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.

This guide is designed to provide Veterans and their families with the information they need to understand VA's health care system - eligibility requirements, health benefits and services available to help Veterans and copayments that certain Veterans may be charged. Updated Topics and Benefits: Stay Connected with VA p. 2 Combat Veterans can Apply for Enrollment by Telephone p. 3 Seamless Care for Traveling Veterans p. 7 Enrolled, but Later Determined Ineligible p. 15 Free Transportation to VA Appointments p. 33 Audience: Military veterans and their families seeking to use the U.S. Department of Veterans Affairs health care system and learn more about how it works, with contact information for a variety of VA health care services. Related products: Federal Benefits for Veterans, Dependents and Survivors 2016 iis available here: https://bookstore.gpo.gov/products/sku/051-000-00258-0 Code of Federal Regulations, Title 38, Pensions, Bonuses, and Veterans' Relief, Pt. 0-17, Revised as of July 1, 2016 is available here: https://bookstore.gpo.gov/products/sku/869-084-00145-6 Code of Federal Regulations, Title 38, Pensions, Bonuses, and Veterans' Relief, Pt. 18-End, Revised as of July 1, 2016 is available here: https://bookstore.gpo.gov/products/sku/869-084-00146-4

Disasters and public health emergencies can stress health care systems to the breaking point and disrupt delivery of vital medical services. During such crises, hospitals and long-term care facilities may be without power; trained staff, ambulances, medical supplies and beds could be in short supply; and alternate care facilities may need to be used. Planning for these situations is necessary to provide the best possible health care during a crisis and, if needed, equitably allocate scarce resources. Crisis Standards of Care: A Toolkit for Indicators and Triggers examines indicators and triggers that guide the implementation of crisis standards of care and provides a discussion toolkit to help stakeholders establish indicators and triggers for their own communities. Together, indicators and triggers help guide operational decision making about providing care during public health and medical emergencies and disasters. Indicators and triggers represent the information and actions taken at specific thresholds that guide incident recognition, response, and recovery. This report discusses indicators and triggers for both a slow onset scenario, such as pandemic influenza, and a no-notice scenario, such as an earthquake. Crisis Standards of Care features discussion toolkits customized to help various stakeholders develop indicators and triggers for their own organizations, agencies, and jurisdictions. The toolkit contains scenarios, key questions, and examples of indicators, triggers, and tactics to help promote discussion. In addition to common elements designed to facilitate integrated planning, the toolkit contains chapters specifically customized for emergency management, public health, emergency medical services, hospital and acute care, and out-of-hospital care.