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Since October 2001, approximately 1.64 million U.S. troops have been deployed for Operations Enduring Freedom and Iraqi Freedom (OEF/OIF) in Afghanistan and Iraq. Early evidence suggests that the psychological toll of these deployments -- many involving prolonged exposure to combat-related stress over multiple rotations -- may be disproportionately high compared with the physical injuries of combat. In the face of mounting public concern over post-deployment health care issues confronting OEF/OIF veterans, several task forces, independent review groups, and a Presidential Commission have been convened to examine the care of the war wounded and make recommendations. Concerns have been most re...
One of the major concerns about the changing U.S. health-care systems is whether they will improve or diminish the quality and cost-effectiveness of medical care. The shift from a fee-for-service to a prepaid method of reimbursement has greatly changed the incentives of patients to seek care as well as those of providers to supply it. This change poses a particular challenge for care of depressed patients, a vulnerable population that often does not advocate for its own care. This book documents the inefficiencies of our national systems--prepaid as well as fee-for-service--for treating depression and explores how they can be improved. Although depression is a major illness affecting million...
As U.S. service members deploy for extended periods on a repeated basis, their ability to cope with the stress of deployment may be challenged. Many programs are available to encourage and support psychological resilience among service members and families. However, little is known about these programs' effectiveness. This report reviews resilience literature and programs to identify evidence-informed factors for promoting resilience.
Provides a roadmap for federal, state, and local leaders who are developing plans to enhance community resilience for health security threats and describes options for building community resilience in key areas.
In this book, the IOM makes recommendations for permitting independent practice for mental health counselors treating patients within TRICARE-the DOD's health care benefits program. This would change current policy, which requires all counselors to practice under a physician's supervision without regard to their education, training, licensure or experience.
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Since current policies for assigning military women were issued, the U.S. Army has changed how it organizes and fights. Assessing the Assignment Policy for Army Women considers whether the Army is adhering to the assignment policies as well as the appropriateness of the current U.S. Department of Defense and Army assignment policies, given how units are operating in Iraq.
This volume bridges contemporary philosophical conceptions of risk and responsibility and offers an extensive examination of the topic. It shows that risk and responsibility combine in ways that give rise to new philosophical questions and problems. Philosophical interest in the relationship between risk and responsibility continues to rise, due in no small part due to environmental crises, emerging technologies, legal developments, and new medical advances. Despite such interest, scholars are just now working out how to conceive of the links between risk and responsibility, the implications that risks may have to conceptions of responsibility (and vice versa), as well as how such theorizing...
When Reverend Mosby's son went to war, she, like so many other mothers, prayed for his safe return. Her prayers were answered. He came home, alive and whole. Or, so she thought. The War Stole My Soul with Post-Traumatic Stress Disorder (PTSD): What Now? is the result of a mother's mission to restore her son's faith in God and encourage his desire to live. In her quest to save her son from his despair, Reverend Mosby came to understand the debilitating effects of PTSD on the souls of veterans. She found there were no government resources to heal their broken spirits. Few church communities had either the knowledge of PTSD and its symptoms or the means to support its victims. Reverend Mosby set out to educate those who could help those who suffer. She created a training program to raise awareness of PTSD among church leaders. Encouraged by the program's success, Reverend Mosby began speaking to church groups, veterans' organizations, corporations, and at conferences. And, now, through this book, she is expanding her reach so that no veterans and their caregivers will ever have to say: The War Stole My Soul with Post-Traumatic Stress Disorder (PTSD): What Now?