Returning Home from Iraq and Afghanistan Assessment of Readjustment Needs of Veterans, Service Members, and Their Families (2013) / Chapter Skim
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Appendix B: Phase I Summary
Appendix B: Phase I Summary
Pages 487-498
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From page 487... ...
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.
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From page 488... ...
The committee also requested data from DOD and VA. The committee examined the basic demographic data on the active-duty forces, the reserve components of the military, and the National Guard that DOD and VA provided, such as number of troops deployed and redeployed, dwell time, marital status, numbers of women deployed, types of injuries reported, and health-care use by OEF and OIF veterans.
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From page 489... ...
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.
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From page 490... ...
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.
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From page 491... ...
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.
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From page 492... ...
Primarily on the basis of studies of previous conflicts, Chapter 4 highlights many issues related to families, spouses, children, women, and racial and ethnic minority-group members. It also discusses preliminary findings related to social issues related to deployment, such as employment, education, income, debt, wages, and earnings, also on the basis of data on previous wars.
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From page 493... ...
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. Some of the specific issues for women are military-related sexual harassment and assault and the resulting mental health problems, histories of premilitary trauma, specific health-care needs, pregnancy and the postpartum period, and the configuration of family roles (such as mother, spouse, and caregiver of aging parents)
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From page 494... ...
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.
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From page 495... ...
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.
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From page 496... ...
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.
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From page 497... ...
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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