COMDTINST 1754.7C governs the Coast Guard Special Needs Program, including enrollment, assignment considerations, and family support.
View COMDTINST 1754.7C on armypubs.army.mil
It addresses special needs categories, medical and community services, non-clinical case management, privacy, TRICARE ECHO, and related forms. It requires enrollment for eligible active duty members and protects program information through confidentiality controls.
Applies to: This Instruction applies to all active duty (AD) members.
Enrollment in the Coast Guard Special Needs Program is mandatory for all AD members who have dependent family members diagnosed with medical, psychological, physical, or educational special needs. (paragraph 4)
Coast Guard reservists mobilized and deployed for less than 181 days are not eligible for enrollment in the Special Needs Program, unless they are eligible for the Extended Care Health Option (ECHO) of TRICARE. (paragraph 4)
All information related to the Special Needs Program must be kept strictly confidential with access only by authorized personnel who have a need-to-know.
AD members must submit this form for initial enrollment, status change, 3-year update, and disenrollment from the Special Needs Program. (paragraph 4)
The category of special needs is determined by a Senior Medical Executive at the time of the initial enrollment in the Special Needs Program and reevaluated during the enrollment update, or when new special needs condition develops.