Returning Home from Iraq and Afghanistan Assessment of Readjustment Needs of Veterans, Service Members, and Their Families (2013) / Chapter Skim
Currently Skimming:
Appendix C: The DoD and VA Response to the Phase I Report
Appendix C: The DoD and VA Response to the Phase I Report
Pages 499-578
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 500... ...
Report to Congress Section 1661 of the National Defense Authorization Act for Fiscal Year 2008 Phase 1 Supporting Adjustment and Readjustment of Active Military, Veterans, and Family Members: IOM's March 31, 2010 Returning Home from Iraq and Afghanistan: Preliminary Assessment of Readjustment Needs of Veterans, Service Members, and Their Families September 2010 C-2
|
From page 501... ...
: VA Conference Presentations and Publications 43 Appendix E (IOM Recommendation 3) : Vet Center and Mobile Vet Center Locations 44 Appendix F (IOM Recommendation 4)
|
From page 502... ...
Lists and brief descriptions of studies and publications are included in appendices A through H IOM considered data from numerous sources to include: searches of peer-reviewed literature; data from DoD and VA; reports from the Government Accountability Office; reports from the Congressional Budget Office; reports from the Congressional Research Service; reports in the popular press; relevant Congressional testimony; IOM reports on PTSD, PTSD treatment, the effects of deployment-related stress, and the long-term outcomes related to TBI: and six town hall meetings with active duty personnel, Veterans, family members, health-care providers, and community leaders.
|
From page 503... ...
As they do in the text, the OEF/OIF-specific findings address six areas of interest to include: TBI and related blast injuries; polytrauma; mental health disorders; deployment; women and minorities; and projecting the lifelong burden of war. We look forward to Phase 2 of the study, "a comprehensive assessment… of the physical and mental health and other readjustment needs of members and former members of the Armed Forces who deployed in OEF or OIF and their families as a result of such deployment" (P.L.
|
From page 504... ...
research and an additional $150 million for traumatic brain injury (TBI) research.
|
From page 505... ...
military personnel from all Services, including both active duty and Reserve/National Guard members, for up to 21 years. Approximately 50 percent of the cohort has been deployed in OEF and OIF.
|
From page 506... ...
The study is in its eighth year and current areas of research include investigations differentiated by deployment focusing on diabetes; weight change; hearing loss; migraine headaches; unit cohesion; complementary and alternative medicine and health care use; physical activity and PTSD symptoms; professional care provider occupations; PTSD and depressive symptoms; chronic multi-symptom illnesses and associated co-morbidities; motor vehicle accidents; head trauma; back pain; tendonopathies and other injuries; and cause-specific mortality including suicide. The impact of military service and deployment health on families will be evaluated through a spousal assessment component in the 2010-11 survey cycle.
|
From page 507... ...
, address the ability to generalize as a working principle. In VA's large-scale cohort studies, national samples considered to be representative of the population are the norm (e.g., CSP 575, a study of genetic factors related to PTSD in OEF/OIF, randomly assesses from the entire DoD manpower roster [see Appendix B)
|
From page 508... ...
In VA's research portfolio, a small number of studies have examined the validity of the screening instruments directly. However, in the more definitive large cohort studies and clinical trials, the battery of assessments is quite extensive as a rule and they are not dependent upon brief screening measures.
|
From page 509... ...
, and the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury (DCoE) , co-sponsored an initiative to adopt common data elements (CDEs)
|
From page 510... ...
B IOM Recommendation 2 The committee recommends that the Department of Veterans Affairs conduct research to determine the potential efficacy and cost effectiveness of developing protocols for the longterm management of Service members who have polytrauma and traumatic brain injury.
|
From page 511... ...
In addition, the four PRCs and Defense Veterans Brain Injury Center (DVBIC) have established a joint VA/DoD initiative for ongoing clinical care, research, and service delivery for Veterans and active duty Service members with brain injury.
|
From page 512... ...
The committee also recommends that the Department of Defense and the Department of Veterans Affairs continue to implement programs for the recruitment and retention of mental health professionals, particularly to serve those in hard-to-reach areas.
|
From page 513... ...
