Post Traumatic Stress Disorder

Combat veterans and survivors of violence, natural disasters, and terrorism have often experienced disturbing events that may lead to psychological trauma and post-traumatic stress disorder (PTSD). RAND research has evaluated the delivery of post-deployment mental health care to combat veterans, examined the treatment capacity of health care systems in response to PTSD, and estimated the costs of providing quality mental health care to all affected individuals.

Research conducted by: RAND Health; RAND National Security Research Division; RAND Project AIR FORCE; RAND Arroyo Center; RAND Justice, Infrastructure, and Environment; RAND Gulf States Policy Institute; Invisible Wounds of War Project

Featured at RAND

Post-traumatic Stress Disorder in Vulnerable Populations

June is National PTSD Awareness Month and June 27th is PTSD Awareness Day, providing an opportunity to recognize the challenges faced by survivors of trauma who live with PTSD symptoms. RAND research is helping increase awareness about the disorder and inform policy about how to prevent and address it.

RAND Assesses Post-Deployment Health-Related Needs of Iraq Veterans

The Invisible Wounds of War Study assessed Iraq veterans' health-related needs associated with PTSD, major depression, and traumatic brain injury; examined the treatment capacity of the current health care system; and estimated the costs of providing quality health care to all military members who need it.

All Items (113)

Journal Article

Discrimination as a Key Mediator of the Relationship Between Posttraumatic Stress and HIV Treatment Adherence Among African American Men — Feb 1, 2011

This study highlights the critical role that discrimination plays in adherence to antiretroviral therapy among African American men experiencing posttraumatic stress.

Journal Article

Developing Medical Record-Based Performance Indicators to Measure the Quality of Mental Healthcare — Jan 15, 2011

This paper presents the methodology used to develop a comprehensive set of performance indicators in a national evaluation of the mental healthcare delivered by the Veterans Health Administration.

Journal Article

Invisible Wounds, Visible Savings? Using Microsimulation to Estimate the Costs and Savings Associated with Providing Evidence-Based Treatment for PTSD and Depression to Veterans of Operation Enduring Freedom and Operation Iraqi Freedom — Jan 1, 2011

This study simulated the social costs and savings of providing universal access to care for depression and PTSD to troops returning from Operations Enduring Freedom and Iraqi Freedom.

Journal Article

Care for Veterans with Mental and Substance Use Disorders: Good Performance, but Room to Improve on Many Measures — Jan 1, 2011

The 15 % of veterans with mental health illness accounted for about one-third of total VA costs, mostly for non-mental health conditions. VA quality of care was generally better than care in private plans, but quality varied across VA regions.

Journal Article

Screening for Psychiatric Problems in the Orofacial Trauma Setting — May 1, 2010

This article reviews some common short screeners for PTSD and major depression.

Journal Article

Anxiety Sensitivity and PTSD Symptom Severity Are Reciprocally Related: Evidence from a Longitudinal Study of Physical Trauma Survivors — Feb 1, 2010

Individuals who are sensitive to anxety are likely to suffer from more severe posttraumatic stress disorder (PTSD).

Journal Article

Prevalence of Posttraumatic Stress Disorder and Major Depression After Trauma Center Hospitalization — Jan 1, 2010

Key demographic and injury characteristics could help to identify trauma survivors who are at increased risk of posttraumatic stress disorder and depression and would benefit from targeted screening, patient education, and early intervention efforts.

Journal Article

All PTSD Symptoms Are Highly Associated with General Distress: Ramifications for the Dysphoria Symptom Cluster — Jan 1, 2010

All symptoms for posttraumatic stress disorder (PTSD) are highly associated with those of general distress, which calls into question a model that separates the two.

Journal Article

Transforming Mental Healthcare in the Veterans Health Administration: A Model for Measuring Performance to Improve Access, Quality, and Outcomes — Jan 1, 2010

This paper describes the conceptual framework and research design of a national evaluation of the quality of mental healthcare provided to veterans by the Veterans Health Administration, and present results on the reported availability of evidence-based practices.

Journal Article

Functioning and Disability Levels in Primary Care Out-Patients with One or More Anxiety Disorders — Jan 1, 2010

A majority of primary care patients with anxiety disorders have more than one type. All are disabling, but focusing on just one is inadequate because impairment is greater for those who have multiple anxiety disorders.

Journal Article

Disparate Prevalence Estimates of PTSD Among Service Members Who Served in Iraq and Afghanistan: Possible Explanations — Jan 1, 2010

The authors reviewed 29 studies that provide prevalence estimates of posttraumatic stress disorder (PTSD) among service members previously deployed to Operations Enduring and Iraqi Freedom and their non-U.S. military counterparts. Combat exposure is the only correlate consistently associated with PTSD.

Research Brief

Making It Easier for School Staff to Help Traumatized Students — Jun 4, 2009

Describes Support for Students Exposed to Trauma (SSET), a cognitive-behavioral program intended to be delivered in schools by teachers or school counselors rather than clinical personnel.

Report

Support for Students Exposed to Trauma: The SSET Program — Jun 3, 2009

The Support for Students Exposed to Trauma (SSET) program is a series of ten teacher- or school counselor-led lessons aimed at reducing distress for middle school students who have been exposed to a traumatic life event.

Research Brief

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

Identifies barriers to mental health care access for military servicemembers and veterans in community settings.

Journal Article

Mental Health Care for Iraq and Afghanistan War Veterans — May 1, 2009

Despite recent efforts to increase access to appropriate mental health care for veterans returning from conflicts in Iraq and Afghanistan, many challenges remain. These include veterans' reluctance to seek care, insufficient mental health workforce capacity and competency in evidence-based practice, and inadequate systems support for improving care. These broad challenges must be addressed across the Veterans Health Administration, the Department of Defense, and community-based care. Policy reform will require federal leadership to engage health plans, professional organizations, states, and local communities in strategies to improve veterans' access to high-quality services.

Report

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 19, 2009

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

Journal Article

Treating Traumatized Children After Hurricane Katrina: Project Fleur-de Lis — Jan 1, 2009

Project Fleur-de-lis[TM] (PFDL) was established to provide a tiered approach to triage and treat children experiencing trauma symptoms after Hurricane Katrina.

Journal Article

Violence Exposure and PTSD: The Role of English Language Fluency in Latino Youth — Jan 1, 2009

The authors explored the level of violence exposure and trauma symptoms in Latino youth and the relationship of these factors with English language fluency.

Journal Article

Support for Students Exposed to Trauma: A Pilot Study — Jan 1, 2009

This study describes preliminary data from a pilot study of a new program, Support for Students Exposed to Trauma, adapted from the Cognitive Behavioral Intervention for Trauma in Schools program.

My RAND ?

Saved Items

Recommended