Caring For Veterans With Deployment Related Stress Disorders

Author : Josef I. Ruzek
Publisher : American Psychological Association (APA)
Page : 0 pages
File Size : 52,9 Mb
Release : 2011
Category : Anxiety disorders
ISBN : 1433809257

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Caring for Veterans with Deployment-related Stress Disorders by Josef I. Ruzek Pdf

"The chapters in this book summarize current scientific and clinical knowledge about psychological trauma, PTSD, and related posttraumatic stress reactions among military veterans and civilians deployed to Operation Enduring Freedom (OEF) in Afghanistan and Operation Iraqi Freedom (OIF). Although the content is focused on individuals serving in Iraq and Afghanistan, the book also offers a framework to help those not only in the United States but elsewhere around the world who will be directly affected by future wars. This book is designed to support clinical practice by providing clinicians with solid, evidence-based information. To that end, the chapters include clinical case illustrations intended to help practitioners integrate the material with real-world scenarios. The book should also stimulate research by providing a comprehensive summary of the existing literature. We anticipate that it may function as a practical tool for clinicians interested in trauma work and as a textbook for use in instructional settings. A comprehensive approach to the management of posttraumatic stress reactions must encompass both prevention and treatment. It must also incorporate both clinical and public health perspectives. Problems experienced by individuals affect the larger community, so care at the individual level should be offered within the context of a larger system of services. Thus, this book comprises five major parts: epidemiology and course of problems; assessment of trauma, PTSD, related mental health outcomes (including the context of co-occurring traumatic brain injury), and suicidal states; specific noncombat stressors and problems and their ramifications; prevention and treatment of PTSD; and public health challenges related to barriers to care and integration of service delivery systems"--Introduction. (PsycINFO Database Record (c) 2010 APA, all rights reserved).

Author : Josef I. Ruzek
Publisher : American Psychological Association (APA)
Page : 0 pages
File Size : 43,6 Mb
Release : 2011
Category : PSYCHOLOGY
ISBN : 1433809265

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Caring for Veterans with Deployment-related Stress Disorders by Josef I. Ruzek Pdf

"The chapters in this book summarize current scientific and clinical knowledge about psychological trauma, PTSD, and related posttraumatic stress reactions among military veterans and civilians deployed to Operation Enduring Freedom (OEF) in Afghanistan and Operation Iraqi Freedom (OIF). Although the content is focused on individuals serving in Iraq and Afghanistan, the book also offers a framework to help those not only in the United States but elsewhere around the world who will be directly affected by future wars. This book is designed to support clinical practice by providing clinicians with solid, evidence-based information. To that end, the chapters include clinical case illustrations intended to help practitioners integrate the material with real-world scenarios. The book should also stimulate research by providing a comprehensive summary of the existing literature. We anticipate that it may function as a practical tool for clinicians interested in trauma work and as a textbook for use in instructional settings. A comprehensive approach to the management of posttraumatic stress reactions must encompass both prevention and treatment. It must also incorporate both clinical and public health perspectives. Problems experienced by individuals affect the larger community, so care at the individual level should be offered within the context of a larger system of services. Thus, this book comprises five major parts: epidemiology and course of problems; assessment of trauma, PTSD, related mental health outcomes (including the context of co-occurring traumatic brain injury), and suicidal states; specific noncombat stressors and problems and their ramifications; prevention and treatment of PTSD; and public health challenges related to barriers to care and integration of service delivery systems"--Introduction. (PsycINFO Database Record (c) 2010 APA, all rights reserved).

Author : Stephen J. Cozza,Matthew N. Goldenberg,Robert J. Ursano
Publisher : American Psychiatric Pub
Page : 344 pages
File Size : 42,9 Mb
Release : 2014-01-23
Category : Medical
ISBN : 9781585625314

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Care of Military Service Members, Veterans, and Their Families by Stephen J. Cozza,Matthew N. Goldenberg,Robert J. Ursano Pdf

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.

Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee to Evaluate the Department of Veterans Affairs Mental Health Services
Publisher : National Academies Press
Page : 467 pages
File Size : 55,5 Mb
Release : 2018-03-29
Category : Medical
ISBN : 9780309466608

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Evaluation of the Department of Veterans Affairs Mental Health Services by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee to Evaluate the Department of Veterans Affairs Mental Health Services Pdf

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.

