Adequacy of the Comprehensive Clinical Evaluation Program A Focused Assessment (1997) / Chapter Skim
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Executive Summary
Executive Summary
Pages 1-10
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In January 1991, UN coalition forces began intense air attacks against the Iraqi forces (Operation Desert Storm) , on February 24, a ground attack was launched and within 4 days, Iraqi resistance crumbled.
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A complete set of recommendations is found in Appendix F To complete the remaining portions of its charge, the committee convened two workshops on the relevant topics, heard presentations, reviewed written material, and received comments from leading scientific and clinical experts, representatives of DoD and the VA, the Presidential Advisory Committee, the General Accounting Office, and representatives of veterans groups.
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· The committee recommends that when patients presenting with medically unexplained symptom syndromes are evaluated, the provider
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The stress associated with these reports needs to be recognized and addressed. · The committee recommends that the CCEP contain questions on traumatic event exposures in addition to the exposure information currently being collected.
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Unlike many of the medically unexplained symptom syndromes, there are accepted and effective treatments for depression. · The committee recommends that there be increased screening at the primary care level for depression.
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· The committee recommends that every primary care physician have a simple, standardized screen for substance abuse. Every individual who screens positive should be referred for further evaluation and treatment.
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· The committee recommends that DoD explore ways to increase communication with the VA, particularly as it relates to the ongoing treatment of patients. Both providers and patients would benefit from increased educational activity regarding Persian Gulf health issues.
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The committee recommends that depression be a topic of education for all primary care providers, with emphasis on the facts that depression is common, it is treatable, and individuals who experience depression can continue to function. · The committee recommends that CCEP information be used to develop case studies that will help educate providers about Persian Gulf health problems.
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·Patients diagnosed with depression should be interviewed regarding traumatic exposure. · Patients identified with any significant PTSD symptoms and/or a significant traumatic stressor should be referred to a qualified mental health professional for further evaluation and treatment.
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·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.
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