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Mental disorders, diagnosis, case studies. --- Mental disorders, therapy, case studies. --- Mental disorders --- Mental illness --- Classification. --- Diagnosis. --- Classificatie. --- Diagnosis, Differential. --- Diagnostic and statistical manual. --- Diagnostiek. --- Mental Disorders --- Mental illness. --- Psychische stoornissen. --- Diagnostic and statistical manual of mental disorders --- Diagnostic and statistical manual of mental disorders.

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#PBIB:2003.3 --- Mental illness --- Psychiatric rating scales --- Psychiatric Status Rating Scales --- Mental Disorders --- Diagnosis --- diagnosis --- Mental disorders --- Psychiatric status rating scales --- Rating scales, Psychiatric --- Scales, Psychiatric rating --- Scales, Rating (Psychiatry) --- Psychodiagnostics --- Treatment --- Evaluation

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Since as far back as World War II, behavioral health technicians (BHTs) have been used to increase the capacity of the military behavioral health workforce and ensure that service members who need behavioral health care have access to high-quality, efficient services. The demands that BHTs face have undoubtedly evolved alongside the changing needs of the military, but it is unclear whether this valuable component of the Military Health System (MHS) mental health care workforce is adequately prepared to fulfill these roles or whether the MHS is making the best use of BHTs' skills. This report provides preliminary insights on selection, training, roles, and responsibilities. Though BHT training is based on the expected roles and responsibilities of BHTs, there may be opportunities to better align the curriculum with the demands of BHTs in the field and the needs of the population they serve. In addition, findings suggest that BHTs may not consistently have the opportunity to apply the full extent of their clinical training, and there is a need to better understand how factors such as setting, supervisor preferences, and availability of ongoing training affect their roles. The recommendations presented provide preliminary suggestions on ways to optimize the training and roles of BHTs in the field, with the goal of ensuring that the MHS can continue meeting the need for high-quality mental health care among service members and their families.

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The Military Health System (MHS) aims to improve the health of all U.S. military personnel, provide the highest quality of care possible, maintain low per capita health care costs, and support overall military readiness. High-quality, evidence-based behavioral health treatment is central to individual well-being and the overall health of the force. However, there has been little research to date on the behavioral health care that National Guard and reserve personnel—collectively known as the reserve component (RC)—receive from the MHS. The full-time personnel in the U.S. military's active component (AC) overwhelmingly receive behavioral health care in military treatment facilities and generally from behavioral health specialty providers, RC personnel rely much more heavily on private-sector contracted care (also referred to as purchased care) and primary care providers. MHS administrative data indicate that RC personnel are less likely to receive recommended treatment for PTSD, depression, and substance use disorders. Likewise, RC personnel who live in areas that are remote from a military treatment facility are less likely than who do not to receive recommended treatment for these conditions. These findings, which focus on behavioral health care access and quality, highlight pathways to improvement for the MHS as part of its ongoing transition to a more centralized model for delivering and overseeing health care across the force.