This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited. Permission is given to duplicate this document for personal use only, as long as it is unaltered and complete. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial use. For information on reprint and linking permissions, please visit www.rand.org/pubs/permissions.The RAND Corporation is a research organization that develops solutions to public policy challenges to help make communities throughout the world safer and more secure, healthier and more prosperous. RAND is nonprofit, nonpartisan, and committed to the public interest.RAND's publications do not necessarily reflect the opinions of its research clients and sponsors. For more information on this publication, visit www.rand.org/t/RR1380Published by the RAND Corporation, Santa Monica, Calif.
© Copyright 2017 RAND CorporationR® is a registered trademark.iii
PrefaceComplementary and alternative medicine (CAM) is made up of a variety of therapies (e.g., acupuncture and chiropractic) that developed outside the conventional biomedical model of care. CAM is used by about one-third of the general population and offered within the military health system (MHS). However, no systemwide data are available on its use.In order to improve patient care by assuring the safety, quality, and consistency of these services through informed policy decisions, the Defense Center of Excellence for Psychological Health and Traumatic Brain Injury (DCoE) asked RAND to conduct an environmental scan/ survey of CAM services in the MHS to understand the extent to which CAM and integrative medicine (IM) practices are available in military treatment facilities (MTFs), the types of available services, the conditions for which these services are used, and the types of providers who deliver these services and their privileges and credentials. This report presents the results of this survey, which was fielded in 142 MTFs across the three branches of service (Army, Air Force, and Navy) and the National Capital Region Medical Directorate (e.g., Walter Reed).