This report will help policymakers in the Department of Veterans Affairs and other federal agencies develop and foster public-private partnerships to address the behavioral health care needs of ...veterans and their families. The authors develop nine key components that public-private partnerships for veteran behavioral health care would likely benefit from implementing or that could be used as a guide to develop partnerships between organizations.
Survivors of improvised explosive device attacks often have traumatic brain injuries (TBIs). Those recovering from TBIs often find they must coordinate services across multiple systems of care, ...something that would be difficult even without cognitive challenges. This report documents RAND’s assessment of a program designed to facilitate care coordination for such individuals.
Hidden Heroes Ramchand, Rajeev; Tanielian, Terri; Fisher, Michael P ...
04/2014
eBook
Open access
Little has been reported about “military caregivers”—the population of those who care for wounded, ill, and injured military personnel and veterans. This report summarizes the results of a study ...designed to describe the magnitude of military caregiving in the United States today, as well as to identify gaps in the array of programs, policies, and initiatives designed to support military caregivers.
Ensuring that veterans and their families have access to high-quality mental health care is a national priority, and civilian providers are an increasingly important part of the workforce addressing ...veterans’ mental health needs. RAND conducted a survey of civilian mental health providers to gather information about their competency with military and veteran culture and their experience treating posttraumatic stress disorder and depression.
To inform improvements to the quality of care delivered by the military health system for posttraumatic stress disorder and major depressive disorder, researchers developed a framework and ...identified, developed, and described a candidate set of measures for monitoring, assessing, and improving the quality of care. This document describes their research approach and the measure sets that they identified.
Improvised explosive devices have been used extensively against U.S. forces during Operation Enduring Freedom and Operation Iraqi Freedom and have been one of the leading causes of death. Injuries ...among survivors often include traumatic brain injuries (TBIs). Those recovering from TBIs often find they must coordinate services across multiple systems of care to meet all their medical and psychological health needs. This task is difficult even for those without the cognitive challenges associated with TBI and may prove overwhelming or even impossible, particularly during periods of transition from inpatient to outpatient services or from active duty to veteran status, for example. Although case management and care coordination are readily available for those who have experienced a severe TBI, fewer resources are available for those with symptomatic mild and moderate TBI. This article focuses on a program designed to facilitate care coordination for individuals with mild and moderate TBI, the Defense and Veterans Brain Injury Center Care Coordination Program. It summarizes RAND's assessment of the program's structure, activities, and implementation. To address the goals above, the authors conducted semistructured interviews in person with program administrators and via telephone with regional care coordinators. The subsequent analysis identified innovative practices, continuing challenges, and lessons learned. The recommendations provided here suggest strategies for meeting these challenges while maintaining the benefits possible through this novel approach to care.
While much has been written about the role of caregiving for the elderly and chronically ill and for children with special needs, little is known about "military caregivers"-the population of those ...who care for wounded, ill, and injured military personnel and veterans. These caregivers play an essential role in caring for injured or wounded service members and veterans. This enables those for whom they are caring to live better quality lives, and can result in faster and improved rehabilitation and recovery. Yet playing this role can impose a substantial physical, emotional, and financial toll on caregivers. This article distills a longer report,
, which describes the results of a study designed to describe the magnitude of military caregiving in the United States today, as well as to identify gaps in the array of programs, policies, and initiatives designed to support military caregivers. Improving military caregivers' well-being and ensuring their continued ability to provide care will require multifaceted approaches to reducing the current burdens caregiving may impose, and bolstering their ability to serve as caregivers more effectively. Given the systematic differences among military caregiver groups, it is also important that tailored approaches meet the unique needs and characteristics of post-9/11 caregivers.
Service Member Tolerance of the RAND Form Amy Grace P. Donohue; Caroline Epley; Andrew R. Morral ...
Sexual Assault and Sexual Harassment in the U.S. Military,
03/2016
Book Chapter
Open access
The RAND form used behavioral descriptions of forms of physical contact that can qualify as sexual assault under UCMJ Article 120. Some of these descriptions were more explicit than had been used in ...earlier WGRA surveys, though they are comparable to the behaviorally specific language found in many surveys of the general population (e.g., the National Intimate Partner and Sexual Violence Survey conducted by the Centers for Disease Control and Prevention), and surveys of special populations, such as college students.¹
The use of behaviorally specific language poses two known risks: some who take the survey may be offended by its
APPENDIX Laurie T. Martin; Coreen Farris; Andrew M. Parker ...
The Defense and Veterans Brain Injury Center Care Coordination Program,
08/2013
Book Chapter
Program Eligibility and Population Served Laurie T. Martin; Coreen Farris; Andrew M. Parker ...
The Defense and Veterans Brain Injury Center Care Coordination Program,
08/2013
Book Chapter
Open access
This chapter provides detail on the eligibility criteria for CCP services and the population served. It also describes the referral process and how individuals become engaged with the program. These ...criteria, target populations, and referral sources were developed at the height of the OEF/OIF, with an eye toward ensuring that those most likely to benefit from program services were identified and engaged. However, given the changing landscape of U.S. military involvement overseas and the impending drawdown of troops, the previously defined criteria and approaches to identifying eligible populations are beginning to introduce a variety of challenges that may threaten program
