The War Within

The War Within

Author: Rajeev Ramchand

Publisher: Rand Corporation

Published: 2011

Total Pages: 229

ISBN-13: 0833052314

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The increase in suicides among military personnel has raised concern. This book reviews suicide epidemiology in the military, catalogs military suicide-prevention activities, and recommends relevant best practices.


Gender and PTSD

Gender and PTSD

Author: Rachel Kimerling

Publisher: Guilford Press

Published: 2002-08-19

Total Pages: 488

ISBN-13: 9781572307834

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Current research and clinical observations suggest pronounced gender-based differences in the ways people respond to traumatic events. Most notably, women evidence twice the rate of PTSD as men following traumatic exposure. This important volume brings together leading clinical scientists to analyze the current state of knowledge on gender and PTSD. Cogent findings are presented on gender-based differences and influences in such areas as trauma exposure, risk factors, cognitive and physiological processes, comorbidity, and treatment response. Going beyond simply cataloging gender-related data, the book explores how the research can guide us in developing more effective clinical services for both women and men. Incorporating cognitive, biological, physiological, and sociocultural perspectives, this is an essential sourcebook and text.


Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations

Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2014-06-17

Total Pages: 262

ISBN-13: 0309301769

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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.


Treating Military Sexual Trauma

Treating Military Sexual Trauma

Author: Lori S. Katz

Publisher: Springer Publishing Company

Published: 2015-07-20

Total Pages: 325

ISBN-13: 0826127789

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The incidence of sexual assault and harassment experienced by members of the US Armed forces has reached epidemic proportions. Its victims often suffer from devastating, life-long consequences to their careers, health, relationships, and psychological wellbeing. This authoritative resource is written for mental health clinicians about understanding and treating military sexual trauma (MST). With contributions from top experts in the field, this book presents information on evidence-based and emerging treatments to address the complex symptoms related to MST. This text provides a solid foundation for clinicians who work with veterans and active duty military personnel and discusses how to address the unique challenges of treating MST in their clients.


The Relationship Between PTSD Symptoms, Social and Mental Health Factors, and Quality of Life Outcomes in a Sample of African-American Women Combat Veterans

The Relationship Between PTSD Symptoms, Social and Mental Health Factors, and Quality of Life Outcomes in a Sample of African-American Women Combat Veterans

Author: Iris La'Mae Jackson

Publisher:

Published: 2014

Total Pages: 270

ISBN-13:

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The purpose of this study was to explore how trauma exposure during combat deployment, PTSD symptoms and other mental health factors, affected the Quality of Life (QOL) in a sample of African American women combat veterans. Most early and current research on combat trauma and posttraumatic stress disorder (PTSD) placed focus on male samples. The majority of these studies examined factors related to how male combat Vietnam veterans responded to war-related trauma. With growing numbers of women in the military, there has been a mounting concern with women's experiences due to the detrimental impact that combat trauma has on mental health. This study focused on African American women veterans who served in Post- Gulf War conflicts, with a focus on Operation Iraqi Freedom and Operation Enduring Freedom. Many women in this population rarely identify themselves as veterans outside of the Veteran's Administration. The researcher explored the experiences of women who are uncomfortable with major societal institutions because of their experiences during combat deployment. The major research hypotheses were: there would be significant relationships between (1) age, (2) socio-economic status, (3) substance abuse history, (4) post-traumatic stress (PTSD) symptoms, (5) type of trauma exposure and quality of life outcomes for African American women combat veterans. ANOVA, Linear Regression, and General Linear Models were used to analyze women's responses to self-reported measures of traumatic military experiences and their quality of life. The bivariate analyses indicated that four of the five independent variables were significantly associated with quality of life outcomes. The variables were: socioeconomic status, substance abuse, PTSD symptoms, and trauma exposure. On the other hand, multivariate analyses demonstrated that, with respect to importance of QOL, none of the independent variables remained significant after controlling for the other variables (p-values >.05). Regarding satisfaction with QOL, only PTSD symptoms remained a significant predictor after controlling for all of the other variables. The results of the study provided pivotal information regarding how certain variables contribute to the quality of life of African American servicewoman. This study provides a framework for policy development, program development, military protocol, and mental health treatment of these servicewomen. -- Abstract.


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.


Violence and Mental Disorder

Violence and Mental Disorder

Author: John Monahan

Publisher: University of Chicago Press

Published: 1996-05-15

Total Pages: 338

ISBN-13: 9780226534060

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This study reviews two decades of research on mental disorder and presents empirical and theoretical work which aims to determine more accurate predictions of violent behaviour.


Nonsuicidal Self-Injury

Nonsuicidal Self-Injury

Author: E. David Klonsky

Publisher: Hogrefe Publishing GmbH

Published: 2011-01-01

Total Pages: 99

ISBN-13: 161676337X

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Nonsuicidal self-injury (NSSI) is a baffling, troubling, and hard to treat phenomenon that has increased markedly in recent years. Key issues in diagnosing and treating NSSI adequately include differentiating it from attempted suicide and other mental disorders, as well as understanding the motivations for self-injury and the context in which it occurs. This accessible and practical book provides therapists and students with a clear understanding of these key issues, as well as of suitable assessment techniques. It then goes on to delineate research-informed treatment approaches for NSSI, with an emphasis on functional assessment, emotion regulation, and problem solving, including motivational interviewing, interpersonal skills, CBT, DBT, behavioral management strategies, delay behaviors, exercise, family therapy, risk management, and medication, as well as how to successfully combine methods.