The Behavioral Health of Minority Active Duty Service Members

The Behavioral Health of Minority Active Duty Service Members

Author: Eunice C. Wong

Publisher:

Published: 2021-03-31

Total Pages: 138

ISBN-13: 9781977405654

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Behavioral health disparities, in which socially disadvantaged groups such as racial/ethnic minorities, women, and sexual orientation minorities experience greater risk for certain mental health and substance use problems, are well documented in the general population. Less is known about whether similar behavioral health disparities exist among military service members. The U.S. Department of Defense (DoD) wanted to understand whether the behavioral health disparities seen in the civilian population also exist in the military, which is important to help DoD target its efforts to address the needs of service members and improve force readiness. To investigate this issue, RAND researchers examined the following: (1) whether minority group service members are more likely to experience mental health and substance use problems relative to their majority counterparts in the military and (2) whether minority-majority group differences in behavioral health within the military are similar or different from those in the civilian population. Any minority-majority group differences observed in the military were tested to see if they remain after accounting for sociocultural environmental factors (e.g., demographics, social support, harassment). Identifying where behavioral health disparities exist among military minority service groups and the factors that may be associated with observed disparities can help DoD better target efforts to address the behavioral health needs of its troops. Further, if minority group disparities are greater in the military than in the civilian population, this might signal the presence of factors specific to the military context that may exacerbate minority group service members' risk for behavioral health conditions. The study used data from the 2015 Health Related Behavior Survey (HRBS), the 2015 National Survey on Drug Use and Health (NSDUH), the 2015 and 2016 Behavioral Risk Factor Surveillance System (BRFSS), and the 2015 National Health and Nutrition Examination Survey (NHANES). Behavioral health conditions included mental health (i.e., depression, suicide behaviors, posttraumatic stress disorder) and substance use (i.e., problematic alcohol use, tobacco use) outcomes.


Book Synopsis The Behavioral Health of Minority Active Duty Service Members by : Eunice C. Wong

Download or read book The Behavioral Health of Minority Active Duty Service Members written by Eunice C. Wong and published by . This book was released on 2021-03-31 with total page 138 pages. Available in PDF, EPUB and Kindle. Book excerpt: Behavioral health disparities, in which socially disadvantaged groups such as racial/ethnic minorities, women, and sexual orientation minorities experience greater risk for certain mental health and substance use problems, are well documented in the general population. Less is known about whether similar behavioral health disparities exist among military service members. The U.S. Department of Defense (DoD) wanted to understand whether the behavioral health disparities seen in the civilian population also exist in the military, which is important to help DoD target its efforts to address the needs of service members and improve force readiness. To investigate this issue, RAND researchers examined the following: (1) whether minority group service members are more likely to experience mental health and substance use problems relative to their majority counterparts in the military and (2) whether minority-majority group differences in behavioral health within the military are similar or different from those in the civilian population. Any minority-majority group differences observed in the military were tested to see if they remain after accounting for sociocultural environmental factors (e.g., demographics, social support, harassment). Identifying where behavioral health disparities exist among military minority service groups and the factors that may be associated with observed disparities can help DoD better target efforts to address the behavioral health needs of its troops. Further, if minority group disparities are greater in the military than in the civilian population, this might signal the presence of factors specific to the military context that may exacerbate minority group service members' risk for behavioral health conditions. The study used data from the 2015 Health Related Behavior Survey (HRBS), the 2015 National Survey on Drug Use and Health (NSDUH), the 2015 and 2016 Behavioral Risk Factor Surveillance System (BRFSS), and the 2015 National Health and Nutrition Examination Survey (NHANES). Behavioral health conditions included mental health (i.e., depression, suicide behaviors, posttraumatic stress disorder) and substance use (i.e., problematic alcohol use, tobacco use) outcomes.


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.


Book Synopsis Evaluation of the Department of Veterans Affairs Mental Health Services by : National Academies of Sciences, Engineering, and Medicine

Download or read book Evaluation of the Department of Veterans Affairs Mental Health Services written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-03-29 with total page 467 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.


