MARK UDALL senare janrormcr auto
United States Senate
WASHINGTON, D¢ 20510
May 18, 2010
General Peter Chiarelli
Vice Chief of Staff of the Amy
1400 Defense Pentagon
Washington DC 20301-1400
Dear General Chiarelli:
‘Thank you for your recent visits to the Warrior Transition Battalion (WTB) at Fort Carson. We
understand that the care of our wounded and injured soldiers is a top priority for the Army, and
during our recent visits to Ft. Carson, it was clear that the time and energy that has been
dedicated to improving conditions and treatment regiments for WTB soldiers has produced
positive results. We appreciate the important work provided by WTBs nationwide and believe
that this program has, in many ways, proven successful in preparing wounded warriors to rejoin
their units or for reintegration into civilian society. The accomplishments of Warrior Transition
Command's soldiers and cadre are worthy of recognition, but we are also mindful of the work
that remains as we address the wide variety of physical and psychological injuries afflicting our
combat veterans,
During our recent visits to the Fort Carson WTB, we had the opportunity to speak with soldiers,
clinicians, and cadre about their experiences and about the recent media reports regarding the
unit. We heard a number of very positive comments about policies that should be sustained, and
there were several issues that we believe require further investigation and follow-up.
First, we expect that — as part of the Amy Inspector General’s ongoing Army-wide analysis of
Warrior Transition Battalions ~ the IG is examining the Army's prescription medication
practices. Based on published reports and our personal conversations with WTB soldiers,
clinicians, and cadre, we are concemed about the amount and combinations of medications that
are being prescribed to soldiers across the Warrior Transition Command. Polypharmacy has been
raised as the primary concern of many patients and cadre, and we are concerned about the short-
and long-term consequences of what has been described as the “overmedication” of our soldiers.
Second, the leadership at Fort Carson has implemented programs and policies that appear to have
led to a significant reduction in the incidences of soldier violence and self-harm that prompted
the Epidemiological Consultation (EPICON) in 2008, As we noted in a letter to the Surgeon
General of the Army in July 2009, we expect that the Army will implement practices based on
lessons learned from the EPICON and provide an update on how those programs are being put
into use. For example, the EPICON noted that the vast majority of soldiers accused of
committing violent crimes had abused alcohol or illegal drugs but that fewer than half had been
referred to the Army Substance Abuse Program (ASAP), A follow-on report should address how
this and other findings in the EPICON have been addressed throughout the Army and the stepsthe Army has taken to find and implement best practices for the prevention and treatment of
substance abuse.
Finally, given that alcohol and substance abuse appears to be a common problem for soldiers
suffering from chronic pain and behavioral health issues, we would request again that the Army
consider expanding the Confidential Alcohol Treatment and Education Pilot (CATEP) program,
which allows soldiers to self-refer for alcohol abuse without notifying their leadership. CATEP
appears to be a promising program that could have significant benefits for soldiers throughout
the Army and Warrior Transition Command, and we would appreciate seeing it expanded to
include Fort Carson,
Thank you for your service to our country and for your dedication to our soldiers.
Mark Udall Michael F. Bennet
U.S. Senator US. Senator
Lieutenant General Steven Whitcomb,
Inspector General, United States Army