DoD-level Policies

• PTSD Screening
  • DoDI 6490.15 Integration of Behavioral Health Personnel Services into Patient-Centered Medical Home (PCMH) Primary Care and Other Primary Care Service Settings
    Details when screening for posttraumatic stress disorder (PTSD) is mandated - annually, for all new patients, and if clinically indicated
  • Military Treatment Facility Mental Health Clinical Outcomes Guidance
    Provides guidance for measurement and documentation of clinical outcomes, to include use of the Primary Care-PTSD Screen (PC-PTSD) and the PTSD Checklist (PCL) for PTSD screening
• Military Standards
  • DoDI 6130.03 Medical Standards for Appointment, Enlistment, or Induction in the Military Services
    Establishes medical standards, which, if not met, are grounds for rejection for military service, to include depression

  • DoDI 6490.07 Deployment-Limiting Medical Conditions for Service Members and DoD Civilian Employees
    Establishes policy to ensure that service members and DoD civilian employees deployed and deploying on contingency deployments are medically able to accomplish their duties in deployed environments; and includes specific information on mental health disorders and treatment

  • DoDI 1332.45 Retention Determinations for Non-Deployable Service Members
    Establishes policy, assigns responsibilities, and provides direction for retention determinations for non-deployable Service members; provides guidance and instructions for reporting deployability data for the Total Force.

  • DoDI 1332.18 Disability Evaluation System (DES)
    Establishes policy, assigns responsibilities, and provides procedures for referral, evaluation, return to duty, separation, or retirement of Service members for disability in accordance with Title 10, United States Code (U.S.C.)(Reference (c)); and related determinations pursuant to sections 3501, 6303, 8332, and 8411 of Title 5, U.S.C. (Reference (d)); Section 104 of Title 26, U.S.C. (Reference (e)); and section 2082 of Title 50, U.S.C. (Reference (f)).

• Military Separation
  • DoDI 1332.14 Enlisted Administrative Separations
    Provides policy governing administrative separation of enlisted service members from the military services, and specifically that unless a service member is found fit for duty by the disability evaluation system; a separation for personality disorder, or other mental disorder not constituting a physical disability, is not authorized if service-related PTSD is also diagnosed

Service-specific Policies

• Air Force
  • AFI 36-3208 Administrative Separation of Airmen
    Denotes that an enlisted member must receive a medical examination to assess whether the effects of PTSD or TBI constitute matters in extenuation that relate to the basis for administrative separation
• Army
  • OTSG MEDCOM 14-094 Policy Guidance on the Assessment and Treatment of Post-Traumatic Stress Disorder (PTSD) (requires CAC login)
    Policy issued by the Army to standardize care during the assessment and treatment of PTSD that applies to all providers credentialed at Army military treatment facilities
• Navy
  • NAVMED Policy 10-016 Implementing Required Medical Exam Before Administrative Separation for Post Traumatic Stress Disorder (PTSD) or Traumatic Brain Injury (TBI)
    Describes additional evaluation that specified service members are to receive to assess whether effects of PTSD or TBI constitute matters that relate to the basis for administrative separation