Evaluation Of The Department Of Veterans Affairs Mental Health Services

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 : 55,8 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 : National Academies of Sciences, Engineering, and Medicine (U.S.). Committee To Evaluate the Department of Veterans Affairs Mental Health Services
Publisher : Unknown
Page : 439 pages
File Size : 50,9 Mb
Release : 2018
Category : Medical
ISBN : 030946658X

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Evaluation of the Department of Veterans Affairs Mental Health Services by National Academies of Sciences, Engineering, and Medicine (U.S.). Committee To Evaluate the Department of Veterans Affairs Mental Health Services Pdf

Introduction -- The Veterans Health Administration -- The Veterans Health Administration's Mental Health Services -- Clinical management of mental health conditions at the Veterans Health Administration -- Methodology -- Department of Veteran's Affairs mental health services: need, usage, and access and barriers to care -- Dimensions of quality in mental health care -- Mental health workforce and facilities infrastructure -- Timely access to mental health care -- Patient-centered care and the veteran experience -- Effective mental health care -- Efficient mental health care -- Equitable mental health care -- Health technology for mental health care -- Quality management -- Findings, conclusions, and recommendations -- Appendices. Supporting the documentation for the survey -- Supporting documentation for the site visits: questionnaires and NVivo codes.

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 : 52,6 Mb
Release : 2018-04-29
Category : Medical
ISBN : 9780309466578

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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 Health Care Services,Committee on Crossing the Quality Chasm: Adaptation to Mental Health and Addictive Disorders
Publisher : National Academies Press
Page : 528 pages
File Size : 44,7 Mb
Release : 2006-03-29
Category : Medical
ISBN : 9780309133661

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Improving the Quality of Health Care for Mental and Substance-Use Conditions by Institute of Medicine,Board on Health Care Services,Committee on Crossing the Quality Chasm: Adaptation to Mental Health and Addictive Disorders Pdf

Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.

Author : National Research Council,Institute of Medicine,Board on Behavioral, Cognitive, and Sensory Sciences,Board on Military and Veterans Health,Committee on Veterans' Compensation for Posttraumatic Stress Disorder
Publisher : National Academies Press
Page : 263 pages
File Size : 43,8 Mb
Release : 2007-08-25
Category : Technology & Engineering
ISBN : 9780309105521

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PTSD Compensation and Military Service by National Research Council,Institute of Medicine,Board on Behavioral, Cognitive, and Sensory Sciences,Board on Military and Veterans Health,Committee on Veterans' Compensation for Posttraumatic Stress Disorder Pdf

The scars of war take many forms: the limb lost, the illness brought on by a battlefield exposure, and, for some, the psychological toll of encountering an extremely traumatic event. PTSD Compensation and Military Service presents a thorough assessment of how the U.S. Department of Veterans Affairs evaluates veterans with possible posttraumatic stress disorder and determines the level of disability support to which they are entitled. The book presents a history of mental health disability compensation of military personnel and reviews the current compensation and pension examination procedure and disability determination methodology. It offers a number of recommendations for changes that would improve the fairness, consistency, and scientific foundation of this vital program. This book will be of interest and importance to policy makers, veterans affairs groups, the armed forces, health care organizations, and veterans themselves.

Author : Institute of Medicine,Board on Military and Veterans Health,Committee on Medical Evaluation of Veterans for Disability Compensation
Publisher : National Academies Press
Page : 406 pages
File Size : 47,8 Mb
Release : 2007-09-30
Category : Medical
ISBN : 9780309106313

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A 21st Century System for Evaluating Veterans for Disability Benefits by Institute of Medicine,Board on Military and Veterans Health,Committee on Medical Evaluation of Veterans for Disability Compensation Pdf

21st Century System for Evaluating Veterans' Disability Benefits recommends improvements in the medical evaluation and rating of veterans for the benefits provided by the Department of Veterans Affairs (VA) to compensate for illnesses or injuries incurred in or aggravated by military service. Compensation is a monthly cash benefit based on a rating schedule that determines the degree of disability on a scale of 0 to 100. Although a disability rating may also entitle a veteran to ancillary services, such as vocational rehabilitation and employment services, the rating schedule is out of date medically and contains ambiguous criteria and obsolete conditions and language. The current rating schedule emphasizes impairment and limitations or loss of specific body structures and functions which may not predict disability well. 21st Century System for Evaluating Veterans' Disability Benefits recommends that this schedule could be revised to include modern concepts of disability including work disability, nonwork disability, and quality of life. In addition to the need for an updated rating schedule, this book highlights the need for the Department of Veterans' Affairs to devote additional resources to systematic analysis of how well it is providing services or how much the lives of veterans are being improved, as well as the need for a program of research oriented toward understanding and improving the effectiveness of its benefits programs.

Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on the Review of the Department of Veterans Affairs Examinations for Traumatic Brain Injury
Publisher : National Academies Press
Page : 211 pages
File Size : 47,5 Mb
Release : 2019-05-20
Category : Medical
ISBN : 9780309486897

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Evaluation of the Disability Determination Process for Traumatic Brain Injury in Veterans by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on the Review of the Department of Veterans Affairs Examinations for Traumatic Brain Injury Pdf

The Veterans Benefits Administration (VBA) provides disability compensation to veterans with a service-connected injury, and to receive disability compensation from the Department of Veterans Affairs (VA), a veteran must submit a claim or have a claim submitted on his or her behalf. Evaluation of the Disability Determination Process for Traumatic Brain Injury in Veterans reviews the process by which the VA assesses impairments resulting from traumatic brain injury for purposes of awarding disability compensation. This report also provides recommendations for legislative or administrative action for improving the adjudication of veterans' claims seeking entitlement to compensation for all impairments arising from a traumatic brain injury.

Author : Patricia A. Resick,Candice M. Monson,Kathleen M. Chard
Publisher : Guilford Publications
Page : 329 pages
File Size : 48,7 Mb
Release : 2016-12-26
Category : Psychology
ISBN : 9781462528646

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Cognitive Processing Therapy for PTSD by Patricia A. Resick,Candice M. Monson,Kathleen M. Chard Pdf

The culmination of more than 25 years of clinical work and research, this is the authoritative presentation of cognitive processing therapy (CPT) for posttraumatic stress disorder (PTSD). Written by the treatment's developers, the book includes session-by-session guidelines for implementation, complete with extensive sample dialogues and 40 reproducible client handouts. It explains the theoretical and empirical underpinnings of CPT and discusses how to adapt the approach for specific populations, such as combat veterans, sexual assault survivors, and culturally diverse clients. The large-size format facilitates photocopying and day-to-day use. Purchasers also get access to a Web page where they can download and print the reproducible materials. CPT is endorsed by the U.S. Departments of Veterans Affairs and Defense, the International Society of Traumatic Stress Studies, and the U.K. National Institute for Health and Care Excellence (NICE) as a best practice for the treatment of PTSD.

Author : Jack Tsai
Publisher : Oxford University Press
Page : 297 pages
File Size : 41,5 Mb
Release : 2019
Category : Medical
ISBN : 9780190695132

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Homelessness Among U.S. Veterans by Jack Tsai Pdf

The challenges facing military veterans who return to civilian life in the United States are persistent and well documented. But for all the political outcry and attempts to improve military members' readjustments, veterans of all service eras face formidable obstacles related to mental health, substance abuse, employment, and — most damningly — homelessness. Homelessness Among U.S. Veterans synthesizes the new glut of research on veteran homelessness — geographic trends, root causes, effective and ineffective interventions to mitigate it — in a format that provides a needed reference as this public health fight continues to be fought. Codifying the data and research from the U.S. Department of Veterans Affairs (VA) campaign to end veteran homelessness, psychologist Jack Tsai links disparate lines of research to produce an advanced and elegant resource on a defining social issue of our time.

Author : Paul Wehman
Publisher : Unknown
Page : 292 pages
File Size : 45,5 Mb
Release : 1981
Category : Developmentally disabled
ISBN : UOM:49015000197799

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Competitive Employment by Paul Wehman Pdf

Ce livre comprend un profil du mouvement de l'intégration au travail et du Supported employment avec une perspective historique, une déclaration des orientations nécessaires à l'intégration sociale, des stratégies d'iontervention reliées à une approche behavioriste sur l'enseignement professionnel et des recommandations pour l'application de programme d'intégration au travail.

