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Recommended Standards for Delivering High-Quality Care to Veterans with Invisible Wounds.
Authors: --- --- --- --- --- et al.
Year: 2022 Publisher: Santa Monica : RAND Corporation, The,

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Abstract

Traumatic brain injuries and psychological health problems such as posttraumatic stress disorder, depression, and substance use, often referred to as invisible wounds, are common among U.S. military veterans who served in the era after September 11, 2001. Although there are effective treatments for these conditions, it has been challenging to identify places that provide such care, as there has not been a shared definition of what makes care high quality. In a previous study, high-quality care for invisible wounds was defined as care that is veteran-centered, accessible, and evidence-based and that includes outcome monitoring. Identifying standards to operationalize this definition is essential for improving access to high-quality, effective care. In this report, the authors recommend ten standards for the delivery of high-quality care for invisible wounds and provide considerations for implementing and disseminating these standards. Adoption of these standards of care would allow veterans, veteran-serving organizations, and payers to identify high-quality care providers and distinguish between good and poor care. The standards also provide a road map for providers that fall short of the benchmark and might need to invest in training and other resources to improve quality and demonstrate their ability to provide the best possible care for veterans living with invisible wounds.


Book
IMPROVING CARE FOR VETERANS WITH TRAUMATIC BRAIN INJURY ACROSS THE LIFESPAN

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Between 2000 and 2021, the U.S. Department of Defense diagnosed more than 444,300 service members as experiencing at least one traumatic brain injury (TBI) during their military service. The number of TBIs experienced, and their severity, can affect the trajectory of and prognosis for recovery. Much progress has been made in developing, implementing, and disseminating effective treatments for TBI, yet gaps remain in understanding the long-term care and support needs for veterans who have sustained one or more TBIs during their military service. This report presents the findings from a study commissioned by Wounded Warrior Project (WWP) and conducted by the RAND Corporation to identify the long-term outcomes of TBI for veterans serving since the terrorist attacks of September 11, 2001; the future needs of this population; effective treatments for TBI; and the availability of community-based resources. The information in this report can be used to better understand which approaches may offer the best care for veterans with TBI, as well as help inform the care and support offered to veterans and their caregivers.

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