Charles C. Engel

@CharlesEngel on Twitter

Adjunct Physician Policy Researcher

Off Site Office

Education

M.P.H. in epidemiology, University of Washington School of Public Health; M.D. in medicine, University of Washington School of Medicine; B.S. in biology, University of Washington

Media Resources

This researcher is available for interviews.

To arrange an interview, contact the RAND Office of Media Relations at (310) 451-6913, or email media@rand.org.

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Overview

Dr. Charles Engel (he/him) is an adjunct physician policy researcher at the RAND Corporation, professor of psychiatry at the University of Washington, and core VA HSR&D investigator and codirector of the Seattle VA's advanced health services research fellowship. Engel's work focuses on trauma-informed health systems and strategies for improving the quality of primary care for chronic mental and physical health conditions. His research has covered traumatic injury and post-trauma syndromes ranging from blast injury, mild traumatic brain injury, PTSD, to Gulf War syndrome. Engel is experienced at mixed qualitative and quantitative methods and has led large pragmatic randomized trials, program evaluations, and implementation science studies. He has authored or coauthored nearly 200 scholarly papers, including in the New England Journal of Medicine, JAMA, and the American Journal of Psychiatry. Funding for his work has come from the National Institutes of Health, Centers for Disease Control, Department of Veterans Affairs, Department of Defense and other agencies. Before joining RAND in 2013, Engel was associate chair (research) at Uniformed Services University's Department of Psychiatry. Engel has served on the board of directors of the International Society for Traumatic Stress Studies and on the American Psychiatric Association Council on Quality Care. He has testified twice before Congress, received many awards, and delivered numerous invited lectures in the U.S. and abroad. Engel received his M.P.H. from the University of Washington School of Public Health and his M.D. from the University of Washington School of Medicine.

Research Focus

Concurrent Non-RAND Positions

Professor, Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine; Core Investigator, Seattle HSR&D Center of Innovation (COIN) for Veteran-Centered and Value-Driven Care; Codirector, Advanced Fellowship in Health Services Research, HSR&D, VA Puget Sound Health Care System

Recent Projects

A Randomized Effectiveness Trial of a Systems-level Approach to Stepped Care for War-Related PTSD
Evaluation of Military Behavioral Health in the Patient Centered Medical Home Initiative
2018 Department of Defense Health-Related Behaviors Survey of Active and Reserve Personnel
California Statewide ACEs Learning Collaborative: Supporting Implementation of Screening for Childhood Trauma
Comparative Effectiveness PTSD Trial of Sequenced Pharmacotherapy and Psychotherapy in Primary Care

Selected Publications

Engel CC, Jaycox LH, Freed MC, Bray RM, Brambilla D, Zatzick D, Litz B, Tanielian T, Novak LA, Lane ME, Belsher BE, Olmsted KL, Evatt DP, Vandermaas-Peeler R, Unützer J, Katon WJ, "Centrally Assisted Collaborative Telecare for Posttraumatic Stress Disorder and Depression Among Military Personnel Attending Primary Care: A Randomized Clinical Trial," JAMA Internal Medicine, 176(7), 2016

Bray RM, Engel CC, Williams J, Jaycox JH, Lane ME, Morgan JK, Unützer J, "Military-related Posttraumatic Stress Disorder: Primary Care Trajectories and Predictors of One-year Prognosis," Journal of Traumatic Stress, 29(4), 2016

Ramchand R, Ayer L, Kotzias V, Engel C, Predmore Z, Ebener P, Kemp JE, Karras E, Haas G., "Suicide Risk among Women Veterans in Distress: Perspectives of Responders on the Veterans Crisis Line," Women's Health Issues, 26(6), 2016

Engel CC, Litz B, Magruder KM, Harper E, Gore K, Stein N, Yeager D, Liu X, Coe TR, "Delivery of Self Training and Education for Stressful Situations (DESTRESS-PC): A Randomized Trial of Nurse Assisted Online Self-Management for PTSD in Primary Care," General Hospital Psychiatry, 37(4), 2015

