Coreen Farris

Here's How a National Database Could Help Colleges Fight Sexual Assault

At a moment of heightened awareness around sexual violence, America's colleges and universities have an opportunity to lead by example, through a commitment to full transparency about campus sexual assaults and openness to learning from each other's failures and successes.

Report

Domestic Abuse in the Armed Forces: Improving Prevention and Outreach

This report presents domestic abuse prevention and outreach strategies that can be used to improve U.S. Department of Defense programs.

Research Brief

Domestic Abuse Prevention and Outreach Approaches for the Military Community

This study focused on identifying strategies to help prevent domestic abuse among service members and their spouses or partners before it occurs and strategies for outreach to high-risk groups that could be effective in the military environment.

Report

Considerations Around the Use of Intensive Outpatient Programs for Service Members Who Experienced Sexual Trauma in the U.S. Military

This report summarizes a review of clinical practices and TRICARE requirements for intensive outpatient programs to treat active-duty members affected by the mental health consequences of sexual harassment and sexual assault while in the military.

Report

Psychological Harms and Treatment of Sexual Assault and Sexual Harassment in Adults: Systematic and Scoping Reviews to Inform Improved Care for Military Populations

Researchers conducted three evidence reviews on interventions for victims of sexual assault and harassment in military settings, barriers and facilitators to accessing care, and associations between victims and specific mental health conditions.

Research Brief

Sexual Harassment and Sexual Assault in Military Settings: A Review of Associated Mental Health Conditions, Treatments, and Access to Care

This brief describes three evidence reviews on psychological interventions for victims of sexual assault and harassment in the military, barriers and facilitators to care, and links between assault or harassment and specific mental health conditions.

Report

Harassment and Discrimination on the Basis of Gender and Race/Ethnicity in the FEMA Workforce: 2021 Survey Follow-Up

This report describes gender-based/sexual and race/ethnicity–based harassment and discrimination at the Federal Emergency Management Agency. About one in five employees experienced at least one civil rights violation in the year preceding the survey.

Tool

Getting To Outcomes® Handbook for Strengthening Sexual Assault Prevention Activities in the Military

This web-based Getting To Outcomes handbook and PDF for offline use provide streamlined instructions and resources to help with the planning, implementation, evaluation, and sustainability of military sexual assault prevention activities.

Commentary

Harmful Interpersonal Behaviors in the Department of the Air Force: Informing Prevention and Response

This Perspective describes and applies a conceptual model of prevention to such harmful behaviors as sexual harassment, sexual assault, racial/ethnic harassment and discrimination, hazing, and domestic abuse in the Department of the Air Force.

Report

Survey for Assessing Racial/Ethnic Harassment and Discrimination in the U.S. Military

The authors describe the development of a survey instrument to help the U.S. Department of Defense understand racial and ethnic harassment and discrimination among its uniformed personnel, the instrument itself, and recommendations to support its use.

Report

Survey Instrument to Assess the Prevalence of Hazing and Bullying in the Active-Duty U.S. Military

The authors describe the development and design of a survey instrument created to help the U.S. Department of Defense estimate the number of active-duty service members who experience hazing and bullying.

Tool

Getting To Outcomes®: Guide for Strengthening Sexual Assault Prevention Activities in the Military

This Getting To Outcomes guide will help with the planning, implementation, evaluation, continuous quality improvement, and sustainability of military sexual assault prevention activities. It includes instructions, blank tools, and examples.

Report

Risk Factors for Sexual Assault and Sexual Harassment in the U.S. Military: Findings from the 2014 RAND Military Workplace Study

This report describes analyses, using data from the 2014 RAND Military Workplace Study, designed to identify service member and environmental characteristics that are associated with each individual's risk of sexual assault or sexual harassment.

Report

Healthy Relationship Approaches to Sexual Assault Prevention: Programs and Strategies for Use Within the U.S. Military

This guide provides prevention teams and leaders with an overview of a healthy relationship approach to sexual assault prevention, why it could be an effective tool, and strategies for implementing a program as part of their prevention portfolio.

Report

Perceived Retaliation Against Military Sexual Assault Victims

What are the characteristics of sexual assault incidents, victims, and perpetrators that increase risk for perceived retaliation against service women who are sexually assaulted? What is the relationship between disclosure choices and retaliation?