Handbook of Multicultural Mental Health

Handbook of Multicultural Mental Health

Author: Ann-Marie Yamada

Publisher: Elsevier Inc. Chapters

Published: 2013-07-19

Total Pages: 16

ISBN-13: 0128059818

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The goal of the first part of this chapter is to understand the uniqueness of the military as a culture. Next the chapter provides an overview of sociocultural constructs associated with military culture. The second part of the chapter presents an overview of diversity elements (e.g., gender, sexual orientation) intersecting with military culture. Understanding the diversity within the US Armed Forces is clinically relevant for culturally responsive mental health service delivery to military service members. The third part of this chapter addresses military cultural issues with potential to affect the mental health of military service members. We describe mental health challenges that have been experienced by military personnel in light of the conflicts in Iraq and Afghanistan and the US involvement in the Global War on Terror, and highlight the resilience of this population under stress. We conclude with recommendations for culturally competent treatment approaches for working with military service members.


Book Synopsis Handbook of Multicultural Mental Health by : Ann-Marie Yamada

Download or read book Handbook of Multicultural Mental Health written by Ann-Marie Yamada and published by Elsevier Inc. Chapters. This book was released on 2013-07-19 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt: The goal of the first part of this chapter is to understand the uniqueness of the military as a culture. Next the chapter provides an overview of sociocultural constructs associated with military culture. The second part of the chapter presents an overview of diversity elements (e.g., gender, sexual orientation) intersecting with military culture. Understanding the diversity within the US Armed Forces is clinically relevant for culturally responsive mental health service delivery to military service members. The third part of this chapter addresses military cultural issues with potential to affect the mental health of military service members. We describe mental health challenges that have been experienced by military personnel in light of the conflicts in Iraq and Afghanistan and the US involvement in the Global War on Terror, and highlight the resilience of this population under stress. We conclude with recommendations for culturally competent treatment approaches for working with military service members.


Factors Preventing Active Duty Service Members from Utilizing Mental Health Services

Factors Preventing Active Duty Service Members from Utilizing Mental Health Services

Author: Suzanne Simmons

Publisher:

Published: 2020

Total Pages:

ISBN-13:

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Despite mental health resources being available to active duty military members, there continues to be a significant mental health crisis related to military service. Efforts have been made to identify mental health issues and expand resources available to service members and veterans. Following the changes, only one half of service members identified as having mental health issues seek mental health services and a mere on half of those complete treatment. The VA reports those seeking mental health services continue to have a high suicidality indicating even these individuals are not receiving enough assistance (US Department of Veterans Affairs, Veterans Health Administration (VA), n.d.). A common explanation for lack of psychiatric utilization has historically been stigma. This research is to identify other factors, specific to military culture, which are impeding appropriate treatment for active military personnel. The military has implemented measures to help reduce stigma, and implement education and policies to help increase utilization of mental health services, however there remains a deficit which continues to put our present and former military at risk. The purpose of this study is to identify and examine the relationship between the variables of command climate, warrior ethos, mental health literacy, stigma, and career consequences to active duty military utilizing mental health services.


Book Synopsis Factors Preventing Active Duty Service Members from Utilizing Mental Health Services by : Suzanne Simmons

Download or read book Factors Preventing Active Duty Service Members from Utilizing Mental Health Services written by Suzanne Simmons and published by . This book was released on 2020 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Despite mental health resources being available to active duty military members, there continues to be a significant mental health crisis related to military service. Efforts have been made to identify mental health issues and expand resources available to service members and veterans. Following the changes, only one half of service members identified as having mental health issues seek mental health services and a mere on half of those complete treatment. The VA reports those seeking mental health services continue to have a high suicidality indicating even these individuals are not receiving enough assistance (US Department of Veterans Affairs, Veterans Health Administration (VA), n.d.). A common explanation for lack of psychiatric utilization has historically been stigma. This research is to identify other factors, specific to military culture, which are impeding appropriate treatment for active military personnel. The military has implemented measures to help reduce stigma, and implement education and policies to help increase utilization of mental health services, however there remains a deficit which continues to put our present and former military at risk. The purpose of this study is to identify and examine the relationship between the variables of command climate, warrior ethos, mental health literacy, stigma, and career consequences to active duty military utilizing mental health services.


