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Evaluation of the Department of Veterans Affairs Mental Health Services

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
Page : 467 pages
File Size : 47,89 MB
Release : 2018-03-29
Category : Medical
ISBN : 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.

VA health care overview

Author : United States. Department of Veterans Affairs
Publisher :
Page : 22 pages
File Size : 34,37 MB
Release : 2004
Category : Families of military personnel
ISBN :

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Caring for Veterans and Their Families: A Guide for Nurses and Healthcare Professionals

Author : Rita F D’Aoust
Publisher : Jones & Bartlett Learning
Page : 526 pages
File Size : 38,80 MB
Release : 2021-11-08
Category : Medical
ISBN : 1284171345

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Of the approximately 20 million veterans of the U.S. armed forces, less than half utilize the Veteran's Health Administration health care system. That means the majority of veterans are receiving care from nurses and healthcare professionals who may not be trained in treating or caring for patients who have served in the military. This unique book guides nurses and healthcare professionals through the specific set of needs veterans can present, including but not limited to PTSD. Topics covered include, defining military culture and how to apply that knowledge to provide informed treatment, transitioning from service to civilian life and the many challenges expected during re-adjustment and re-entry, recognizing and treating substance use disorders, identifying suicidal behaviors and warning signs, long-term care for elderly veterans, and many more topics unique to the healthcare of veterans.

The Battle for Veterans’ Healthcare

Author : Suzanne Gordon
Publisher : Cornell University Press
Page : 175 pages
File Size : 17,91 MB
Release : 2017-04-04
Category : Medical
ISBN : 1501714562

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In The Battle for Veterans' Healthcare, award-winning author Suzanne Gordon takes us to the front lines of federal policymaking and healthcare delivery, as it affects eight million Americans whose military service makes them eligible for Veterans Health Administration (VHA) coverage. Gordon’s collected dispatches provide insight and information too often missing from mainstream media reporting on the VHA and from Capitol Hill debates about its future. Drawing on interviews with veterans and their families, VHA staff and administrators, health care policy experts and Congressional decision makers, Gordon describes a federal agency under siege that nevertheless accomplishes its difficult mission of serving men and women injured, in myriad ways, while on active duty. The Battle for Veterans’ Healthcare is an essential primer on VHA care and a call to action by veterans, their advocacy organizations, and political allies. Without lobbying efforts and broader public understanding of what’s at stake, a system now functioning far better than most private hospital systems may end up looking more like them, to the detriment of patients and providers alike.

Returning Home from Iraq and Afghanistan

Author : Institute of Medicine
Publisher : National Academies Press
Page : 193 pages
File Size : 29,74 MB
Release : 2010-03-31
Category : Medical
ISBN : 0309152852

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Nearly 1.9 million U.S. troops have been deployed to Afghanistan and Iraq since October 2001. Many service members and veterans face serious challenges in readjusting to normal life after returning home. This initial book presents findings on the most critical challenges, and lays out the blueprint for the second phase of the study to determine how best to meet the needs of returning troops and their families.

Wounds of War

Author : Suzanne Gordon
Publisher : Cornell University Press
Page : 465 pages
File Size : 18,37 MB
Release : 2018-10-15
Category : History
ISBN : 1501730843

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U.S. military conflicts abroad have left nine million Americans dependent on the Veterans Health Administration (VHA) for medical care. Their "wounds of war" are treated by the largest hospital system in the country—one that has come under fire from critics in the White House, on Capitol Hill, and in the nation's media. In Wounds of War, Suzanne Gordon draws on five years of observational research to describe how the VHA does a better job than private sector institutions offering primary and geriatric care, mental health and home care services, and support for patients nearing the end of life. In the unusual culture of solidarity between patients and providers that the VHA has fostered, Gordon finds a working model for higher-quality health care and a much-needed alternative to the practice of for-profit medicine.

Veteran-Centered Care in Education and Practice

Author : Brenda Elliott, PhD, RN, CNE
Publisher : Springer Publishing Company
Page : 341 pages
File Size : 33,96 MB
Release : 2020-11-04
Category : Medical
ISBN : 0826135978

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Veteran-Centered Care in Education and Practice: An Essential Guide for Nursing Faculty addresses the mandate to improve veteran healthcare as a national priority, highlighting the tremendous impact nurses can make on improving veteran health. It provides guidance on how faculty can integrate veteran-centered care into nursing curricula, ultimately improving veteran-centered care at the bedside and in the community. The expert authors utilize a holistic approach to veteran needs, beginning with an overview of the importance of veteran health in nursing education and a primer of military culture and lifestyle, and transitions. A wide range of veteran-specific healthcare issues are addressed, including occupational and environmental exposures, common physical-related issues, mental-health issues, and special topics such as women's health and military sexual trauma, gender issues, and end-of-life concerns. ; This book offers innovative teaching and learning strategies to build a base of knowledge related to nursing prioritization of veteran health care needs, filling a notable gap in nursing literature. It includes teaching strategies for the classroom and clinical setting that graduate/undergraduate nurse educators may employ to integrate veteran content into existing courses or to build a Veteran Health elective or topics course. It outlines key competencies and essential knowledge faculty and students need to teach and provide basic veteran-centered care. Also covered are the expansion of Veteran-to-BSN programs, current research on veterans transitioning to the classroom, and strategies to enhance learning within this student population and maximize their skills and leadership abilities. Key Features: Discusses national and organizational efforts to improve veteran-centered care Guides nursing faculty on how to address the multifaceted nature of veteran health needs in existing nursing courses and curricula at all educational levels Outlines key competencies and essential knowledge faculty and students need to teach and provide basic veteran-centered care Includes evidence-based instructional strategies and resources to incorporate into classroom and clinical settings Features learning activities to enhance knowledge acquisition Details the unique needs of the veteran student population, as well as strategies to enhance their learning, while maximizing their skills and leadership abilities

