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 posttraumatic 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.

Commentary
Addressing the Shortage of Behavioral Health Clinicians: Lessons from the Military Health System
Access to behavioral health services is one of the top challenges for the U.S. health care system, due in part to a shortage of licensed mental health providers. One potential solution to expanding the behavioral health workforce can be found in the U.S. military.
May 23, 2022
Report
How the Dobbs v. Jackson Ruling Could Affect U.S. National Security
Women are an integral part of the U.S. military and DoD civilian workforce. Limiting their access to legal abortion services will affect their health and could decrease force readiness. It could also raise health care, child care, and education costs, and affect recruitment and retention.
Sep 13, 2022

Explore Military Health and Health Care

Commentary
The Russian Military's Looming Personnel Crises of Retention and Veteran Mental Heath
Russia's looming troop-retention and veteran-treatment problems are already visible on the horizon, even though they have been delayed by policy. By invading Ukraine, Russia has created a wave of severe trauma that will soon crash over its own country.
Jun 1, 2023
Report
Examining New Approaches for Implementing Vaccine Mandates Within the Department of Defense: How Lessons Learned from COVID-19 Vaccine Mandates Could Improve Future Vaccination Campaigns
The authors examine how the Department of Defense (DoD) COVID-19 vaccination program was implemented, determine how previous DoD vaccination programs influenced those decisions, and identify opportunities to strengthen DoD's vaccination program.
May 30, 2023
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.
May 16, 2023
Report
Preventing Domestic Abuse in the U.S. Armed Forces
Domestic abuse has severe consequences for service members, their families, and, potentially, unit readiness. What strategies could help prevent domestic abuse before it occurs and help the military with communication to reach individuals who might have risk factors for domestic abuse?
May 16, 2023
Blog
RAND Turns 75: A Look Through the Decades At World-Changing Research
From anticipating the Space Age in the 1940s to studying gun policy and COVID-19 responses in the 2020s, RAND is celebrating 75 years of research that has made a difference.
May 8, 2023
Report
Supporting the U.S. Space Force Single-Component Structure: Impediments for Members Transitioning Between Full-Time and Part-Time Participation
U.S. Space Force leadership envisions a service in which Guardians transition easily between full- and part-time service. Five impediments discussed in this report make it unnecessarily difficult to make these transitions between types of service.
May 1, 2023
Report
Neurodiversity and National Security: How to Tackle National Security Challenges with a Wider Range of Cognitive Talents
This report provides research and analysis for national security managers and employees who seek to better understand neurodivergence and neurodiversity and desire simple steps to achieve neurodiverse inclusivity for national security workplaces.
Mar 27, 2023
Research Brief
Why National Security Needs Neurodiversity
Neurodiversity, like other forms of diversity, can strengthen an organization. Members of the neurodivergent population have skills that can be beneficial in many fields of interest to national security. These include pattern recognition, problem-solving, visualization, and memory.
Mar 27, 2023
Report
Behavioral Health Care Following the Onset of the Pandemic
In what ways did the onset of the COVID-19 pandemic change how behavioral health care was delivered to service members with PTSD, depression, or substance use disorder?
Mar 20, 2023
Report
Reforming Military Health Care Costs: Issues for Future Research
The authors of this report describe emerging topics related to military health care costs and policy to provide policymakers and researchers with future research to pursue.
Mar 13, 2023
Report
Interventions for People Who Have Attempted Suicide and Their Family Members: A Systematic Review
A history of having attempted suicide is an important risk factor for suicide. In this report, the authors review the uptake, retention, and effectiveness of suicide aftercare interventions after an attempt.
Mar 8, 2023
Blog
U.S. Gun Laws, China's COVID Outbreak, Space in 2050: RAND Weekly Recap
This weekly recap focuses on gun policy in America, the myth of America's “Ukraine fatigue,” the COVID outbreak in China, and more.
Jan 13, 2023
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.
Jan 10, 2023
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.
Jan 9, 2023
Research Brief
Sexual Harassment and Sexual Assault in Military Settings
Members of the military who have been victims of sexual assault or sexual harassment often experience PTSD, depression, and substance use disorders. What therapies are effective at treating these conditions? And what barriers prevent service members from getting the care that they need?
Jan 9, 2023
News Release
Food Insecurity Affects Many Active-Duty U.S. Military Families, but Root Causes Remain Unclear
More than a quarter of active-duty military personnel have faced some level of food insecurity, but the underlying causes are not well understood.
Jan 4, 2023
Report
Food Insecurity Among U.S. Service Members and Their Families
Over a quarter of active duty personnel were food insecure in 2018, but only 14 percent of them used food assistance programs. Some said that the military culture of self-sufficiency and pride kept them from seeking help. Other barriers were a lack of knowledge about available resources and eligibility.
Jan 3, 2023
Research Brief
Food Insecurity in the U.S. Military: Responses to Eight Topics Raised by Congress
In response to a congressional query, RAND researchers examined the extent of food insecurity among military service members, their participation in food assistance programs, and the advisability of a basic needs allowance.
Jan 3, 2023
Report
Alternative Approaches for Expanding the Air Force's Task Force True North Program
This report identifies approaches to expanding the Air Force's Task Force True North program, which seeks to provide prevention and treatment programs to airmen in need by embedding health care providers directly into units.
Dec 22, 2022
Report
Evaluation of Flexible Spending Accounts for Active-Duty Service Members
This report presents an analysis of the implications of flexible spending accounts for active-duty service members and their families that would allow pre-tax payment of dependent care expenses, insurance premiums, and out-of-pocket medical expenses.
Dec 12, 2022