Handbook of Psychosocial Interventions for Veterans and Service Members

Handbook of Psychosocial Interventions for Veterans and Service Members

Author: Nathan David Ainspan

Publisher: Oxford University Press

Published: 2016

Total Pages: 489

ISBN-13: 0199353999

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The United States is in the midst of the largest military demobilization in its history. This is leading to an increase in the demand for mental health clinicians who can provide services to hundreds of thousands of military veterans and members of the military. Nearly two million Americans have been deployed to the wars in the Middle East, and thousands of them have been deeply affected, either psychologically, physically, or both. Projections suggest that 300,000 are returning with symptoms of PTSD or major Depression; 320,000 have been exposed to probable Traumatic Brain Injuries; and hundreds of thousands are dealing with psychological effects of physical injuries. Other veterans and members of the military without injuries will seek treatment to help them with the psychological impact of serving in the military, being deployed, or transitioning and reintegrating back into the civilian world. As an example, hundreds of thousands of service members are also leaving the armed forces earlier than they anticipated and will need to quickly adjust to life as civilians after assuming that they would have many more years in the military. Many will be leaving the military because of demobilizations and downsizing due to budget cuts. Current proposed cuts will shrink the military force to the same size it was in 1940. The Pew Center reports that 44% of veterans from the current wars are describing their readjustment to civilian life as difficult, and many of them are and will be turning to civilian mental health and primary care clinicians for assistance. The Handbook of Psychosocial Interventions for Veterans and Service Members is a one stop handbook for non-military clinicians working with service members, veterans, and their families. It brings together experts from the Department of Defense, the Department of Veterans Affairs, veteran service organizations, and academia to create the first comprehensive guidebook for civilian clinicians. In addition to covering psychiatric disorders such as depression, anxiety, and PTSD, this book also offers information about psychosocial topics that impact military personnel and their loved ones and can become part of treatment (e.g., employment or education options, financial matters, and parenting concerns), providing the most recent and cutting-edge research on the topics. Chapters are concise and practical, delivering the key information necessary to orient clinicians to the special needs of veterans and their families. The Handbook of Psychosocial Interventions for Veterans and Service Members is an essential resource for private practice mental health clinicians and primary care physicians, as well as a useful adjunct for VA and DOD psychologists and staff.


Book Synopsis Handbook of Psychosocial Interventions for Veterans and Service Members by : Nathan David Ainspan

Download or read book Handbook of Psychosocial Interventions for Veterans and Service Members written by Nathan David Ainspan and published by Oxford University Press. This book was released on 2016 with total page 489 pages. Available in PDF, EPUB and Kindle. Book excerpt: The United States is in the midst of the largest military demobilization in its history. This is leading to an increase in the demand for mental health clinicians who can provide services to hundreds of thousands of military veterans and members of the military. Nearly two million Americans have been deployed to the wars in the Middle East, and thousands of them have been deeply affected, either psychologically, physically, or both. Projections suggest that 300,000 are returning with symptoms of PTSD or major Depression; 320,000 have been exposed to probable Traumatic Brain Injuries; and hundreds of thousands are dealing with psychological effects of physical injuries. Other veterans and members of the military without injuries will seek treatment to help them with the psychological impact of serving in the military, being deployed, or transitioning and reintegrating back into the civilian world. As an example, hundreds of thousands of service members are also leaving the armed forces earlier than they anticipated and will need to quickly adjust to life as civilians after assuming that they would have many more years in the military. Many will be leaving the military because of demobilizations and downsizing due to budget cuts. Current proposed cuts will shrink the military force to the same size it was in 1940. The Pew Center reports that 44% of veterans from the current wars are describing their readjustment to civilian life as difficult, and many of them are and will be turning to civilian mental health and primary care clinicians for assistance. The Handbook of Psychosocial Interventions for Veterans and Service Members is a one stop handbook for non-military clinicians working with service members, veterans, and their families. It brings together experts from the Department of Defense, the Department of Veterans Affairs, veteran service organizations, and academia to create the first comprehensive guidebook for civilian clinicians. In addition to covering psychiatric disorders such as depression, anxiety, and PTSD, this book also offers information about psychosocial topics that impact military personnel and their loved ones and can become part of treatment (e.g., employment or education options, financial matters, and parenting concerns), providing the most recent and cutting-edge research on the topics. Chapters are concise and practical, delivering the key information necessary to orient clinicians to the special needs of veterans and their families. The Handbook of Psychosocial Interventions for Veterans and Service Members is an essential resource for private practice mental health clinicians and primary care physicians, as well as a useful adjunct for VA and DOD psychologists and staff.


