, Fort Gordon, GA 30905.
authors.forename: Mark R
authors.initials: MR
authors.lastname: Barron
authors.affiliation: Dwight D. Eisenhower Army Medical Center, 300 E. Hospital Road, Fort Gordon, GA 30905.
authors.forename: Peggy V
authors.initials: PV
authors.lastname: Nave
authors.affiliation: Dwight D. Eisenhower Army Medical Center, 300 E. Hospital Road, Fort Gordon, GA 30905.
authors.forename: Melissa S
authors.initials: MS
authors.lastname: Gautreaux
authors.affiliation: Dwight D. Eisenhower Army Medical Center, 300 E. Hospital Road, Fort Gordon, GA 30905.
authors.forename: Heather D
authors.initials: HD
authors.lastname: Lott
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008889:Military Personnel / Q000523:psychology*; D012008:Recurrence; D012114:Residential Treatment / Q000458:organization & administration; D012189:Retrospective Studies; D019966:Substance-Related Disorders / Q000628:therapy*; D014481:United States; D055815:Young Adult