Access to behavioral health care for geographically remote service members and dependents in the U.S. / / Ryan Andrew Brown [et al.]

• Author: Rand Corporation.; Brown, Ryan Andrew,
• VerfasserIn: Brown, Ryan Andrew.
• TeilnehmendeR: Brown, Ryan Andrew,; Rand Corporation.; Defense Centers of Excellence for Psychological Health & Traumatic Brain Injury (U.S.); National Defense Research Institute (U.S.)
• Place / Publishing House: Santa Monica, Ca : : RAND,, 2014.; ©2014
• Year of Publication: 2014
• Edition: 1st ed.
• Language: English
• Physical Description: 1 online resource (xxi, 150 pages) :; illustrations (chiefly color), color maps
• Notes: "RAND National Defense Research Institute."

Concerns about access to behavioral health care for military service members and their dependents living in geographically remote locations prompted research into how many in this population are remote and the effects of this distance on their use of behavioral health care. The authors conducted geospatial and longitudinal analyses to answer these questions and reviewed current policies and programs to determine barriers and possible solutions.

Table of Contents

Cover; Title Page; Copyright; Preface; Contents; Figures; Tables; Summary; Acknowledgments; Abbreviations; CHAPTER ONE: Introduction; CHAPTER TWO: Scope of the Problem: How Many Service Members and Dependents Are Remote, and Who Are They?; Data Sources for Location of Service Members and Providers; A Working Definition of Remoteness; Data Analysis: Implementing the Remoteness Definition; Summary; CHAPTER THREE: Effects of Remoteness on Civilian Behavioral Health Care Use; Rural and Urban Differences in Use of Behavioral Health Care; Analysis of the National Survey of Drug Use and Health

Analysis of Health Care Use in the National Study of Drug Use and Health Explanations for Rural-Urban Disparities in Behavioral Health Care; Summary; CHAPTER FOUR: Effects of Remoteness on Military Behavioral Health Care Use; Prospective Analysis of Remoteness and Behavioral Health Care Use; Summary; CHAPTER FIVE: Barriers and Gaps in Policy and Practice; Interviews with Key Experts; Summary of Findings from Expert Interviews; Policy Review; Summary; CHAPTER SIX: Clinical and System Approaches for Improving Access for Remote Populations

Integration of Behavioral Health Treatment into Primary Care Telemental Health as a Potential Partial Solution; Issues Affecting Access to Telemental Health; CHAPTER SEVEN: Recommendations; APPENDIXES; A. Defense Enrollment Eligibility Reporting System Personnel Data; B. Driving Distance to Military Treatment and Veterans Affairs Facilities; C. Community Provider Shortage Areas; D. ZIP Code File for Geospatial Analysis; E. TRICARE Plans; F. National Study of Drug Use and Health Utilization Analyses; G. TRICARE Claims Data.; H. Review of the Effectiveness of Telemental Health

I. Structures, Processes, and Outcomes Framework References