Gay Mental Healthcare Providers and Patients in the Military

Gay Mental Healthcare Providers and Patients in the Military

Author: Elspeth Cameron Ritchie

Publisher: Springer

Published: 2017-11-18

Total Pages: 169

ISBN-13: 3319660268

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This volume tells the history of homosexuality in the United States military beginning in 1986, when the issue first came to the forefront of social consciousness. Each chapter is written through the eyes of gay mental healthcare providers, covering how to steadily adapt and learn to treat veterans struggling with the traumas associated with the stigma of homosexuality in service. Topics include the “Don’t-Ask-Don’t-Tell” (DADT) policy, its repeal in 2011, and addresses the current trends and challenges. Unlike any other professional book, this text includes the personal stories of gay military mental healthcare providers, as well as gay civilian clinicians who have worked with the military population in various segments in history. These accounts offer invaluable support for medical professionals working with this demographic. Chapters cover the various psychological damage service personnel encounter as it uniquely pertains to those struggling with the stigma of LGBTQ rights. Chapters include clinical pearls for particular psychiatric concerns, lessons learned for the future, and hard-earned successes as stigmas and perceptions evolved over time. Gay Mental Healthcare Providers and Patients in the Military is an excellent resource for psychiatrists, psychologists, social workers, policymakers, and all professionals who are interested in LGBTQ rights in the context of veteran psychiatry.


Book Synopsis Gay Mental Healthcare Providers and Patients in the Military by : Elspeth Cameron Ritchie

Download or read book Gay Mental Healthcare Providers and Patients in the Military written by Elspeth Cameron Ritchie and published by Springer. This book was released on 2017-11-18 with total page 169 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume tells the history of homosexuality in the United States military beginning in 1986, when the issue first came to the forefront of social consciousness. Each chapter is written through the eyes of gay mental healthcare providers, covering how to steadily adapt and learn to treat veterans struggling with the traumas associated with the stigma of homosexuality in service. Topics include the “Don’t-Ask-Don’t-Tell” (DADT) policy, its repeal in 2011, and addresses the current trends and challenges. Unlike any other professional book, this text includes the personal stories of gay military mental healthcare providers, as well as gay civilian clinicians who have worked with the military population in various segments in history. These accounts offer invaluable support for medical professionals working with this demographic. Chapters cover the various psychological damage service personnel encounter as it uniquely pertains to those struggling with the stigma of LGBTQ rights. Chapters include clinical pearls for particular psychiatric concerns, lessons learned for the future, and hard-earned successes as stigmas and perceptions evolved over time. Gay Mental Healthcare Providers and Patients in the Military is an excellent resource for psychiatrists, psychologists, social workers, policymakers, and all professionals who are interested in LGBTQ rights in the context of veteran psychiatry.


Treating Active-duty Military Members

Treating Active-duty Military Members

Author: Leah Lawson

Publisher:

Published: 2022

Total Pages: 0

ISBN-13:

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Due to varying service experiences, active-duty service members endure military related stressors in addition to everyday life stressors. As a result, their risk of mental illness onset increases. Considering that many of the stressors and events are unique to military personnel, it is important to identify best-practice interventions for working with this population opposed to employing civilian best practices. The purpose of this study was to determine what treatment interventions are best-practice when working with active-duty military members diagnosed with the three most common mental disorders (e.g., adjustment disorder, depressive disorders, anxiety disorders) across the Department of Defense (DoD). This study employed a narrative systematic review methodology. Selected studies were assessed by the Quality of Study Rating Form (QSRF). Based on the QSRF and the findings of the selected research, this study draws conclusions pertaining to what are or may be considered best-practice interventions for the treatment of the diagnoses under study. Ultimately, after searching through multiple databases with varying search term combinations and with the assistance of an experienced published researcher Dr. Alan Lipps, zero eligible studies were identified. This finding implies that no researchers have conducted a treatment focused study with active-duty military members diagnosed with any of the DoD’s three most prevalent mental illnesses in the last eleven years. This finding is highly troubling and potentially problematic for the military mental health system. Mental health professionals should turn their attention to the active-duty population and conduct treatment focused literature on these prevalent disorders to better serve the mental health needs of active-duty service members.


