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Author: Justin F. Hummer Publisher: ISBN: Category : Soldiers Languages : en Pages : 0
Book Description
"The Military Health System (MHS) aims to improve the health of all U.S. military personnel, provide the highest quality of care possible, maintain low per capita health care costs, and support overall military readiness. High-quality, evidence-based behavioral health treatment is central to individual well-being and the overall health of the force. However, there has been little research to date on the behavioral health care that National Guard and reserve personnel-collectively known as the reserve component (RC)-receive from the MHS. The full-time personnel in the U.S. military's active component (AC) overwhelmingly receive behavioral health care in military treatment facilities and generally from behavioral health specialty providers, RC personnel rely much more heavily on private-sector contracted care (also referred to as purchased care) and primary care providers. MHS administrative data indicate that RC personnel are less likely to receive recommended treatment for PTSD, depression, and substance use disorders. Likewise, RC personnel who live in areas that are remote from a military treatment facility are less likely than who do not to receive recommended treatment for these conditions. These findings, which focus on behavioral health care access and quality, highlight pathways to improvement for the MHS as part of its ongoing transition to a more centralized model for delivering and overseeing health care across the force."--Publisher's description.
Author: Justin F. Hummer Publisher: ISBN: Category : Soldiers Languages : en Pages : 0
Book Description
"The Military Health System (MHS) aims to improve the health of all U.S. military personnel, provide the highest quality of care possible, maintain low per capita health care costs, and support overall military readiness. High-quality, evidence-based behavioral health treatment is central to individual well-being and the overall health of the force. However, there has been little research to date on the behavioral health care that National Guard and reserve personnel-collectively known as the reserve component (RC)-receive from the MHS. The full-time personnel in the U.S. military's active component (AC) overwhelmingly receive behavioral health care in military treatment facilities and generally from behavioral health specialty providers, RC personnel rely much more heavily on private-sector contracted care (also referred to as purchased care) and primary care providers. MHS administrative data indicate that RC personnel are less likely to receive recommended treatment for PTSD, depression, and substance use disorders. Likewise, RC personnel who live in areas that are remote from a military treatment facility are less likely than who do not to receive recommended treatment for these conditions. These findings, which focus on behavioral health care access and quality, highlight pathways to improvement for the MHS as part of its ongoing transition to a more centralized model for delivering and overseeing health care across the force."--Publisher's description.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309260558 Category : Medical Languages : en Pages : 350
Book Description
Problems stemming from the misuse and abuse of alcohol and other drugs are by no means a new phenomenon, although the face of the issues has changed in recent years. National trends indicate substantial increases in the abuse of prescription medications. These increases are particularly prominent within the military, a population that also continues to experience long-standing issues with alcohol abuse. The problem of substance abuse within the military has come under new scrutiny in the context of the two concurrent wars in which the United States has been engaged during the past decade-in Afghanistan (Operation Enduring Freedom) and Iraq (Operation Iraqi Freedom and Operation New Dawn). Increasing rates of alcohol and other drug misuse adversely affect military readiness, family readiness, and safety, thereby posing a significant public health problem for the Department of Defense (DoD). To better understand this problem, DoD requested that the Institute of Medicine (IOM) assess the adequacy of current protocols in place across DoD and the different branches of the military pertaining to the prevention, screening, diagnosis, and treatment of substance use disorders (SUDs). Substance Use Disorders in the U.S. Armed Forces reviews the IOM's task of assessing access to SUD care for service members, members of the National Guard and Reserves, and military dependents, as well as the education and credentialing of SUD care providers, and offers specific recommendations to DoD on where and how improvements in these areas could be made.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309152852 Category : Medical Languages : en Pages : 193
Book Description
Nearly 1.9 million U.S. troops have been deployed to Afghanistan and Iraq since October 2001. Many service members and veterans face serious challenges in readjusting to normal life after returning home. This initial book presents findings on the most critical challenges, and lays out the blueprint for the second phase of the study to determine how best to meet the needs of returning troops and their families.
Author: Stephen J. Cozza Publisher: American Psychiatric Pub ISBN: 1585625310 Category : Medical Languages : en Pages : 344
Book Description
Care of Military Service Members, Veterans, and Their Families serves a critical need, which has been highlighted by recent reported rates of combat-related stress disorders and traumatic brain injury, as well as increases in suicide rates among service members and veterans over the past decade and the distress and challenges faced by their children and families. More than 2.5 million Americans currently serve in the U.S. military on active duty, in the Reserves, or in the National Guard, and more than 20 million civilians are veterans. Although patients are viewed here in the context of military service, they seek health care in military, veteran, and civilian settings, and their mental health concerns are as diverse as those encountered in the civilian population. This book is designed for clinicians in all care settings and provides thorough coverage of U.S. military structures and cultures across the armed services, as well as detailed material on the particular mental health challenges faced by service members and their families. A full overview of the military lifestyle is provided, including the life cycle of the military (recruitment to retirement), service subcultures (Navy, Army, Marines, Air Force, and Reserve and Guard components), challenges of military life for service members and families (moves, deployments, etc.), and military mental health. Material on military culture provides insight for practitioners who may not be familiar with this population. The book focuses on collaborative care, particularly between the military health care system and the Veterans Administration, providing clinicians with strategies to mitigate stigma and other barriers to care through mental health service delivery in primary care settings. The incidence of traumatic brain injury among service members has increased because of the use of improvised explosive devices, and an entire chapter is devoted to diagnosing and treating these injuries as well as educating patients and their families on the condition. The families of service members face significant challenges, and several chapters are devoted to the needs of military children, the families of ill and injured service members and veterans, deployment-related care, and caring for the bereaved. The book's comprehensive review of resources available to military service members, veterans, and families both ensures high-quality care and reduces the workload for treating physicians. Care of Military Service Members, Veterans, and Their Families is an authoritative and much-needed addition to the mental health literature.
