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Invisible Wounds of War
Since October 2001, approximately 1.64 million U.S. troops have been deployed for Operations Enduring Freedom and Iraqi Freedom (OEF/OIF) in Afghanistan and Iraq. Early evidence suggests that the psychological toll of these deployments -- many involving prolonged exposure to combat-related stress over multiple rotations -- may be disproportionately high compared with the physical injuries of combat. In the face of mounting public concern over post-deployment health care issues confronting OEF/OIF veterans, several task forces, independent review groups, and a Presidential Commission have been convened to examine the care of the war wounded and make recommendations. Concerns have been most re...
Caring for Depression
One of the major concerns about the changing U.S. health-care systems is whether they will improve or diminish the quality and cost-effectiveness of medical care. The shift from a fee-for-service to a prepaid method of reimbursement has greatly changed the incentives of patients to seek care as well as those of providers to supply it. This change poses a particular challenge for care of depressed patients, a vulnerable population that often does not advocate for its own care. This book documents the inefficiencies of our national systems--prepaid as well as fee-for-service--for treating depression and explores how they can be improved. Although depression is a major illness affecting million...
Strategic Choices for a Turbulent World
This report is the last of a series in which RAND explores the elements of a national strategy for the conduct of U.S. foreign policy, in this new era of turbulence and uncertainty. Three alternative strategic concepts are presented.
Risk and Responsibility in Context
This volume bridges contemporary philosophical conceptions of risk and responsibility and offers an extensive examination of the topic. It shows that risk and responsibility combine in ways that give rise to new philosophical questions and problems. Philosophical interest in the relationship between risk and responsibility continues to rise, due in no small part to environmental crises, emerging technologies, legal developments, and new medical advances. Despite such interest, scholars are still working out how to conceive of the links between risk and responsibility, the implications that risks may have to conceptions of responsibility (and vice versa), as well as how such theorizing might ...
Making a Mindful Nation
"In this book an anthropologist explores how the widespread shift in popular understandings of mental health have led to the embrace of "mindfulness" as both a form of preventative healthcare and as an ethical practice"--
Assessing the Assignment Policy for Army Women
The current U.S. Department of Defense (DoD) policy for assigning military women was issued in 1994, and the U.S. Army's assignment policy dates to 1992. In the ensuing years, the U.S. Army has undergone significant technological and organizational transformation, which has changed how it organizes and fights. There is concern that, in the course of operations in Iraq, the Army has not been adhering to its own assignment policy, as there are several important and potentially problematic differences between the DoD and Army policies. For example, the DoD policy prohibits the assignment of women to units whose primary mission is direct combat, whereas the Army policy prohibits the assignment of women to units with a routine mission of direct combat, and their definitions of direct combat differ. The research finds that the Army is adhering to the DoD assignment policy but may not be complying with the separate Army assignment policy for women. Assessing the Assignment Policy for Army Women serves to inform DoD decisionmaking with regard to the clarity and appropriateness of the current DoD and Army assignment policies, especially given how units are operating in Iraq.
Building Community Resilience to Disasters
Community resilience, or the sustained ability of a community to withstand and recover from adversity has become a key policy issue at federal, state, and local levels, including in the National Health Security Strategy. Because resources are limited in the wake of an emergency, it is increasingly recognized that resilience is critical to a community's ability to reduce long recovery periods after an emergency. This report provides a roadmap for federal, state, and local leaders who are developing plans to enhance community resilience for health security threats and describes options for building community resilience in key areas. Based on findings from a literature review and a series of community and regional focus groups, the authors provide a definition of community resilience in the context of national health security and a set of eight levers and five core components for building resilience. They then describe suggested activities that communities are pursuing and may want to strengthen for community resilience, and they identify challenges to implementation.
Autism Spectrum Disorders
This handbook provides an overview of the current scientific understanding of autism spectrum disorders, as well as a cultural and historical perspective on the controversies that plague the field. "Autism" describes a complex developmental disability that interferes with social interaction and communication. Symptoms of autism are generally recognizable when children are under the age of three. Until the 1990s, rates for autism were generally estimated at 1 in 2500. In 2010, however, the estimate is now 1 in 110 children. Is the incidence of autism increasing, or has there simply been a shift in how often this disability is diagnosed as the problem? This text provides a comprehensive explanation of autism spectrum disorders (ASD). Autism Spectrum Disorders: A Reference Handbook educates readers about ASD without relying on confusing medical jargon, highlighting current understanding of etiology, neuroscience, and intervention. It also discusses the historical and cultural influences of ASD and explores the controversial aspects of autism.
Provision of Mental Health Counseling Services Under TRICARE
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.
