DOD INSTRUCTION 1010.04
P
ROBLEMATIC SUBSTANCE USE AND GAMBLING DISORDER
Originating Component: Office of the Under Secretary of Defense for Personnel and Readiness
Effective: January 17, 2025
Releasability: Cleared for public release. Available on the Directives Division Website at
https://www.esd.whs.mil/DD/.
Reissues and Cancels: DoD Instruction 1010.04, “Problematic Substance Use by DoD
Personnel,” February 20, 2014, as amended
Approved by: Ashish S. Vazirani, Performing the Duties of the Under Secretary of
Defense for Personnel and Readiness
Purpose: In accordance with the authority in DoD Directive 5124.02, this issuance:
• Implements the requirements in Section 596 of Public Law 111-84 and Section 718 of Public Law
116-92.
• Establishes policies, assigns responsibilities, and prescribes procedures for problematic substance
use and gambling disorder prevention, identification, assessment, diagnosis, and treatment for DoD
military personnel, eligible beneficiaries of the Military Health System (MHS), and DoD civilian
personnel.
• Describes the relationship between the DoD and the Department of Veterans Affairs (VA) with
regard to problematic substance use and gambling disorder treatment.