Author : Institute of Medicine,Board on the Health of Select Populations,Committee on the Assessment of Ongoing Efforts in the Treatment of Posttraumatic Stress Disorder
Publisher : National Academies Press
Page : 254 pages
File Size : 41,7 Mb
Release : 2014-06-17
Category : Medical
ISBN : 9780309301763

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Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations by Institute of Medicine,Board on the Health of Select Populations,Committee on the Assessment of Ongoing Efforts in the Treatment of Posttraumatic Stress Disorder Pdf

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.

Author : Elspeth Cameron Ritchie
Publisher : Springer
Page : 373 pages
File Size : 49,5 Mb
Release : 2015-10-27
Category : Medical
ISBN : 9783319229850

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Posttraumatic Stress Disorder and Related Diseases in Combat Veterans by Elspeth Cameron Ritchie Pdf

This book takes a case-based approach to addressing the challenges psychiatrists and other clinicians face when working with American combat veterans after their return from a war zone. Written by experts, the book concentrates on a wide variety of concerns associated with posttraumatic stress disorder (PTSD), including different treatments of PTSD. The text also looks at PTSD comorbidities, such as depression and traumatic brain injury (TBI) and other conditions masquerading as PTSD. Finally, the authors touch on other subjects concerning returning veterans, including pain, disability, facing the end of a career, sleep problems , suicidal thoughts, violence, , and mefloquine “toxidrome”. Each case study includes a case presentation, diagnosis and assessment, treatment and management, outcome and case resolution, and clinical pearls and pitfalls. Post-Traumatic Stress Disorder and Related Diseases in Combat Veterans is a valuable resource for civilian and military mental health practitioners, and primary care physicians on how to treat patients returning from active war zones.

Author : Laura Weiss Roberts,Christopher H. Warner
Publisher : Springer
Page : 471 pages
File Size : 46,6 Mb
Release : 2018-01-23
Category : Medical
ISBN : 9781493974382

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Military and Veteran Mental Health by Laura Weiss Roberts,Christopher H. Warner Pdf

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.

Author : Institute of Medicine,Board on Population Health and Public Health Practice,Committee on Gulf War and Health: Physiologic, Psychologic, and Psychosocial Effects of Deployment-Related Stress
Publisher : National Academies Press
Page : 358 pages
File Size : 53,7 Mb
Release : 2008-02-25
Category : Technology & Engineering
ISBN : 9780309177689

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Gulf War and Health by Institute of Medicine,Board on Population Health and Public Health Practice,Committee on Gulf War and Health: Physiologic, Psychologic, and Psychosocial Effects of Deployment-Related Stress Pdf

The sixth in a series of congressionally mandated reports on Gulf War veterans' health, this volume evaluates the health effects associated with stress. Since the launch of Operation Desert Storm in 1991, there has been growing concern about the physical and psychological health of Gulf War and other veterans. In the late 1990s, Congress responded by asking the National Academy of Sciences (NAS) to review and evaluate the scientific and medical literature regarding associations between illness and exposure to toxic agents, environmental or wartime hazards, and preventive medicines or vaccines in members of the armed forces who were exposed to such agents. Deployment to a war zone has a profound impact on the lives of troops and on their family members. There are a plethora of stressors associated with deployment, including constant vigilance against unexpected attack, difficulty distinguishing enemy combatants from civilians, concerns about survival, caring for the badly injured, and witnessing the death of a person. Less traumatic but more pervasive stressors include anxiety about home life, such as loss of a job and income, impacts on relationships, and absence from family. The focus of this report, by the Institute of Medicine (IOM) Committee on Gulf War and Health: Physiologic, and Psychosocial Effects of Deployment-Related Stress, is the long-term effects of deployment-related stress. Gulf War and Health: Volume 6. Physiologic, and Psychosocial Effects of Development Related Stress evaluates the scientific literature regarding association between deployment-related stressors and health effects, and provides meaningful recommendations to remedy this problem.

