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Recommended Standards for Delivering High-Quality Care to Veterans with Invisible Wounds
The authors identified ten standards for the delivery of high-quality care for veterans with posttraumatic stress disorder, depression, substance use disorders, and mild traumatic brain injury. They also provide considerations for implementing and disseminating these standards as a first step to improve access to high-quality care for veterans with invisible wounds.
Integrating Department of Defense and Department of Veterans Affairs Purchased Care
An integrated approach to purchasing health care for U.S. Department of Defense and U.S. Department of Veterans Affairs could have important implications for access, quality, and costs but could face legislative, policy, or contractual challenges.
Out of the Shadows
Private contractors have been deployed extensively around the globe for the past decade and may be exposed to many of the stressors that are known to have physical and mental health implications for military personnel. Results from a RAND survey offer preliminary findings about the mental and physical health of contractors, their deployment experiences, and their access to and use of health care resources.
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.
Pre-Deployment Stress, Mental Health, and Help-Seeking Behaviors Among Marines
As part of an evaluation of the Marine Corps Operational Stress Control and Readiness (OSCAR) program, this report describes the methods and findings of a large survey of marines who were preparing for a deployment to Iraq or Afghanistan in 2010 or 2011. The results are among the first to shed light on the pre-deployment mental health status of marines, as well as the social resources they draw on when coping with stress and their attitudes about seeking help for stress-related problems.
The First World War and Health
The First World War and Health: Rethinking Resilience aims to broaden the scope of resilience by looking at it from military, medical, personal and societal perspectives. The authors ask how war influenced the health – both physically and psychologically – of those fighting and attending the wounded, as well as the general health of the community of which they were part.
Out of the Shadows
Deployed contractors may be exposed to the same stressors as military personnel. A RAND survey examined the mental and physical health of contractors, their deployment experiences, and their access to and use of health care resources.
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.
Wounds of War
U.S. military conflicts abroad have left nine million Americans dependent on the Veterans Health Administration (VHA) for medical care. Their "wounds of war" are treated by the largest hospital system in the country—one that has come under fire from critics in the White House, on Capitol Hill, and in the nation's media. In Wounds of War, Suzanne Gordon draws on five years of observational research to describe how the VHA does a better job than private sector institutions offering primary and geriatric care, mental health and home care services, and support for patients nearing the end of life. In the unusual culture of solidarity between patients and providers that the VHA has fostered, Gordon finds a working model for higher-quality health care and a much-needed alternative to the practice of for-profit medicine.
Improving Care for Veterans with Traumatic Brain Injury Across the Lifespan
This report presents findings from a study designed to identify the long-term outcomes of traumatic brain injury for veterans, the future needs of this population, effective treatments, and the availability of community-based resources.