The program takes from 6 months to 1 year to complete and includes the following required workshops: Military Culture, Terminology, and the Deployment Cycle; Etiology and Assessment of PTSD and Co-morbid Problems; Assessment and Treatment of Sleep Disturbance Associated with Deployment, Traumatic Brain Injury Sustained in Combat; Assessment and Treatment of Deployment-Related Depression; Identification, Prevention, and Treatment of Suicidal Behavior; and Evidence-Based Treatment of PTSD: Prolonged Exposure Therapy. In addition, DoD is developing the Psychological Health Risk-Adjusted Model for Staffing (PHRAMS)
|
From page 514... ...
, PHRAMS is able to provide a forecast for the total staffing requirements to meet the annual need for psychological health services by beneficiaries over a 5-year period for each type of specialty provider (e.g., psychiatrists, psychologists, psychiatric nurse practitioners, and clinical social workers) and for others who provide PH services as part of the care they offer (e.g., primary care providers and chaplains)
|
From page 515... ...
This initiative adds mental health staff to CBOCs, enhances telemental health services, and uses referrals to community mental health services and other providers to increase access to mental health care in rural areas. The expansion of MHICM-RANGE has also led to four research studies on clinical policies or programs that improve access, quality, and outcomes of mental health and substance abuse treatment services for rural and underserved Veterans.
|
From page 516... ...
Following the onset of the current hostilities in Afghanistan and Iraq, the Vet Center program hired 100 OEF/OIF Veteran Outreach Specialists to contact their fellow returning Veterans at military demobilization sites, including National Guard and Reserve locations, and in the community. Further, to facilitate access to services for Veterans in hard-to-reach outlying areas, RCS has deployed 50 Mobile Vet Centers (MVCs)
|
From page 517... ...
In recent years, RCS and the Vet Center programs have been the subject of program evaluations by several different agencies and organizations. According to the President's Advisory Committee on Gulf War Veterans' Illnesses3: The Department of Defense and VA should follow the model of field-based outreach demonstrated in the Vet Centers when developing health education and risk communication campaigns for active duty service members, Reserve and Guard personnel, and other Veterans.
|
From page 518... ...
To date, the campaign has produced eight Public Service Announcements (PSAs) that aired more than 4,000 times to 1.3 million Service members in 177 countries on the Armed Forces Radio and Television Service (AFRTS)
|
From page 519... ...
FY10 Section 596, "Comprehensive Plan on Prevention, Diagnosis, and Treatment of Substance Use Disorders and Disposition of Substance Abuse Offenders in the Armed Forces." Some extant policies have already been reviewed and endorsed by the Services. There have been some relevant policy memoranda issued over the past several years.
|
From page 520... ...
. A July 2009 DTM entitled "Command Notification Requirements to Dispel Stigma in Providing Mental Health Care to Military Personnel" (DTM 09-006)
|
From page 521... ...
F IOM Recommendations 6, 7, and 8 Recommendation 6: The committee recommends that the Department of Defense, the Department of Veterans Affairs, and other federal agencies fund research on the social and economic effects of deployment and multiple deployments on families.
|
From page 522... ...
Consideration of Active Duty, Reserve Component, National Guard, and/or Veteran populations is also encouraged."6 Currently, more than $48.2 million in DoD funding is invested in 42 active studies focused on families, women, and/or minorities. Specifically More than $40.1 million is invested in research on families, More than $3.6 million is invested in research on the particular needs of women, and More than $2.4 million is invested in research on the needs of minority populations.
|
From page 523... ...
. The focus of VA-supported research on women Veterans, including those who served in the National Guard and Reserves as well as the regular military in past conflicts and OEF/OIF ranges widely, and includes Research aimed at improving the organization and quality of health care for women Veterans; Women-specific prevalence and treatment of PTSD; The impacts of deployment and military service on physical and mental health of women Veterans; Comorbid conditions such as substance use and PTSD among women Veterans; Access to mental health care and predictors of mental health care use by women Veterans; Special concerns of reintegration for women Veterans; Intimate partner violence among women Veterans; and The implementation and sustainability of VA's women's mental health clinics.
|
From page 524... ...