Author : United States. Congress. House. Committee on Veterans' Affairs
Publisher : Unknown
Page : 216 pages
File Size : 53,6 Mb
Release : 2006
Category : Medical
ISBN : PSU:000058792599

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The Department of Defense and Department of Veterans Affairs by United States. Congress. House. Committee on Veterans' Affairs Pdf

Author : Christopher H. Warner,Carl A. Castro
Publisher : Springer Nature
Page : 445 pages
File Size : 41,5 Mb
Release : 2023-03-23
Category : Medical
ISBN : 9783031180095

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Veteran and Military Mental Health by Christopher H. Warner,Carl A. Castro Pdf

This book addresses mental health treatment for veterans and active military personnel. In addition to examining foundational practices in the sub-field, it contains specifically tailored content concerning the recent collapse of the United States (US) installed Afghanistan government. The book is conscious of the myriad of complex emotions that veterans who fought for the past twenty years may be experiencing. Organized into four parts, the book begins with the foundations of veteran and military mental health culture as patients transition from active duty to veteran status, understand the present stigma and barriers to care and reflect on their deployment experience. Part two delves into the specifics of the healthcare system in which military personnel find themselves at various points in their career, including deployment and returning home. Following this, chapters examine the critically unique conditions found in patients, such as sleep disorders, traumatic brain injury, homelessness, substance abuse, and sexual trauma. The book closes with discussions on veterans and their families that focus on the effects of deployment on a military person’s loved ones and their mental state upon returning home. Timely, socially conscious, and comprehensive, the Clinical Manual on Veteran and Military Mental Health is an invaluable resource for mental health professionals receiving new military personnel patients and who have seen a significant shift in their patients due to recent events.

Author : Canada. Veterans Affairs Canada
Publisher : Unknown
Page : 36 pages
File Size : 52,8 Mb
Release : 2006
Category : Post-traumatic stress disorder
ISBN : UIUC:30112084310678

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Post-traumatic Stress Disorder (PTSD) and War-related Stress by Canada. Veterans Affairs Canada Pdf

This document provides information on post-traumatic stress disorder (PTSD) and war-related stress for veterans & their families. It begins with background on PTSD and traumatic events, then describes common symptoms of PTSD and why they develop. The next section reviews problems associated with PTSD, such as depression, anxiety, and impacts on work & family. The final sections provide suggestions on coping with the disorder and describe treatment methods.

Author : Terri L. Tanielian
Publisher : Rand Corporation
Page : 499 pages
File Size : 50,6 Mb
Release : 2008
Category : Business & Economics
ISBN : 9780833044549

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Invisible Wounds of War by Terri L. Tanielian Pdf

Since October 2001, approximately 1.64 million U.S. troops have been deployed for Operations Enduring Freedom and Iraqi Freedom (OEF/OIF) in Afghanistan and Iraq. Early evidence suggests that the psychological toll of these deployments -- many involving prolonged exposure to combat-related stress over multiple rotations -- may be disproportionately high compared with the physical injuries of combat. In the face of mounting public concern over post-deployment health care issues confronting OEF/OIF veterans, several task forces, independent review groups, and a Presidential Commission have been convened to examine the care of the war wounded and make recommendations. Concerns have been most recently centered on two combat-related injuries in particular: post-traumatic stress disorder and traumatic brain injury. With the increasing incidence of suicide and suicide attempts among returning veterans, concern about depression is also on the rise. The study discussed in this monograph focuses on post-traumatic stress disorder, major depression, and traumatic brain injury, not only because of current high-level policy interest but also because, unlike the physical wounds of war, these conditions are often invisible to the eye, remaining invisible to other servicemembers, family members, and society in general. All three conditions affect mood, thoughts, and behavior; yet these wounds often go unrecognized and unacknowledged. The effect of traumatic brain injury is still poorly understood, leaving a large gap in knowledge related to how extensive the problem is or how to address it. RAND conducted a comprehensive study of the post-deployment health-related needs associated with these three conditions among OEF/OIF veterans, the health care system in place to meet those needs, gaps in the care system, and the costs associated with these conditions and with providing quality health care to all those in need. This monograph presents the results of our study, which should be of interest to mental health treatment providers; health policymakers, particularly those charged with caring for our nation's veterans; and U.S. service men and women, their families, and the concerned public. All the research products from this study are available at http://veterans.rand.org. Data collection for this study began in April 2007and concluded in January 2008. Specific activities included a critical reviewof the extant literature on the prevalence of post-traumatic stress disorder, major depression, and traumatic brain injury and their short- and long-term consequences; a population-based survey of service members and veterans who served in Afghanistan or Iraq to assess health status and symptoms, as well asutilization of and barriers to care; a review of existing programs to treat service members and veterans with the three conditions; focus groups withmilitary service members and their spouses; and the development of a microsimulation model to forecast the economic costs of these conditions overtime. Among our recommendations is that effective treatments documented in the scientific literature -- evidence-based care -- are available for PTSD and major depression. Delivery of such care to all veterans with PTSD or majordepression would pay for itself within two years, or even save money, by improving productivity and reducing medical and mortality costs. Such care may also be a cost-effective way to retain a ready and healthy military force for the future. However, to ensure that this care is delivered requires system-level changes across the Department of Defense, the Department of Veterans Affairs, and the U.S. health care system.

