Evaluation of the Department of Veterans Affairs Mental Health Services

Evaluation of the Department of Veterans Affairs Mental Health Services
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 467
Release: 2018-03-29
Genre: Medical
ISBN: 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.

Military Culture and Healthcare

Military Culture and Healthcare
Author: Augustina Uzuazoraro Mushale
Publisher:
Total Pages: 0
Release: 2018
Genre:
ISBN: 9780438562523

The purpose of the study is to explore nurses’ knowledge of the military culture. Of 21 million veterans in the United States, only a fourth will access Veterans Affairs (VA) healthcare since they have the choice to be seen by civilian providers. In Fiscal Year (FY) 2015, $65M was spent on veteran medical care alone, but some veterans state their health care providers do not understand the military culture. Veterans are a unique patient population: compared to their pre-service reports, some veterans have a poorer quality of life after their military service in comparison to their civilian counterparts; they battle with invisible wounds; and the hidden barriers of the military culture. Service members have been trained to embrace great core values that have equipped them to be tough in the face of adversities. These same values can cause hidden barriers when they seek medical care. Until date, there are limited studies focused on nurses’ knowledge in this area, hence this study was the first to be conducted among nurses. A non-experimental cross-sectional study was conducted using the Transcultural Nursing Theory as its conceptual framework. That is, this study approaches military culture with the same framework that is used in studying other cultures, including African American, Hmong, transgender, and Sikh, for example. Considering military culture from the aspect of multicultural health care and health professions education is unique in the literature. Nurses were recruited from a community hospital in Northern California. A convenience sample of 127 Registered Nurses completed the Military Cultural Competence Program (MCCP) survey and a demographic questionnaire. The MCCP tool comprised of two subscales. The total overall mean on the Knowledge and Awareness subscale was 4.38 out of 6 (range= 3.71 to 4.97), representing a high level of military knowledge and a high Confidence in Skills and Abilities Subscale level with an overall mean of 81.3 out of 100 (range 63.35 to 90.35). Overall, the nurses in this study demonstrated high knowledge levels of military culture and confidence skills, but there were very low scores in areas of veteran referral to the appropriate resources. The results of this study have benefited future research in enhancing nurses’ knowledge about the military culture in caring for veterans.

Returning Home from Iraq and Afghanistan

Returning Home from Iraq and Afghanistan
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 193
Release: 2010-03-31
Genre: Medical
ISBN: 0309152852

Nearly 1.9 million U.S. troops have been deployed to Afghanistan and Iraq since October 2001. Many service members and veterans face serious challenges in readjusting to normal life after returning home. This initial book presents findings on the most critical challenges, and lays out the blueprint for the second phase of the study to determine how best to meet the needs of returning troops and their families.

Military and Veteran Mental Health

Military and Veteran Mental Health
Author: Laura Weiss Roberts
Publisher: Springer
Total Pages: 468
Release: 2018-01-23
Genre: Medical
ISBN: 1493974386

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.

Care of Military Service Members, Veterans, and Their Families

Care of Military Service Members, Veterans, and Their Families
Author: Stephen J. Cozza
Publisher: American Psychiatric Pub
Total Pages: 344
Release: 2014-01-23
Genre: Medical
ISBN: 1585625310

Care of Military Service Members, Veterans, and Their Families serves a critical need, which has been highlighted by recent reported rates of combat-related stress disorders and traumatic brain injury, as well as increases in suicide rates among service members and veterans over the past decade and the distress and challenges faced by their children and families. More than 2.5 million Americans currently serve in the U.S. military on active duty, in the Reserves, or in the National Guard, and more than 20 million civilians are veterans. Although patients are viewed here in the context of military service, they seek health care in military, veteran, and civilian settings, and their mental health concerns are as diverse as those encountered in the civilian population. This book is designed for clinicians in all care settings and provides thorough coverage of U.S. military structures and cultures across the armed services, as well as detailed material on the particular mental health challenges faced by service members and their families. A full overview of the military lifestyle is provided, including the life cycle of the military (recruitment to retirement), service subcultures (Navy, Army, Marines, Air Force, and Reserve and Guard components), challenges of military life for service members and families (moves, deployments, etc.), and military mental health. Material on military culture provides insight for practitioners who may not be familiar with this population. The book focuses on collaborative care, particularly between the military health care system and the Veterans Administration, providing clinicians with strategies to mitigate stigma and other barriers to care through mental health service delivery in primary care settings. The incidence of traumatic brain injury among service members has increased because of the use of improvised explosive devices, and an entire chapter is devoted to diagnosing and treating these injuries as well as educating patients and their families on the condition. The families of service members face significant challenges, and several chapters are devoted to the needs of military children, the families of ill and injured service members and veterans, deployment-related care, and caring for the bereaved. The book's comprehensive review of resources available to military service members, veterans, and families both ensures high-quality care and reduces the workload for treating physicians. Care of Military Service Members, Veterans, and Their Families is an authoritative and much-needed addition to the mental health literature.