Book Synopsis Treating Active-duty Military Members by : Leah Lawson

Download or read book Treating Active-duty Military Members written by Leah Lawson and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Due to varying service experiences, active-duty service members endure military related stressors in addition to everyday life stressors. As a result, their risk of mental illness onset increases. Considering that many of the stressors and events are unique to military personnel, it is important to identify best-practice interventions for working with this population opposed to employing civilian best practices. The purpose of this study was to determine what treatment interventions are best-practice when working with active-duty military members diagnosed with the three most common mental disorders (e.g., adjustment disorder, depressive disorders, anxiety disorders) across the Department of Defense (DoD). This study employed a narrative systematic review methodology. Selected studies were assessed by the Quality of Study Rating Form (QSRF). Based on the QSRF and the findings of the selected research, this study draws conclusions pertaining to what are or may be considered best-practice interventions for the treatment of the diagnoses under study. Ultimately, after searching through multiple databases with varying search term combinations and with the assistance of an experienced published researcher Dr. Alan Lipps, zero eligible studies were identified. This finding implies that no researchers have conducted a treatment focused study with active-duty military members diagnosed with any of the DoD’s three most prevalent mental illnesses in the last eleven years. This finding is highly troubling and potentially problematic for the military mental health system. Mental health professionals should turn their attention to the active-duty population and conduct treatment focused literature on these prevalent disorders to better serve the mental health needs of active-duty service members.


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: 2019-09-25

Total Pages: 385

ISBN-13: 0309489563

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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.


Book Synopsis Strengthening the Military Family Readiness System for a Changing American Society by : National Academies of Sciences, Engineering, and Medicine

Download or read book Strengthening the Military Family Readiness System for a Changing American Society written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-09-25 with total page 385 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.


Behavioral Health Care for National Guard and Reserve Service Members from the Military Health System

Behavioral Health Care for National Guard and Reserve Service Members from the Military Health System

Author: Justin F. Hummer

Publisher:

Published: 2021

Total Pages: 0

ISBN-13:

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"The Military Health System (MHS) aims to improve the health of all U.S. military personnel, provide the highest quality of care possible, maintain low per capita health care costs, and support overall military readiness. High-quality, evidence-based behavioral health treatment is central to individual well-being and the overall health of the force. However, there has been little research to date on the behavioral health care that National Guard and reserve personnel-collectively known as the reserve component (RC)-receive from the MHS. The full-time personnel in the U.S. military's active component (AC) overwhelmingly receive behavioral health care in military treatment facilities and generally from behavioral health specialty providers, RC personnel rely much more heavily on private-sector contracted care (also referred to as purchased care) and primary care providers. MHS administrative data indicate that RC personnel are less likely to receive recommended treatment for PTSD, depression, and substance use disorders. Likewise, RC personnel who live in areas that are remote from a military treatment facility are less likely than who do not to receive recommended treatment for these conditions. These findings, which focus on behavioral health care access and quality, highlight pathways to improvement for the MHS as part of its ongoing transition to a more centralized model for delivering and overseeing health care across the force."--Publisher's description.


Book Synopsis Behavioral Health Care for National Guard and Reserve Service Members from the Military Health System by : Justin F. Hummer

Download or read book Behavioral Health Care for National Guard and Reserve Service Members from the Military Health System written by Justin F. Hummer and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The Military Health System (MHS) aims to improve the health of all U.S. military personnel, provide the highest quality of care possible, maintain low per capita health care costs, and support overall military readiness. High-quality, evidence-based behavioral health treatment is central to individual well-being and the overall health of the force. However, there has been little research to date on the behavioral health care that National Guard and reserve personnel-collectively known as the reserve component (RC)-receive from the MHS. The full-time personnel in the U.S. military's active component (AC) overwhelmingly receive behavioral health care in military treatment facilities and generally from behavioral health specialty providers, RC personnel rely much more heavily on private-sector contracted care (also referred to as purchased care) and primary care providers. MHS administrative data indicate that RC personnel are less likely to receive recommended treatment for PTSD, depression, and substance use disorders. Likewise, RC personnel who live in areas that are remote from a military treatment facility are less likely than who do not to receive recommended treatment for these conditions. These findings, which focus on behavioral health care access and quality, highlight pathways to improvement for the MHS as part of its ongoing transition to a more centralized model for delivering and overseeing health care across the force."--Publisher's description.