Author : Institute of Medicine,Board on Population Health and Public Health Practice,Committee on Gulf War and Health: Physiologic, Psychologic, and Psychosocial Effects of Deployment-Related Stress
Publisher : National Academies Press
Page : 358 pages
File Size : 49,5 Mb
Release : 2008-03-25
Category : Technology & Engineering
ISBN : 9780309101776

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Gulf War and Health by Institute of Medicine,Board on Population Health and Public Health Practice,Committee on Gulf War and Health: Physiologic, Psychologic, and Psychosocial Effects of Deployment-Related Stress Pdf

The sixth in a series of congressionally mandated reports on Gulf War veterans' health, this volume evaluates the health effects associated with stress. Since the launch of Operation Desert Storm in 1991, there has been growing concern about the physical and psychological health of Gulf War and other veterans. In the late 1990s, Congress responded by asking the National Academy of Sciences (NAS) to review and evaluate the scientific and medical literature regarding associations between illness and exposure to toxic agents, environmental or wartime hazards, and preventive medicines or vaccines in members of the armed forces who were exposed to such agents. Deployment to a war zone has a profound impact on the lives of troops and on their family members. There are a plethora of stressors associated with deployment, including constant vigilance against unexpected attack, difficulty distinguishing enemy combatants from civilians, concerns about survival, caring for the badly injured, and witnessing the death of a person. Less traumatic but more pervasive stressors include anxiety about home life, such as loss of a job and income, impacts on relationships, and absence from family. The focus of this report, by the Institute of Medicine (IOM) Committee on Gulf War and Health: Physiologic, and Psychosocial Effects of Deployment-Related Stress, is the long-term effects of deployment-related stress. Gulf War and Health: Volume 6. Physiologic, and Psychosocial Effects of Development Related Stress evaluates the scientific literature regarding association between deployment-related stressors and health effects, and provides meaningful recommendations to remedy this problem.

Author : Brett T. Litz,Leslie Lebowitz,Matt J. Gray,William P. Nash
Publisher : Guilford Publications
Page : 225 pages
File Size : 48,7 Mb
Release : 2015-11-10
Category : Psychology
ISBN : 9781462523306

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Adaptive Disclosure by Brett T. Litz,Leslie Lebowitz,Matt J. Gray,William P. Nash Pdf

A complete guide to an innovative, research-based brief treatment specifically developed for service members and veterans, this book combines clinical wisdom and in-depth knowledge of military culture. Adaptive disclosure is designed to help those struggling in the aftermath of traumatic war-zone experiences, including life threat, traumatic loss, and moral injury, the violation of closely held beliefs or codes. Detailed guidelines are provided for assessing clients and delivering individualized interventions that integrate emotion-focused experiential strategies with elements of cognitive-behavioral therapy (CBT). Reproducible handouts can be downloaded and printed in a convenient 8 1/2" x 11" size.

Author : Subcommittee on Posttraumatic Stress Disorder of the Committee on Gulf War and Health: Physiologic, Psychologic, and Psychosocial Effects of Deployment-Related Stress,Board on Population Health and Public Health Practice,Institute of Medicine
Publisher : National Academies Press
Page : 74 pages
File Size : 43,6 Mb
Release : 2006-08-08
Category : Technology & Engineering
ISBN : 0309387957

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Posttraumatic Stress Disorder: by Subcommittee on Posttraumatic Stress Disorder of the Committee on Gulf War and Health: Physiologic, Psychologic, and Psychosocial Effects of Deployment-Related Stress,Board on Population Health and Public Health Practice,Institute of Medicine Pdf