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Trauma

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Research Brief

How to Improve Mental Health Care for Veterans

Aug 13, 2019

Veterans, especially those who deployed overseas, face elevated risks of mental health conditions. Those who have served since 9/11 are particularly vulnerable. About one in five experiences mental health problems. Are veterans getting the high-quality care that they need?
Essay

Childhood Trauma Is More Common Than You Think. This School-Based Intervention Can Help

Apr 23, 2019

A program developed at RAND helps children exposed to trauma confront and subdue their stress and anxiety. The program grew out of the 1990s street violence of South Los Angeles and has since helped kids from Newtown to Fukushima. Researchers are tailoring this intervention for children in Puerto Rico whose lives were upended by hurricanes.

Explore Trauma

Journal Article

Comparison of Two Prognostic Models in Trauma Outcome

This study compared the anatomical injury components of the Trauma Audit and Research Network model with the Trauma Mortality Prediction Model.

Jan 15, 2021
Journal Article

The Differential Mortality of Glasgow Coma Score in Patients with and Without Head Injury

This article determines if the association of Glasgow Coma Score with mortality is influenced by the presence of traumatic brain injury.

Dec 31, 2020
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
Multimedia

Benefits and Applications of a Standardized Definition of High-Quality Care

RAND senior policy researcher, Carrie Farmer, presents several ways in which a standardized definition of high-quality care could be used by health care organizations, veterans, and payers

Dec 17, 2020
Journal Article

Effectiveness of Nonpublic Report Cards for Reducing Trauma Mortality

Nonpublic reporting of hospital risk-adjusted mortality rates does not lead to improved in-hospital mortality outcomes in trauma patients.

Dec 17, 2020
Journal Article

Trends in Racial Disparities for Injured Patients Admitted to Trauma Centers

We performed an observational cohort study to determine whether outcome disparities between black and white trauma patients have decreased over the last 10 years.

Dec 10, 2020
Commentary

All Veterans with Invisible Wounds Should Receive High-Quality Care That Meets These Standards

Millions of post-9/11 U.S. military veterans experience life-changing invisible wounds, including posttraumatic stress disorder and chronic issues resulting from traumatic brain injuries. While effective treatments are available, many veterans lack access to high-quality care. And what high-quality care means, exactly, has been elusive.

Oct 30, 2020
Report

Defining High-Quality Care for Veterans with Posttraumatic Stress Disorder and Mild Traumatic Brain Injury

A rigorously developed, shared definition of high-quality care for veterans with posttraumatic stress disorder and traumatic brain injury will help clinical providers and veteran-serving organizations better meet veterans' needs.

Oct 22, 2020
Research Brief

What Does High-Quality Care Mean for Veterans with Invisible Wounds?

Many veterans have difficulty accessing high-quality care for posttraumatic stress disorder and traumatic brain injury. As clinical providers and veteran-serving organizations aim to improve access, a shared definition of high-quality care for these conditions would help them better meet veterans' needs.

Oct 22, 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

Persistent Risk-Related Worry as a Function of Recalled Exposure to the Deepwater Horizon Oil Spill and Prior Trauma

This study examined the nature and predictors of worry about ongoing impacts of the 2010 Deepwater Horizon (DH) oil spill reported by Gulf of Mexico coastal residents.

Sep 16, 2020
Journal Article

Exposure to the Deepwater Horizon Oil Spill, Associated Resource Loss, and Long-Term Mental and Behavioral Outcomes

The aim of this study was to assess the long-term mental and behavioral health outcomes of the Deepwater Horizon Oil Spill of residents in the Gulf Coast and to identify populations that may be particularly vulnerable to future disasters.

Sep 16, 2020
Report

Limb Salvage and Recovery After Severe Blast Injury

Although there is a vast literature on limb salvage, there is limited research on military blast-related limb salvage. What can be learned from the evidence and innovations about restoration and reconstruction after limb salvage for severe blast-related limb injury?

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

Options for Maintaining Clinical Proficiency During Peacetime

The U.S. Army Medical Department has a dual mission: to care for the war wounded during times of conflict and to operate medical treatment facilities that provide care to service members, their beneficiaries, and military retirees. What options exist for improving the readiness of Army medical personnel?

May 19, 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

Evaluation of Los Angeles County's 2019 Moral Injury Conference

RAND evaluated the reach and impact of a moral injury conference and its goals to deepen knowledge about moral injury and effective recovery strategies and to strengthen collaborative connections.

Mar 4, 2020
Brochure

Effecting Change, Improving Health

The RAND Corporation is dedicated to transforming the wellbeing of all people by improving health care systems in the United States and abroad.

Feb 7, 2020
Report

Evaluation of a Trauma-Informed Program for Juvenile Justice-Involved Youth: The Pilot Program at Lookout Mountain Youth Services Center

In this report, the authors present the results of a process and outcome evaluation of a trauma-informed pilot program run by the Colorado Division of Youth Services (DYS) in one of their residential youth facilities.

Jan 30, 2020
Journal Article

Detecting and Reducing Post-Traumatic Stress Among Children Exposed to Domestic Violence: A Multi-Agency Early Intervention Program

This study examined the Child Trauma Response Team and its efforts to reduce PTSD symptoms among children exposed to domestic violence.

Aug 20, 2019

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