Meadows SO, Engel CC, Collins RL, Beckman RL, Breslau J, Litvin Bloom E, Dunbar MS, Gilbert M, Grant D, Hawes-Dawson J, Brooks Holliday S, MacCarthy S, Pedersen ER, Robbins MW, Rose AJ, Ryan J, Schell TL, Simmons MM. , 2018 Department of Defense Health Related Behaviors Survey (HRBS): Results for the Active Component, RAND Corporation (RR-4222), 2021

Engel CC, Bray RM, Jaycox LH, Freed MC, Zatzick D, Lane ME, Brambilla D, Rae Olmsted K, Vandermaas-Peeler R, Litz B, Tanielian T, Belsher BE, Evatt DP, Novak LA, Unützer J, Katon WJ, "Implementing collaborative primary care for depression and posttraumatic stress disorder: Design and sample for a randomized trial in the U.S. military health system," Contemporary Clinical Trials, 39(2), 2014

Engel CC, Cordova EH, Benedek DM, Liu X, Gore KL, Goertz C, Freed MC, Crawford C, Jonas WB, Ursano RJ, "Randomized Effectiveness Trial of a Brief Course of Acupuncture for Posttraumatic Stress Disorder," Medical Care, 52, 2014

Engel CC, "Suicide, mental disorders, and the US military: time to focus on mental health service delivery," JAMA, 310(5), 2013

Commentary

Military Turns to Collaborative Care to Treat PTSD, Depression
Collaborative care has been an important part of Army efforts to reach out to those struggling with PTSD and depression. It has brought a science-based solution to an essential military problem and has helped thousands of men and women in uniform in ways that also nudge the larger mental health system toward greater effectiveness for all Americans.
Nov 19, 2014 Psychiatric News
Compromised Confidentiality in the Military Is Harmful
Mental health stigma exists across American society, but the problem in the military is fundamentally different. It boils down to the jarring and institutionalized military failure to place adequate boundaries between the workplace and the therapist's office.
Oct 27, 2014 Psychiatric Times
Military and Veteran Mental Health: Why Should Psychiatrists Care?
What's happening in the mental health world of the U.S. military and veterans is of great interest to all American psychiatrists. The local impact of recent deployments to Iraq and Afghanistan runs much deeper than just the number of veterans in a particular practice or community.
Aug 6, 2014 Psychiatric Times

