Choose an application

• Reference Manager
• EndNote
• RefWorks (Direct export to RefWorks)

Brain damage --- Brain --- Cerebral concussion --- Concussion of the brain --- Psychology, Pathological --- Treatment. --- Complications. --- Concussion. --- Wounds and injuries --- Diseases

Choose an application

• Reference Manager
• EndNote
• RefWorks (Direct export to RefWorks)

Posttraumatic stress disorder (PTSD) and traumatic brain injury (TBI) — sometimes referred to as "invisible wounds" — can have significant negative effects on veterans' mental and physical health, yet many veterans have difficulty accessing high-quality care for these conditions. The Veteran Wellness Alliance, an initiative of the George W. Bush Institute, is a coalition of veteran peer network and clinical provider organizations that aims to improve access to high-quality care for post-9/11 veterans, specifically those with PTSD and TBI. Although the Veteran Wellness Alliance and other veteran-serving organizations have a common goal to improve access to high-quality care for invisible wounds, there has been no shared definition of high-quality care to guide these improvement efforts. RAND researchers conducted a literature review and interviews with Veteran Wellness Alliance partner organizations to identify standards for high-quality care, develop an initial definition, and make recommendations for implementing, refining, and disseminating the definition and its associated metrics. Establishing a clear standard for high-quality care will help the Veteran Wellness Alliance offer meaningful guidance to its clinical partners and peer networks and will guide the broader veteran-serving community in providing the highest level of support for post-9/11 veterans who are living with the effects of these conditions.

Veterans --- Brain --- Post-traumatic stress disorder --- Veterans --- Veterans Health Services. --- Mental health services --- Wounds and injuries --- Patients --- Rehabilitation --- Medical care --- United States. --- United States.

Choose an application

• Reference Manager
• EndNote
• RefWorks (Direct export to RefWorks)

Veterans --- Medical care --- United States --- Armed Forces --- Medical care.

Choose an application

• Reference Manager
• EndNote
• RefWorks (Direct export to RefWorks)

This report describes the Affordable Care Act's (ACA's) effects on nonelderly veterans' insurance coverage and demand for Department of Veterans Affairs (VA) health care and assesses the coverage and VA utilization changes that could result from repealing the ACA. Although prior research has shown that the number of uninsured veterans fell after the ACA took effect, the implications of ACA repeal for veterans and, especially, for VA have received less attention. Besides providing a new coverage option to veterans who are not enrolled in VA, the ACA also had the potential to affect health care use among VA patients. Findings include the following: In 2013, prior to the major coverage expansions under the ACA, nearly one in ten nonelderly veterans were uninsured, lacking access to both VA coverage and non-VA health insurance. Uninsurance among nonelderly veterans fell by an adjusted 36 percent (3.3 percentage points) after implementation of the ACA, from 9.1 percent in 2013 to 5.8 percent in 2015. By increasing non-VA health insurance coverage for VA patients, the ACA likely reduced demand for VA care; the authors estimate that, if the gains in insurance coverage that occurred between 2013 and 2015 had not occurred, nonelderly veterans would have used about 1 percent more VA health care in 2015: 125,000 more office visits, 1,500 more inpatient surgeries, and 375,000 more prescriptions. Recent congressional proposals to repeal and replace the ACA would increase the number of uninsured nonelderly veterans and further increase demand for VA health care.

Veterans --- Health services accessibility --- Health insurance --- Health insurance. --- Medically Uninsured. --- Veterans. --- Health Services Accessibility. --- Medicaid. --- Health Surveys. --- Medical care --- United States. --- United States. --- United States. --- United States. --- United States. --- United States.

Choose an application

• Reference Manager
• EndNote
• RefWorks (Direct export to RefWorks)

