Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not surprising that some service members developed such mental health conditions as posttraumatic stress disorder, depression, and substance use disorder. Subsequent epidemiologic studies conducted on military and veteran populations that served in the operations in Afghanistan and Iraq provided scientific evidence that those who fought were in fact being diagnosed with mental illnesses and experiencing mental healthâ€"related outcomesâ€"in particular, suicideâ€"at a higher rate than the general population. This report provides a comprehensive assessment of the quality, capacity, and access to mental health care services for veterans who served in the Armed Forces in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn. It includes an analysis of not only the quality and capacity of mental health care services within the Department of Veterans Affairs, but also barriers faced by patients in utilizing those services.

Problems stemming from the misuse and abuse of alcohol and other drugs are by no means a new phenomenon, although the face of the issues has changed in recent years. National trends indicate substantial increases in the abuse of prescription medications. These increases are particularly prominent within the military, a population that also continues to experience long-standing issues with alcohol abuse. The problem of substance abuse within the military has come under new scrutiny in the context of the two concurrent wars in which the United States has been engaged during the past decade-in Afghanistan (Operation Enduring Freedom) and Iraq (Operation Iraqi Freedom and Operation New Dawn). Increasing rates of alcohol and other drug misuse adversely affect military readiness, family readiness, and safety, thereby posing a significant public health problem for the Department of Defense (DoD). To better understand this problem, DoD requested that the Institute of Medicine (IOM) assess the adequacy of current protocols in place across DoD and the different branches of the military pertaining to the prevention, screening, diagnosis, and treatment of substance use disorders (SUDs). Substance Use Disorders in the U.S. Armed Forces reviews the IOM's task of assessing access to SUD care for service members, members of the National Guard and Reserves, and military dependents, as well as the education and credentialing of SUD care providers, and offers specific recommendations to DoD on where and how improvements in these areas could be made.

"This Manual addresses a practice area of great importance to hundreds of thousands of individuals who have served in the United States armed forces, but are often denied the title of "veteran" and excluded from the benefits and services usually offered to veterans"--

Too often American veterans return from combat and spiral into depression, anger and loneliness they can neither share nor tackle on their own. Military Mental Health Care: A Guide for Service Members, Veterans, Families, and Community seeks to aid our troubled, returning forces by dissecting the numerous mental health problems they face upon arriving stateside. Don Philpott and Cheryl Lawhorne-Scott, co-authors with Janelle Hill of the highly successful Wounded Warrior Handbook, detail not only each issue’s symptoms, but also discuss what treatments are available, and the best ways for veterans to access those treatments while readjusting to civilian life. In addition, they connect and explain many alarming trends, such as joblessness, poverty and addiction, appearing in our nation’s veteran population on a broader scale. PTSD and struggles with anxiety affect far more than veterans themselves, as sobering phenomena like homelessness, suicide, domestic violence and divorce too often become realities for those returning from war. Military Mental Health Care is both a resource for struggling veterans and a useful tool for their loved ones, or anyone looking for ways to support the veterans in their lives.

NOTE: NO FURTHER DISCOUNT FOR THIS PRODUCT -- OVERSTOCK SALE - Significantly reduced list price This book tells the mostly forgotten story of the accelerating mental health problems that arose among the troops sent to fight in South Vietnam, especially the morale, discipline, and heroin crisis that ultimately characterized the second half of the war. This situation was unprecedented in U.S. military history and dangerous, and reflected the fact that during the war America underwent its most divisive period since the Civil War and, as a result, the war became bitterly controversial. The author is a career Army psychiatrist who led a psychiatric unit in Vietnam. In the years following his return, he was dismayed to discover that the Army had conducted no formal review of this alarming situation, including from the standpoint of military psychiatry, and had lost or destroyed all of the pertinent clinical records. In addition to permitting a study of the psychological wounds and their treatment in Vietnam, these records would have been priceless in the treatment of the legions of veterans who presented serious adjustment problems and Post-traumatic Stress Disorder. As a consequence, Dr Camp has been relentless in combing the professional, civilian, and surviving military literature--including unpublished documents--to construct a compelling narrative documenting the successes and failures of Army psychiatry and the Army leadership in Vietnam in responding to these psychiatric and behavioral challenges. The result is a book that is both scholarly and intensely personal, includes vivid case material and anecdotes from colleagues who also served there, and is replete with illustrations and correspondence. It presents the story of Vietnam in a fresh manner--through the psychiatrist's eyes, and sensibilities.

In this book, the IOM makes recommendations for permitting independent practice for mental health counselors treating patients within TRICARE-the DOD's health care benefits program. This would change current policy, which requires all counselors to practice under a physician's supervision without regard to their education, training, licensure or experience.

This report assesses the U.S. military's approach to reducing stigma for mental health disorders and their treatment, how well it is working, and how it might be improved. It presents priorities for program and policy development and research and evaluation to get service members the treatment they need as efficiently and effectively as possible.