Study Design
There are two primary components of this project: a survey of mental health providers, and discussions with key informants.
Mental Health Provider Survey
RAND administered a web-based, confidential survey of mental health providers working at military treatment facilities to assess care for service members with PTSD and depression. This survey was approved through the necessary military channels, and given the Report Control Symbol (RCS): DD-USA(OT)2594.
Survey Content
The survey, titled "Caring for PTSD and Depression in the Military Health System," assessed characteristics of the provider’s practice (e.g., caseload, proportion of the caseload with PTSD or depression), provider training and therapeutic orientation, treatment practices, and facilitators and barriers to providing high-quality mental health care.
Population and Sample Design
The study seeks to describe the characteristics of mental health providers who are active duty or civilian government employees. From this population, we selected a stratified random sample of providers and invited that group to participate in the RAND survey. Among those invited to participate in the survey, providers who indicated that they had treated at least one adult patient with PTSD or depression in the preceding month were eligible to complete the survey.
Timeline
The survey was administered February to April 2016. Results will be available late spring 2017
Key Informant Discussions
The research team identified experts who are knowledgeable about (1) the organization and delivery of mental health care within the MHS, (2) current efforts to measure quality of care, or (3) initiatives to assess system performance and improve the quality of mental health care. Identified experts for this component of the research had assigned duties related to the oversight and delivery of mental health care and were asked to provide insights based upon their official position and responsibilities.
Timeline
These discussions were conducted February to July 2016. Results will be available late spring 2017.