A Program Evaluation Of The Department Of Veterans Affairs Post Traumatic Stress Disorder Ptsd Programs
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A Program Evaluation Of The Department Of Veterans Affairs Post Traumatic Stress Disorder Ptsd Programs
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Author :
language : en
Publisher:
Release Date : 1991
A Program Evaluation Of The Department Of Veterans Affairs Post Traumatic Stress Disorder Ptsd Programs written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1991 with Government publications categories.
A Program Evaluation Of The Department Of Veterans Affairs Post Traumatic Stress Disorder Ptsd Programs
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Author :
language : en
Publisher:
Release Date : 1991
A Program Evaluation Of The Department Of Veterans Affairs Post Traumatic Stress Disorder Ptsd Programs written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1991 with Post-traumatic stress disorder categories.
Treatment For Posttraumatic Stress Disorder In Military And Veteran Populations
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 2014-06-17
Treatment For Posttraumatic Stress Disorder In Military And Veteran Populations written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-06-17 with Medical categories.
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.
Status Of Department Of Veterans Affairs Post Traumatic Stress Disorder Programs
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Author : United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Health
language : en
Publisher:
Release Date : 2005
Status Of Department Of Veterans Affairs Post Traumatic Stress Disorder Programs written by United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Health and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2005 with Medical categories.
Evaluation Of The Department Of Veterans Affairs Mental Health Services
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Author : National Academies of Sciences, Engineering, and Medicine
language : en
Publisher: National Academies Press
Release Date : 2018-03-29
Evaluation Of The Department Of Veterans Affairs Mental Health Services written by National Academies of Sciences, Engineering, and Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-03-29 with Medical categories.
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.
Improving The Quality Of Health Care For Mental And Substance Use Conditions
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 2006-03-29
Improving The Quality Of Health Care For Mental And Substance Use Conditions written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006-03-29 with Medical categories.
Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.
Oversight On Post Traumatic Stress Disorder
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Author : United States. Congress. Senate. Committee on Veterans' Affairs
language : en
Publisher:
Release Date : 1988
Oversight On Post Traumatic Stress Disorder written by United States. Congress. Senate. Committee on Veterans' Affairs and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1988 with categories.
Posttraumatic Stress Disorder
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Author : Subcommittee on Posttraumatic Stress Disorder of the Committee on Gulf War and Health: Physiologic, Psychologic, and Psychosocial Effects of Deployment-Related Stress
language : en
Publisher: National Academies Press
Release Date : 2006-08-08
Posttraumatic Stress Disorder written by Subcommittee on Posttraumatic Stress Disorder of the Committee on Gulf War and Health: Physiologic, Psychologic, and Psychosocial Effects of Deployment-Related Stress and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006-08-08 with Technology & Engineering categories.
H R 4833 A Bill To Authorize The Va To Provide Comprehensive Treatment Services To Veterans Suffering From Post Traumatic Stress Disorder And The Veterans Readjustment Counseling Program
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Author : United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Hospitals and Health Care
language : en
Publisher:
Release Date : 1984
H R 4833 A Bill To Authorize The Va To Provide Comprehensive Treatment Services To Veterans Suffering From Post Traumatic Stress Disorder And The Veterans Readjustment Counseling Program written by United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Hospitals and Health Care and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1984 with Post-traumatic stress disorder categories.
Screening For Post Traumatic Stress Disorder Ptsd In Primary Care A Systematic Review
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Author : U. S. Department of Veterans Affairs
language : en
Publisher: Createspace Independent Pub
Release Date : 2013-05-28
Screening For Post Traumatic Stress Disorder Ptsd In Primary Care A Systematic Review written by U. S. Department of Veterans Affairs and has been published by Createspace Independent Pub this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-05-28 with Medical categories.
Evidence suggests that the majority of Americans will experience a traumatic event at some time during their lives and that approximately 8% will subsequently develop post-traumatic stress disorder (PTSD). PTSD is one of the most common psychiatric sequellae of traumatic experiences and is characterized by an intense emotional reaction to the traumatic event, and followed by a persistent re-experiencing of the trauma, avoidance of things associated with the trauma, numbed emotional responsiveness, and increased arousal. Rates among military Veterans returning from deployments in Iraq and Afghanistan are much higher than that found in the general population, as high as 20% by some estimates. Currently, about 400,000 Veterans enrolled in VA carry a PTSD diagnosis. Those who suffer from PTSD often have diminished functioning and a poorer quality of life as evidenced by elevated rates of suicide, hospital admissions, poverty, and unemployment. Significant medical morbidity is also common among those with PTSD and several agerelated chronic medical conditions develop earlier. Moreover, people with PTSD have higher prevalence rates of problematic health behaviors, and utilize medical care at higher rates than those without PTSD. Although there are PTSD treatments available that have demonstrated effectiveness among individuals with diagnosed PTSD, many people who have PTSD may not be diagnosed and many who are diagnosed do not pursue mental health treatment. Of those who do seek treatment, prolonged delays are common. To minimize treatment delays and to maximize population reach, VA established a screening program to identify PTSD in their patients as they present in primary care clinics. Such screening programs may be helpful because primary care providers often have difficulty identifying PTSD in their patients and PTSD is therefore frequently undertreated in the primary care setting. The premise of this type of screening program is to identify individuals needing further evaluation so as to facilitate mental health treatment engagement earlier in the course of the illness and to identify patients for treatment who might not otherwise be identified as needing mental health care. Recently, the Institute of Medicine (IOM) released a report examining the screening, diagnosis, treatment, and rehabilitation services for military Veterans and service members with PTSD in the Department of Veterans Affairs and the Department of Defense. As noted in the IOM report and elsewhere, successful screening programs utilize instruments that are simple, valid, precise, and acceptable both clinically and socially. To identify screening tools that are best suited to primary care practice and to maximize relevance to the VA population, this evidence synthesis report reviews the literature on the feasibility and diagnostic accuracy of screening tools used in a primary care setting in the United States.We addressed the following key questions: Key Question #1. What tools are used to screen for PTSD in primary care settings, and what are their characteristics (i.e., length, format/administration, response scale)? Key Question #2. What are the psychometric properties and utility of the screening tools (sensitivity, specificity, likelihood ratios, predictive values, area under curve, reliability)? Key Question #3. What information is there about the implementability (e.g., ease of administration, patient satisfaction) of PTSD screening tools in primary care clinics? Key Question #4. Do the psychometric properties and utility of each of the screening tools differ according to age, gender, race/ethnicity, substance abuse, or other comorbidities?