Caring for Veterans and Their Families: A Guide for Nurses and Healthcare Professionals

Caring for Veterans and Their Families: A Guide for Nurses and Healthcare Professionals
Author: Rita F D’Aoust
Publisher: Jones & Bartlett Learning
Total Pages: 526
Release: 2021-11-08
Genre: Medical
ISBN: 1284238768

Of the approximately 20 million veterans of the U.S. armed forces, less than half utilize the Veteran's Health Administration health care system. That means the majority of veterans are receiving care from nurses and healthcare professionals who may not be trained in treating or caring for patients who have served in the military. This unique book guides nurses and healthcare professionals through the specific set of needs veterans can present, including but not limited to PTSD. Topics covered include, defining military culture and how to apply that knowledge to provide informed treatment, transitioning from service to civilian life and the many challenges expected during re-adjustment and re-entry, recognizing and treating substance use disorders, identifying suicidal behaviors and warning signs, long-term care for elderly veterans, and many more topics unique to the healthcare of veterans.

Veteran-Centered Care in Education and Practice

Veteran-Centered Care in Education and Practice
Author: Brenda Elliott, PhD, RN, CNE
Publisher: Springer Publishing Company
Total Pages: 341
Release: 2020-11-04
Genre: Medical
ISBN: 0826135978

Veteran-Centered Care in Education and Practice: An Essential Guide for Nursing Faculty addresses the mandate to improve veteran healthcare as a national priority, highlighting the tremendous impact nurses can make on improving veteran health. It provides guidance on how faculty can integrate veteran-centered care into nursing curricula, ultimately improving veteran-centered care at the bedside and in the community. The expert authors utilize a holistic approach to veteran needs, beginning with an overview of the importance of veteran health in nursing education and a primer of military culture and lifestyle, and transitions. A wide range of veteran-specific healthcare issues are addressed, including occupational and environmental exposures, common physical-related issues, mental-health issues, and special topics such as women's health and military sexual trauma, gender issues, and end-of-life concerns. ; This book offers innovative teaching and learning strategies to build a base of knowledge related to nursing prioritization of veteran health care needs, filling a notable gap in nursing literature. It includes teaching strategies for the classroom and clinical setting that graduate/undergraduate nurse educators may employ to integrate veteran content into existing courses or to build a Veteran Health elective or topics course. It outlines key competencies and essential knowledge faculty and students need to teach and provide basic veteran-centered care. Also covered are the expansion of Veteran-to-BSN programs, current research on veterans transitioning to the classroom, and strategies to enhance learning within this student population and maximize their skills and leadership abilities. Key Features: Discusses national and organizational efforts to improve veteran-centered care Guides nursing faculty on how to address the multifaceted nature of veteran health needs in existing nursing courses and curricula at all educational levels Outlines key competencies and essential knowledge faculty and students need to teach and provide basic veteran-centered care Includes evidence-based instructional strategies and resources to incorporate into classroom and clinical settings Features learning activities to enhance knowledge acquisition Details the unique needs of the veteran student population, as well as strategies to enhance their learning, while maximizing their skills and leadership abilities

Public Health and the US Military

Public Health and the US Military
Author: Bobby A. Wintermute
Publisher: Routledge
Total Pages: 292
Release: 2010-10-18
Genre: History
ISBN: 1136892680

Public Health and the US Military is a cultural history of the US Army Medical Department focusing on its accomplishments and organization coincident with the creation of modern public health in the Progressive Era. A period of tremendous social change, this time bore witness to the creation of an ideology of public health that influences public policy even today. The US Army Medical Department exerted tremendous influence on the methods adopted by the nation’s leading civilian public health figures and agencies at the turn of the twentieth century. Public Health and the US Military also examines the challenges faced by military physicians struggling to win recognition and legitimacy as expert peers by other Army officers and within the civilian sphere. Following the experience of typhoid fever outbreaks in the volunteer camps during the Spanish-American War, and the success of uniformed researchers and sanitarians in confronting yellow fever and hookworm disease in Cuba and Puerto Rico, the Medical Department’s influence and reputation grew in the decades before the First World War. Under the direction of sanitary-minded medical officers, the Army Medical Department instituted critical public health reforms at home and abroad, and developed a model of sanitary tactics for wartime mobilization that would face its most critical test in 1917. The first large conceptual overview of the role of the US Army Medical Department in American society during the nineteenth and early twentieth centuries, this book details the culture and quest for legitimacy of an institution dedicated to promoting public health and scientific medicine.

Helping Soldiers Heal

Helping Soldiers Heal
Author: Jayakanth Srinivasan
Publisher: Cornell University Press
Total Pages: 209
Release: 2021-12-15
Genre: Psychology
ISBN: 1501760521

Helping Soldiers Heal tells the story of the US Army's transformation from a disparate collection of poorly standardized, largely disconnected clinics into one of the nation's leading mental health care systems. It is a step-by-step guidebook for military and civilian health care systems alike. Jayakanth Srinivasan and Christopher Ivany provide a unique insider-outsider perspective as key participants in the process, sharing how they confronted the challenges firsthand and helped craft and guide the unfolding change. The Army's system was being overwhelmed with mental health problems among soldiers and their family members, impeding combat readiness. The key to the transformation was to apply the tenets of "learning" health care systems. Building a learning health care system is hard; building a learning mental health care system is even harder. As Helping Soldiers Heal recounts, the Army overcame the barriers to success, and its experience is full of lessons for any health care system seeking to transform.