Author : Anonim
Publisher : Unknown
Page : 8 pages
File Size : 45,9 Mb
Release : 1992
Category : Post-traumatic stress disorder
ISBN : MINN:30000002701625

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PTSD Research Quarterly by Anonim Pdf

Author : Institute of Medicine,Board on the Health of Select Populations,Committee on the Assessment of Resiliency and Prevention Programs for Mental and Behavioral Health in Service Members and Their Families
Publisher : National Academies Press
Page : 292 pages
File Size : 55,7 Mb
Release : 2014-02-11
Category : Medical
ISBN : 9780309297189

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Preventing Psychological Disorders in Service Members and Their Families by Institute of Medicine,Board on the Health of Select Populations,Committee on the Assessment of Resiliency and Prevention Programs for Mental and Behavioral Health in Service Members and Their Families Pdf

Being deployed to a war zone can result in numerous adverse psychological health conditions. It is well documented in the literature that there are high rates of psychological disorders among military personnel serving in Operation Enduring Freedom in Afghanistan and Operation Iraqi Freedom in Iraq as well as among the service members' families. For service members' families, the degree of hardship and negative consequences rises with the amount of the service members' exposure to traumatic or life-altering experiences. Adult and child members of the families of service members who experience wartime deployments have been found to be at increased risk for symptoms of psychological disorders and to be more likely to use mental health services. In an effort to provide early recognition and early intervention that meet the psychological health needs of service members and their families, DOD currently screens for many of these conditions at numerous points during the military life cycle, and it is implementing structural interventions that support the improved integration of military line personnel, non-medical caregivers, and clinicians, such as RESPECT-Mil (Re-engineering Systems of Primary Care Treatment in the Military), embedded mental health providers, and the Patient-Centered Medical Home. Preventing Psychological Disorders in Service Members and Their Families evaluates risk and protective factors in military and family populations and suggests that prevention strategies are needed at multiple levels - individual, interpersonal, institutional, community, and societal - in order to address the influence that these factors have on psychological health. This report reviews and critiques reintegration programs and prevention strategies for PTSD, depression, recovery support, and prevention of substance abuse, suicide, and interpersonal violence.

Author : Stéphanie A. H. Bélanger,Alice Aiken
Publisher : Canadian Museum of Civilization/Musee Canadien Des Civilisations
Page : 436 pages
File Size : 44,8 Mb
Release : 2011
Category : Biography & Autobiography
ISBN : UIUC:30112071979618

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Shaping the Future by Stéphanie A. H. Bélanger,Alice Aiken Pdf

A compilation of research presented at the 1st annual Military and Veteran Health Research Forum, sponsored by the Canadian Institute for Military and Veteran Health Research, and hosted by Queen's University and the Royal Military College of Canada, Nov. 2010--Introduction.

Author : Institute of Medicine,Board on Population Health and Public Health Practice,Committee on Treatment of Posttraumatic Stress Disorder
Publisher : National Academies Press
Page : 228 pages
File Size : 47,5 Mb
Release : 2008-01-18
Category : Medical
ISBN : 0309109264

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Treatment of Posttraumatic Stress Disorder by Institute of Medicine,Board on Population Health and Public Health Practice,Committee on Treatment of Posttraumatic Stress Disorder Pdf

Mental disorders, including posttraumatic stress disorder (PTSD), constitute an important health care need of veterans, especially those recently separated from service. Treatment of Posttraumatic Stress Disorder: An Assessment of the Evidence takes a systematic look the efficacy of pharmacologic and psychological treatment modalities for PTSD on behalf of the Department of Veterans Affairs. By reviewing existing studies in order to draw conclusions about the strength of evidence on several types of treatment, the Committee on the Treatment of Posttraumatic Stress Disorder found that many of these studies were faulty in design and performance, and that relatively few of these studies have been conducted in populations of veterans, despite suggestions that civilian and veteran populations respond differently to various types of treatment. The committee also notes that the evidence is scarce on the acceptability, efficacy, or generalizability of treatment in ethnic and cultural minorities, as few studies stratified results by ethnic background. Despite challenges in the consistency, quality, and depth of research, the committee found the evidence sufficient to conclude the efficacy of exposure therapies in treating PTSD. The committee found the evidence inadequate to determine efficacy of different types of pharmacotherapies, of three different psychotherapy modalities, and of psychotherapy delivered in group formats. The committee also made eight critical recommendations, some in response to the VA's questions related to recovery and the length and timing of PTSD treatment, and others addressing research methodology, gaps in evidence and funding issues.

Author : National Academies of Sciences, Engineering, and Medicine,National Academy of Medicine,Committee on Systems Approaches to Improve Patient Care by Supporting Clinician Well-Being
Publisher : National Academies Press
Page : 335 pages
File Size : 48,8 Mb
Release : 2020-01-02
Category : Medical
ISBN : 9780309495479

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Taking Action Against Clinician Burnout by National Academies of Sciences, Engineering, and Medicine,National Academy of Medicine,Committee on Systems Approaches to Improve Patient Care by Supporting Clinician Well-Being Pdf

Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.