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Mental Health Stigma in the Military by Joie D. Acosta,Amariah Becker,Jennifer L. Cerully Pdf
This report assesses the U.S. military's approach to reducing stigma for mental health disorders and their treatment, how well it is working, and how it might be improved. It presents priorities for program and policy development and research and evaluation to get service members the treatment they need as efficiently and effectively as possible.
Mental Health Stigma in the Military by Joie D. Acosta Pdf
Despite the efforts of both the U.S. Department of Defense and the Veterans Health Administration to enhance mental health services, many service members are not regularly seeking needed care when they have mental health problems. Without appropriate treatment, these mental health problems can have wide-ranging and negative impacts on the quality of life and the social, emotional, and cognitive functioning of affected service members. The services have been actively engaged in developing policies, programs, and campaigns designed to reduce stigma and increase service members' help-seeking behavior. However, there has been no comprehensive assessment of these efforts' effectiveness and the extent to which they align with service members' needs or evidence-based practices. The goal of this research was to assess DoD's approach to stigma reduction, how well it is working and how it might be improved. To address these questions, RAND researchers used five complementary methods: (1) literature review, (2) a microsimulation modeling of costs, (3) interviews with program staff, (4) prospective policy analysis, and (5) an expert panel. The priorities outlined in this report identify ways in which program and policy development and research and evaluation can improve understanding of how best to efficiently and effectively provide needed treatment to service members with mental illness.
National Academies of Sciences, Engineering, and Medicine,Division of Behavioral and Social Sciences and Education,Board on Behavioral, Cognitive, and Sensory Sciences,Committee on the Science of Changing Behavioral Health Social Norms
Author : National Academies of Sciences, Engineering, and Medicine,Division of Behavioral and Social Sciences and Education,Board on Behavioral, Cognitive, and Sensory Sciences,Committee on the Science of Changing Behavioral Health Social Norms Publisher : National Academies Press Page : 171 pages File Size : 45,5 Mb Release : 2016-09-03 Category : Social Science ISBN : 9780309439121
Ending Discrimination Against People with Mental and Substance Use Disorders by National Academies of Sciences, Engineering, and Medicine,Division of Behavioral and Social Sciences and Education,Board on Behavioral, Cognitive, and Sensory Sciences,Committee on the Science of Changing Behavioral Health Social Norms Pdf
Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.
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
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 : 52,8 Mb Release : 2018-03-29 Category : Medical ISBN : 9780309466608
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.
Military Life by Thomas W. Britt,Carl Andrew Castro,Amy B. Adler Pdf
With global commitments and combat duty, our armed forces face life-threatening challenges on a daily basis. However, less visible threats also impact the mental health of our military men and women. Experts examine challenges on the battlefield, such as women coming to terms with life after being prisoners of war, or soldiers dealing with mistakenly killing civilians. But life in the armed forces presents less dramatic, daily challenges. Away from the front lines, soldiers have to raise their families, sometimes as single parents. Children have to learn what it's like to be in a military family, and to make sense of war. Gay or lesbian officers cope with a don't ask, don't tell policy. An unprecedented range of contributors—military officers, medical doctors, psychologists, psychiatrists, and professors—take us onto the bases and the battlefields and inside the minds of military personnel who face far greater challenges than most of us ever see in the headlines. These volumes also highlight factors that make members of the military resilient and stable, as well as programs and practices that can ease the psychological burdens of military personnel, families, and children. Readers can better understand how society views our military and military operations, and how each one of us can play a role in supporting our armed forces.
Military Mental Health Care by Cheryl Lawhorne-Scott,Don Philpott Pdf
Military Mental HealthCare is both a resource for struggling veterans and a useful tool for their loved ones or anyone looking for ways to support the veterans in their lives.