Publications

Report
Assessing the Quality of Outpatient Pain Care and Opioid Prescribing in the Military Health System
Pain conditions are the leading cause of disability among active-duty service members. RAND conducted a comprehensive assessment of outpatient care for acute and chronic pain, including opioid prescribing, delivered by the Military Health System.
Mar 16, 2022
Journal Article
The Culture of Alcohol in the U.S. Military: Correlations With Problematic Drinking Behaviors and Negative Consequences of Alcohol Use
This paper uses data from the 2018 Health Related Behaviors Survey of Active Duty service members to explore associations between alcohol culture and excessive alcohol use, serious consequences, risky driving behaviors, and productivity loss.
Feb 8, 2022
Report
A Process Evaluation of Primary Care Behavioral Health Integration in the Military Health System
Research suggests that primary care–behavioral health (PCBH) integration can improve behavioral health outcomes. The authors conducted a process evaluation of the PCBH program in the military health system to inform quality improvement.
Sep 8, 2021
Report
2018 Department of Defense Health Related Behaviors Survey (HRBS): Results for the Active Component
In this report, RAND researchers review survey methods, sample demographics, key findings, and policy implications from the 2018 Health Related Behaviors Survey of active component service members.
Apr 28, 2021
Report
2018 Department of Defense Health Related Behaviors Survey (HRBS): Results for the Reserve Component
In this report, RAND researchers review survey methods, sample demographics, key findings, and policy implications from the 2018 Health Related Behaviors Survey of reserve component service members.
Apr 28, 2021
Research Brief
2018 Health Related Behaviors Survey: Substance Use Among the Reserve Component
The 2018 Health Related Behaviors Survey sought information on the health and health behaviors of service members. This brief reviews results for substance use among reserve component members, particularly use of alcohol, tobacco, and medication.
Apr 28, 2021
Research Brief
2018 Health Related Behaviors Survey: Summary Findings and Policy Implications for the Active Component
The 2018 Health Related Behaviors Survey sought information on the health and health behaviors of service members. This brief summarizes results for broad topics of the survey, such as substance use and mental health, among active component members.
Apr 28, 2021
Research Brief
2018 Health Related Behaviors Survey: Mental and Emotional Health Among the Active Component
The 2018 Health Related Behaviors Survey sought information on the health and health behaviors of service members. This brief reviews results for mental and emotional health among active component members.
Apr 28, 2021
Research Brief
2018 Health Related Behaviors Survey: Summary Findings and Policy Implications for the Reserve Component
The 2018 Health Related Behaviors Survey sought information on the health and health behaviors of service members. This brief summarizes results for broad topics of the survey, such as substance use and mental health, among reserve component members.
Apr 28, 2021
Research Brief
2018 Health Related Behaviors Survey: Deployment Experiences and Health Among the Reserve Component
The 2018 Health Related Behaviors Survey sought information on the health and health behaviors of service members. This brief reviews results for recent deployment experiences and health among reserve component members.
Apr 28, 2021
Research Brief
2018 Health Related Behaviors Survey: Health Promotion and Disease Prevention Among the Active Component
The 2018 Health Related Behaviors Survey sought information on the health and health behaviors of service members. This brief reviews results for health promotion and disease prevention among active component members.
Apr 28, 2021
Research Brief
2018 Health Related Behaviors Survey: Sexual Behavior and Health Among the Reserve Component
The 2018 Health Related Behaviors Survey sought information on the health and health behaviors of service members. This brief reviews results for sexual behavior and health among reserve component members.
Apr 28, 2021
Research Brief
2018 Health Related Behaviors Survey: Sexual Orientation and Health Among the Active Component
The 2018 Health Related Behaviors Survey sought information on the health and health behaviors of service members. This brief reviews results for sexual orientation and health among active component members.
Apr 28, 2021
Research Brief
2018 Health Related Behaviors Survey: Sexual Orientation and Health Among the Reserve Component
The 2018 Health Related Behaviors Survey sought information on the health and health behaviors of service members. This brief reviews results for sexual orientation and health among reserve component members.
