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Evaluation of the Department of Veterans Affairs Mental Health Services
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 me...
Evaluation of the Department of Veterans Affairs Mental Health Services
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 me...
Improving the Quality of Health Care for Mental and Substance-Use Conditions
Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of ...
Combating Tobacco Use in Military and Veteran Populations
The health and economic costs of tobacco use in military and veteran populations are high. In 2007, the Department of Veterans Affairs (VA) and the Department of Defense (DoD) requested that the Institute of Medicine (IOM) make recommendations on how to reduce tobacco initiation and encourage cessation in both military and veteran populations. In its 2009 report, Combating Tobacco in Military and Veteran Populations, the authoring committee concludes that to prevent tobacco initiation and encourage cessation, both DoD and VA should implement comprehensive tobacco-control programs.
A 21st Century System for Evaluating Veterans for Disability Benefits
21st Century System for Evaluating Veterans' Disability Benefits recommends improvements in the medical evaluation and rating of veterans for the benefits provided by the Department of Veterans Affairs (VA) to compensate for illnesses or injuries incurred in or aggravated by military service. Compensation is a monthly cash benefit based on a rating schedule that determines the degree of disability on a scale of 0 to 100. Although a disability rating may also entitle a veteran to ancillary services, such as vocational rehabilitation and employment services, the rating schedule is out of date medically and contains ambiguous criteria and obsolete conditions and language. The current rating sch...
Evaluation of the Department of Veterans Affairs Mental Health Services
Introduction -- The Veterans Health Administration -- The Veterans Health Administration's Mental Health Services -- Clinical management of mental health conditions at the Veterans Health Administration -- Methodology -- Department of Veteran's Affairs mental health services: need, usage, and access and barriers to care -- Dimensions of quality in mental health care -- Mental health workforce and facilities infrastructure -- Timely access to mental health care -- Patient-centered care and the veteran experience -- Effective mental health care -- Efficient mental health care -- Equitable mental health care -- Health technology for mental health care -- Quality management -- Findings, conclusions, and recommendations -- Appendices. Supporting the documentation for the survey -- Supporting documentation for the site visits: questionnaires and NVivo codes.
Congressional Record
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Disaster Psychiatry
More than 10 years after the first edition was published—and spurred in part by the coronavirus disease 2019 (COVID-19) pandemic, which turned nearly all mental health professionals into de facto disaster mental health professionals—this second edition of Disaster Psychiatry remains a clinically oriented, evidence-based, and practical guide to mental health evaluation and interventions against the backdrop of adversity. Over the course of 21 extensively referenced chapters, a cadre of experienced mental health professionals takes a biopsychosocial approach to explaining what a disaster is, how it relates to mental health, and how psychiatrists and other mental health professionals can ef...
Permanent Supportive Housing
Chronic homelessness is a highly complex social problem of national importance. The problem has elicited a variety of societal and public policy responses over the years, concomitant with fluctuations in the economy and changes in the demographics of and attitudes toward poor and disenfranchised citizens. In recent decades, federal agencies, nonprofit organizations, and the philanthropic community have worked hard to develop and implement programs to solve the challenges of homelessness, and progress has been made. However, much more remains to be done. Importantly, the results of various efforts, and especially the efforts to reduce homelessness among veterans in recent years, have shown th...