Every day, a battle is being fought for the mental health of our military personnel.In this gripping expose, Marjorie Morrison, takes readers behind the lines to show us the crisis facing our military's mental healthcare system.When Morrison left her thriving private psychology practice for a three-month assignment at the Marine Corps Recruit Depot, she hoped she would make a difference in the lives of Marines. She had no idea that it was she who would be changed.Those three months grew into a yearlong project, but the more Morrison tried to do her best for them, the more roadblocks she met. Despite the broken system, she was and is determined to help protect service member's mental health. The Inside Battle offers readers a glimpse into the current crisis through Morrison's personal experience and empowers them to make a difference in the lives of the men and women of the military.Marjorie Morrison has helped me to see that we have the power, the knowledge and most importantly the responsibility to protect each and every person who raises their hand and swears to protect our country. It is our duty as civilians ¦to fight for the men and women who fight for us. We know today how to support people before the stress happens so they don't have to come home broken.Debbie FordN.Y. Times best selling author of Why Good People Do Bad Things and co-author of The Shadow Effect
Military Veteran Psychological Health and Social Care by Jamie Hacker Hughes Pdf
When servicewomen and men leave the armed forces, their care transfers to the statutory and third sector where the quality and provision of services can vary enormously. This edited book, encompassing a range of perspectives, from service user to professional, provides a comprehensive overview of services available. Each chapter, in turn, examines the policy underpinnings of systems and services covering the psychological health and social care of military veterans and then focuses on the needs of a discrete number of types of military veterans including early service leavers, veterans in the criminal justice system, older veterans and reservists, together with the needs of the children of veterans’ families. This is the first UK book to examine the whole spectrum of contemporary approaches to the psychological health and social care of military veterans both in the United Kingdom and overseas. The book is edited by Professor Jamie Hacker Hughes, a former head of healthcare psychology within the UK Ministry of Defence and all contributors are experts in policy, service provision and academic research in this area. It will be of special interest to those designing and planning, commissioning, managing and delivering mental health and social care to military veterans and their families
The unforgettable story of a military family that lost two sons—one to suicide and one in combat—and channeled their grief into fighting the armed forces’ suicide epidemic. Major General Mark Graham was a decorated two-star officer whose integrity and patriotism inspired his sons, Jeff and Kevin, to pursue military careers of their own. His wife Carol was a teacher who held the family together while Mark's career took them to bases around the world. When Kevin and Jeff die within nine months of each other—Kevin commits suicide and Jeff is killed by a roadside bomb in Iraq—Mark and Carol are astonished by the drastically different responses their sons’ deaths receive from the Army. While Jeff is lauded as a hero, Kevin’s death is met with silence, evidence of the terrible stigma that surrounds suicide and mental illness in the military. Convinced that their sons died fighting different battles, Mark and Carol commit themselves to transforming the institution that is the cornerstone of their lives. The Invisible Front is the story of how one family tries to set aside their grief and find purpose in almost unimaginable loss. The Grahams work to change how the Army treats those with PTSD and to erase the stigma that prevents suicidal troops from getting the help they need before making the darkest of choices. Their fight offers a window into the military’s institutional shortcomings and its resistance to change – failures that have allowed more than 3,000 troops to take their own lives since 2001. Yochi Dreazen, an award-winning journalist who has covered the military since 2003, has been granted remarkable access to the Graham family and tells their story in the full context of two of America’s longest wars. Dreazen places Mark and Carol’s personal journey, which begins when they fall in love in college and continues through the end of Mark's thirty-four year career in the Army, against the backdrop of the military’s ongoing suicide spike, which shows no signs of slowing. With great sympathy and profound insight, The Invisible Front details America's problematic treatment of the troops who return from war far different than when they'd left and uses the Graham family’s work as a new way of understanding the human cost of war and its lingering effects off the battlefield.