Apr 28, 2021
Research Brief
2018 Health Related Behaviors Survey: Comparing the Active and Reserve Components
The 2018 Health Related Behaviors Survey sought information on the health and health behaviors of service members. This brief compares results for the active component and the reserve component.
Apr 28, 2021
Research Brief
2018 Health Related Behaviors Survey: Deployment Experiences and Health Among the Active Component
The 2018 Health Related Behaviors Survey sought information on the health and health behaviors of service members. This brief reviews results for recent deployment experiences and health among active component members.
Apr 28, 2021
Research Brief
2018 Health Related Behaviors Survey: Mental and Emotional Health Among the Reserve Component
The 2018 Health Related Behaviors Survey sought information on the health and health behaviors of service members. This brief reviews results for mental and emotional health among reserve component members.
Apr 28, 2021
Research Brief
2018 Health Related Behaviors Survey: Physical Health and Functional Limitations Among the Active Component
The 2018 Health Related Behaviors Survey sought information on the health and health behaviors of service members. This brief reviews results for physical health and functional limitations among active component members.
Apr 28, 2021
Research Brief
2018 Health Related Behaviors Survey: Physical Health and Functional Limitations Among the Reserve Component
The 2018 Health Related Behaviors Survey sought information on the health and health behaviors of service members. This brief reviews results for physical health and functional limitations among reserve component members.
Apr 28, 2021
Research Brief
2018 Health Related Behaviors Survey: Sexual Behavior and Health Among the Active Component
The 2018 Health Related Behaviors Survey sought information on the health and health behaviors of service members. This brief reviews results for sexual behavior and health among active component members.
Apr 28, 2021
Research Brief
2018 Health Related Behaviors Survey: Health Promotion and Disease Prevention Among the Reserve Component
The 2018 Health Related Behaviors Survey sought information on the health and health behaviors of service members. This brief reviews results for health promotion and disease prevention among reserve component members.
Apr 28, 2021
Research Brief
2018 Health Related Behaviors Survey: Substance Use Among the Active Component
The 2018 Health Related Behaviors Survey sought information on the health and health behaviors of service members. This brief reviews results for substance use among active component members, particularly use of alcohol, tobacco, and medication.
Apr 28, 2021
Infographic
Assessing the Health Readiness of Active Component Airmen: Results from Air Force Respondents to the HRBS
The 2018 Health Related Behaviors Survey sought information on the health and health behaviors of service members. This infographic reports key findings for active component members in the Air Force.
Apr 28, 2021
Infographic
Assessing the Health Readiness of Active Component Coast Guardsmen: Results from Coast Guard Respondents to the HRBS
The 2018 Health Related Behaviors Survey sought information on the health and health behaviors of service members. This infographic reports key findings for active component members in the Coast Guard.
Apr 28, 2021
Infographic
Assessing the Health Readiness of Active Component Marines: Results from Marine Corps Respondents to the HRBS
The 2018 Health Related Behaviors Survey sought information on the health and health behaviors of service members. This infographic reports key findings for active component members in the Marine Corps.
Apr 28, 2021
Infographic
Assessing the Health Readiness of Active Component Sailors: Results from Navy Respondents to the HRBS
The 2018 Health Related Behaviors Survey sought information on the health and health behaviors of service members. This infographic reports key findings for active component members in the Navy.
Apr 28, 2021
Infographic
Assessing the Health Readiness of Active Component Soldiers: Results from Army Respondents to the HRBS
The 2018 Health Related Behaviors Survey sought information on the health and health behaviors of service members. This infographic reports key findings for active component members in the Army.
Apr 28, 2021
Infographic
Assessing the Health Readiness of Air Force Reservists: Results from Air Force Reserve Respondents to the HRBS
The 2018 Health Related Behaviors Survey sought information on the health and health behaviors of service members. This infographic reports key findings for reserve component members in the Air Force Reserve.
Apr 28, 2021
Infographic
Assessing the Health Readiness of Air National Guard Members: Results from Air National Guard Respondents to the HRBS
