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Hidden Heroes
"While much has been written about the role of caregiving for the elderly and chronically ill and for children with special needs, little is known about "military caregivers" -- the population of those who care for wounded, ill, and injured military personnel and veterans. These caregivers play an essential role in caring for injured or wounded service members and veterans. This enables those for whom they are caring to live better quality lives, and can result in faster and improved rehabilitation and recovery. Yet playing this role can impose a substantial physical, emotional, and financial toll on caregivers. This report summarizes the results of a study designed to describe the magnitude...
Measuring the Quality of Care for Psychological Health Conditions in the Military Health System
To inform improvements to the quality of care delivered by the military health system for posttraumatic stress disorder and major depressive disorder, researchers developed a framework and identified, developed, and described a candidate set of measures for monitoring, assessing, and improving the quality of care. This document describes their research approach and the measure sets that they identified.
Intercity Passenger and Freight Rail
Concerns about the weak economy, congestion in the transport. system, and the potentially harmful effects of air emissions generated by the transport. sector have raised awareness of the potential benefits and costs of intercity passenger and freight rail relative to other transport. modes such as highways. This report reviewed: (1) the extent to which transport. policy tools that provide incentives to shift passenger and freight traffic to rail may generate emissions, congestion, and economic development benefits; and (2) how project benefits and costs are assessed for investment in intercity passenger and freight rail and how the strengths and limitations of these assessments impact federal decision making. Charts and tables. A print on demand report.
Sexual Assault and Sexual Harassment in the U.S. Military
The Department of Defense Sexual Assault Prevention and Response Office asked the RAND Corporation to independently assess rates of sexual assault, sexual harassment, and gender discrimination in the military. This volume presents the results of methodological investigations into sources of potential bias in estimates produced from the 2014 RAND Military Workplace Study for active- and reserve-component members in the U.S. military.
Understanding Treatment of Mild Traumatic Brain Injury in the Military Health System
A RAND study, the first to examine care received by a census of active-duty service members diagnosed with mild traumatic brain injury in the Military Health System, assessed the number and characteristics of these patients (including deployment history and history of traumatic brain injury), their care settings, the treatments they received, co-occurring conditions, the duration of treatment, and the risk factors for requiring long-term care.
Evidence-Based Public Management
Evidence-based management (EBMgt) derives principles of good management from scientific research, meta-analysis, literature reviews, and case studies, and then translates them into practice. This book is the first systematic assessment of EBMgt and its potential application in public management.
The Defense and Veterans Brain Injury Center Care Coordination Program
Improvised explosive devices have been used extensively against U.S. forces during Operation Enduring Freedom and Operation Iraqi Freedom and have been one of the leading causes of death. Injuries among survivors often include traumatic brain injuries (TBIs). Those recovering from TBIs often find they must coordinate services across multiple systems of care to meet all their medical and psychological health needs. This task is difficult even for those without the cognitive challenges associated with TBI and may prove overwhelming or even impossible, particularly during periods of transition from inpatient to outpatient services or from active duty to veteran status, for example. Although cas...
Public-private Partnerships for Providing Behavioral Health Care to Veterans and Their Families
American veterans and their family members struggle with behavioral health problems, yet few engage in treatment to address these problems. Barriers to care include trouble accessing treatment and limited communication between civilian and military health care systems, which treat veterans and their family members separately. Even though the Department of Veterans Affairs (VA) is making efforts to address barriers to care, more work is needed to effectively serve veterans and their families. Public-private partnerships have been discussed as a potential solution and could include collaborations between a public agency, such as the VA, and a private organization, such as a veteran service org...
Mothers of the Military
Mothers of the Military examines the distinctive kinds of support required during an increasingly privatized war, specifically material, moral and healthcare support. Mothers are a particularly key part of the current support system for service members, and Wendy Christensen follows the mothers of U.S. service members in the War on Terrorism through the stages of recruitment, deployment, and post-deployment. Bringing to light the experiences and stories of women who are largely invisible during war—the mothers of service members. Over 2.5 million members of the U.S. military have deployed to Iraq or Afghanistan during the now 16 year-long war. Each service member has loved ones—spouses, ...
