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Preventing Psychological Disorders in Service Members and Their Families

Preventing Psychological Disorders in Service Members and Their Families
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 304
Release: 2014-02-11
Genre: Medical
ISBN: 0309297184
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Being deployed to a war zone can result in numerous adverse psychological health conditions. It is well documented in the literature that there are high rates of psychological disorders among military personnel serving in Operation Enduring Freedom in Afghanistan and Operation Iraqi Freedom in Iraq as well as among the service members' families. For service members' families, the degree of hardship and negative consequences rises with the amount of the service members' exposure to traumatic or life-altering experiences. Adult and child members of the families of service members who experience wartime deployments have been found to be at increased risk for symptoms of psychological disorders and to be more likely to use mental health services. In an effort to provide early recognition and early intervention that meet the psychological health needs of service members and their families, DOD currently screens for many of these conditions at numerous points during the military life cycle, and it is implementing structural interventions that support the improved integration of military line personnel, non-medical caregivers, and clinicians, such as RESPECT-Mil (Re-engineering Systems of Primary Care Treatment in the Military), embedded mental health providers, and the Patient-Centered Medical Home. Preventing Psychological Disorders in Service Members and Their Families evaluates risk and protective factors in military and family populations and suggests that prevention strategies are needed at multiple levels - individual, interpersonal, institutional, community, and societal - in order to address the influence that these factors have on psychological health. This report reviews and critiques reintegration programs and prevention strategies for PTSD, depression, recovery support, and prevention of substance abuse, suicide, and interpersonal violence.

Handbook of Psychosocial Interventions for Veterans and Service Members

Handbook of Psychosocial Interventions for Veterans and Service Members
Author: Nathan David Ainspan
Publisher: Oxford University Press
Total Pages: 489
Release: 2016
Genre: Psychology
ISBN: 0199353999
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The United States is in the midst of the largest military demobilization in its history. This is leading to an increase in the demand for mental health clinicians who can provide services to hundreds of thousands of military veterans and members of the military. Nearly two million Americans have been deployed to the wars in the Middle East, and thousands of them have been deeply affected, either psychologically, physically, or both. Projections suggest that 300,000 are returning with symptoms of PTSD or major Depression; 320,000 have been exposed to probable Traumatic Brain Injuries; and hundreds of thousands are dealing with psychological effects of physical injuries. Other veterans and members of the military without injuries will seek treatment to help them with the psychological impact of serving in the military, being deployed, or transitioning and reintegrating back into the civilian world. As an example, hundreds of thousands of service members are also leaving the armed forces earlier than they anticipated and will need to quickly adjust to life as civilians after assuming that they would have many more years in the military. Many will be leaving the military because of demobilizations and downsizing due to budget cuts. Current proposed cuts will shrink the military force to the same size it was in 1940. The Pew Center reports that 44% of veterans from the current wars are describing their readjustment to civilian life as difficult, and many of them are and will be turning to civilian mental health and primary care clinicians for assistance. The Handbook of Psychosocial Interventions for Veterans and Service Members is a one stop handbook for non-military clinicians working with service members, veterans, and their families. It brings together experts from the Department of Defense, the Department of Veterans Affairs, veteran service organizations, and academia to create the first comprehensive guidebook for civilian clinicians. In addition to covering psychiatric disorders such as depression, anxiety, and PTSD, this book also offers information about psychosocial topics that impact military personnel and their loved ones and can become part of treatment (e.g., employment or education options, financial matters, and parenting concerns), providing the most recent and cutting-edge research on the topics. Chapters are concise and practical, delivering the key information necessary to orient clinicians to the special needs of veterans and their families. The Handbook of Psychosocial Interventions for Veterans and Service Members is an essential resource for private practice mental health clinicians and primary care physicians, as well as a useful adjunct for VA and DOD psychologists and staff.

Care of Military Service Members, Veterans, and Their Families

Care of Military Service Members, Veterans, and Their Families
Author: Stephen J. Cozza
Publisher: American Psychiatric Pub
Total Pages: 344
Release: 2014-01-23
Genre: Medical
ISBN: 1585625310
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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.

Evaluation of the Department of Veterans Affairs Mental Health Services

Evaluation of the Department of Veterans Affairs Mental Health Services
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 467
Release: 2018-03-29
Genre: Medical
ISBN: 0309466601
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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.

Strengthening the Military Family Readiness System for a Changing American Society

Strengthening the Military Family Readiness System for a Changing American Society
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 385
Release: 2019-10-25
Genre: Social Science
ISBN: 0309489539
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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.

Military Mental Health Care

Military Mental Health Care
Author: Cheryl Lawhorne-Scott
Publisher: Rowman & Littlefield Publishers
Total Pages: 241
Release: 2012-12-07
Genre: Health & Fitness
ISBN: 1442220945
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Too often American veterans return from combat and spiral into depression, anger and loneliness they can neither share nor tackle on their own. Military Mental Health Care: A Guide for Service Members, Veterans, Families, and Community seeks to aid our troubled, returning forces by dissecting the numerous mental health problems they face upon arriving stateside. Don Philpott and Cheryl Lawhorne-Scott, co-authors with Janelle Hill of the highly successful Wounded Warrior Handbook, detail not only each issue’s symptoms, but also discuss what treatments are available, and the best ways for veterans to access those treatments while readjusting to civilian life. In addition, they connect and explain many alarming trends, such as joblessness, poverty and addiction, appearing in our nation’s veteran population on a broader scale. PTSD and struggles with anxiety affect far more than veterans themselves, as sobering phenomena like homelessness, suicide, domestic violence and divorce too often become realities for those returning from war. Military Mental Health Care is both a resource for struggling veterans and a useful tool for their loved ones, or anyone looking for ways to support the veterans in their lives.

