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.
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.
Testimony presented before the House Veterans' Affairs Committee, Subcommittee on Health on December 2, 2011.
In this December 2011 Congressional Briefing, Katherine Watkins discusses highlights and recommendations from her study on 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.
Veterans of the wars in Iraq and Afghanistan face many challenges, particularly when it comes to health care. A RAND policy forum focuses on recent research into this new generation of combat veterans, including their experience with depression, PTSD, and substance misuse, as well as challenges they face in their physical health, their access to services, and their post-military careers.
At this November 2011 Policy Forum, Jonathan Schleifer, policy director for Iraq Afghanistan Veterans of America, joined RAND's Terry Schell for a discussion about the challenges faced by and experiences of recent combat veterans.
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.
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 service members. More than 200 programs are available to help treat psychological health and traumatic brain injury issues, but better coordination of those efforts is needed.
Provides overviews and detailed descriptions of 211 programs currently sponsored or funded by the Department of Defense to address psychological health and traumatic brain injury, along with recommendations to maximize program effectiveness.
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.
Evidence supports the effectiveness of some atypical antipsychotics in reducing symptoms of generalized anxiety disorder, obsessive-compulsive disorder, post-traumatic stress disorder and behavioral symptoms in elderly patients with dementia. There is insufficient evidence that the medications are effective for treating eating disorders, substance abuse and insomnia.
If all veterans suffering from major depression and posttraumatic stress disorder were to receive evidence-based treatments, policy simulations suggest that cost savings generated would be $138 million (15 percent) over two years.
Many programs are available to encourage and support psychological resilience among service members and families but little is known about their effectiveness. A focused literature review identifies evidence-informed factors for promoting psychological resilience and a basis for evaluating military resilience programs.
Through a collaborative partnership between school staff and researchers, preliminary evidence suggests that receiving a school trauma intervention soon after screening compared to delaying treatment can result in better school grades.
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.
RAND researchers will discuss findings and recommendations from their recent study on the growing rate of military suicides, including who is at risk for suicide and what the Department of Defense is doing to prevent it.
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.
Health care facilities may be prepared to deal with the medical aspects of large-scale disasters but they lack guidelines for managing the psychological aspects of disasters.
What traumatic stress survivors believe about PTSD may make it difficult for them to recognize that they have a serious mental health condition that warrants treatment.
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 nation's armed forces.
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.