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The Resource Invisible wounds of war : psychological and cognitive injuries, their consequences, and services to assist recovery, Terri Tanielian and Lisa H. Jaycox, editors

Invisible wounds of war : psychological and cognitive injuries, their consequences, and services to assist recovery, Terri Tanielian and Lisa H. Jaycox, editors

Contributor
Summary
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. In the face of mounting public concern over post-deployment health care issues confronting OEF/OIF veterans, several task forces, independent review groups, and a Presidential Commission have been convened to examine the care of the war wounded and make recommendations. Concerns have been most recently centered on two combat-related injuries in particular: post-traumatic stress disorder and traumatic brain injury. With the increasing incidence of suicide and suicide attempts among returning veterans, concern about depression is also on the rise. The study discussed in this monograph focuses on post-traumatic stress disorder, major depression, and traumatic brain injury, not only because of current high-level policy interest but also because, unlike the physical wounds of war, these conditions are often invisible to the eye, remaining invisible to other servicemembers, family members, and society in general. All three conditions affect mood, thoughts, and behavior; yet these wounds often go unrecognized and unacknowledged. The effect of traumatic brain injury is still poorly understood, leaving a large gap in knowledge related to how extensive the problem is or how to address it. RAND conducted a comprehensive study of the post-deployment health-related needs associated with these three conditions among OEF/OIF veterans, the health care system in place to meet those needs, gaps in the care system, and the costs associated with these conditions and with providing quality health care to all those in need. This monograph presents the results of our study, which should be of interest to mental health treatment providers; health policymakers, particularly those charged with caring for our nation's veterans; and U.S. service men and women, their families, and the concerned public. All the research products from this study are available at http://veterans.rand.org. Data collection for this study began in April 2007and concluded in January 2008. Specific activities included a critical reviewof the extant literature on the prevalence of post-traumatic stress disorder, major depression, and traumatic brain injury and their short- and long-term consequences; a population-based survey of service members and veterans who served in Afghanistan or Iraq to assess health status and symptoms, as well asutilization of and barriers to care; a review of existing programs to treat service members and veterans with the three conditions; focus groups withmilitary service members and their spouses; and the development of a microsimulation model to forecast the economic costs of these conditions overtime. Among our recommendations is that effective treatments documented in the scientific literature -- evidence-based care -- are available for PTSD and major depression. Delivery of such care to all veterans with PTSD or majordepression would pay for itself within two years, or even save money, by improving productivity and reducing medical and mortality costs. Such care may also be a cost-effective way to retain a ready and healthy military force for the future. However, to ensure that this care is delivered requires system-level changes across the Department of Defense, the Department of Veterans Affairs, and the U.S. health care system
Language
eng
Work
Publication
Extent
1 online resource (xliii, 453 pages)
Note
  • "Sponsored by the California Community Foundation."
  • "A joint endeavor of Rand Health and the Rand National Security Research Division."
  • "MG-720-CCF"--Page 4 of cover
Contents
  • The wars in Afghanistan and Iraq : an overview
  • Prevalence of PTSD, depression, and TBI among returning servicemembers
  • Survey of individuals previously deployed for OEF/OIF
  • Predicting the immediate and long-term consequences of post-traumatic stress disorder, depression, and traumatic brain injury in veterans of Operation Enduring Freedom and Operation Iraqi Freedom
  • The cost of post-deployment mental health and cognitive conditions
  • Systems of care : challenges and opportunities to improve access to high-quality care
  • Treating the invisible wounds of war : conclusions and recommendations
Isbn
9781281736604
Instance
Label
Invisible wounds of war : psychological and cognitive injuries, their consequences, and services to assist recovery
Title
Invisible wounds of war
Title remainder
psychological and cognitive injuries, their consequences, and services to assist recovery
Statement of responsibility
Terri Tanielian and Lisa H. Jaycox, editors
Contributor
Subject
Genre
Language
eng
Summary
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. In the face of mounting public concern over post-deployment health care issues confronting OEF/OIF veterans, several task forces, independent review groups, and a Presidential Commission have been convened to examine the care of the war wounded and make recommendations. Concerns have been most recently centered on two combat-related injuries in particular: post-traumatic stress disorder and traumatic brain injury. With the increasing incidence of suicide and suicide attempts among returning veterans, concern about depression is also on the rise. The study discussed in this monograph focuses on post-traumatic stress disorder, major depression, and traumatic brain injury, not only because of current high-level policy interest but also because, unlike the physical wounds of war, these conditions are often invisible to the eye, remaining invisible to other servicemembers, family members, and society in general. All three conditions affect mood, thoughts, and behavior; yet these wounds often go unrecognized and unacknowledged. The effect of traumatic brain injury is still poorly understood, leaving a large gap in knowledge related to how extensive the problem is or how to address it. RAND conducted a comprehensive study of the post-deployment health-related needs associated with these three conditions among OEF/OIF veterans, the health care system in place to meet those needs, gaps in the care system, and the costs associated with these conditions and with providing quality health care to all those in need. This monograph presents the results of our study, which should be of interest to mental health treatment providers; health policymakers, particularly those charged with caring for our nation's veterans; and U.S. service