The goal of RAND's military health policy research is to help the U.S. Department of Defense and Veterans Health Administration meet the challenges of providing the best care possible to this diverse population, while containing costs.
The Re-Engineering Systems of Primary Care Treatment in the Military (RESPECT-Mil) Program is a system of care designed to screen, assess, and treat PTSD and depression in Army primary care settings. An independent team used existing program data and discussions with key stakeholders to conduct an implementation evaluation of the program.
Suicide prevention efforts are crucial, but having procedures in place to respond is also important. The DoD has no policies on what to do after a suicide to prevent subsequent ones, although there are resources available to help those bereaved and processes to honor the service member and his or her family.
Improving the quality and quantity of U.S. military members' sleep following deployment could help reduce other health problems, including depression and PTSD. However, a lack of consistent and transparent sleep-related policies may impede efforts to promote sleep health among service members.
Roughly 300,000 military service members and 1 million dependents are geographically distant from behavioral health care, and remoteness is associated with lower use of specialty behavioral health care. Telehealth and collaborative care are two promising solutions.