The survey will provide important information to guide future efforts to improve outreach, access, and care of women Veteran; A field-based conference planned for July 2010 on "Building the Evidence Base to Improve Health Care and Outcomes for Women Veterans." One of the goals of the meeting is to foster methodological and other research advances in support of improving the quality and quantity of VA women's health research in high priority areas, with special emphasis on accelerating movement to interventions and implementation research. Post-deployment mental health is one of the areas of emphasis; A women Veterans' practice-based research network (PBRN)
|
From page 525... ...
. VA continues to work with other federal agencies to advance research on disparities and minority health, including through the Federal Collaboration on Health Disparities Research, and also as part of ongoing efforts with the DCoE and NIH to improve treatment to OEF/OIF Service members, Veterans, and their families and caregivers.
|
From page 526... ...
produces annual, 20-year projections of the number of Veterans expected to be enrolled in VA health care, their utilization of VA's health care services, and the expenditures associated with those services. The model methodology is consistent with actuarial principles and practices and accounts for the unique demographics of the Veteran enrollee population and VA health care delivery system.
|
From page 527... ...
H IOM Recommendation 10 The committee recommends that the Department of Defense and the Department of Veterans Affairs oversee coordination and communication of the multitude of programs that have been created in response to the needs of Operation Enduring Freedom and Operation Iraqi Freedom Service members, [V]
|
From page 528... ...
Summit participants included senior military family policymakers, family program leaders and their staff, military family researchers, representatives from DoD, VA, all military Service components, and other non-governmental partners. Summit participants identified the following priorities Categorize and evaluate programs to enhance effectiveness, consistency, and return on investment, Develop and implement a strategic communications strategy that reaches Service members, Veterans, and their families with what they need to know, and connects them with those who have the capacity and resources to provide support, and Strengthen the ability of DoD and VA to provide for the psychological well-being of military personnel and their families.
|
From page 529... ...
The goals for this office include ensuring equitable, consistent, and high-quality care coordination and transition support for members of the Armed Forces, including wounded Warriors and their families through appropriate interagency collaboration, responsive policy, and effective program oversight. Clearly, there is a need for collaborative program evaluations that capture PH and TBI project and program effectiveness information and provide practical evidence to support collaboration and knowledge-sharing across the Services, DoD, and VA.
|
From page 530... ...
VA is currently conducting a 4-year multi-million dollar program evaluation study on mental health services and outcomes in the VHA for Veterans with PTSD, schizophrenia, major depression, bipolar disorder, and substance use disorder, with a particular emphasis on OEF/OIF Veterans. This program evaluation specifically addresses the number and distribution of mental health professionals needed to provide treatment to Veterans returning with PTSD, major depression and substance use disorder through a survey of all VA facilities conducted in May 2007 and again in late 2009.
|
From page 531... ...
VA Liaisons make early connections with Service members and families to promote a positive relationship with VA. In addition, each VA Medical Center has an OEF/OIF Care Management team in place to coordinate patient care activities and ensure that Service members and Veterans are receiving patient-centered, integrated care and benefits.
|
From page 532... ...
. Among the minimum requirements for the Phase 2 requirement outlined in the legislation, DoD and VA are particularly interested in new information on An assessment of the particular impacts of multiple deployments; An assessment of the full scope of effects of TBI and the efficacy of current treatment approaches; An estimate of the long-term costs associated with "undiagnosed" injuries such as PTSD and mild traumatic brain injury (mTBI)
|
From page 533... ...
IV. Appendices C-35
|
From page 534... ...
Determine major stressors, family resiliency Understanding factors, risk factors related to decreased family Resilience in Wounded $264,778 functioning, and the impact of clinical intervention to Warriors and Their improve family functioning of wounded Warriors. Families Develop and validate a needs assessment screening tool for supportive services referral.
|
From page 535... ...
identify relationship between mild TBI, PTSD, and physical health problems post-deployment. Survey active and reserve component Soldiers from Brigade Combat Teams (BCTs)
|
From page 536... ...
