Preventing Psychological Disorders in Service Members and Their Families
Preventing Psychological Disorders in Service Members and Their Families

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2014-02-11

Total Pages: 304

ISBN-13: 0309297184

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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.

Care of Military Service Members, Veterans, and Their Families
Care of Military Service Members, Veterans, and Their Families

Author: Stephen J. Cozza

Publisher: American Psychiatric Pub

Published: 2014-01-23

Total Pages: 344

ISBN-13: 1585625310

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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.

Military Mental Health Care
Military Mental Health Care

Author: Cheryl Lawhorne Scott

Publisher: Rowman & Littlefield

Published: 2013

Total Pages: 241

ISBN-13: 1442220937

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Too often American veterans return from combat and spiral into depression, anger and loneliness they can neither share nor tackle on their own. This guide seeks to aid our troubled, returning forces by dissecting the numerous mental health problems they face upon arriving stateside. The authors detail not only each issue's symptoms, but also discuss what treatments are available, and the best ways for veterans to access those treatments while readjusting to civilian life. In addition, the authors connect and explain many alarming trends, such as joblessness, poverty, and addiction, appearing in our nations's veteran population on a broader scale. Post-traumatic stress syndrome and struggles with anxiety affect far more than veterans themselves, as sobering phenomena like homelessness, suicide, domestic violence, and divorce too often become realities for those returning from war. This book 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. -- From back cover.

Bulletproofing the Psyche
Bulletproofing the Psyche

Author: Kate Hendricks Thomas

Publisher: Bloomsbury Publishing USA

Published: 2018-05-03

Total Pages: 287

ISBN-13: 1440849773

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This book presents the latest in neuroscience and resiliency research alongside the personal stories of military veterans to advocate for an empirically validated training protocol. In Bulletproofing the Psyche: Preventing Mental Health Problems in Our Military and Veterans editors Kate Hendricks Thomas and David L. Albright lead an interdisciplinary team of researchers, practitioners, and military veterans in calling for a new kind of training with a focus on "bulletproofing the psyche": psychological resiliency skills training. They combine research and storytelling to argue that somatic protocols, a training method long used in the treatment sector to rewire the brain after trauma and a proven, valid alternative to drug and talk therapy, should be applied to the prevention and training sectors. Contributors include leaders in the fields of trauma research, military social work, and veterans' health. Students and scholars in the fields of social work, military psychology, social psychology, health promotion, organizational development, and institutional organization will find the research relevant, while clinicians, counselors, and mental health care providers working with military-connected communities may find the discussion of trauma treatment and intervention model transformative for their practice.

Strengthening the Military Family Readiness System for a Changing American Society
Strengthening the Military Family Readiness System for a Changing American Society

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2019-10-25

Total Pages: 385

ISBN-13: 0309489539

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The U.S. military has been continuously engaged in foreign conflicts for over two decades. The strains that these deployments, the associated increases in operational tempo, and the general challenges of military life affect not only service members but also the people who depend on them and who support them as they support the nation â€" their families. Family members provide support to service members while they serve or when they have difficulties; family problems can interfere with the ability of service members to deploy or remain in theater; and family members are central influences on whether members continue to serve. In addition, rising family diversity and complexity will likely increase the difficulty of creating military policies, programs and practices that adequately support families in the performance of military duties. Strengthening the Military Family Readiness System for a Changing American Society examines the challenges and opportunities facing military families and what is known about effective strategies for supporting and protecting military children and families, as well as lessons to be learned from these experiences. This report offers recommendations regarding what is needed to strengthen the support system for military families.

Risk and Resilience in U.S. Military Families
Risk and Resilience in U.S. Military Families

Author: Shelley MacDermid-Wadsworth

Publisher: Springer Science & Business Media

Published: 2010-11-03

Total Pages: 377

ISBN-13: 1441970649

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War related separations challenge military families in many ways. The worry and uncertainty associated with absent family members exacerbates the challenges of personal, social, and economic resources on the home front. U.S. military operations in Iraq and Afghanistan have sent a million service personnel from the U.S. alone into conflict areas leaving millions of spouses, children and others in stressful circumstances. This is not a new situation for military families, but it has taken a toll of magnified proportions in recent times. In addition, medical advances have prolonged the life of those who might have died of injuries. As a result, more families are caring for those who have experienced amputation, traumatic brain injury, and profound psychological wounds. The Department of Defence has launched unprecedented efforts to support service members and families before, during, and after deployment in all locations of the country as well as in remote locations. Stress in U.S. Military Families brings together an interdisciplinary group of experts from the military to the medical to examine the issues of this critical problem. Its goal is to review the factors that contribute to stress in military families and to point toward strategies and policies that can help. Covering the major topics of parenting, marital functioning, and the stress of medical care, and including a special chapter on single service members, it serves as a comprehensive guide for those who will intervene in these problems and for those undertaking their research.

Evaluation of the Department of Veterans Affairs Mental Health Services
Evaluation of the Department of Veterans Affairs Mental Health Services

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2018-03-29

Total Pages: 467

ISBN-13: 0309466601

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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.

Reducing Risks for Mental Disorders
Reducing Risks for Mental Disorders

Author: Institute of Medicine

Publisher: National Academies Press

Published: 1994-01-01

Total Pages: 636

ISBN-13: 0309049393

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The understanding of how to reduce risk factors for mental disorders has expanded remarkably as a result of recent scientific advances. This study, mandated by Congress, reviews those advances in the context of current research and provides a targeted definition of prevention and a conceptual framework that emphasizes risk reduction. Highlighting opportunities for and barriers to interventions, the book draws on successful models for the prevention of cardiovascular disease, injuries, and smoking. In addition, it reviews the risk factors associated with Alzheimer's disease, schizophrenia, alcohol abuse and dependence, depressive disorders, and conduct disorders and evaluates current illustrative prevention programs. The models and examination provide a framework for the design, application, and evaluation of interventions intended to prevent mental disorders and the transfer of knowledge about prevention from research to clinical practice. The book presents a focused research agenda, with recommendations on how to develop effective intervention programs, create a cadre of prevention researchers, and improve coordination among federal agencies.

Families Under Fire
Families Under Fire

Author: R. Blaine Everson

Publisher: Routledge

Published: 2011-01-07

Total Pages: 360

ISBN-13: 1136925678

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As provider networks on military bases are overwhelmed with new cases, civilian clinicians are increasingly likely to treat military families. However, these clinicians do not receive the same military mental-healthcare training as providers on military installations, adding strain to clinicians’ workloads and creating gaps in levels of treatment. Families Under Fire fills these gaps with real-world examples, clear, concise prose, and nuts-and-bolts approaches for working with military families utilizing a systems-based practice that is effective regardless of branch of service or the practitioner’s therapeutic preference. Any civilian mental-health practitioner who wants to understand the diverse needs of military personnel, their spouses, and their families will rely on this indispensable guidebook for years to come.