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Military Health and Health Care

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As a large employer in the United States, the Department of Defense faces significant challenges ensuring that all members of the military, as well as their families, receive appropriate health care for everything from general health and well-being to specialized clinical care for deployment related injuries such as amputations, chemically induced illnesses, and post-traumatic stress disorder. Combining its expertise in health and defense policy, RAND examines policy issues surrounding military medical care needs and the systems intended to meet them.

Project

Survey Measures Health and Well-Being of U.S. Service Members

Jun 21, 2018

The DoD's Health Related Behaviors Survey asks questions about health-related issues that can affect force readiness or the ability to meet the demands of military life. It's been fielded for more than 30 years. About 17,000 service members participated in the latest survey.
Report

What Is the Quality of Mental Health Care in the Military?

Aug 7, 2017

The care provided by the Military Health System (MHS) is critical to maintaining a physically and psychologically healthy, mission-ready force. When it comes to PTSD and depression, the MHS demonstrates excellent care in some areas but could improve in others.

Explore Military Health and Health Care

Blog

State of the Union 2020: Insights from RAND

The final State of the Union address of President Trump's four-year term may be viewed through the lens of the unprecedented circumstances surrounding the evening. But the speech touched on a range of policy challenges that will remain, regardless of how politics play out in 2020.

Feb 5, 2020
Report

Report

Improving Behavioral Health Care for U.S. Army Personnel: Identifying Predictors of Treatment Outcomes

This report identifies factors associated with changes in outcomes for soldiers who received Army behavioral health specialty care and provides recommendations to improve care and outcomes for posttraumatic stress disorder, depression, and anxiety.

Feb 3, 2020
Research Brief

Improving Behavioral Health Treatment Outcomes for U.S. Army Personnel: Predictors of Treatment Outcomes

In this brief, RAND researchers, in support of Army efforts to provide the highest-quality behavioral health care possible, identify factors associated with changes in outcomes for soldiers who receive Army behavioral health specialty care.

Feb 3, 2020
Report

Report

2017 U.S. Air Force Community Feedback Tool: Key Results Report for Air Force Headquarters

This report presents results from a self-reported needs assessment of airmen, spouses of airmen, and Air Force civilian employees intended to help leadership and service providers better address the major challenges that community members are facing.

Nov 14, 2019
Report

Research-Portfolio Performance Metrics: Rapid Review

Researchers reviewed metrics for evaluating research portfolios used by medical research organizations and appraised their characteristics. Organizations can use their results to help select, develop, and revise metrics for research portfolios.

Nov 12, 2019
Research Brief

Research Brief

Evolving the Practice of Evaluating Research-Portfolios

Researchers appraised metrics that medical research entities use to evaluate research portfolios. The work can help organizations select, develop, and revise metrics for their portfolios. This brief summarizes the findings and recommendations.

Nov 12, 2019
Report

Report

Gender Differences in Response to Alcohol Use Disorder Treatment: A Systematic Review

If men and women respond differently to treatments for alcohol use disorder, this would be important to consider in treatment selection. The authors of this systematic review sought to synthesize evidence for gender differences in treatment effects.

Nov 6, 2019
Report

Report

Optimizing Army Medical Materiel Strategy

This report describes how the U.S. Army can optimize its medical materiel strategies for efficient medical equipping readiness.

Oct 30, 2019
Report

Report

Improving U.S. Military Accession Medical Screening Systems

The project team outlined advantages and disadvantages of the two main systems for medically screening applicants to the U.S. armed forces and recommended a hybrid model as potentially more effective and efficient.

Oct 24, 2019
Commentary

Review of Behavioral Health Technician Training, Policies, and Practice Identifies New Opportunities

Behavioral health technicians are trained to be an essential part of the mental health clinical team, serving as provider extenders who work alongside and support licensed mental health providers. What are the factors that affect these roles? And how can the Military Health System most effectively incorporate them into mental health care settings?

Oct 15, 2019
Infographic

Infographic

Army Spouse Survey: Data to Help the Army Meet Spouses' Unique Needs

A survey of Army spouses identified challenges that Army families face and resources they need, including how spouses prioritize needs and how the Army can best address their most-pressing unmet needs.

Oct 8, 2019
Report

Report

Understanding Behavioral Health Technicians Within the Military: A Review of Training, Practice, and Professional Development

Are military behavioral health technicians adequately prepared for their roles? Are their skills being put to the best use? The authors examine selection, training, and responsibilities and offer recommendations to optimize training and roles.

Oct 7, 2019
Research Brief

Research Brief

Military Behavioral Health Technicians: Understanding and Optimizing Their Role

Military behavioral health technicians provide clinical services alongside licensed independent behavioral health providers, but they may not get the training and support they need or opportunities to use their full range of skills.

Oct 7, 2019
Report

How Do Army Families Handle the Challenges of Military Life?

Soldiers might see the stressors of military life as part of their duty. But what about their families? A survey of more than 8,500 Army spouses identified the problems they faced in the past year, the resources they sought, and whether those resources met their needs.

Oct 3, 2019
Report

Report

Personnel Recovery in the AFRICOM Area of Responsibility: Cost-Effective Options for Improvement

This report identifies the most cost-effective options for improving medical rescue capabilities in U.S. Africa Command's area of responsibility.

Aug 27, 2019
Report

Report

Core Competencies for Amputation Rehabilitation

The authors identify core competencies and behaviors in nine provider disciplines that participate in amputation rehabilitation and offer recommendations on how to implement them in the military health setting.

Jun 3, 2019
Report

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
Report

Report

The Relationship Between Disability Evaluation and Accession Medical Standards

If accession medical policies are changed, does the probability of medical discharge change? If so, how does the change in the probability of medical discharge alter postservice costs to the department? This report answers these questions.

Mar 11, 2019
Report

Report

Measuring Barriers to Mental Health Care in the Military: The RAND Barriers and Facilitators to Care Item Banks

This report summarizes the findings of a study to construct item banks of barriers and facilitators to mental health care for the U.S. Department of Defense.

Dec 11, 2018
Research Brief

Research Brief

Preliminary Feasibility Assessment of DoD-VA Purchased Care Integration

An integrated approach to purchasing health care for U.S. Department of Defense and U.S. Department of Veterans Affairs could have important implications for access, quality, and costs but could face legislative, policy, or contractual challenges.

Nov 26, 2018

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RAND Topic:
Military Health and Health Care

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