Focus on the Well-Being of the Military, Veterans, and Their Families

Maintaining an effective military largely depends on ensuring the well-being of its service members, veterans, and their families. Uncertainty surrounding deployments, long work hours, and family separation causes significant stress on military personnel and has negative effects on retention. RAND is a resource for research and policy recommendations that address the challenges faced by military members, spouses, and their children, including readiness for deployment; quality and cost-effective health care; the mental health and cognitive needs of U.S. service members returning from Afghanistan and Iraq; the health and employment problems that hinder veterans' reintegration into civilian life; the role of military spouses; and the need for military-sponsored child care.

Selected Findings

Military Families: What We Know and What We Don't Know — Mar 2, 2012

Never before in our nation's history have our service members and their families been so challenged and never before have their struggles (and successes) been the topic of so much scholarly attention, writes Sarah O. Meadows.

Bridging the Gaps in Treating Veterans with Post-Deployment Mental Health Problems — Dec 5, 2011

Delivery of evidence-based care to all veterans with PTSD or depression would pay for itself—or even save money—within two years by improving productivity and reducing medical and mortality costs, writes Terri Tanielian.

VA Mental Health Care: How Good Is It and How Can We Make It Better? — Dec 1, 2011

In this December 2011 Congressional Briefing, Katherine Watkins discusses the VA's capacity to deliver care to veterans with mental health and substance use disorders and the quality of the care that is delivered. This congressionally mandated study is the first comprehensive look at the full spectrum of clinical services provided to veterans with mental health issues.

Coalition Forces During Stability Operations: Band of Brothers or Dysfunctional Family? — Nov 23, 2011

As challenging as coalition warfare is during conventional conflicts, the difficulties are compounded in number and character when the contingency is instead a stability operation. The absence of a threat that puts survival interests at risk translates into weaker commitment and more-restrictive caveats on how a participant's capabilities are employed.

A New Approach for Assessing the Needs of Service Members and Their Families — Nov 21, 2011

A survey tool based on a new methodological framework can be used by the Department of Defense and local military commanders to gauge the problems and problem-related needs of service members and their families, how well those needs are being met, and the barriers and bridges to accessing services.

Catalog Analyzes DoD-Sponsored Programs that Address Psychological Health — Nov 9, 2011

The U.S. Department of Defense sponsors many programs for servicemembers and their families. RAND compiled a searchable online catalog of 211 programs that address psychological health and traumatic brain injury.

Better Coordination of Psychological Health, Traumatic Brain Injury Programs for Military Needed — Nov 9, 2011

Despite the recent drawdown in Iraq, the high operational tempo of the past decade that has included longer and more-frequent deployments has resulted in significant mental health problems among some servicemembers. More than 200 programs are available to help treat psychological health and traumatic brain injury issues, but better coordination of those efforts is needed.

Care Is Expensive for Mentally Ill Veterans, but Quality Is as Good or Better Than Other Health Systems — Oct 19, 2011

Treating U.S. veterans with mental illness and substance use disorders is more expensive than caring for those with other medical conditions but the quality of mental health care offered by the U.S. Department of Veterans Affairs is as good as or better than that reported by privately insured, Medicare, or Medicaid populations.

After Nearly a Decade of War, Servicemembers and Families Report Stress, Resilience — Sep 1, 2011

Centerpiece Infographic The wars in Afghanistan and Iraq have put America's all-volunteer force to its most severe test since its inception in 1973. Explore this interactive infographic to learn more about how the troops and their families are faring.

Effects of Deployment on U.S. Service Members and Their Families — Jul 27, 2011

Testimony presented before the Senate Veterans' Affairs Committee provides an overview of RAND's extensive research on how deployment affects service members and their families. Issues addressed include combat-related stress, psychological injuries, willingness to reenlist, and the impact of parental deployment on children.

How Is Deployment to Iraq and Afghanistan Affecting U.S. Service Members and Their Families? — May 17, 2011

Approximately two million individuals serving in America's all-volunteer force have been deployed to Iraq and Afghanistan over the past decade. An ongoing research program investigates the effects of deployment on those troops and their families.