Risk and Resilience in U.S. Military Families

Risk and Resilience in U.S. Military Families
Author: Shelley MacDermid-Wadsworth
Publisher: Springer Science & Business Media
Total Pages: 377
Release: 2010-11-03
Genre: Psychology
ISBN: 1441970649
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War related separations challenge military families in many ways. The worry and uncertainty associated with absent family members exacerbates the challenges of personal, social, and economic resources on the home front. U.S. military operations in Iraq and Afghanistan have sent a million service personnel from the U.S. alone into conflict areas leaving millions of spouses, children and others in stressful circumstances. This is not a new situation for military families, but it has taken a toll of magnified proportions in recent times. In addition, medical advances have prolonged the life of those who might have died of injuries. As a result, more families are caring for those who have experienced amputation, traumatic brain injury, and profound psychological wounds. The Department of Defence has launched unprecedented efforts to support service members and families before, during, and after deployment in all locations of the country as well as in remote locations. Stress in U.S. Military Families brings together an interdisciplinary group of experts from the military to the medical to examine the issues of this critical problem. Its goal is to review the factors that contribute to stress in military families and to point toward strategies and policies that can help. Covering the major topics of parenting, marital functioning, and the stress of medical care, and including a special chapter on single service members, it serves as a comprehensive guide for those who will intervene in these problems and for those undertaking their research.

Reducing Risks for Mental Disorders

Reducing Risks for Mental Disorders
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 636
Release: 1994-01-01
Genre: Medical
ISBN: 0309049393
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The understanding of how to reduce risk factors for mental disorders has expanded remarkably as a result of recent scientific advances. This study, mandated by Congress, reviews those advances in the context of current research and provides a targeted definition of prevention and a conceptual framework that emphasizes risk reduction. Highlighting opportunities for and barriers to interventions, the book draws on successful models for the prevention of cardiovascular disease, injuries, and smoking. In addition, it reviews the risk factors associated with Alzheimer's disease, schizophrenia, alcohol abuse and dependence, depressive disorders, and conduct disorders and evaluates current illustrative prevention programs. The models and examination provide a framework for the design, application, and evaluation of interventions intended to prevent mental disorders and the transfer of knowledge about prevention from research to clinical practice. The book presents a focused research agenda, with recommendations on how to develop effective intervention programs, create a cadre of prevention researchers, and improve coordination among federal agencies.

Military Mental Health Care

Military Mental Health Care
Author: Cheryl Lawhorne Scott
Publisher: Rowman & Littlefield
Total Pages: 241
Release: 2013
Genre: Family & Relationships
ISBN: 1442220937
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Too often American veterans return from combat and spiral into depression, anger and loneliness they can neither share nor tackle on their own. This guide seeks to aid our troubled, returning forces by dissecting the numerous mental health problems they face upon arriving stateside. The authors detail not only each issue's symptoms, but also discuss what treatments are available, and the best ways for veterans to access those treatments while readjusting to civilian life. In addition, the authors connect and explain many alarming trends, such as joblessness, poverty, and addiction, appearing in our nations's veteran population on a broader scale. Post-traumatic stress syndrome and struggles with anxiety affect far more than veterans themselves, as sobering phenomena like homelessness, suicide, domestic violence, and divorce too often become realities for those returning from war. This book is both a resource for struggling veterans and a useful tool for their loved ones or anyone looking for ways to support the veterans in their lives. -- From back cover.

Assessing Fitness for Military Enlistment

Assessing Fitness for Military Enlistment
Author: National Research Council
Publisher: National Academies Press
Total Pages: 264
Release: 2006-02-27
Genre: Medical
ISBN: 0309164877
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The U.S. Department of Defense (DoD) faces short-term and long-term challenges in selecting and recruiting an enlisted force to meet personnel requirements associated with diverse and changing missions. The DoD has established standards for aptitudes/abilities, medical conditions, and physical fitness to be used in selecting recruits who are most likely to succeed in their jobs and complete the first term of service (generally 36 months). In 1999, the Committee on the Youth Population and Military Recruitment was established by the National Research Council (NRC) in response to a request from the DoD. One focus of the committee's work was to examine trends in the youth population relative to the needs of the military and the standards used to screen applicants to meet these needs. When the committee began its work in 1999, the Army, the Navy, and the Air Force had recently experienced recruiting shortfalls. By the early 2000s, all the Services were meeting their goals; however, in the first half of calendar year 2005, both the Army and the Marine Corps experienced recruiting difficulties and, in some months, shortfalls. When recruiting goals are not being met, scientific guidance is needed to inform policy decisions regarding the advisability of lowering standards and the impact of any change on training time and cost, job performance, attrition, and the health of the force. Assessing Fitness for Military Enlistment examines the current physical, medical, and mental health standards for military enlistment in light of (1) trends in the physical condition of the youth population; (2) medical advances for treating certain conditions, as well as knowledge of the typical course of chronic conditions as young people reach adulthood; (3) the role of basic training in physical conditioning; (4) the physical demands and working conditions of various jobs in today's military services; and (5) the measures that are used by the Services to characterize an individual's physical condition. The focus is on the enlistment of 18- to 24-year-olds and their first term of service.