Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations Final Assessment (2014) / Chapter Skim
Currently Skimming:
1 Introduction
1 Introduction
Pages 13-28
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 13... ...
Posttraumatic stress disorder (PTSD) and blast injuries, including traumatic brain injury (TBI)
|
From page 14... ...
and the Department of Veterans Affairs (VA) offer a variety of programs and services to prevent PTSD and to identify and treat service members and veterans who have symptoms of PTSD, depression, substance use disorder, and other common mental health disorders.3 The National Defense Authorization Act (NDAA)
|
From page 15... ...
The remainder of this chapter summarizes the phase 1 approach, findings, and recommendations, followed by the committee's approach to its charge for phase 2. PHASE 1 REPORT The phase 1 report Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations: Initial Assessment described current approaches to PTSD prevention and treatment, neurobiologic research being conducted on PTSD in the government and private sectors, and DoD and VA programs and services for PTSD.
|
From page 16... ...
In addition, the committee will focus on targeted interventions at Fort Hood, TX; Fort Bliss, TX; Fort Campbell, TN; and any other locations the committee deems necessary, including VA facilities. The committee will also examine gender specific and racial and ethnic group-specific mental health treatment services available for members of the Armed Forces, including: the availability of such treatment and services; the access to such treatment and services; the need for such treatment and services; and the efficacy and adequacy of such treatment and services.
|
From page 17... ...
These programs include the Army's Comprehensive Soldier and Family Fitness, the Navy and the Marine Corps Combat and Operational Stress Control programs, and the Marine Corps Operational Stress Control and Readiness program. Many service members and veterans do not seek a diagnosis of their symptoms or seek treatment should they receive a PTSD diagnosis.
|
From page 18... ...
Rigorously evaluate specialized intensive PTSD programs for the delivery of PTSD care, including combining different treat ment approaches. Such emerging treatments as complementary and alternative medicine and couple and family therapy, need to
|
From page 19... ...
To meet its charge, the committee undertook the following activities: • Identify prior DoD and VA PTSD program evaluation efforts. • Submit data requests to DoD and VA.
|
From page 20... ...
Consequently, the committee believed that it could contribute to PTSD management in DoD and VA by examining where and how in the system PTSD prevention, screening, diagnosis, treatment, and rehabilitation services and programs exist, what resources, such as workforce and technology, need to be available to support these services and programs, and what challenges and successes the departments have had in implementing or sustaining them. Information Gathering The committee used several mechanisms to provide both quantitative and qualitative information: detailed requests for DoD and VA data and program evaluation documentation, literature and database searches, site visits, and open sessions.
|
From page 21... ...
. Data requested included the VA strategy for coping with the growing veteran population, staffing plans, no-show rates for appointments, and efforts to track PTSD treatments and outcomes in patients' health records.
|
From page 22... ...
, and studies had to be conducted in military or veteran populations. Search categories for PTSD included physiological biomarkers, alternative therapies, prevention and resilience, treatment and diagnosis, rehabilitation and related topics, and policy reports.
|
From page 23... ...
Of particular interest were the Warrior Combat Stress Reset Program at Fort Hood, the Warrior Resilience Center at Fort Bliss, and the intensive outpatient program at Fort Campbell. At all the military installations, discussion participants included hospital and mental health department leaders and mental health care providers BOX 1-3 DoD and VA Site Visits DoD Installations VA Medical Facilities Fort Hood, TX (Army)
|
From page 24... ...
Department of Veterans Affairs Medical Facilities VA medical center or health care system sites were selected to capture the heterogeneity among them and to see centers that were in different geographic locations and that served different veteran populations. Thus, the Bronx VA Medical Center serves an urban veteran population that is socioeconomically diverse and consists largely of minority-group members; the Roseburg VA Health Care System serves a rural veteran population, has an inpatient mental health facility, does not have a mental health outpatient clinic, and is in a state that does not have any military bases; the San Francisco VA Medical Center conducts extensive research on PTSD treatments and services and serves a socioeconomically diverse population; the Palo Alto Health Care System serves a geographically diverse population, has men's and women's trauma recovery programs, has a women's counseling center, has a division of the National Center for PTSD, and is considered a flagship facility for VA; and the Hines VA Medical Center serves a large suburban population and has had an influx of veterans from OEF and OIF.
|
From page 25... ...
The sessions supplemented the site visits and allowed more detailed discussions of DoD and VA policies and procedures with senior administrators as well as a representative from the National Guard. Finally, the director of the National Institute of Mental Health discussed PTSD research at the institute.
|
From page 26... ...
; the open session agendas, including invited presenters and site visits (Appendix C) ; a compilation of selected PTSD centers, consortiums, and collaborations for PTSD research (Appendix D)
|
From page 27... ...
2008. Prior assault and posttraumatic stress disorder after combat deployment.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.