Honor Military Suicide Victims by Preventing More Deaths — May 29, 2011

Not only would the delivery of quality behavioral care prevent suicides, but it would also aid in the recovery of the nearly 20 percent of service members with post-traumatic stress disorder or depression, writes Rajeev Ramchand.

The War Within: Preventing Suicide in the U.S. Military — May 10, 2011

In this May 2011 Congressional Briefing, behavioral scientist Rajeev Ramchand presents RAND research and analysis on recent increases in suicides among members of the U.S. military.

Army Children with a Parent Deployed Nineteen Months or Longer Experience More Academic Difficulties — Apr 4, 2011

Army children whose parents have deployed 19 months or more since 2001 score lower on standardized tests than other Army children whose parents have deployed for shorter periods of time.

U.S. Military Should Improve Behavioral Health Programs in Response to Rising Number of Suicides — Feb 17, 2011

U.S. military officials should improve efforts to identify those at risk and improve both the quality and access to behavioral health treatment in response to a sharp rise in suicide among members of the nation's armed forces.

Children and Spouses of Deployed Military Members Report Challenges as Responsibilities Increase — Jan 19, 2011

Children and spouses of military members deployed to Iraq and Afghanistan report facing challenges as family relationships change and they assume more responsibility for household duties during deployment.

Anita Chandra Discusses Supporting the Needs of Veterans and Their Families — Nov. 11, 2010

military family hugging before deployment, photo courtesy of Spc. M. Vogler/U.S. Army

RAND Behavioral Scientist Anita Chandra outlines current and past RAND research that focuses on the issues that affect veterans, the military, and their families.

Military Veterans' Experiences Using the Post-9/11 GI Bill and Adapting to Life on Campus — Nov. 11, 2010

a man studying in a library

The Post-9/11 GI Bill increased the higher education benefits available to eligible individuals, but its implementation presented challenges to both student veterans and campus administrators.

Children on the Home Front: The Experiences of Children from Military Families — Mar. 1, 2010

returning soldier hugs daughter, photo courtesy of DoD/Cherie A. Thurlby

In this Congressional Briefing held on March 1, 2010, behavioral scientist Anita Chandra shared findings from the largest study to date on how children whose parents serve in the U.S. military are faring academically, socially, and emotionally during this extended period of wartime.

Measuring Underemployment Among Military Spouses — Feb. 26, 2010

deploying soldier leaves wife and child

Comparisons of military wives with a group of similar civilian wives show that the former have a much greater tendency to be underemployed. However, there does not seem to be a strong link between military wives' labor force position and satisfaction with their life situation.

Studies' Estimates of PTSD Prevalence Rates for Returning Service Members Vary Widely — Feb. 11, 2010

Soldier hugging family member

Prevalence estimates of posttraumatic stress disorder (PTSD) among war zone veterans vary widely and are linked to the use of different PTSD diagnostic definitions and divergent study samples.

Longer Parental Deployment Linked to More Emotional Challenges for Military Children — Dec. 7, 2009

U.S. military police Spc. A. Cogswell kisses his daughter after 15-month Iraq deployment, photo courtesy of flickr/U.S. Army

Children in military families may suffer from more emotional and behavioral difficulties when compared to other American youths, with older children and girls struggling the most when a parent is deployed overseas.

How Have Deployments During the War on Terrorism Affected Reenlistment? — Oct. 7, 2009

a soldier overlooking mountains, MG-873 cover

Although U.S. Army deployments have been linked positively to the likelihood of reenlisting for much of the past decade, by 2006 the mounting burden of deployments to Iraq and Afghanistan reached the point where deployment had a negative effect on reenlistment.

Improving Mental Health Care for Returning Veterans — May 12, 2009

a man, depressed

An analysis identified barriers to mental health care access for military servicemembers and veterans in community settings and found gaps in the quality of care.

Gauging Future Demand for Veterans' Health Care: Does the VA Have the Forecasting Tools It Needs? — Apr. 29, 2009

Military Health Care

Testimony presented by Katherine M. Harris before the House Veterans' Affairs Committee on April 29, 2009.

Assessing Combat Exposure and Post-Traumatic Stress Disorder in Troops and Estimating the Costs to Society: Implications from the RAND Invisible Wounds of War Study — Mar. 24, 2009

soldier radios information, courtesy of Tech. Sgt. A. Dunaway/US Army

Testimony presented by Terri Tanielian before the House Veterans' Affairs Committee, Subcommittee on Disability Assistance and Memorial Affairs on March 24, 2009.