Dual diagnosis --- Mental health personnel --- Education --- Comorbidity --- Psychiatry --- Mental Disorders --- Substance-Related Disorders --- Epidemiologic Factors --- Psychiatry and Psychology --- Behavioral Sciences --- Diseases --- Anthropology, Education, Sociology and Social Phenomena --- Medicine --- Quality of Health Care --- Health Occupations --- Behavioral Disciplines and Activities --- Public Health --- Health Care Quality, Access, and Evaluation --- Disciplines and Occupations --- Environment and Public Health --- Health Care --- Substance Abuse Disorders --- Health & Biological Sciences --- Treatment --- Study and teaching --- Evaluation --- Care --- Patients --- Training of --- Community-Based Distribution --- Contraceptive Distribution --- Delivery of Healthcare --- Dental Care Delivery --- Distribution, Non-Clinical --- Distribution, Nonclinical --- Distributional Activities --- Healthcare --- Healthcare Delivery --- Healthcare Systems --- Non-Clinical Distribution --- Nonclinical Distribution --- Delivery of Dental Care --- Health Care Delivery --- Health Care Systems --- Activities, Distributional --- Activity, Distributional --- Care, Health --- Community Based Distribution --- Community-Based Distributions --- Contraceptive Distributions --- Deliveries, Healthcare --- Delivery, Dental Care --- Delivery, Health Care --- Delivery, Healthcare --- Distribution, Community-Based --- Distribution, Contraceptive --- Distribution, Non Clinical --- Distributional Activity --- Distributions, Community-Based --- Distributions, Contraceptive --- Distributions, Non-Clinical --- Distributions, Nonclinical --- Health Care System --- Healthcare Deliveries --- Healthcare System --- Non Clinical Distribution --- Non-Clinical Distributions --- Nonclinical Distributions --- System, Health Care --- System, Healthcare --- Systems, Health Care --- Systems, Healthcare --- Healthcare Quality, Access, and Evaluation --- Environment, Preventive Medicine & Public Health --- Environment, Preventive Medicine and Public Health --- Health, Public --- Health Professions --- Health Occupation --- Health Profession --- Occupation, Health --- Occupations, Health --- Profession, Health --- Professions, Health --- Quality of Care --- Quality of Healthcare --- Care Qualities --- Care Quality --- Health Care Quality --- Healthcare Quality --- Medical Specialities --- Medical Specialties --- Medical Specialty --- Specialities, Medical --- Specialties, Medical --- Specialty, Medical --- Medical Speciality --- Speciality, Medical --- Proxemics --- Behavioral Science --- Proxemic --- Science, Behavioral --- Sciences, Behavioral --- Determinant, Epidemiologic --- Determinants, Epidemiologic --- Epidemiologic Determinant --- Epidemiologic Factor --- Factor, Epidemiologic --- Factors, Epidemiologic --- Epidemiologic Determinants --- Substance Addiction --- Drug Abuse --- Drug Addiction --- Drug Dependence --- Drug Habituation --- Drug Use Disorders --- Organic Mental Disorders, Substance-Induced --- Substance Abuse --- Substance Dependence --- Substance Use Disorders --- Abuse, Drug --- Abuse, Substance --- Abuses, Substance --- Addiction, Drug --- Addiction, Substance --- Dependence, Drug --- Dependence, Substance --- Disorder, Drug Use --- Disorder, Substance Use --- Drug Use Disorder --- Habituation, Drug --- Organic Mental Disorders, Substance Induced --- Substance Abuses --- Substance Use Disorder --- Behavior Disorders --- Diagnosis, Psychiatric --- Mental Disorders, Severe --- Psychiatric Diagnosis --- Disorder, Mental --- Disorder, Severe Mental --- Disorders, Behavior --- Disorders, Mental --- Disorders, Severe Mental --- Mental Disorder --- Mental Disorder, Severe --- Severe Mental Disorder --- Severe Mental Disorders --- Psychiatrists --- Psychiatrist --- Multimorbidity --- Comorbidities --- Multimorbidities --- Activities, Educational --- Educational Activities --- Workshops --- Literacy Programs --- Training Programs --- Activity, Educational --- Educational Activity --- Literacy Program --- Program, Literacy --- Program, Training --- Programs, Literacy --- Programs, Training --- Training Program --- Workshop --- Students --- Psychiatric personnel --- Alcoholism and mental illness --- Dual disorders --- Mental illness and alcoholism --- Mental illness and substance abuse --- education --- Community Health --- Health, Community --- Preventive Medicine --- Education, Public Health Professional --- Occupations --- Pharmacy Audit --- Audit, Pharmacy --- Pharmacy Audits --- Prescription Drug Abuse --- Abuse, Prescription Drug --- Drug Abuse, Prescription --- Drug and Narcotic Control --- Disruptive, Impulse Control, and Conduct Disorders --- Psychoses, Alcoholic --- Social Problems --- Street Drugs --- Designer Drugs --- Behavior, Addictive --- Codependency (Psychology) --- Alcohol-Related Disorders --- Prescription Drug Misuse --- Mentally Ill Persons --- Medical personnel --- Mental illness --- Substance abuse --- Health Workforce --- Illicit Drugs --- Codependency, Psychological --- Psychiatric Diseases --- Psychiatric Disorders --- Psychiatric Illness --- Psychiatric Disease --- Psychiatric Disorder --- Psychiatric Illnesses --- Chemical Dependence --- Substance Use --- Chemical Dependences --- Dependence, Chemical --- Dependences, Chemical --- Substance Uses --- Use, Substance --- Mental Illness --- Illness, Mental --- Mental Illnesses --- Substance Related Disorder --- Disorder, Substance Related --- Disorders, Substance Related --- Related Disorder, Substance --- Related Disorders, Substance --- United States. --- Evaluation. --- U.S. Navy --- Psychology --- Factors, Psychological --- Psychological Factors --- Psychological Side Effects --- Psychologists --- Psychosocial Factors --- Side Effects, Psychological --- Factor, Psychological --- Factor, Psychosocial --- Factors, Psychosocial --- Psychological Factor --- Psychological Side Effect --- Psychologist --- Psychosocial Factor --- Side Effect, Psychological