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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
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 : 43,7 Mb Release : 2007-08-25 Category : Technology & Engineering ISBN : 9780309105521
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.
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.
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
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 : 42,8 Mb Release : 2006-08-08 Category : Technology & Engineering ISBN : 0309387957
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
Institute of Medicine,Board on the Health of Select Populations,Committee on the Assessment of Ongoing Efforts in the Treatment of Posttraumatic Stress Disorder
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 : 53,7 Mb Release : 2014-06-17 Category : Medical ISBN : 9780309301763
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.
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
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 : 48,9 Mb Release : 2019-05-20 Category : Medical ISBN : 9780309486897
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.
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 : 46,5 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.
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.
"Shall I shoot?..". "No don't shoot..". I'm going to shoot..". "Don't shoot!" Rapid fire yelling within the confines of a vehicle stuck in the middle of stalled traffic, facing an unknown person wearing a full burqa peering into the car. Inches away from the driver's face, a large hand pressed against the window. "We didn't know if they were male or female or what was about to happen, but we were absolutely sure that if we shot this person, the crowd, including the armed policemen nearby, would turn on us and there'd be no escape." In 2004, Lieutenant Colonel William Blaikie shipped out to Afghanistan, to head up a team dedicated to rebuilding the country after the war. As part of the New Zealand Defence Force, his skills lay in intelligence and communications - his mission was to form a team, develop and implement plans to work with USA and Coalition partners to help get Afghanistan back on its feet. Bill experienced situations that were beyond tense, often facing life and death situations and decision making that required deep and quick thinking, based on not always having enough information at hand. On his return home to New Zealand, his journey through coping with Post-Traumatic Stress Disorder began, and the nightmares were not limited to sleep time. Everything has remained at life and death levels for Bill, and this book details how he and his wife Nancy have worked through suicide attempts, getting help, and finding answers to what is an epidemic level challenge for military personnel everywhere. "No amount of training can prepare you for what happens in your head after the uniforms are off and the guns are packed away."
Written Exposure Therapy for PTSD by Denise M. Sloan,Brian P. Marx Pdf
This treatment manual provides mental health professionals with instructions for conducting written exposure therapy, a brief and accessible trauma intervention that is effective at reducing PTSD symptoms.
Committee on the Assessment of Ongoing Effects in the Treatment of Posttraumatic Stress Disorder,Board on the Health of Select Populations,Institute of Medicine
Author : Committee on the Assessment of Ongoing Effects in the Treatment of Posttraumatic Stress Disorder,Board on the Health of Select Populations,Institute of Medicine Publisher : National Academies Press Page : 396 pages File Size : 43,7 Mb Release : 2012-06-22 Category : Medical ISBN : 0309387744
Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations: by Committee on the Assessment of Ongoing Effects in the Treatment of Posttraumatic Stress Disorder,Board on the Health of Select Populations,Institute of Medicine Pdf
Prior to the military conflicts in Iraq and Afghanistan, wars and conflicts have been characterized by such injuries as infectious diseases and catastrophic gunshot wounds. However, the signature injuries sustained by United States military personnel in these most recent conflicts are blast wounds and the psychiatric consequences to combat, particularly posttraumatic stress disorder (PTSD), which affects an estimated 13 to 20 percent of U.S. service members who have fought in Iraq or Afghanistan since 2001. PTSD is triggered by a specific traumatic event - including combat - which leads to symptoms such as persistent re-experiencing of the event; emotional numbing or avoidance of thoughts, feelings, conversations, or places associated with the trauma; and hyperarousal, such as exaggerated startle responses or difficulty concentrating. As the U.S. reduces its military involvement in the Middle East, the Departments of Defense (DoD) and Veterans Affairs (VA) anticipate that increasing numbers of returning veterans will need PTSD services. As a result, Congress asked the DoD, in consultation with the VA, to sponsor an IOM study to assess both departments' PTSD treatment programs and services. Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations: Initial Assessment is the first of two mandated reports examines some of the available programs to prevent, diagnose, treat, and rehabilitate those who have PTSD and encourages further research that can help to improve PTSD care.
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.
Institute of Medicine,Board on Military and Veterans Health,Committee on Medical Evaluation of Veterans for Disability Compensation
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 : 50,5 Mb Release : 2007-09-30 Category : Medical ISBN : 9780309106313
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.
Steeling the Mind by Todd C. Helmus,Russell W. Glenn Pdf
Combat stress casualties are not necessarily higher in city operations than operations on other types of terrain. Commanders and NCOs need to have the skills to treat and prevent stress casualties and understand their implications for urban operations. The authors review the known precipitants of combat stress reaction, its battlefield treatment, and the preventive steps commanders can take to limit its extent and severity.
PTSD and Forensic Psychology by Laurence Miller Pdf
In World War I, they spoke of shell shock. By World War II, the term was battle fatigue. Modern understanding of trauma psychology has evolved to give the concept a non-military name: posttraumatic stress disorder. As such, it has been at the heart of civil and criminal cases from workers' compensation to murder. PTSD and Forensic Psychology brings its topic into real-world focus by examining posttraumatic stress as a clinical entity and taking readers through the evaluation process for court cases involving the PTSD syndrome. This timely reference differentiates between PTSD and disorders that may be mistaken for it, and demonstrates its legal application in seeking civil damages and mounting a criminal defense. An evidence-based framework for conducting a trial-worthy evaluation and guidelines for establishing strong cases and refuting dubious ones further illustrate the protocols and challenges surrounding the status of PTSD in legal settings. For maximum usefulness, the book offers courtroom advice for expert witnesses as well as "practice points" at the end of each chapter. Featured topics include: History of the PTSD concept and its relation to the law. PTSD as syndrome: symptoms, diagnosis, treatment. PTSD and other traumatic disability syndromes. PTSD in the civil litigation and criminal justice systems. PTSD as an insanity defense and in claims of diminished capacity. PTSD cases: evaluation, interpretation, testimony. This thorough yet concise analysis makes PTSD and Forensic Psychology the ideal training tool for beginning mental health expert witnesses, as well as a concise practical review and reference source for seasoned forensic psychologists. It will also serve as a useful practice and teaching guide for attorneys, medical rehabilitation professionals, military personnel, psychotherapists, researchers, and educators in the fields of clinical and forensic psychology, criminology, traumatic stress studies, and mental health law.
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.
