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Evaluation of the Department of Veterans Affairs Mental Health Services

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2018-03-29

Total Pages: 467

ISBN-13: 0309466601

Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not surprising that some service members developed such mental health conditions as posttraumatic stress disorder, depression, and substance use disorder. Subsequent epidemiologic studies conducted on military and veteran populations that served in the operations in Afghanistan and Iraq provided scientific evidence that those who fought were in fact being diagnosed with mental illnesses and experiencing mental healthâ€"related outcomesâ€"in particular, suicideâ€"at a higher rate than the general population. This report provides a comprehensive assessment of the quality, capacity, and access to mental health care services for veterans who served in the Armed Forces in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn. It includes an analysis of not only the quality and capacity of mental health care services within the Department of Veterans Affairs, but also barriers faced by patients in utilizing those services.

Psychological Assessment of Veterans

Author: Dr. Shane S. Bush

Publisher: Oxford University Press

Published: 2014-07-30

Total Pages: 448

ISBN-13: 0199985731

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Psychological assessment is practiced in wide-ranging settings to address the varied clinical and administrative needs of veteran populations. Such assessment blends record review, clinical interviews of the veteran and collateral sources of information, behavioral observations, and psychological testing. This book promotes the care and well-being of veterans by bringing together knowledgeable and experienced psychologists to discuss a range of psychological assessment methods and procedures. It aims to help patients and their families, healthcare providers, and concerned citizens gain an improved understanding of veterans' cognitive functioning, emotional states, personality traits, behavioral patterns, and daily functioning. The book begins with a history of the psychological assessment of veterans and investigates its efficacy in different settings, including outpatient mental health, long-term care, primary care, home-based primary care, and telemental health. Later chapters address assessment of a variety of disorders or presenting problems, including substance use disorders, psychotic disorders, mood disorders and suicidal thoughts and behavior, PTSD and other anxiety disorders, attention-deficit/hyperactivity disorder, dementia, pain and pain-related disorders, and polytrauma. The book concludes with important special considerations, including assessment of symptom and performance validity, assessment of homeless veterans and health-related quality of life, and ethical, legal, and professional issues. Psychological Assessment of Veterans provides an essential reference and guide for clinical psychologists, including those working in the subspecialties, and psychology trainees who work with veterans.

Evaluation of the Department of Veterans Affairs Mental Health Services

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2018-04-29

Total Pages: 467

ISBN-13: 0309466571

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Handbook of Psychosocial Interventions for Veterans and Service Members

Author: Nathan David Ainspan

Publisher: Oxford University Press

Published: 2016

Total Pages: 489

ISBN-13: 0199353999

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The United States is in the midst of the largest military demobilization in its history. This is leading to an increase in the demand for mental health clinicians who can provide services to hundreds of thousands of military veterans and members of the military. Nearly two million Americans have been deployed to the wars in the Middle East, and thousands of them have been deeply affected, either psychologically, physically, or both. Projections suggest that 300,000 are returning with symptoms of PTSD or major Depression; 320,000 have been exposed to probable Traumatic Brain Injuries; and hundreds of thousands are dealing with psychological effects of physical injuries. Other veterans and members of the military without injuries will seek treatment to help them with the psychological impact of serving in the military, being deployed, or transitioning and reintegrating back into the civilian world. As an example, hundreds of thousands of service members are also leaving the armed forces earlier than they anticipated and will need to quickly adjust to life as civilians after assuming that they would have many more years in the military. Many will be leaving the military because of demobilizations and downsizing due to budget cuts. Current proposed cuts will shrink the military force to the same size it was in 1940. The Pew Center reports that 44% of veterans from the current wars are describing their readjustment to civilian life as difficult, and many of them are and will be turning to civilian mental health and primary care clinicians for assistance. The Handbook of Psychosocial Interventions for Veterans and Service Members is a one stop handbook for non-military clinicians working with service members, veterans, and their families. It brings together experts from the Department of Defense, the Department of Veterans Affairs, veteran service organizations, and academia to create the first comprehensive guidebook for civilian clinicians. In addition to covering psychiatric disorders such as depression, anxiety, and PTSD, this book also offers information about psychosocial topics that impact military personnel and their loved ones and can become part of treatment (e.g., employment or education options, financial matters, and parenting concerns), providing the most recent and cutting-edge research on the topics. Chapters are concise and practical, delivering the key information necessary to orient clinicians to the special needs of veterans and their families. The Handbook of Psychosocial Interventions for Veterans and Service Members is an essential resource for private practice mental health clinicians and primary care physicians, as well as a useful adjunct for VA and DOD psychologists and staff.

Psychology and the Department of Veterans Affairs

Author: Rodney R. Baker

Publisher: American Psychological Association (APA)

Published: 2007

Total Pages: 204

ISBN-13:

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This history of psychological care through the VA tells how VA psychologists pioneered research in such areas as pyschopharmacology, care of elderly people, and psychological care aspects in treatment of tuberculosis, and how they helped establish a number of trends for such mental health services as group therapy, compensated work therapy, and other rehabilitation programs.

Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2014-06-17

Total Pages: 254

ISBN-13: 0309301769

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Posttraumatic stress disorder (PTSD) is one of the signature injuries of the U.S. conflicts in Afghanistan and Iraq, but it affects veterans of all eras. It is estimated that 7-20% of service members and veterans who served in Operation Enduring Freedom and Operation Iraqi Freedom may have the disorder. PTSD is characterized by a combination of mental health symptoms - re-experiencing of a traumatic event, avoidance of trauma-associated stimuli, adverse alterations in thoughts and mood, and hyperarousal - that last at least 1 month and impair functioning. PTSD can be lifelong and pervade all aspects of a service member's or veteran's life, including mental and physical health, family and social relationships, and employment. It is often concurrent with other health problems, such as depression, traumatic brain injury, chronic pain, substance abuse disorder, and intimate partner violence. The Department of Defense (DoD) and the Department of Veterans Affairs (VA) provide a spectrum of programs and services to screen for, diagnose, treat for, and rehabilitate service members and veterans who have or are at risk for PTSD. The 2010 National Defense Authorization Act asked the Institute of Medicine to assess those PTSD programs and services in two phases. The Phase 1 study, Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations: Initial Assessment, focused on data gathering. Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations Final Assessment is the report of the second phase of the study. This report analyzes the data received in Phase 1 specifically to determine the rates of success for each program or method. Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations Final Assessment considers what a successful PTSD management system is and whether and how such a system is being implemented by DoD and VA. This includes an assessment of what care is given and to whom, how effectiveness is measured, what types of mental health care providers are available, what influences whether a service member or veteran seeks care, and what are the costs associated with that care. This report focuses on the opportunities and challenges that DoD and VA face in developing, implementing, and evaluating services and programs in the context of achieving a high-performing system to care for service members and veterans who have PTSD. The report also identifies where gaps or new emphases might be addressed to improve prevention of, screening for, diagnosis of, and treatment and rehabilitation for the disorder. The findings and recommendations of Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations: Final Assessment will encourage DoD and VA to increase their efforts in moving toward a high-performing, comprehensive, integrated PTSD management strategy that addresses the needs of current and future service members, veterans, and their families.

Psychological Testing in the Service of Disability Determination

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2015-06-29

Total Pages: 246

ISBN-13: 0309370930

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The United States Social Security Administration (SSA) administers two disability programs: Social Security Disability Insurance (SSDI), for disabled individuals, and their dependent family members, who have worked and contributed to the Social Security trust funds, and Supplemental Security Income (SSSI), which is a means-tested program based on income and financial assets for adults aged 65 years or older and disabled adults and children. Both programs require that claimants have a disability and meet specific medical criteria in order to qualify for benefits. SSA establishes the presence of a medically-determined impairment in individuals with mental disorders other than intellectual disability through the use of standard diagnostic criteria, which include symptoms and signs. These impairments are established largely on reports of signs and symptoms of impairment and functional limitation. Psychological Testing in the Service of Disability Determination considers the use of psychological tests in evaluating disability claims submitted to the SSA. This report critically reviews selected psychological tests, including symptom validity tests, that could contribute to SSA disability determinations. The report discusses the possible uses of such tests and their contribution to disability determinations. Psychological Testing in the Service of Disability Determination discusses testing norms, qualifications for administration of tests, administration of tests, and reporting results. The recommendations of this report will help SSA improve the consistency and accuracy of disability determination in certain cases.

Handbook of Military and Veteran Suicide

Author: Bruce Michael Bongar

Publisher: Oxford University Press

Published: 2017

Total Pages: 289

ISBN-13: 0199873615

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For the past decade, suicidal behavior in military and veteran populations has been a constant feature in the news and in the media, with suicide rates among active duty American military personnel reaching their highest level in almost three decades. Handbook of Military and Veteran Suicide reviews the most advanced scientific understanding of the phenomenon of active duty and veteran suicide, while providing a useful, hands-on clinical guide for those working with this population. This comprehensive Handbook covers all relevant topics and current research in suicide in military and veteran populations, including links between suicide and PTSD, the stigma of mental health treatment in the military, screening for firearms access in military and veteran populations, "subintentioned" suicide (e.g. reckless driving and other such "accidental" deaths), women in combat, and working with families. Chapters also cover suicide risk assessment, ethical issues in treating suicidal patients, evidence-based treatments for PTSD, traumatic brain injury, and managing suicide in older veterans. Significant issues that may arise in assessing and treating military and veteran populations who are at risk for suicide are presented and discussed with evidence-based and practical recommendations. This Handbook will benefit researchers, policy makers, and clinicians who work with active duty military and veteran populations.

Clinical Health Psychology in Military and Veteran Settings

Author: Larry C. James

Publisher: Springer Nature

Published: 2022-11-24

Total Pages: 319

ISBN-13: 3031120639

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This book will fill an important gap in literature covering the clinical health psychology applications affecting the military and veteran health care systems. The authors draw on a wealth of experience related to treatment of service members and veterans, implementation of innovative research programs within military settings, and analysis of health economics issues. Section I examines key economic challenges facing civilian, military and Veteran healthcare providers. Section II discusses innovative clinical health psychology applications in military hospitals and clinics from around the country, including comprehensive literature reviews and presenting novel clinical applications in military hospitals. This book is relevant for clinicians, policymakers and administrators working with military and veteran patients.

Military and Veteran Mental Health

Author: Laura Weiss Roberts

Publisher: Springer

Published: 2018-01-23

Total Pages: 471

ISBN-13: 1493974386

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This authoritative and comprehensive title is designed to enhance best clinical practices for all healthcare providers who care for military service personnel and veterans. The book is organized into four sections. The first section covers foundational information on the culture and context of health care for members of the US military and veteran population. The second section focuses on systems of care for mental health needs of military and veteran populations. The third section characterizes best practices as well as ethical issues in clinical care for mental health needs of members of the military and veterans. Guidance in relation to a wide range of clinical topics is provided, such as mood disorders, post-traumatic stress disorder, combat and operational stress, military sexual assault, psychosis, and sleep disorders. The last section is intended to assist readers in reinforcing their learning through a set of clinical cases with accompanying questions for deeper consideration. An invaluable resource for all clinicians, allied health personnel, and administrators concerned with the mental health needs of service members and veterans, Military and Veteran Mental Health: A Comprehensive Guide is a gold-standard addition to the literature on military healthcare.