Report

The Relationship Between Sexual Assault and Sexual Harassment in the U.S. Military: Findings from the RAND Military Workplace Study

This report describes analyses, using data from the 2014 RAND Military Workplace Study, designed to identify how the sexual harassment of others in a service member's work environment affects his or her own risk of being sexually assaulted.

Tool

Getting To Outcomes® Operations Guide for U.S. Air Force Community Action Teams: Content Area Module for Air Force Sexual Harassment Prevention

This content area module for Air Force sexual harassment prevention is a companion volume to the Getting To Outcomes Operations Guide for U.S. Air Force Community Action Teams. It includes guidance, resources, and examples of completed tools.

Research Brief

Harassment and Discrimination in the FEMA Workplace: Topline Results from the Workplace Survey Support Study

This brief summarizes findings and recommendations from a study of the prevalence and characteristics of sexual harassment, gender discrimination, racial/ethnic harassment, and racial/ethnic discrimination at the Federal Emergency Management Agency.

Report

Harassment and Discrimination on the Basis of Gender and Race/Ethnicity in the FEMA Workforce

Researchers assessed the prevalence and characteristics of sexual harassment, gender discrimination, racial/ethnic harassment, and racial/ethnic discrimination at FEMA. This report documents the survey results.

Report

Availability of Family Violence Services for Military Service Members and Their Families

The authors examine resources available to military-affiliated victims and perpetrators of child abuse/neglect and domestic abuse, barriers to utilization, and challenges faced in addressing these issues, and recommend ways to improve services.

Journal Article

An Online Alcohol and Risky Sex Prevention Program for College Students Studying Abroad: Study Protocol for a Randomized Controlled Trial

This study protocol describes a proposed randomized controlled trial that builds upon a successful pilot intervention study to address problematic and dangerous drinking among young adult college students studying abroad in foreign environments.

Report

Measures of Performance and Effectiveness for the Marine Corps' Sexual Assault Prevention Programs

To assist the U.S. Marine Corps in evaluating its sexual assault prevention programs, the authors of this report identify and develop measures of performance and measures of effectiveness with which to assess the programs.

Report

A Survey System to Assess Abuse and Misconduct Toward Air Force Students in Occupational Specialty Training

This report provides recommendations for how the Air Force's survey system for monitoring abuse and misconduct in Basic Military Training can best be adapted for use in technical training and flying training environments.

Report

Needs of Male Sexual Assault Victims in the U.S. Armed Forces

This report reviews research on sexual assault against men and describes interviews with military service providers and civilian experts. It concludes with recommendations for improving support to male sexual assault victims in the U.S. military.

Journal Article

Identification of Facilitators and Barriers to Residents' Use of a Clinical Reasoning Tool

A clinical reasoning tool improved residents' diagnostic accuracy on written cases.

Report

Delivering Clinical Practice Guideline–Concordant Care for PTSD and Major Depression in Military Treatment Facilities

This report describes the psychological health workforce at military treatment facilities, examines the extent to which care is consistent with clinical practice guidelines, and identifies facilitators and barriers to providing this care.

Infographic

Military Mental Health Care: Provider Perspectives on Treating PTSD and Depression

This infographic describes data on various aspects of the Military Health System capacity to treat posttraumatic stress disorder (PTSD) and depression.

Report

Improving Oversight and Coordination of Department of Defense Programs That Address Problematic Behaviors Among Military Personnel: Final Report

This report makes recommendations for the Office of the Secretary of Defense to better understand the relationships among six problematic behaviors and its oversight and coordination of programs to address those behaviors.

Report

The Air Force Deployment Transition Center: Assessment of Program Structure, Process, and Outcomes

Evaluates the Air Force's Deployment Transition Center, which was established in 2010 to provide airmen returning from combat missions an opportunity to decompress and share lessons learned before returning to their home stations.

Journal Article

Efficacy of Educational Video Game Versus Traditional Educational Apps at Improving Physician Decision Making in Trauma Triage: Randomized Controlled Trial

Results suggest that narrative based video games have the potential to influence physician behavior, although the real world implications remain unclear.

Journal Article

Using Claims Data to Examine Hospital Readmission Risk in Patients With Schizophrenia and Comorbid Marijuana Use Disorders

Results suggest that AUD and other drug use disorder are more problematic than marijuana use disorder in terms of repeated hospital admissions for SSD. Marijuana use disorder does not appear to be associated with shorter times until readmission.