The 2018 Health Related Behaviors Survey sought information on the health and health behaviors of service members. This infographic reports key findings for reserve component members in the Air National Guard.
Apr 28, 2021
Infographic
Assessing the Health Readiness of Army National Guard Members: Results from Army National Guard Respondents to the HRBS
The 2018 Health Related Behaviors Survey sought information on the health and health behaviors of service members. This infographic reports key findings for reserve component members in the Army National Guard.
Apr 28, 2021
Infographic
Assessing the Health Readiness of Army Reservists: Results from Army Reserve Respondents to the HRBS
The 2018 Health Related Behaviors Survey sought information on the health and health behaviors of service members. This infographic reports key findings for reserve component members in the Army Reserve.
Apr 28, 2021
Infographic
Assessing the Health Readiness of Coast Guard Reservists: Results from Coast Guard Reserve Respondents to the HRBS
The 2018 Health Related Behaviors Survey sought information on the health and health behaviors of service members. This infographic reports key findings for reserve component members in the Coast Guard Reserve.
Apr 28, 2021
Infographic
Assessing the Health Readiness of Marine Corps Reservists: Results from Marine Corps Reserve Respondents to the HRBS
The 2018 Health Related Behaviors Survey sought information on the health and health behaviors of service members. This infographic reports key findings for reserve component members in the Marine Corps Reserve.
Apr 28, 2021
Infographic
Assessing the Health Readiness of Navy Reservists: Results from Navy Reserve Respondents to the HRBS
The 2018 Health Related Behaviors Survey sought information on the health and health behaviors of service members. This infographic reports key findings for reserve component members in the Navy Reserve.
Apr 28, 2021
Journal Article
Associations Between Mental and Physical Health Conditions and Occupational Impairments in the U.S. Military
Common mental health conditions such as anxiety, depression, and PTSD showed robust associations with absenteeism and presenteeism among active duty U.S. military service members.
Feb 19, 2021
Report
Mitigating the Effects of Blast-Related Burn Injuries from Prolonged Field Care to Rehabilitation and Resilience: Proceedings and Expert Findings from a U.S. Department of Defense International State-of-the-Science Meeting
Blast-related burns, which accounted for most burns suffered by service members in the recent conflict in Afghanistan, are difficult to treat. These conference proceedings describe a meeting held at RAND to identify gaps in blast-injury research.
Dec 23, 2020
Report
The Effect of Blast-Related Burn Injuries from Prolonged Field Care to Rehabilitation and Resilience: A Review of the Scientific Literature
Researchers reviewed literature about blast-related burn injury, which is common among service members and is associated with infection, disability, military discharge, and mortality. Further research is needed on burn prevention and field care.
Sep 21, 2020
Journal Article
Factors Influencing Physician Practices' Adoption of Behavioral Health Integration in the United States: A Qualitative Study
Practices currently using behavioral health integration face barriers to implementing and sustaining behavioral health integration. Tailored, context-specific technical support to guide practices' implementation and payment models that improve the business case for practices may enhance the dissemination and long-term sustainability of behavioral health integration.
Aug 5, 2020
Report
Limb Salvage and Recovery After Severe Blast Injury: Literature Review for the Eighth Department of Defense International State-of-the-Science Meeting on Blast Injury Research
Advances in medicine, protective equipment, and surgical reconstruction have led to questions about when to emphasize limb salvage over amputation for individuals with severe blast injuries. The authors summarize recent research on the topic.
Jul 6, 2020
Report
Limb Salvage and Recovery After Blast-Related Injury: Proceedings and Expert Findings from a U.S. Department of Defense International State-of-the-Science Meeting
These conference proceedings summarize findings and recommendations of an expert-led meeting that addressed questions about when to emphasize limb salvage over other treatment options -- such as amputation -- for individuals with blast-related injuries.
Jun 11, 2020
Report
Neurological Effects of Repeated Exposure to Military Occupational Levels of Blast: A Review of Scientific Literature
There is increasing concern over the common, repetitive forms of blast to which military members are exposed during service, and how those exposures could affect the central nervous system. The authors of this report review the relevant literature.
