An official website of the United States government
A .mil website belongs to an official U.S. Department of Defense organization in the United States.
A lock (lock ) or https:// means you’ve safely connected to the .mil website. Share sensitive information only on official, secure websites.

News | Oct. 2, 2023

U.S. Military Departments Implement Brandon Act to Improve Mental Health Support

By TRICARE Communications

The three military departments have officially implemented phase one of the Brandon Act with their own policies and procedures to initiate support to service members’ request for mental health assistance.

The Brandon Act was signed into law by President Biden on Dec. 27, 2021, as part of the National Defense Authorization Act for Fiscal Year 2022. The former Under Secretary of Defense for Personnel and Readiness, Gilbert R. Cisneros Jr., signed a policy on May 5, 2023, to initiate the act within the Department of Defense.

The DOD policy required the secretaries of the military departments to establish policy, assign responsibilities, and provide procedures for service members wanting to self-initiate a referral for a mental health treatment.


Read the Brandon Act announcements from each Military Department
Department of Navy Implements Brandon Act
Brandon Act expedites mental health care referrals for Airmen, Guardians
Army expands mental health support by implementing the Brandon Act

“The Brandon Act empowers service members to seek mental health support by requesting a referral through a commanding officer or supervisor,” said U.S. Navy Capt. Kenneth Richter, director for mental health policy and oversight, office of the Assistant Secretary of Defense for Health Affairs. “The new process allows service members to seek help confidentially, for any reason, at any time and in any environment, and aims to reduce the stigma associated with seeking help.”

“Service members also continue to have the option to contact a mental health care provider directly, without the involvement of their unit,” said Richter. “In other words, a service member can self-refer, independently contacting a behavioral health provider for an evaluation without any involvement by the member’s command.”

The act is open to active duty service members in phase one of the policy implementation, according to Dr. Donald Shell, acting executive director, Health Services Policy and Oversight office of Assistant Secretary of Defense for Health Affairs. Service members may request a mental health assessment at any time and in any situation, including while deployed.

Warfighters can ask for mental health support services without the fear of reprisal by leaders. The act allows for easier access to care and establishes processes for leaders to act.

According to Shell, any service member can self-initiate a referral process for a mental health evaluation through a commanding officer or supervisor who is in a grade above E-5 on any basis. The commanding officer or supervisor must refer a member to a mental health provider for an evaluation as soon as possible.

Service members are not required to provide a reason or basis to request and receive a referral. Mental health providers will conduct the mental health evaluations as soon as possible and will provide necessary clinical care.

It is mandatory for commanders and supervisors to honor a Brandon Act request.

Defense Health Agency in Support

The DHA will develop and implement annual training for behavioral health care providers and clinicians and other military health care providers at military hospitals and clinics who may conduct mental health evaluations, including self-initiated referrals through a commanding officer.

“The DHA will support the secretaries of the military departments, as needed, in the development of education and training programs for leaders and service members,” said Shell. “Behavioral health providers under the jurisdiction of the DHA will administer an evaluation as soon as possible and, when practical, provide the necessary care as clinically indicated.”

The Brandon Act was introduced into legislation following the death of U.S. Navy Petty Officer 3rd Class Brandon Caserta, who died by suicide in 2018.

Resources

For anyone experiencing a mental health crisis, needs immediate assistance, or simply to talk to someone, confidential help is available 24/7:

  • The Military & Veteran Crisis Line, text-messaging service, and online chat provide free support for all service members, including members of the National Guard and Reserve, and all veterans, even if they are not registered with the Department of Veteran's Affairs or enrolled in VA health care.
    Call: 988 and press 1
    Text: 838255
    Click to Chat
  • Military OneSource is a 24/7 gateway to trusted information for service members and families that provides resources and confidential help. Call 800-342-9667.
  • The Psychological Health Resource Center is available 24/7 for service members, veterans, and family members with questions about psychological health topics. Trained mental health consultants can help you access mental health care and community support resources in your local area. Call 1-866-966-1020, start a live chat, or visit  www.health.mil/PHRC.
  • The inTransition Program has 20 FAQs that are a helpful introduction to the program. You can call 800-424-7877, or at 800-748-81111 in Australia, Germany, Italy, Japan, and South Korea only. You can also email the program directly at:  dha.ncr.j-9.mbx.inTransition@health.mil.
  • The  Military Health System, DOD, and VA have many other mental health resources available to any service member, families, or veteran beneficiaries who are struggling with mental health challenges. Read Mental Health is Health Care for a complete list of resources for immediate assistance or to make appointments.
  • To setup a mental health appointment through TRICARE, visit: www.tricare.mil/MentalHealth.