Develop and implement registry of combat-exposed men and women with PTSD to identify clinical characteristics, risk factors, and co-morbidities of PTSD, including disparities by Development of a PTSD $954,935 gender, race/ethnicity, and socioeconomic status; evaluate Population Registry neuropsychological and psychosocial outcomes; and evaluate treatment trajectories and outcomes in a sample of combat exposed Veterans Investigate psychosocial resiliency and recovery processes in Army National Guard Soldiers returning from OEF and OIF. The study aims to reduce the occurrence of combat-related PTSD and other psychological disorders, such as depression Understanding and substance abuse.
|
From page 537... ...
Examine whether Service members with Freedom PCS after blast-induced mTBI show symptom improvement over time with current standard of care treatment, but have significant long-term disability. Reintegrating Troops Determine extent to which combat driving behaviors are with Mild Traumatic carried over into post-deployment driving on American roads Brain Injury (mTBI)
|
From page 538... ...
This study was designed to determine the to the Report of contributions of psychological trauma (exposure to combat during the Current Physical Health Vietnam War) , genetic factors, childhood experiences shared by twin siblings, Problems in 4042 and unmeasured experiences not shared by twin siblings to the reporting of Vietnam Era Veteran current physical health problems a mean of 19 years after military service Twin Pairs" CSP #470, "A Determine if multi-modal therapy will significantly improve clinical Randomized, Multi- outcomes in Veterans with Gulf War illnesses.
|
From page 539... ...
The incorporation of a prospective pre-, post-deployment "Neuropsychological design provides a powerful tool that will help explicate changes related to and Mental Outcomes of military service. This study has just initiated another long-term follow up Operation Iraqi Freedom phase.
|
From page 540... ...
Era" CSP #585, "Gulf War Illness GWAS" - Study genetic factors related to Gulf War Illness. Planned CSP #717B, "Prospective Cohort Study of Respiratory Prospective cohort study of respiratory function and illness in spinal cord Function and Illness in injury.
|
From page 541... ...
This study will determine the clinical validity and reliability of VA's TBI Clinical Reminder and Comprehensive TBI Evaluation. VA is collaborating with the DVBIC on this study of individuals who have been diagnosed with TBI while in the military service.
|
From page 542... ...
The primary objectives of this study were to psychological health describe the scope of mTBI/PTSD co-morbidity among returning issues and mTBI in the National Guard OIF Veterans and to identify the extent to which these National Guard problems affected Veterans' psychosocial functioning, physical health, population. and quality of life over time.
|
From page 543... ...
services to eligible Veterans with moderate to severe Assisted Living functional disabilities due to TBI Outcome data on Veteran health Project status, quality of life, patient and family satisfaction with care, and the related impact and cost of providing AL services to eligible Veterans with TBI will be collected over the period of the pilot which is scheduled to run through June 30, 2013 Building on existing neurobiologic models of frontal function, study will Neurobiology of extend our understanding of TBI related brain changes by applying functional Suicide Risk in MRI and diffusion tensor imaging techniques. Accordingly, we will examine Traumatic Brain blood oxygen level dependent signal changes within the cingulate and Injury and dorsolateral prefrontal cortices as well as the amygdala in TBI subjects, with Substance Abuse and without a history of substance abuse, to characterize the nature of these patterns of signal change (higher/lower)
|
From page 544... ...
Wilgenburg, H.M., Goodrich, G., Brahm, K., Kirby, J., & Ingalla, S Visual findings associated with traumatic brain injury in military personnel.
|
From page 545... ...
* = Mobile Vet Center site C-47
|
From page 546... ...
= Vet Center and Mobile Vet Center site; *
|
From page 547... ...
; Cheyenne * = Vet Center and Mobile Vet Center site; *
|
From page 548... ...
Compare barriers and facilitators to treatment Barriers and initiation for PTSD among OEF/OIF Veterans to Facilitators to PTSD those among Veterans from the Vietnam era. Study $362,117 Treatment Seeking will develop a conceptual framework for future research and interventions on PTSD treatment initiation.
|
From page 549... ...
on stigmatizing perceptions, beliefs, attitudes Stigmatization of and practice behaviors towards persons with SMI. Serious Mental Illness Explores the relationship of provider characteristics (SMI)
|
From page 550... ...
identify relationship between mild TBI, PTSD, and physical health problems post-deployment. Survey active and reserve component Soldiers from BCTs in a repeated cross-sectional and longitudinal design.
|
From page 551... ...
identify how temporal differences in parental stress, in particular PTSD, and pregnancy onset impact reproductive health outcomes. Study Design: The primary study population will include all Parental Stress, PTSD, infants born to service members who are participants in the and Infant Health $202,990 Millennium Cohort Study (MCS)
|
From page 552... ...