Mar 18, 2020
Report
Development of a Knowledge Readiness Level Framework for Medical Research
A new framework for assessing the maturity of knowledge products (outputs from health science research) assigns each product to a knowledge readiness level, to help the U.S. Army make better decisions about its health science research portfolio.
Apr 4, 2019
Report
The Neurological Effects of Repeated Exposure to Military Occupational Blast: Implications for Prevention and Health: Proceedings, Findings, and Expert Recommendations from the Seventh Department of Defense State-of-the-Science Meeting
The Seventh Department of Defense State-of-the-Science Meeting examined the risk posed to military personnel by low-level blast exposure, the current evidence base, and potentially promising approaches to prevent and detect blast injuries.
Mar 13, 2019
Journal Article
Behavioral Health of Gulf Coast Residents 6 Years After the Deepwater Horizon Oil Spill: The Role of Trauma History
The study emphasizes the importance of measuring and considering not only the index event in disaster-related mental health work, but also other potentially traumatic exposures.
Oct 24, 2018
Report
2015 Department of Defense Health Related Behaviors Survey (HRBS)
In this report, RAND researchers review survey methods, sample demographics, key findings, and policy implications from the 2015 Health Related Behaviors Survey of active-duty service members.
Jun 21, 2018
Research Brief
2015 Health Related Behaviors Survey: Sexual Behavior and Health Among U.S. Active-Duty Service Members
The 2015 Health Related Behaviors Survey sought information on the health, health-related behaviors, and well-being of active-duty service members. This brief reviews results for sexual behavior and health.
Jun 21, 2018
Research Brief
2015 Health Related Behaviors Survey: Health Promotion and Disease Prevention Among U.S. Active-Duty Service Members
The 2015 Health Related Behaviors Survey sought information on the health, health-related behaviors, and well-being of active-duty service members. This brief reviews results for health promotion and disease prevention.
Jun 21, 2018
Research Brief
2015 Health Related Behaviors Survey: Mental and Emotional Health Among U.S. Active-Duty Service Members
The 2015 Health Related Behaviors Survey sought information on the health, health-related behaviors, and well-being of active-duty service members. This brief reviews results for mental and emotional health.
Jun 21, 2018
Research Brief
2015 Health Related Behaviors Survey: Summary Findings and Policy Implications
The 2015 Health Related Behaviors Survey sought information on the health, health-related behaviors, and well-being of active-duty service members. This brief summarizes results for broad topics of the survey, such as substance use and mental health.
Jun 21, 2018
Research Brief
2015 Health Related Behaviors Survey: Sexual Orientation, Transgender Identity, and Health Among U.S. Active-Duty Service Members
The 2015 Health Related Behaviors Survey sought information on the health, health-related behaviors, and well-being of active-duty service members. This brief reviews results for sexual orientation, transgender identity, and related health.
Jun 21, 2018
Research Brief
2015 Health Related Behaviors Survey: Substance Use Among U.S. Active-Duty Service Members
The 2015 Health Related Behaviors Survey sought information on the health, health-related behaviors, and well-being of active-duty service members. This brief reviews results for substance use, particularly use of alcohol, tobacco, and medication.
Jun 21, 2018
Research Brief
2015 Health Related Behaviors Survey: Physical Health and Functional Limitations Among U.S. Active-Duty Service Members
The 2015 Health Related Behaviors Survey sought information on the health, health-related behaviors, and well-being of active-duty service members. This brief reviews results for physical health and functional limitations.
Jun 21, 2018
Research Brief
2015 Health Releated Behaviors Survey: Deployment Experiences and Health Among U.S. Active-Duty Service Members
The 2015 Health Related Behaviors Survey sought information on the health, health-related behaviors, and well-being of active-duty service members. This brief reviews results for recent deployment experiences and health.
Jun 21, 2018
Infographic
Are They Living Healthy? How Well Are Soldiers Taking Care of Themselves
The 2015 Health Related Behaviors Survey sought information on the health, health-related behaviors, and well-being of active-duty service members. This infographic reports key findings across the Army.
Jun 21, 2018
Infographic
Are They Living Healthy? How Well Are Coast Guardsmen Taking Care of Themselves
The 2015 Health Related Behaviors Survey sought information on the health, health-related behaviors, and well-being of active-duty service members. This infographic reports key findings across the Coast Guard.