Mental Health and Sexual Minorities in the Ohio Army National Guard

Mental Health and Sexual Minorities in the Ohio Army National Guard

Author: Philip K Chan

Publisher:

Published: 2015

Total Pages: 188

ISBN-13:

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BACKGROUND: Among military personnel, mental health disorders are some of the most common and disabling medical conditions. Reports have suggested that National Guard soldiers are at an increased risk of developing psychiatric disorders as compared to active duty troops. Studies on sexual minorities within the U.S. military is limited and only recently have soldiers been allowed to serve openly regarding their sexual orientation. PURPOSE: The purpose of this research was to document the prevalence of sexual minorities in the Ohio Army National Guard based on sexual identity, sexual behavior,and sexual attraction. From the information gathered on sexual minorities, associations were examined in regards to posttraumatic stress disorder, depression, and sexual violence. Furthermore, identify patterns of depression trajectories and determine if sexual minority status was a risk factor in depression trajectory membership. METHODS: The data are derived from the Ohio Army National Guard Mental Health Initiative involving a sample of 1594 Ohio Army National Guard soldiers who were administered sexual orientation questions during Wave 5 of study administration. Logistics regression were used to examine associations between dimensions of sexual orientation and mental health disorders. Latent curve growth models were used to identify trajectories of depression.RESULTS: Approximately 8.0% of the Ohio Army National Guard were considered a sexual minority. Sexual minorities were twice as likely to report lifetime depression after adjusting for demographic and military characteristics. Nearly 1 in 4 sexual minorities in the Ohio Army National Guard have reported lifetime sexual violence. Six trajectories of depression were identified and 62.9% of soldiers were resistant to depression across 6 years. Sexual minority status influenced group membership into the recovery and chronic dysfunction depressive groups. CONCLUSIONS: This is the first military study to document the prevalence of sexual minorities across 3 dimensions of sexual orientation. The study results indicate feasibility in asking sexual orientation questions in a National Guard population and the need for thoughtful considerations on the operational definition of sexual minorities. The majority of sexual minorities in the Ohio Army National Guard are healthy, but there are a subset of vulnerable individuals within sexual minorities.


Book Synopsis Mental Health and Sexual Minorities in the Ohio Army National Guard by : Philip K Chan

Download or read book Mental Health and Sexual Minorities in the Ohio Army National Guard written by Philip K Chan and published by . This book was released on 2015 with total page 188 pages. Available in PDF, EPUB and Kindle. Book excerpt: BACKGROUND: Among military personnel, mental health disorders are some of the most common and disabling medical conditions. Reports have suggested that National Guard soldiers are at an increased risk of developing psychiatric disorders as compared to active duty troops. Studies on sexual minorities within the U.S. military is limited and only recently have soldiers been allowed to serve openly regarding their sexual orientation. PURPOSE: The purpose of this research was to document the prevalence of sexual minorities in the Ohio Army National Guard based on sexual identity, sexual behavior,and sexual attraction. From the information gathered on sexual minorities, associations were examined in regards to posttraumatic stress disorder, depression, and sexual violence. Furthermore, identify patterns of depression trajectories and determine if sexual minority status was a risk factor in depression trajectory membership. METHODS: The data are derived from the Ohio Army National Guard Mental Health Initiative involving a sample of 1594 Ohio Army National Guard soldiers who were administered sexual orientation questions during Wave 5 of study administration. Logistics regression were used to examine associations between dimensions of sexual orientation and mental health disorders. Latent curve growth models were used to identify trajectories of depression.RESULTS: Approximately 8.0% of the Ohio Army National Guard were considered a sexual minority. Sexual minorities were twice as likely to report lifetime depression after adjusting for demographic and military characteristics. Nearly 1 in 4 sexual minorities in the Ohio Army National Guard have reported lifetime sexual violence. Six trajectories of depression were identified and 62.9% of soldiers were resistant to depression across 6 years. Sexual minority status influenced group membership into the recovery and chronic dysfunction depressive groups. CONCLUSIONS: This is the first military study to document the prevalence of sexual minorities across 3 dimensions of sexual orientation. The study results indicate feasibility in asking sexual orientation questions in a National Guard population and the need for thoughtful considerations on the operational definition of sexual minorities. The majority of sexual minorities in the Ohio Army National Guard are healthy, but there are a subset of vulnerable individuals within sexual minorities.