Author: Kimberly A. Hepner Publisher: ISBN: 9781977405401 Category : Medical Languages : en Pages : 214
Book Description
The authors evaluated access and quality of behavioral health care provided to service members who reside remotely from a military treatment facility and compared their care with that received by non-remote personnel.
Author: Jayakanth Srinivasan Publisher: Cornell University Press ISBN: 1501760513 Category : Psychology Languages : en Pages : 128
Book Description
Helping Soldiers Heal tells the story of the US Army's transformation from a disparate collection of poorly standardized, largely disconnected clinics into one of the nation's leading mental health care systems. It is a step-by-step guidebook for military and civilian health care systems alike. Jayakanth Srinivasan and Christopher Ivany provide a unique insider-outsider perspective as key participants in the process, sharing how they confronted the challenges firsthand and helped craft and guide the unfolding change. The Army's system was being overwhelmed with mental health problems among soldiers and their family members, impeding combat readiness. The key to the transformation was to apply the tenets of "learning" health care systems. Building a learning health care system is hard; building a learning mental health care system is even harder. As Helping Soldiers Heal recounts, the Army overcame the barriers to success, and its experience is full of lessons for any health care system seeking to transform.
Author: National Academies of Sciences, Engineering, and Medicine Publisher: National Academies Press ISBN: 0309466601 Category : Medical Languages : en Pages : 467
Book Description
Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not surprising that some service members developed such mental health conditions as posttraumatic stress disorder, depression, and substance use disorder. Subsequent epidemiologic studies conducted on military and veteran populations that served in the operations in Afghanistan and Iraq provided scientific evidence that those who fought were in fact being diagnosed with mental illnesses and experiencing mental healthâ€"related outcomesâ€"in particular, suicideâ€"at a higher rate than the general population. This report provides a comprehensive assessment of the quality, capacity, and access to mental health care services for veterans who served in the Armed Forces in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn. It includes an analysis of not only the quality and capacity of mental health care services within the Department of Veterans Affairs, but also barriers faced by patients in utilizing those services.
Author: United States. Congress. House. Committee on Armed Services. Subcommittee on Military Personnel Publisher: ISBN: Category : History Languages : en Pages : 168
Author: Kimberly A. Hepner Publisher: ISBN: Category : Medicine, Military Languages : en Pages : 0
Book Description
Geographic location can be a barrier to accessing and receiving high-quality behavioral health care for both civilians and military personnel. As a consequence, service members who reside far from military treatment facilities may be at higher risk for poorer clinical outcomes than those who are less remotely located. The authors evaluate remote service members' access to Military Health System (MHS) care for those with posttraumatic stress disorder (PTSD), depression, or substance use disorder (SUD) and assess the quality of the behavioral health care they received. The report highlights how quality-measure performance varies by remote status, focusing on differences in quality of care that are large and potentially clinically significant. The authors also discuss policy implications and offer recommendations for how the military can use new strategies-including synchronous telehealth or technology-enabled interventions-to ensure access to high-quality care for all service members, regardless of location.
Author: National Academies of Sciences, Engineering, and Medicine Publisher: National Academies Press ISBN: 0309489539 Category : Social Science Languages : en Pages : 385
Book Description
The U.S. military has been continuously engaged in foreign conflicts for over two decades. The strains that these deployments, the associated increases in operational tempo, and the general challenges of military life affect not only service members but also the people who depend on them and who support them as they support the nation â€" their families. Family members provide support to service members while they serve or when they have difficulties; family problems can interfere with the ability of service members to deploy or remain in theater; and family members are central influences on whether members continue to serve. In addition, rising family diversity and complexity will likely increase the difficulty of creating military policies, programs and practices that adequately support families in the performance of military duties. Strengthening the Military Family Readiness System for a Changing American Society examines the challenges and opportunities facing military families and what is known about effective strategies for supporting and protecting military children and families, as well as lessons to be learned from these experiences. This report offers recommendations regarding what is needed to strengthen the support system for military families.
Author: Justin F. Hummer
Author: Justin F. Hummer
Author: Institute of Medicine
Author: Institute of Medicine
Author: Stephen J. Cozza
Author: Kimberly A. Hepner
Author: Jayakanth Srinivasan
Author: National Academies of Sciences, Engineering, and Medicine
Author: United States. Congress. House. Committee on Armed Services. Subcommittee on Military Personnel
Author: Kimberly A. Hepner
Author: National Academies of Sciences, Engineering, and Medicine