Journal Article

Testing a Videogame Intervention to Recalibrate Physician Heuristics in Trauma Triage: Study Protocol for a Randomized Controlled Trial

A randomized controlled trial will test whether a game can help adjust the mental shortcuts physicians use to triage trauma patients, and thus improve accuracy.

Report

Sexual Assault and Sexual Harassment in the U.S. Military: Volume 2. Estimates for Department of Defense Service Members from the 2014 RAND Military Workplace Study

This volume presents survey results for the DoD active and reserve components from the 2014 RAND Military Workplace Study, an independent assessment of the rates of sexual assault, sexual harassment, and gender discrimination in the U.S. military.

Report

Sexual Assault and Sexual Harassment in the U.S. Military: Volume 4. Investigations of Potential Bias in Estimates from the 2014 RAND Military Workplace Study

This volume presents the results of methodological investigations into sources of potential bias in the 2014 RAND Military Workplace Study, an independent assessment of the rates of sexual assault and sexual harassment in the U.S. military.

Journal Article

Knowledge Translation and Barriers to Imaging Optimization in the Emergency Department: A Research Agenda

This article outlines a research agenda to promote the dissemination and implementation of evidence-based interventions for emergency department (ED) imaging.

Report

Acupuncture for Major Depressive Disorder: A Systematic Review

RAND researchers conducted a systematic review that synthesized evidence from trials of acupuncture to assess its efficacy and safety in treating major depressive disorder.

Report

Meditation for Major Depressive Disorder: A Systematic Review

RAND researchers conducted a systematic review that synthesized evidence from trials of mindfulness-based cognitive therapy to assess its efficacy and safety in treating major depressive disorder.

Report

An Integrated Survey System for Addressing Abuse and Misconduct Toward Air Force Trainees During Basic Military Training

RAND developed an integrated survey system to help the U.S. Air Force's Air Education and Training Command monitor and address abuse and misconduct by military training instructors toward trainees during Basic Military Training.

Report

Sexual Assault and Sexual Harassment in the U.S. Military: Annex to Volume 3. Tabular Results from the 2014 RAND Military Workplace Study for Coast Guard Service Members

This Annex to Volume 3 contains detailed tabular results from the 2014 RAND Military Workplace Study on sexual assault and sexual harassment experiences of members of the U.S. Coast Guard active component.

Report

Sexual Assault and Sexual Harassment in the U.S. Military: Volume 3. Estimates for Coast Guard Service Members from the 2014 RAND Military Workplace Study

This volume presents survey results from the 2014 RAND Military Workplace Study on the sexual assault and sexual harassment experiences of members of the U.S. Coast Guard and the Coast Guard Reserve.

Report

Care Transitions to and from the National Intrepid Center of Excellence (NICoE) for Service Members with Traumatic Brain Injury

The National Intrepid Center of Excellence (NICoE) provides specialized services for troops suffering from traumatic brain injury (TBI). RAND evaluated interactions between the NICoE and providers referring patients and implementing treatment plans.

Research Brief

Sexual Assault and Sexual Harassment in the U.S. Military: Highlights from the 2014 RAND Military Workplace Study

This brief presents major conclusions for Department of Defense service members from the 2014 RAND Military Workplace Study, an independent assessment of the rates of sexual assault, sexual harassment, and gender discrimination in the U.S. military.

Report

Sexual Assault and Sexual Harassment in the U.S. Military: Annex to Volume 2. Tabular Results from the 2014 RAND Military Workplace Study for Department of Defense Service Members

Annex to Volume 2 contains detailed tabular results for the DoD active component from the 2014 RAND Military Workplace Study, an independent assessment of the rates of sexual assault, sexual harassment, and gender discrimination in the U.S. military.

Report

Measuring the Quality of Care for Psychological Health Conditions in the Military Health System: Candidate Quality Measures for Posttraumatic Stress Disorder and Major Depressive Disorder

Researchers identified, developed, and described a framework and candidate set of measures to monitor, assess, and improve the quality of care delivered by the military health system for posttraumatic stress disorder and major depressive disorder.

Journal Article

Cost-utility Comparison of Neoadjuvant Chemotherapy Versus Primary Debulking Surgery for Treatment of Advanced Stage Ovarian Cancer in Patients ≥ 65 Years Old

The authors sought to evaluate the cost implications of neoadjuvant chemotherapy (NACT) relative to primary debulking surgery (PDS) in advanced stage epithelial ovarian cancer (AEOC) patients ≥65.