A RCT to compare Spouse Telephone BATTLEMIND training to usual care in terms of participant satisfaction, participant adherence to therapeutic recommendations, and Reintegration: The Role changes in spouse mental health. Half of 180 OEF/OIF of Spouse Telephone $1,073,000 spouses will be randomly assigned to one each intervention Resilience Training, a (15 groups of 6 participants and one group leader)
|
From page 553... ...
cognitive bias modification training Predeployment compared to a no intervention control group in a Psychophysiologic $2,095,025 randomized trial. The longitudinal study design involves Predictors of 500 National Guard members and includes a prePostdeployment Mental deployment objective risk factor component and a Health Outcomes randomized primary prevention intervention component.
|
From page 554... ...
, higher total earnings, and greater improvement in quality of life outcomes. Exploratory outcomes include PTSD symptoms, other psychiatric symptoms, substance use, risk factors for early treatment drop-out, quality of life, and health care costs (follow up 12 months)
|
From page 555... ...
Project to: 1) better understand the mental health needs of young adult Reservists and National Guard personnel and their families of origin throughout deployment cycles, 2)
|
From page 556... ...
Develop and implement registry of combat-exposed men and women with PTSD to identify clinical characteristics, risk factors and comorbidities of PTSD, Development of a PTSD including disparities by gender, race/ethnicity, and $954,935 Population Registry socioeconomic status; evaluate neuropsychological and psychosocial outcomes, and evaluate treatment trajectories and outcomes in a sample of combat exposed Veterans C-58
|
From page 557... ...
The model requires that Using Propranolol to two doses of propranolol be administered immediately Block Memory following a strong recollection of the combat memory. Reconsolidation in $388,461 Our proposal would compare female Veterans who take Female Veterans with propranolol after a combat memory to both female PTSD Veterans who take a non-active placebo pill after a combat memory and those who take propranolol after a non-combat memory (to make sure that propranolol does not have a general effect on physical reactions)
|
From page 558... ...
Hormonal Regulation of Extinction: Implications Examine whether estrogen "predisposes" females to for Gender Differences $223,419 increased fear learning and/or an inability to extinguish in the Mechanisms of that fear PTSD Combat, Sexual Assault, Identify and describe organizational, situational, and and Post-Traumatic individual risk factors for physical and sexual assault in $519,608 Stress in OIF/OEF women who served or are currently serving in the Military Women Regular Military in OEF/OIF by deployment status C-60
|
From page 559... ...
The model requires that two doses Using Propranolol to of propranolol be administered immediately following a Block Memory strong recollection of the combat memory. Our proposal Reconsolidation in $388,461 would compare female Veterans who take propranolol Female Veterans with after a combat memory to both female Veterans who PTSD take a non-active placebo pill after a combat memory and those who take propranolol after a non-combat memory (to make sure that propranolol does not have a general effect on physical reactions)
|
From page 560... ...
Specific objectives are: 1) examine the mental health and Predicting Post substance abuse status, functioning, and service use of Deployment Mental $758,021 post-deployed OEF/OIF military personnel in the two Health Substance Abuse years' post-deployment, 2)
|
From page 561... ...
These outcomes will $783,607 Women: Risks, be studied in relation to deployment status, Outcomes and Services organizational, situational, and individual risk factors, as well as victimization during Reserve and National Guard (R/NG) service (which is our primary independent variable)
|
From page 562... ...
characterize the ways that Reserve and Mental Health $210,640 National Guard (R/NG) Veterans learn about and decide Programs for whether to use VHA services; and 3)
|
From page 563... ...