men and women, their families, and the concerned public. All the research products from this study are available at http://veterans.rand.org. Data collection for this study began in April 2007and concluded in January 2008. Specific activities included a critical reviewof the extant literature on the prevalence of post-traumatic stress disorder, major depression, and traumatic brain injury and their short- and long-term consequences; a population-based survey of service members and veterans who served in Afghanistan or Iraq to assess health status and symptoms, as well asutilization of and barriers to care; a review of existing programs to treat service members and veterans with the three conditions; focus groups withmilitary service members and their spouses; and the development of a microsimulation model to forecast the economic costs of these conditions overtime. Among our recommendations is that effective treatments documented in the scientific literature -- evidence-based care -- are available for PTSD and major depression. Delivery of such care to all veterans with PTSD or majordepression would pay for itself within two years, or even save money, by improving productivity and reducing medical and mortality costs. Such care may also be a cost-effective way to retain a ready and healthy military force for the future. However, to ensure that this care is delivered requires system-level changes across the Department of Defense, the Department of Veterans Affairs, and the U.S. health care system
Member of
Action
digitized
Cataloging source
N$T
Dewey number
362.196/85212
Funding information
"Funded by a grant from the Iraq Afghanistan Deployment Impact fund, which is administered by the California Community Foundation"--Title page verso.
Illustrations
illustrations
Index
no index present
Language note
English
LC call number
RC552.P67
LC item number
T34 2008eb
Literary form
non fiction
Nature of contents
  • dictionaries
  • bibliography
  • technical reports
NLM call number
  • 2008 I-104
  • WM 184
NLM item number
I62 2008
http://library.link/vocab/relatedWorkOrContributorName
  • Tanielian, Terri L
  • Jaycox, Lisa
  • Rand Corporation
  • California Community Foundation
  • RAND Health
  • Rand Corporation
Series statement
Rand Corporation monograph series
http://library.link/vocab/subjectName
  • Post-traumatic stress disorder
  • Brain
  • Depression, Mental
  • Veterans
  • Iraq War, 2003-2011
  • Afghan War, 2001-
  • War on Terrorism, 2001-2009
  • War
  • Combat Disorders
  • Brain Injuries
  • Depressive Disorder
  • Iraq War, 2003
  • Stress Disorders, Post-Traumatic
  • Veterans
  • MEDICAL
  • BUSINESS & ECONOMICS
  • Brain
  • Depression, Mental
  • Post-traumatic stress disorder
  • Psychological aspects
  • Veterans
  • War
  • Iraq
  • United States
  • Soldat
  • Afghanistankrieg
  • Posttraumatisches Stresssyndrom
  • Irakkrieg
  • USA
Label
Invisible wounds of war : psychological and cognitive injuries, their consequences, and services to assist recovery, Terri Tanielian and Lisa H. Jaycox, editors
Instantiates
Publication
Note
  • "Sponsored by the California Community Foundation."
  • "A joint endeavor of Rand Health and the Rand National Security Research Division."
  • "MG-720-CCF"--Page 4 of cover
Antecedent source
unknown
Bibliography note
Includes bibliographical references
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Color
multicolored
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Contents
The wars in Afghanistan and Iraq : an overview -- Prevalence of PTSD, depression, and TBI among returning servicemembers -- Survey of individuals previously deployed for OEF/OIF -- Predicting the immediate and long-term consequences of post-traumatic stress disorder, depression, and traumatic brain injury in veterans of Operation Enduring Freedom and Operation Iraqi Freedom -- The cost of post-deployment mental health and cognitive conditions -- Systems of care : challenges and opportunities to improve access to high-quality care -- Treating the invisible wounds of war : conclusions and recommendations
Control code
259715746
Dimensions
unknown
Extent
1 online resource (xliii, 453 pages)
File format
unknown
Form of item
online
Isbn
9781281736604
Level of compression
unknown
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Other physical details
illustrations
http://library.link/vocab/ext/overdrive/overdriveId
22573/ctt5g1c
Quality assurance targets
not applicable
Reformatting quality
unknown
Reproduction note
Electronic reproduction.
Sound
unknown sound
Specific material designation
remote
System control number
(OCoLC)259715746
System details
Master and use copy. Digital master created according to Benchmark for Faithful Digital Reproductions of Monographs and Serials, Version 1. Digital Library Federation, December 2002.
Label
Invisible wounds of war : psychological and cognitive injuries, their consequences, and services to assist recovery, Terri Tanielian and Lisa H. Jaycox, editors
Publication
Note
  • "Sponsored by the California Community Foundation."
  • "A joint endeavor of Rand Health and the Rand National Security Research Division."
  • "MG-720-CCF"--Page 4 of cover
Antecedent source
unknown
Bibliography note
Includes bibliographical references
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Color
multicolored
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Contents
The wars in Afghanistan and Iraq : an overview -- Prevalence of PTSD, depression, and TBI among returning servicemembers -- Survey of individuals previously deployed for OEF/OIF -- Predicting the immediate and long-term consequences of post-traumatic stress disorder, depression, and traumatic brain injury in veterans of Operation Enduring Freedom and Operation Iraqi Freedom -- The cost of post-deployment mental health and cognitive conditions -- Systems of care : challenges and opportunities to improve access to high-quality care -- Treating the invisible wounds of war : conclusions and recommendations
Control code
259715746
Dimensions
unknown
Extent
1 online resource (xliii, 453 pages)
File format
unknown
Form of item
online
Isbn
9781281736604
Level of compression
unknown
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Other physical details
illustrations
http://library.link/vocab/ext/overdrive/overdriveId
22573/ctt5g1c
Quality assurance targets
not applicable
Reformatting quality
unknown
Reproduction note
Electronic reproduction.
Sound
unknown sound
Specific material designation
remote
System control number
(OCoLC)259715746
System details
Master and use copy. Digital master created according to Benchmark for Faithful Digital Reproductions of Monographs and Serials, Version 1. Digital Library Federation, December 2002.

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