The surprising story of the Army’s efforts to combat PTSD and traumatic brain injury The wars in Iraq and Afghanistan have taken a tremendous toll on the mental health of our troops. In 2005, then-Senator Barack Obama took to the Senate floor to tell his colleagues that “many of our injured soldiers are returning from Iraq with traumatic brain injury,” which doctors were calling the “signature wound” of the Iraq War. Alarming stories of veterans taking their own lives raised a host of vital questions: Why hadn’t the military been better prepared to treat post-traumatic stress disorder (PTSD) and traumatic brain injury (TBI)? Why were troops being denied care and sent back to Iraq? Why weren’t the Army and the VA doing more to address these issues? Drawing on previously unreleased documents and oral histories, David Kieran tells the broad and nuanced story of the Army’s efforts to understand and address these issues, challenging the popular media view that the Iraq War was mismanaged by a callous military unwilling to address the human toll of the wars. The story of mental health during this war is the story of how different groups—soldiers, veterans and their families, anti-war politicians, researchers and clinicians, and military leaders—approached these issues from different perspectives and with different agendas. It is the story of how the advancement of medical knowledge moves at a different pace than the needs of an Army at war, and it is the story of how medical conditions intersect with larger political questions about militarism and foreign policy. This book shows how PTSD, TBI, and suicide became the signature wounds of the wars in Iraq and Afghanistan, how they prompted change within the Army itself, and how mental health became a factor in the debates about the impact of these conflicts on US culture.
The Psychology of the Peacekeeper by Thomas W. Britt,Amy B. Adler Pdf
In this remarkable volume, a multinational team of scientists catalogs the stressors and benefits for combat-trained soldiers deployed on missions where they are told to hold their fire and assume the role of peacekeeper. Theory and direct research with peacekeepers is incorporated. Missions covered include, but are not limited to, peacekeeping operations in Haiti, Somalia, Bosnia, Kosovo, Iraq, and Lebanon. The terminology of peacekeeping and military operations is listed. The stressors, threats, dangers, frustrations, and benefits of the peacekeeper role are described in dramatic detail, with additional attention to the Peacekeeper Stress Syndrome. With the goal of increasing peacekeeper health and well-being, which in turn increases the likelihood of establishing a stable peace, this volume also addresses interventions and preventative measures. The extent of psychological distress and disorders following peacekeeping operations is documented. Interventions are recommended for various phases of deployment, in order to minimize the likelihood of post-deployment psychological problems. Experts in social, industrial/organizational, health, clinical, and cross-cultural psychology contribute to a multi-dimensional perspective. Each chapter author reports psychological research with military personnel in peacekeeping operations.
Research Anthology on Mental Health Stigma, Education, and Treatment by Management Association, Information Resources Pdf
In times of uncertainty and crisis, the mental health of individuals become a concern as added stressors and pressures can cause depression, anxiety, and stress. Today, especially with more people than ever experiencing these effects due to the Covid-19 epidemic and all that comes along with it, discourse around mental health has gained heightened urgency. While there have always been stigmas surrounding mental health, the continued display of these biases can add to an already distressing situation for struggling individuals. Despite the experience of mental health issues becoming normalized, it remains important for these issues to be addressed along with adequate education about mental health so that it becomes normalized and discussed in ways that are beneficial for society and those affected. Along with raising awareness of mental health in general, there should be a continued focus on treatment options, methods, and modes for healthcare delivery. The Research Anthology on Mental Health Stigma, Education, and Treatment explores the latest research on the newest advancements in mental health, best practices and new research on treatment, and the need for education and awareness to mitigate the stigma that surrounds discussions on mental health. The chapters will cover new technologies that are impacting delivery modes for treatment, the latest methods and models for treatment options, how education on mental health is delivered and developed, and how mental health is viewed and discussed. It is a comprehensive view of mental health from both a societal and medical standpoint and examines mental health issues in children and adults from all ethnicities and socio-economic backgrounds and in a variety of professions, including healthcare, emergency services, and the military. This book is ideal for psychologists, therapists, psychiatrists, counsellors, religious leaders, mental health support agencies and organizations, medical professionals, teachers, researchers, students, academicians, mental health practitioners, and more.
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.