Health Project to assess clinical performance trends in the areas of diabetes, cardiovascular, depression and Comparing Quality cancer screening care in the Veterans Affairs and Equity of Care Health Care System and Medicare managed care in VA's and $969,445 program from 1997-2005. The study will compare Medicare Managed both overall performance and the magnitude of Care racial disparity in quality measures within these two systems of care.
|
From page 564... ...
for providing an evidence-based Telemental Health group intervention to rural OEF/OIF Reservists, and Cognitive National Guardsmen, and Veterans with PTSD. Processing $280,976 The long-term objective of this project is to Therapy for Rural develop an empirically sound telemental health Combat Veterans protocol that will facilitate the extension of a with PTSD manual-guided evidence-based PTSD treatment intervention to remote VA and DoD sites through video-teleconferencing.
|
From page 565... ...
The objectives $28,700 OIF/OEF Veterans of this project are to identify medical conditions with PTSD associated with PTSD in women (and men) OEF/OIF returnees, stratified by age, and, among those with PTSD, identify medical conditions associated with war-zone exposure and military sexual trauma.
|
From page 566... ...
for providing an evidence-based Telemental Health group intervention to rural OEF/OIF Reservists, and Cognitive National Guardsmen, and Veterans with PTSD. Processing $280,976 The long-term objective of this project is to Therapy for Rural develop an empirically sound telemental health Combat Veterans protocol that will facilitate the extension of a with PTSD manual-guided evidence-based PTSD treatment intervention to remote VA and DoD sites through video-teleconferencing.
|
From page 567... ...
identify if the presence and frequency of cofactors known to be associated with Sexual Violence cervical cytologic abnormalities is greater in and Women sexually assaulted Veterans when compared to Veterans' $786,901 non-assaulted peers; 3) determine the frequency Gynecologic and types of gynecologic services used by sexually Health assaulted women Veterans in comparison to that of non-assaulted peers; and 4)
|
From page 568... ...
How PTSD, anger Partner Violence $435,740 dysregulation, and cognitive factors are associated Among Combat with more partner violence perpetration among Veterans combat Veterans; and 4) the hypothesis that acute exposure to trauma-related cues will potentiate associations between PTSD symptom severity and various aspects of the anger response.
|
From page 569... ...
Telemedicine and Proposed study to expand upon previous pilot Anger findings by evaluating the clinical effectiveness of Management providing mental health services via VTC modality $840,751 Groups for PTSD as compared to the traditional in-person modality Veterans in the for Veterans with PTSD who reside in remote Hawaiian Island locations. Study testing the impact of a plain language decision aid (i.e., a low reading level)
|
From page 570... ...
Mental Health Disorders Major depression o Estimates of self-reported major depression in OEF/OIF active-duty service members range from 5 percent to 37 percent Post traumatic stress disorder o OEF/OIF Service members who experience combat exposure and those who are wounded are at higher risk than others o One 2006 government study estimated 17 percent of soldiers and 14 percent of Marines met PTSD screening criteria while deployed (other estimates vary) o Service members not identified during deployment may be identified 3-4 months (or many years)
|
From page 571... ...
Substance abuse disorder o A recent study of three Army and one Marine Corps units reported that OEF/OIF deployment was associated with higher prevalence of alcohol misuse compared to pre-deployment prevalence. o A study of reserve and National Guard reported that personnel deployed to OEF/OIF were at increased risk for new-onset heavy weekly drinking, binge drinking, and other alcohol-related outcomes.
|
From page 572... ...
Among military women in general: Over 72 percent of women in one study reported having experienced sexual harassment during their military service 63 percent reported experiences of physical and sexual harassment during military service 43 percent reported rape or attempted rape during military service Rates of pre-military trauma are higher in women than in men; one study reported 58 percent in women versus 35 percent in men Among civilians, women have higher rates of depression and anxiety disorders than men. Studies of military populations posted at permanent bases have yielded similar findings.
|
From page 573... ...
o Projecting the Lifelong Burden of War Historically, the number of Veterans receiving disability and pension benefits peak several decades after the war. As of 2008, 230,000 OEF/OIF Veterans had filed disability claims.
|
From page 574... ...