Jun 21, 2018
Infographic
Are They Living Healthy? How Well Are Sailors Taking Care of Themselves
The 2015 Health Related Behaviors Survey sought information on the health, health-related behaviors, and well-being of active-duty service members. This infographic reports key findings across the Navy.
Jun 21, 2018
Infographic
Are They Living Healthy? How Well Are Marines Taking Care of Themselves
The 2015 Health Related Behaviors Survey sought information on the health, health-related behaviors, and well-being of active-duty service members. This infographic reports key findings across the Marine Corps.
Jun 21, 2018
Infographic
Are They Living Healthy? How Well Are Service Members Taking Care of Themselves
The 2015 Health Related Behaviors Survey sought information on the health, health-related behaviors, and well-being of active-duty service members. This infographic reports key findings across the Air Force, Army, Marine Corps, Navy, and Coast Guard.
Jun 21, 2018
Infographic
Are They Living Healthy? How Well Are Airmen Taking Care of Themselves
The 2015 Health Related Behaviors Survey sought information on the health, health-related behaviors, and well-being of active-duty service members. This infographic reports key findings across the Air Force.
Jun 21, 2018
Journal Article
PTSD Symptoms Are Differentially Associated with General Distress and Physiological Arousal: Implications for the Conceptualization and Measurement of PTSD
Relations between PTSD symptom clusters and PTSD symptoms were examined with respect to general distress and physiological arousal.
2018
Journal Article
High Healthcare Utilization Near the Onset of Medically Unexplained Symptoms
Veterans who had a new onset of medically unexplained symptoms used healthcare at the same level as patients with chronic physical symptoms.
Jul 14, 2017
Journal Article
Identifying Policy Implications and Future Research Directions Regarding Military Community Support and Child Psychosocial Adjustment
Efforts to organize and consolidate the wide range of support services designed to bolster resilience in military families could enhance service members' mission readiness.
Jun 7, 2017
Journal Article
Expanding Suicide Crisis Services to Text and Chat: Responders' Perspectives of the Differences Between Communication Modalities
Internet chat and text messaging offer anonymity and increased access to suicide hotline callers, but they are not yet a replacement for telephone crisis support services.
Jun 6, 2017
Journal Article
Internet and Computer-Based Treatments for the Management of PTSD
Internet and computer-based treatments (ICTs) are a promising way to increase access to treatment for post-traumatic stress disorder.
Sep 23, 2016
Journal Article
Rescaling the Post-Traumatic Stress Disorder Checklist for Use in Primary Care
Changing the response scale for the Posttraumatic Stress Disorder (PTSD) Checklist (PCL), a measure of PTSD symptom severity, yields comparable results to the original version and may improve its clinical utility.
Sep 22, 2016
Journal Article
Suicide Risk Among Women Veterans in Distress: Perspectives of Responders on the Veterans Crisis Line
Actions to help women veterans, and possibly curtail suicide among them, could include addressing military sexual trauma, adding questions about deliberate self-harm to suicide risk assessments, and reducing access to lethal suicide means.
Sep 19, 2016
Journal Article
Posttraumatic Stress Disorder in U.S. Military Primary Care: Trajectories and Predictors of One-Year Prognosis
Most military primary care patients with PTSD experienced persistent symptoms, and most indicators of clinical status offered little prognostic information beyond the brief assessment of combat exposure.
Aug 26, 2016
Journal Article
IRB and Research Regulatory Delays Within the Military Health System: Do They Really Matter? And If So, Why and for Whom?
Improving the military's research regulatory system could help reduce costly delays that jeopardize researchers' abilities to answer mission-relevant questions in a timely manner.
Aug 1, 2016
Journal Article
Mental Health Utilization Patterns During a Stepped, Collaborative Care Effectiveness Trial for PTSD and Depression in the Military Health System
A collaborative care model that tailors care to a patient's characteristics and clinical complexity could improve care for PTSD and depression.
Jul 25, 2016
Research Brief
The Implications of Allowing Transgender Personnel to Serve Openly in the U.S. Military
To inform a potential change in policy, a RAND study examined the health care needs of transgender military personnel, costs of gender transition-related care and potential readiness implications of allowing transgender personnel to serve openly.
Jun 30, 2016
Report
Assessing the Implications of Allowing Transgender Personnel to Serve Openly
