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Quality of care for PTSD and depression in the Military Health System : phase I report

Author: Kimberly A Hepner
Publisher: Santa Monica, Calif. : RAND Corporation, [2016]
Series: Research report (Rand Corporation), RR-978-OSD.
Edition/Format:   Print book : EnglishView all editions and formats
Summary:
"The U.S. Department of Defense (DoD) strives to maintain a physically and psychologically healthy, mission-ready force, and the care provided by the Military Health System (MHS) is critical to meeting this goal. Given the rates of posttraumatic stress disorder (PTSD) and depression among U.S. service members, attention has been directed to ensuring the quality and availability of programs and services targeting  Read more...
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Additional Physical Format: Online version:
Hepner, Kimberly A.
Quality of care for PTSD and depression in the Military Health System.
Santa Monica, Calif. : RAND Corporation, [2015]
(DLC) 2015042810
Material Type: Internet resource
Document Type: Book, Internet Resource
All Authors / Contributors: Kimberly A Hepner
ISBN: 9780833090492 0833090496
OCLC Number: 927241526
Notes: "Rand National Defense Research Institute."
Description: xxxi, 188 pages : illustrations ; 26 cm.
Contents: Introduction --
Methods --
Characteristics of Service Members in PTSD and Depression Cohorts, and Their Care Settings and Treatments --
Quality of Care for PTSD and Depression --
Variations in Care for PTSD and Depression Based on Patient Characteristics --
Summary and Recommendations.
Series Title: Research report (Rand Corporation), RR-978-OSD.
Responsibility: Kimberly A. Hepner, Elizabeth M. Sloss, Carol P. Roth, Heather Krull, Susan M. Paddock, Shaela Moen, Martha J. Timmer, Harold Alan Pincus.

Abstract:

"The U.S. Department of Defense (DoD) strives to maintain a physically and psychologically healthy, mission-ready force, and the care provided by the Military Health System (MHS) is critical to meeting this goal. Given the rates of posttraumatic stress disorder (PTSD) and depression among U.S. service members, attention has been directed to ensuring the quality and availability of programs and services targeting these and other psychological health (PH) conditions. Understanding the current quality of care for PTSD and depression is an important step toward improving care across the MHS. To help determine whether service members with PTSD or depression are receiving evidence-based care and whether there are disparities in care quality by branch of service, geographic region, and service member characteristics (e.g., gender, age, pay grade, race/ethnicity, deployment history), DoD's Defense Centers of Excellence for Psychological Health and Traumatic brain Injury (DCoE) asked the RAND Corporation to conduct a review of the administrative data of service members diagnosed with PTSD or depression and to recommend areas on which the MHS could focus its efforts to continuously improve the quality of care provided to all service members. This report characterizes care for service members seen by MHS for diagnoses of PTSD and/or depression and finds that while the MHS prerforms well in ensuring outpatient follow-up following psychiatric hospitalization, providing sufficient psychotherapy and medication management needs to be improved. Further, quality of care for PTSD and depression varied by service branch, TRICARE region, and service member characteristics, suggesting the need to ensure that all service members receive high-quality care."--Back cover.

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