Family Readiness and Coping During Deployments Key Issues for National Guard and Reserve — Feb. 10, 2009

family saying good-bye

As the U.S. military continues to rely on the National Guard and Reserve for overseas deployments, making sure their families are adequately prepared for those missions is critical.

Foundation for Integrating Employee Health Activities for Active Duty Personnel in the Department of Defense — Jan. 22, 2009

stethoscope

Department of Defense safety and occupational health programs and health information systems, as well as employee health programs outside of DoD were assessed to provide a foundation for considering a more integrated Department of Defense employee health program.

Military Child Care System Should Reassess Delivery of Services to Better Meet Goals — Sep. 29, 2008

Family Child Care program, photo courtesy of Army/E. Wilson

The U.S. military should reassess its child care system to look for ways to make it better fit the needs of military families and more effectively meet recruitment, readiness and retention goals.

One In Five Iraq and Afghanistan Veterans Suffer from PTSD or Major Depression — Apr. 17, 2008

soldiers in shadow

Nearly 20 percent of military service members who have returned from Iraq and Afghanistan—300,000 in all—report symptoms of post traumatic stress disorder or major depression, yet only slightly more than half have sought treatment.

Recent Trends in Veteran Unemployment — Feb. 17, 2008

a computer screen showing a job search

While Current Population Survey (CPS) data indicates that veteran youth unemployment increased relative to nonveteran youth unemployment between 2003 and 2005, the changes in unemployment for the same groups over the same period in the American Community Survey (ACS) data are not statistically significant.

Divorce Among Soldiers Has Not Spiked Despite Stress from Deployments — Apr. 12, 2007

soldier with family

Despite greatly increased stress on the U.S. armed forces since the start of military operations in Afghanistan and Iraq, divorce rates among military families have increased only gradually.

Military Service Members Value Deployments — Dec. 20, 2005

servicemember and child

U.S. military personnel value deployments as an opportunity to use their training in real world missions, take on new responsibilities and participate in meaningful operations. However, stress from long work hours and demanding work schedules significantly reduces service members' intentions to re-enlist.

Iraq Troop Withdrawal

Cover: Managing Arab-Kurd Tensions in Northern Iraq After the Withdrawal of U.S. Troops

Managing Arab-Kurd Tensions in Northern Iraq After the Withdrawal of U.S. Troops — 2011

Presents options for mitigating the risk of Arab-Kurd conflict after the withdrawal of U.S. troops from Iraq, including confidence-building measures and other means of alleviating ethnic tensions in northern Iraq.

Cover: Security in Iraq

Security in Iraq: A Framework for Analyzing Emerging Threats as U.S. Forces Leave — 2010

U.S. withdrawal from Iraq could affect Iraq's internal security and stability, which could, in turn, affect U.S. strategic interests and the safety of U.S. troops and civilians in Iraq. The framework provided here can help minimize negative effects.

Cover: The Impact of U.S. Military Drawdown in Iraq on Displaced and Other Vulnerable Populations

The Impact of U.S. Military Drawdown in Iraq on Displaced and Other Vulnerable Populations: Analysis and Recommendations — 2010

Assesses the risks and implications of U.S. drawdown and withdrawal from Iraq for vulnerable populations in Iraq and in neighboring states, and makes recommendations for mitigating anticipated problems.

Cover: Whither Al-Anbar Province?

Whither Al-Anbar Province? Five Scenarios Through 2011 — 2010

Presents a discussion of likely scenarios for Iraq's al-Anbar Province over the course of the next three years.

Cover: Building Security in the Persian Gulf

Building Security in the Persian Gulf — 2010

The author makes recommendations for a new security structure for the Persian Gulf region in order to promote long-term security and stability while reducing burdens on the United States imposed by its role as a permanent power there.

Cover: Withdrawing from Iraq

Withdrawing from Iraq: Alternative Schedules, Associated Risks, and Mitigating Strategies — 2009

In studying the withdrawal from Iraq, RAND assessed logistical constraints, trends in insurgent activity, and the implications of the readiness of Iraqi security forces on the size of the residual U.S. force and on security in Iraq and the region.

