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An evaluation should be conducted to examine: (1) the consistency of Phase I examinations across facilities; (2) the patterns of referral program from Phase I to Phase II; and (3) the adequacy of treatment provided to certain categories of patients where the potential for positive impact is great (e.g., depression).
DoD should develop a short-term plan for the Specialized Care Center that specifies goals and expected outcomes.
DoD should explore ways to increase communication with the VA, particularly as it relates to the ongoing treatment of patients.
DoD should examine the provider education materials and programs developed by the VA to determine if they might serve as models for DoD approaches.
Education is needed to emphasize that conditions related to stress are not necessarily psychiatric conditions.
Education should emphasize that depression is common and treatable, and that patients with depression can continue to function.
CCEP information should be used to develop case studies which will help educate providers about Persian Gulf health problems.
DoD educational efforts should also address the concerns of Persian Gulf-deployed individuals and their families.