To inform a potential change in policy, a RAND study examined the health care needs of transgender military personnel, costs of gender transition-related care, and potential readiness implications of allowing transgender personnel to serve openly.
Jun 30, 2016
Journal Article
Centrally Assisted Collaborative Telecare for Posttraumatic Stress Disorder and Depression Among Military Personnel Attending Primary Care: A Randomized Clinical Trial
Among military personnel attending primary care, patients receiving centrally assisted collaborative telecare (CACT) reported significantly larger improvements in PTSD and depressive symptoms over 12 months than those receiving usual integrated care.
Jun 24, 2016
Journal Article
Mental Health Services Research in the Military Health System
The Military Health System faces unique challenges in mental health services delivery; evidence-supported solutions require collaboration of patients, providers, and clinic leaders within military health.
May 11, 2016
Journal Article
Barriers to Engaging Service Members in Mental Health Care Within the U.S. Military Health System
Despite efforts to integrate behavioral health care into primary care in the military health system, members of the military continue to perceive barriers to mental health care access. Issues remain with capacity, culture, and care quality.
Apr 1, 2016
Journal Article
Deployment, Combat, and Risk of Multiple Physical Symptoms in the US Military: A Prospective Cohort Study
Service members deployed to a combat zone, especially if they have direct combat experience, are more likely to report multiple physical symptoms (MPS), poorly defined health complaints associated with more health care needs and disability.
Mar 29, 2016
Report
Information and Communication Technologies in Behavioral Health: A Literature Review with Recommendations for the Air Force
The authors reviewed the scientific literature on information and communication technologies available online and on smartphones to assist the U.S. Air Force in developing a strategy for use of these technologies in behavioral health care.
Oct 14, 2015
Report
Ready to Serve: Community-Based Provider Capacity to Deliver Culturally Competent, Quality Mental Health Care to Veterans and Their Families
Civilian providers are a key part of the workforce addressing mental health needs of veterans and their families. This report describes their competency with military culture and their experience treating posttraumatic stress disorder and depression.
Nov 12, 2014
Research Brief
Therapeutic Measures Required: To Ensure Millions of Veterans and Their Families Get High-Quality Care, Community Mental Health Providers Need More Training, Support, Resources
A RAND study found very few community civilian providers surveyed met key thresholds for military cultural competency and use of evidence-based care, indicating few are ready overall to assist service members, veterans, and their families.
Nov 12, 2014
Journal Article
Implementing Collaborative Primary Care for Depression and Posttraumatic Stress Disorder: Design and Sample for a Randomized Trial in the U.S. Military Health System
STEPS-UP will be the first large scale randomized effectiveness trial completed in the US military health system, assessing how an implementation model affects collaborative care impact on mental health outcomes. It promises lessons for health system change.
Nov 1, 2014
Journal Article
Collaborative Care: Mitigating Stigma and Other Barriers to Care Through Mental Health Service Delivery in Primary Care Settings
In this chapter, the authors draw attention to the link between barriers to care (particularly stigma associated with mental health care) and suppressed treatment seeking and service delivery rates.
2014
Journal Article
The Effect of Geographic Moves on Mental Healthcare Utilization in Children
Children with a geographic move in the previous year have increased odds of mental health encounters. Among adolescents, this increase extends to psychiatric hospitalizations and emergency visits.
2014
Journal Article
Implementation of a Collaborative Care Initiative for PTSD and Depression in the Army Primary Care System
This article describes an Army-wide collaborative care initiative, RESPECT-Mil, aimed at improving care for soldiers with depression and post traumatic stress disorder (PTSD).
2014
Journal Article
Randomized Effectiveness Trial of a Brief Course of Acupuncture for Posttraumatic Stress Disorder
Acupuncture was effective for reducing posttraumatic stress disorder (PTSD) symptoms.
2014
Journal Article
Operating Characteristics of the PTSD Checklist in a Military Primary Care Setting
The PTSD Checklist–Civilian Version (PCL-C; Weathers, Litz, Herman, Huska, & Keane, 1993) is used for the identification of posttraumatic stress disorder (PTSD).
Sep 1, 2013