Cover: After Saddam

After Saddam: Prewar Planning and the Occupation of Iraq — 2008

Examines prewar planning efforts for postwar Iraq, the role of U.S. military forces after the end of major combat, and civilian efforts at reconstruction.

Commentary

The Case for Keeping U.S. Troops in Northern Iraq — Aug 3, 2011

Both Iraqi and Kurdish officials have expressed concern that ethnic violence will break out in the north once U.S. troops withdraw. Though many state publicly that the U.S. "occupation" must end, some of these same officials say privately that they would like U.S. troops to remain as a go-between, writes Larry Hanauer.

Is Iraq Safe Yet? — Mar 5, 2009

The Obama administration's decision to withdraw the bulk of United Sates troops from Iraq over the next 19 months has sparked fears that Iraq will once again plunge into the wide-scale and debilitating violence that it endured from 2004 to 2007. Those fears are, for the most part, overblown, writes Lowell Schwartz.

The Obama Withdrawal From Iraq: How Fast? — Dec 16, 2008

The debate over withdrawal of American forces from Iraq has effectively ended: Troops will begin withdrawing in early 2009.... What is not yet entirely clear is what type of residual American force may remain in Iraq, writes Brian Michael Jenkins.

Military Health Policy Experts

Terri Tanielian

Terri Tanielian

Director of the RAND Center for Military Health Policy Research and focuses on the psychological and behavioral effects of combat, terrorism and disasters; public health emergency preparedness; and risk communication. She is co-leader of the study "Invisible Wounds of War."

Anita Chandra

Anita Chandra

A behavioral scientist focusing on child and adolescent health; community-based participatory research and evaluation; mental health; public health systems and community resilience.

Christine Eibner

Christine Eibner

An economist whose work in the RAND Center for Military Health Policy Research has focused on demand for TRICARE, maintaining the operational readiness of Department of Defense medical providers, and the economic costs of mental illness resulting from exposure to combat.

Carrie Farmer

Carrie Farmer

An associate policy researcher who has studied access to and quality of behavioral health care services and psychological health programs in the Department of Defense and the Veterans Health Administration.

James Hosek

James Hosek

A senior economist with expertise on defense manpower; he has published studies in the areas of recruiting, retention, compensation, deployment, and personnel quality.

Paul Heaton

Paul Heaton

An economist and director for research in the RAND Institute for Civil Justice, with expertise in military enlistment, attrition and reenlistment.

Lisa H. Jaycox

Lisa H. Jaycox

A senior behavioral scientist and clinical psychologist with expertise in child and adolescent mental health problems, including depression and reactions to violence exposure, such as post-traumatic stress disorder.

David Loughran

David Loughran

A senior economist and associate director of RAND Labor and Population, with expertise on military deployment and earnings, and enlistment and long-term economic well-being.

Grant Marshall

Grant Marshall

A senior behavioral scientist with expertise in post-traumatic stress disorder, mental health services in disasters, and refugee mental health.

Rajeev Ramchand

Rajeev Ramchand

A behavioral scientist focusing on military mental health, suicide prevention and substance abuse treatment.

Terry Schell

Terry Schell

A behavioral scientist focusing on psychological effects of trauma (including combat), violent behavior, and alcohol and drug use.

Jennifer Steele

Jennifer Steele

An associate policy researcher focusing on education; she is the author of "Service Members in School: Military Veterans' Experiences Using the Post-9/11 GI Bill and Pursuing Postsecondary Education."

Katherine Watkins

Katherine Watkins

A senior natural scientist; she most recently was the lead author on the RAND evaluation of the cost and quality of behavioral health care services for seriously mentally ill patients in the Veterans Health Administration.

Robin Weinick

Robin Weinick

Associate director of RAND Health and can discuss how the U.S. Military is addressing the mental health needs of service members.

Laura Werber

Laura Werber

A management scientist with expertise on the deployment experiences of guard and reserve families.

John Winkler

John Winkler

Director of the Forces and Resources Policy Center within RAND's National Security Research Division; he is an expert in defense manpower and specifically the deployment and reintegration related issues facing Reserve Component members.

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