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SUMMARY
Pages 1-12

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From page 1...
... OEF and OIF have many unique features with regard to the military force being sent to fight those wars. The all-volunteer military has experienced multiple redeployments to the war zone, great use of the reserve components of the military and National Guard, deployment of high numbers of women and of parents of young children, and a high number of military personnel who survive severe injuries that in previous wars would have resulted in death.
From page 2...
... DOD data were provided by the Defense Manpower Center and the Armed Forces Health Surveillance Center. Committee members reviewed numerous reports that informed it about DOD and VA programs developed for those who have served in OEF and OIF and the costs of such programs.
From page 3...
... The committee tried different venues and approaches for meeting with active-duty military personnel, veterans, and family members; some of the approaches were more successful than others. Ultimately, the committee met with active-duty personnel, National Guard members, family members, veterans, and community leaders in cities, towns, and rural areas where there are large military bases and that were home to troops deployed to Iraq and Afghanistan.
From page 4...
... The committee recommends that the Department of Defense, the Department of Veterans Affairs, and other federal agencies fund research on readjustment needs of returning OEF and OIF veterans, their families, and their communities that explicitly addresses methodologic and substantive gaps in completed and ongoing research. For example, the support of large-scale, independent studies with longitudinal designs, probability sampling, comprehensive clinical assessment of key outcomes, and more fully specified models that include objective biologic measures should be considered.
From page 5...
... As in other chronic health conditions, long-term management for TBI may be effective in reducing mortality, morbidity, and associated costs. The committee recommends that the Department of Veterans Affairs conduct research to determine the potential efficacy and cost effectiveness of developing protocols for the long-term management of service members who have polytrauma and traumatic brain injury.
From page 6...
... And active-duty military and veterans fear that visits to a mental health provider will jeopardize their careers because of the military's long-standing and understandable policy of reporting mental health and substanceabuse problems to the chain of command. Such a policy is a disincentive to seeking care, underestimates the extent of the problem or the disease burden, and may ultimately compromise readiness.
From page 7...
... Female veterans report a higher burden of medical illness, worse qualityof-life outcomes, and earlier psychologic morbidity than do men who are exposed to the same levels of trauma. Both the military and family life require commitment and loyalty, and servicewomen who have families may experience intense conflict between the demands of their military roles and their family roles.
From page 8...
... The committee recommends that the Department of Defense and the Department of Veterans Affairs oversee coordination and communication of the multitude of programs that have been created in response to the needs of Operation Enduring Freedom and Operation Iraqi Freedom service members, veterans, and their family members in an effort to maximize their reach and effectiveness. The committee also recommends that there be independent evaluation of these programs with standardized evaluation designs and assessment of outcomes.
From page 9...
... • An assessment of the particular educational and vocational needs of members and former members and their families and the efficacy of existing educational and vocational programs to address such needs. • Effects of deployments associated with OEF and OIF on communities that have high populations of military families, including military housing communities and townships that are home to deployed members of the National Guard and reserves, and an assessment of the efficacy of programs that address community outreach and education concerning military deployments of community residents.
From page 10...
... 4. Generate opportunities for research to fill identified knowledge gaps Informed by knowledge gaps identified in paragraphs 1 and 2 above, the committee plans to develop a request for proposals for a large-scale independent study or a suite of studies that would aim to improve understanding of the scope of the consequences of OEF and OIF and that would offer solutions to remediate those needs.
From page 11...
... The scope of potential policy remedies will be targeted at preventing, minimizing, or addressing the impacts, gaps, and needs identified during the committee's work. It is anticipated that this work will generate specific recommendations that may require statutory changes to implement.


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