Report

Access to Behavioral Health Care for Geographically Remote Service Members and Dependents in the U.S.

Geospatial and longitudinal analyses helped determine how many military service members and dependents are geographically distant from behavioral health care and the resulting effect on use of care.

Research Brief

Far from Care: Increasing Access to Behavioral Health Care for Remote Service Members and Their Families

RAND researchers sought to identify how many U.S. military service members and their dependents are remote from behavioral health care and the effects of this distance on their access to and use of care.

Report

Improving Access to Behavioral Health Care for Remote Service Members and Their Families

Geospatial and longitudinal analyses helped determine how many military service members and dependents are geographically distant from behavioral health care and the resulting effect on use of care.

Report

Sexual Assault and Sexual Harassment in the U.S. Military: Top-Line Estimates for Active-Duty Coast Guard Members from the 2014 RAND Military Workplace Study

This report provides initial top-line active-duty Coast Guard estimates from the 2014 RAND Military Workplace Study, an assessment of sexual assault, sexual harassment, and gender discrimination in the military.

Report

Sexual Assault and Sexual Harassment in the U.S. Military: Volume 1. Design of the 2014 RAND Military Workplace Study

This volume documents the methodology used in the 2014 RAND Military Workplace Study, an independent assessment of sexual assault, sexual harassment, and gender discrimination in the U.S. military.

Report

Sexual Assault and Sexual Harassment in the U.S. Military: Top-Line Estimates for Active-Duty Service Members from the 2014 RAND Military Workplace Study

This report provides initial top-line estimates from the 2014 RAND Military Workplace Study, an independent assessment of sexual assault, sexual harassment, and gender discrimination in the military.

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.

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.

Report

Targeting Alcohol Misuse: A Promising Strategy for Reducing Military Sexual Assaults?

There has been growing concern about both sexual assault and alcohol misuse in the U.S. military. Research on civilians may provide guidance for efforts to reduce alcohol misuse as part of a larger strategy targeting sexual assault in the military.

Journal Article

Assessing the Validity of Using Serious Game Technology to Analyze Physician Decision Making

Physician non-compliance with clinical practice guidelines remains a critical barrier to high quality care.

Research Brief

Improving Programs that Address Psychological Health and Traumatic Brain Injury: The RAND Toolkit

RAND developed a set of four tools to assist with understanding, evaluating, and improving performance of programs that address psychological health and traumatic brain injuries among service members.

Report

A Systematic Process to Facilitate Evidence-Informed Decisionmaking Regarding Program Expansion: The RAND Toolkit, Volume 3

RAND researchers developed a model and tools to support a centralized, systematic, and ongoing process to aid the Department of Defense in making decisions around continued support and expansion of psychological health and brain injury programs.

Journal Article

Primary Care Providers' Initial Treatment Decisions and Antidepressant Prescribing for Adolescent Depression

This study examined the impact of symptom severity and provider characteristics on initial depression treatment decisions in a setting with fewer structural barriers, an integrated behavioral health network.

Report

The Defense and Veterans Brain Injury Center Care Coordination Program: Assessment of Program Structure, Activities, and Implementation

This report documents RAND's assessment of a program designed to facilitate care coordination for service members and veterans recovering from traumatic brain injuries.

Periodical

RAND Review: Vol. 37, No. 1, Summer 2013

Stories discuss the harms caused by sexual assault in the military; the prospects for minimalist international interventions; cyber threats and nations' responses to them; and the rising costs of dementia in the United States.

Report

Physical and Psychological Health Following Military Sexual Assault: Recommendations for Care, Research, and Policy

This paper reviews data on the prevalence of sexual assault among servicemembers, predictors of disclosure, efforts to improve disclosure, victim needs, and DoD efforts to provide necessary resources in the immediate aftermath of a sexual assault.

Journal Article

Translational Research Applications for the Study of Adolescent Sexual Decision Making

Although the initiation of sexual behaviors in adolescence is normative, adverse sexual health outcomes disproportionately affect adolescents relative to adults.

Journal Article

A Decision Science-Informed Approach to Sexual Risk and Nonconsent

Young women valued communicating their intent not to have sex as an end in itself, but compared with other young women, those who had been raped feel more strongly about protecting their partner's feelings and maintaining a sexual relationship.