Get to know your TRICARE health plan with the TR...

News
Jun. 02, 2026

Learn about your TRICARE health plan today with a simple tool that makes it easy. The TRICARE Plans Overview...
Read More

The important connection between diabetes and or...

News
May. 27, 2026

According to the Centers for Disease Control and Prevention, about 12 out of every 100 Americans have...
Read More

Snacking your way to a healthier mouth

News
May. 27, 2026

You may be flossing and brushing regularly, but did you know the snacks you eat also play a significant role...
Read More

Take charge of your skin health: How TRICARE sup...

News
May. 26, 2026

As summer approaches and outdoor activities increase, it’s essential to protect your skin from harmful...
Read More

Maintaining oral health during pregnancy

News
May. 22, 2026

Pregnancy brings many changes to your body, and your mouth is no exception. Hormonal shifts, morning sickness,...
Read More

Getting mental healthcare with TRICARE For Life:...

News
May. 21, 2026

Taking care of your mental health is just as important as taking care of your body—and if you have TRICARE For...
Read More

Print or digital: Your options for getting TRICA...

News
May. 19, 2026

Keeping up to date with TRICARE health information is part of making the right healthcare choices for both you...
Read More

TRICARE Dental Program: Getting coverage for you...

News
May. 14, 2026

A winning smile needs maintenance—including dental care. If you’re enrolled in the TRICARE Dental Program, you...
Read More

June 2, 2026

Get to know your TRICARE health plan with the TRICARE Plans Overview Fact Sheet

Learn about your TRICARE health plan today with a simple tool that makes it easy. The TRICARE Plans Overview Fact Sheet is your go-to resource for understanding what you and your family members can expect when getting care with your health plan.

May 27, 2026

The important connection between diabetes and oral health

According to the Centers for Disease Control and Prevention, about 12 out of every 100 Americans have diabetes. However, many people underestimate how important their oral health is in managing their diabetes.

May 27, 2026

Snacking your way to a healthier mouth

You may be flossing and brushing regularly, but did you know the snacks you eat also play a significant role in the state of your dental health? Frequent snacking on certain foods can expose your teeth to harmful acids and sugars, leading to cavities and gum disease.

May 26, 2026

Take charge of your skin health: How TRICARE supports skin cancer screening and treatment

As summer approaches and outdoor activities increase, it’s essential to protect your skin from harmful ultraviolet rays. TRICARE is committed to supporting your skin health by covering skin cancer exams and providing resources for prevention and treatment.

May 22, 2026

Maintaining oral health during pregnancy

Pregnancy brings many changes to your body, and your mouth is no exception. Hormonal shifts, morning sickness, and changes to diet can all affect your oral health. The good news is that dentists can provide safe, effective care throughout your pregnancy.

May 21, 2026

Getting mental healthcare with TRICARE For Life: What you need to know

Taking care of your mental health is just as important as taking care of your body—and if you have TRICARE For Life, you have coverage that helps you get the care you need, when you need it.

May 19, 2026

Print or digital: Your options for getting TRICARE benefit information

Keeping up to date with TRICARE health information is part of making the right healthcare choices for both you and your family members. Equally important, however, is how you manage your healthcare communications so you have quick and easy access to important records and information. This includes your explanation of benefits statements, bills, claims correspondence, and more.

May 14, 2026

TRICARE Dental Program: Getting coverage for your family members

A winning smile needs maintenance—including dental care. If you’re enrolled in the TRICARE Dental Program, you can get cost-effective, accessible dental services in the U.S. or abroad.

May 12, 2026

Got TRICARE pharmacy questions? Learn how to get answers

Do you have a question about the TRICARE Pharmacy Program? For example, are you wondering how to find a network pharmacy? Or do you want to know if you have coverage for a prescription? This article explains whom to contact to get answers to your pharmacy questions.

May 7, 2026

Graduating in 2026? Learn how to stay covered with TRICARE Young Adult

Becoming an adult comes with a lot of new responsibilities—including starting to manage your healthcare. If you’re a young adult who’s about to age out of regular TRICARE coverage from your parent or step-parent, you still have options. TRICARE Young Adult can help you stay covered while you focus on life's next big steps.