Appendix J: Acronyms AF Air Force AFRTS Armed Forces Radio and Television Service AL Assisted Living ALS Amyotrophic Lateral Sclerosis BAA Broad Agency Announcements BATE Behavioral Activation and Therapeutic Exposure BCT Brigade Combat Teams CBO Congressional Budget Office CBOC Community Based Outpatient Clinic CCTA Collaborative Clinical Trial Award CDC Centers for Disease Control and Prevention CDE Common data element CDMRP Congressionally Directed Medical Research Programs CHPS Civilian Health Professions Scholarship program CNS Clinical nurse specialist COLA Cost of Living Adjustments CRC Colorectal cancer CSP VA Cooperative Studies Program CSTS Center for the Study of Traumatic Stress CTF Clinical Tracking Form DCoE Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury DES Disability Evaluation System HHS Department of Health and Human Services DLS Deployment Life Study DMDC Defense Manpower Data Center DoD Department of Defense DoDI Department of Defense Instruction DRRI Deployment Risk and Resilience Inventory DTI Diffusion tensor imaging DTM Directive-Type Memorandum DVBIC Defense Veterans Brain Injury Center ECCC Early Combined Collaborative Care ESP Evidence-Based Synthesis Project FOCUS-CI Families Over Coming Under Stress-Combat Injury FTEE Full-time equivalent employee FY Fiscal year C-76
|
From page 575... ...
IAMPS International Applied Military Psychology Seminar IIR Investigator-Initiated Research IB-EW Internet based-expressive writing IOM Institute of Medicine of the National Academy of Sciences IPS Individual placement and support IPV Intimate partner violence IRB Institutional Review Board IVR Interactive voice response MA Mortuary affairs MCS Millennium Cohort Study MDR Military Health System Data Repository MHEI Mental Health Expansion Initiative Mental Health Intensive Case Management – Rural Access Network for Growth MHICM-RANGE Enhancement MHS Military Health System MOMRP Military Operational Medicine Research Program MRI Magnetic residence imagining MST Military sexual trauma mTBI Mild traumatic brain injury MTF Medical treatment facility MVC Mobile Vet Center NCI National Cancer Institute NDAA National Defense Authorization Act NDI National Death Index NHRC Navy Health Research Center NIAAA National Institute of Alcohol Abuse and Alcoholism NIDA National Institute on Drug Abuse NIDRR National Institute on Disability and Rehabilitation Research NIH National Institutes of Health NIMH National Institute of Mental Health NINDS National Institute of Neurological Disorders and Stroke NP Nurse practitioner C-77
|
From page 576... ...
Physical Component Summary PCS (2) Post-concussion Syndrome PFCBT PTSD-Focused Cognitive Behavior Therapy PH Psychological health PHS Public Health Service PHRAMS Psychological Health Risk-Adjusted Model for Staffing PRC Polytrauma Rehabilitation Centers PRO Proactive care intervention PSA Public service announcements PT/BRI QUERI Polytrauma and Blast-Related Injury Quality Enhancement Research Initiative PFCBT PTSD-focused cognitive behavior therapy PTSD Post traumatic stress disorder QUERI Quality Enhancement Research Initiative RC01 Research Committee 01 of the International Sociological Association RCS Office of Readjustment Counseling RCT Randomized controlled trial RFA Request for Applications R/NG Reserve and National Guard rTMS Repetitive transcranial magnetic stimulation RM Regular military SAMHSA Substance Abuse and Mental Health Services Administration SBIRT Screening, Brief Intervention, Referral and Treatment C-78
|
From page 577... ...
TBIMS TBI Model Systems TLD Third-location decompression TOP Telemedicine Outreach for Post Traumatic Stress TRMD Treatment-resistant major depression UC Usual care UK United Kingdom USAMRMC US Army Medical Research and Materiel Command USDA US Department of Agriculture USUHS Uniformed Services University of the Health Sciences VA Department of Veterans Affairs VA RR&D VA Rehabilitation Research and Development Service VAMC VA Medical Center VBA Veterans Benefits Administration VetPop The Veteran Population VHA Veterans Health Administration VISN Veterans Integrated Service Network VRP Vocational rehabilitation program VSA Veterans Service Area WVHSHG Women Veterans Health Strategic Health Care Group C-79
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.