Preventing Psychological Disorders in Service Members and Their Families An Assessment of Programs (2014) / Chapter Skim
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6 FINDINGS AND RECOMMENDATIONS
6 FINDINGS AND RECOMMENDATIONS
Pages 165-170
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From page 165... ...
For example, on the basis of internal research data that show only very small effect sizes, DOD concluded that Comprehensive Soldier Fitness, a broadly implemented program intended to foster resilience, is effective -- despite external evaluations that dispute that conclusion. Among the small number of DOD-sponsored reintegration programs that exist, none appears to be based on scientific evidence.
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From page 166... ...
In addition, the committee found that although DOD conducts systematic psychological health screening of service members at various phases in the military life cycle as well as in primary care clinics, it does not have a routine health screening program targeting service members who are about to separate from the military. With appropriate processes for referral and for the coordination of care between the military health system and non-military health providers, including the Veterans Health Administration, screening at separation may help to
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From page 167... ...
The committee found no systematic psychological health screening for military spouses and children. The committee acknowledges DOD's recent policy to expand screening requirements in primary care settings located within military treatment facilities; however, the policy will have a limited effect on military spouses and children as they predominately receive care from the network of civilian providers and facilities in the purchased care system.
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From page 168... ...
The committee recognizes there are initiatives in place to build the research base in familyfocused interventions, but believes a more coordinated, comprehensive and systematic approach is needed to support the development and implementation of evidence-based prevention programming for military spouses, partners, and children that address risk and vulnerabilities specific to particular points in the military life cycle. Recommendation 4: The committee recommends that the Department of Defense implement comprehensive universal, selective, and indicated evidence-based prevention programming targeting psychological health in military families, spouses, partners, and children.
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From page 169... ...
In addition, the committee believes that the recommendations would best serve DOD if they are considered in the context of changes to the current organizational infrastructure for program development, implementation, evaluation, and tracking. Although an array of programs exist for resilience, reintegration, and psychological health for service members and their families, the committee's literature and program review revealed that DOD's current infrastructure does not support optimal programming.
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