Invisible wounds of war : : summary and recommendations for addressing psychological and cognitive injuries / / Terri Tanielian ... [et al.].

• Author: California Community Foundation.
• TeilnehmendeR: Tanielian, Terri L.; California Community Foundation.; Center for Military Health Policy Research.; Rand Corporation.
• Year of Publication: 2008
• Edition: 1st ed.
• Language: English
• Series: MG (Rand Corporation)
• Physical Description: 1 online resource (499 p.)
• Notes: "Center for Military Health Policy Research."; "MG-720/1-CCF.; "Sponsored by the California Community Foundation."

Since October 2001, approximately 1.64 million U.S. troops have been deployed for Operations Enduring Freedom and Iraqi Freedom (OEF/OIF) in Afghanistan and Iraq. Early evidence suggests that the psychological toll of these deployments?many involving prolonged exposure to combat-related stress over multiple rotations?may be disproportionately high compared with the physical injuries of combat. Concerns have been most recently centered on two combat-related injuries in particular: post-traumatic stress disorder and traumatic brain injury. Many recent reports have referred to these as the signat

Table of Contents

Cover; Preface; Contents; Figures; Tables; Summary; Acknowledgments; Abbreviations; Part I: Introduction, Current Policy Context,and Historical Perspective; Chapter One - Introduction; Signature Wounds; Unique Features of the Current Deployments; Caring for Invisible Wounds; The Current Policy Context; The Purpose of the RAND Study; Scope of the Monograph; Organization of This Monograph; References; Chapter Two - The Wars in Afghanistan and Iraq-An Overview; What the Current Fighting Force Looks Like; The Conflicts in Perspective; Casualties and Improvised Explosive Devices

The Military and Veterans Health SystemsConcluding Comments; References; Part II: The Nature and Scope of the Problem; Chapter Three - Prevalence of PTSD, Depression, and TBI Among ReturningServicemembers; Methods; Results; Emergent Themes; Discussion; Future Research Directions; Conclusion; References; Chapter Four - Survey of Individuals Previously Deployed for OEF/OIF; Introduction; Methods; Results; Discussion; Conclusions; References; Part III: Immediate and Long-Term Consequences of Post-TraumaticStress Disorder, Depression, and Traumatic Brain Injury

Chapter Five - Predicting the Immediate and Long-Term Consequences ofPost-Traumatic Stress Disorder, Depression, and TraumaticBrain Injury in Veterans of Operation Enduring Freedom andOperation Iraqi FreedomThe Challenge of Predicting the Future; Goals and Scope of Our Discussion; Theoretical Perspectives on the Consequences of Mental Health andCognitive Conditions; Empirical Research on the Consequences of Post-Combat MentalHealth and Cognitive Conditions; Summary and Recommendations; Recommendations for Future Research; Conclusions; References; Part IV: Economic Consequences

Chapter Six - The Cost of Post-Deployment Mental Health and CognitiveConditionsIntroduction; The Cost of PTSD and Major Depression and the Benefits of Evidence-Based Care; The Cost of Deployment-Related Traumatic Brain Injury in 2005; Conclusion; Appendix 6.A: Model Map; Appendix 6.B: Model Architecture, Assumptions, and Parameters; References; Part V: Caring for the Invisible Wounds; Chapter Seven - Systems of Care: Challenges and Opportunities to ImproveAccess to High-Quality Care; Introduction; Access to Mental Health Care for PTSD and Major Depression; Quality of Mental Health Care

Summary of Critical GapsSpecial Issues for Traumatic Brain Injury; Mild TBI; Moderate and Severe TBI; What Is High-Quality Care for TBI?; Summary of Gaps and Recommendations for TBI Services; Appendix 7.A: Approach to Interviews with Administrators andProviders; Appendix 7.B: Summary of Focus Groups with MilitaryServicemembers and Spouses; Appendix 7.C: Evidence-Based Practices; Appendix 7.D: Studies of Mental Health Services Utilization AmongServicemembers; Appendix 7.E: State and Local Mental Health Resources; References; Part VI: Conclusions and Recommendations

Chapter Eight - Treating the Invisible Wounds of War: Conclusions andRecommendations