Burdens of War

Author : Jessica L. Adler
Publisher : JHU Press
Page : 368 pages
File Size : 42,84 MB
Release : 2017-07-19
Category : History
ISBN : 1421422875

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In the World War I era, veterans fought for a unique right: access to government-sponsored health care. In the process, they built a pillar of American social policy. Burdens of War explores how the establishment of the veterans’ health system marked a reimagining of modern veterans’ benefits and signaled a pathbreaking validation of the power of professionalized institutional medical care. Adler reveals that a veterans’ health system came about incrementally, amid skepticism from legislators, doctors, and army officials concerned about the burden of long-term obligations, monetary or otherwise, to ex-service members. She shows how veterans’ welfare shifted from centering on pension and domicile care programs rooted in the nineteenth century to direct access to health services. She also traces the way that fluctuating ideals about hospitals and medical care influenced policy at the dusk of the Progressive Era; how race, class, and gender affected the health-related experiences of soldiers, veterans, and caregivers; and how interest groups capitalized on a tense political and social climate to bring about change. The book moves from the 1910s—when service members requested better treatment, Congress approved new facilities and increased funding, and elected officials expressed misgivings about who should have access to care—to the 1930s, when the economic crash prompted veterans to increasingly turn to hospitals for support while bureaucrats, politicians, and doctors attempted to rein in the system. By the eve of World War II, the roots of what would become the country’s largest integrated health care system were firmly planted and primed for growth. Drawing readers into a critical debate about the level of responsibility America bears for wounded service members, Burdens of War is a unique and moving case study. -- Jennifer D. Keene, Chapman University, author of Doughboys, the Great War, and the Remaking of America

Best Care Anywhere

Author : Phillip Longman
Publisher : Berrett-Koehler Publishers
Page : 224 pages
File Size : 27,4 MB
Release : 2012-03-05
Category : Health & Fitness
ISBN : 1609945816

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Phillip Longman tells the amazing story of the turnaround of the Department of Veterans Affairs health-care system from a dysfunctional, scandal-prone bureaucracy into the benchmark for high-quality medicine in the United States. Best Care Anywhere shows that vast swaths of what we think we know about health, health care, and medical economics are just plain wrong. And the book demonstrates how this extraordinarily cost-effective model, which has proven to be highly popular with veterans, can be made available to everyone. New to this edition is an analysis of how the shortcomings of both so-called Obamacare and Republican plans to privatize Medicare reinforce the need for applying the lessons of the VA. Also included are completely updated statistics and research, as well as examples of how the private sector is already beginning to learn from the VA's example.

Care of Military Service Members, Veterans, and Their Families

Author : Stephen J. Cozza
Publisher : American Psychiatric Pub
Page : 344 pages
File Size : 25,10 MB
Release : 2014-01-23
Category : Medical
ISBN : 1585625310

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Care of Military Service Members, Veterans, and Their Families serves a critical need, which has been highlighted by recent reported rates of combat-related stress disorders and traumatic brain injury, as well as increases in suicide rates among service members and veterans over the past decade and the distress and challenges faced by their children and families. More than 2.5 million Americans currently serve in the U.S. military on active duty, in the Reserves, or in the National Guard, and more than 20 million civilians are veterans. Although patients are viewed here in the context of military service, they seek health care in military, veteran, and civilian settings, and their mental health concerns are as diverse as those encountered in the civilian population. This book is designed for clinicians in all care settings and provides thorough coverage of U.S. military structures and cultures across the armed services, as well as detailed material on the particular mental health challenges faced by service members and their families. A full overview of the military lifestyle is provided, including the life cycle of the military (recruitment to retirement), service subcultures (Navy, Army, Marines, Air Force, and Reserve and Guard components), challenges of military life for service members and families (moves, deployments, etc.), and military mental health. Material on military culture provides insight for practitioners who may not be familiar with this population. The book focuses on collaborative care, particularly between the military health care system and the Veterans Administration, providing clinicians with strategies to mitigate stigma and other barriers to care through mental health service delivery in primary care settings. The incidence of traumatic brain injury among service members has increased because of the use of improvised explosive devices, and an entire chapter is devoted to diagnosing and treating these injuries as well as educating patients and their families on the condition. The families of service members face significant challenges, and several chapters are devoted to the needs of military children, the families of ill and injured service members and veterans, deployment-related care, and caring for the bereaved. The book's comprehensive review of resources available to military service members, veterans, and families both ensures high-quality care and reduces the workload for treating physicians. Care of Military Service Members, Veterans, and Their Families is an authoritative and much-needed addition to the mental health literature.