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"The U.S. Air Force (AF) wanted to gain greater insight into the well-being of its members who have sustained mental or physical injuries in combat or combat-related situations, with an eye toward improving services provided and enabling wounded airmen to become fully functioning members of society. It also wanted to take advantage of ongoing research into how best to do so. Areas of interest include quality of life and the challenges that will impede wounded veterans' reintegration after they leave AF. AF asked RAND Project AIR FORCE to help gauge the current status of AF's wounded warriors, including their use of and satisfaction with AF programs designed to serve them. The research team surveyed AF wounded warriors (wave 1) and published the results in 2015. This report presents the analysis of the second such survey, called wave 2. The team developed a notional model that drove a survey that assessed well-being on a range of critical indicators. These indicators included psychological health, social support, housing instability, and perceived financial security. They also included questions to assess AF services used, focusing on the AF Wounded Warrior, AF Recovery Care Coordinator, and Family Liaison Officer programs. Because the programs were established relatively recently, this longitudinal investigation represents an independent program evaluation to determine the array and extent of the needs of intended program recipients, assess how well the program meets these needs, and suggest ways to improve the programs"--Publisher's description

Veteran reintegration --- Medical care --- Afghan War, 2001 --- -Iraq War, 2003-2011 --- Disabled veterans --- Veterans --- Homelessness --- Social surveys --- Needs assessment --- Services for --- Social conditions --- Mental health --- Employment --- United States. --- Airmen

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The U.S. Air Force asked RAND Project AIR FORCE (PAF) to help assess the well-being of its wounded members and the quality of services provided to facilitate their recovery and reintegration. RAND PAF fielded a survey in the fall of 2016 to assess wounded airmen's functioning in the domains of physical health, mental health, interpersonal relationships, unemployment, and financial status, as well as their utilization and perceptions of Air Force nonmedical programs for wounded airmen. The authors of this report invited all 713 wounded airmen enrolled in the Air Force Wounded Warrior program to complete the survey, and 270 airmen (38 percent) completed it. One-third of airmen reported difficulty obtaining care for physical or mental health conditions, and one-quarter expressed dissatisfaction with coordination of care. Similar proportions of airmen reported barriers to care for physical and mental health conditions. Difficulty scheduling appointments was the most commonly endorsed barrier for both types of conditions. Small but notable proportions of airmen reported potential social support deficits, unemployment, and financial problems. For many of the Air Force's programs for wounded airmen, over 80 percent of program users reported overall program satisfaction. The authors recommend that the Air Force consider focusing on improving care coordination, increasing health care system capacity, continuing employment assistance, and improving marketing of programs with low uptake.

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The U.S. Air Force, wanting to gain greater insight into the well-being of its members who have sustained mental or physical injuries in combat or combat-related situations, including their quality of life and the challenges they will confront in their reintegration following separation or retirement, asked the RAND Corporation for assistance in gauging the current status of the Air Force's wounded warriors, including their use of and satisfaction with Air Force programs designed to serve them. This report presents the baseline findings from a longitudinal analysis of enrollees in the Air Force Wounded Warrior (AFW2) program who were receiving benefits or undergoing evaluation to receive benefits, the majority of whom had a primary administrative diagnosis of post-traumatic stress disorder (PTSD). A high proportion of the Airmen in the sample screened positive for PTSD (roughly 78 percent) and major depressive disorder (MDD) (roughly 75 percent); 69 percent screened positive for both. Although more than 90 percent of those in the sample who screened positive for PTSD or MDD were receiving treatment, about half indicated that there was at least one instance during the past year in which they desired mental health treatment but did not receive it. Participants reported concerns about stigma, confidentiality, and the quality of available treatment as barriers to receiving mental health care, though the current data do not link these concerns to a particular treatment setting. About 10 percent of Airmen reported a financial situation that could be considered as living in poverty based on U.S. Department of Health and Human Services' poverty guidelines. Similarly, close to 15 percent of those in the labor force could be considered unemployed. Reserve and National Guard Airmen evidenced heightened challenges across examined domains. Respondents were overall satisfied with the services they received from the AFW2 and Air Force Recovery Care Coordinator programs

Veteran reintegration --- Medical care --- Afghan War, 2001 --- -Iraq War, 2003-2011 --- Disabled veterans --- Veterans --- Homelessness --- Social surveys --- Health Surveys --- Disabled Persons --- Veterans Health --- Wounds and Injuries --- Data Collection --- Health --- Persons --- Diseases --- Named Groups --- Epidemiologic Methods --- Health Care Evaluation Mechanisms --- Population Characteristics --- Investigative Techniques --- Public Health --- Health Care --- Quality of Health Care --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Environment and Public Health --- Health Care Quality, Access, and Evaluation --- Military Administration --- Military & Naval Science --- Law, Politics & Government --- Needs assessment --- Services for --- Social conditions --- Mental health --- Employment --- Healthcare Quality, Access, and Evaluation --- Quality of Care --- Quality of Healthcare --- Care Qualities --- Care Quality --- Health Care Quality --- Healthcare Quality --- 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 --- Environment, Preventive Medicine & Public Health --- Environment, Preventive Medicine and Public Health --- Health, Public --- Investigative Technics --- Investigative Technic --- Investigative Technique --- Technic, Investigative --- Technics, Investigative --- Technique, Investigative --- Techniques, Investigative --- Population Heterogeneity --- Population Statistics --- Characteristic, Population --- Characteristics, Population --- Heterogeneity, Population --- Population Characteristic --- Statistics, Population --- Healthcare Evaluation Mechanisms --- Evaluation Mechanism, Healthcare --- Evaluation Mechanisms, Healthcare --- Healthcare Evaluation Mechanism --- Mechanism, Healthcare Evaluation --- Mechanisms, Healthcare Evaluation --- Epidemiologic Method --- Epidemiological Methods --- Methods, Epidemiologic --- Epidemiological Method --- Method, Epidemiologic --- Method, Epidemiological --- Methods, Epidemiological --- Epidemiology --- Person --- Normalcy --- Normality --- Normalities --- Data Aggregation --- Data Collection Methods --- Dual Data Collection --- Aggregation, Data --- Collection Method, Data --- Collection Methods, Data --- Collection, Data --- Collection, Dual Data --- Data Collection Method --- Method, Data Collection --- Methods, Data Collection --- Injuries and Wounds --- Injuries, Wounds --- Research-Related Injuries --- Wounds --- Wounds and Injury --- Wounds, Injury --- Injuries --- Trauma --- Injuries, Research-Related --- Injury --- Injury and Wounds --- Injury, Research-Related --- Research Related Injuries --- Research-Related Injury --- Traumas --- Wound --- Health, Veterans --- Veteran --- Physically Disabled --- Handicapped --- People with Disabilities --- Persons with Disabilities --- Physically Challenged --- Physically Handicapped --- Disabilities, People with --- Disabilities, Persons with --- Disability, Persons with --- Disabled Person --- Disabled, Physically --- Handicapped, Physically --- People with Disability --- Person, Disabled --- Persons with Disability --- Persons, Disabled --- Abortion Surveys --- Abortion Survey --- Health Survey --- Survey, Abortion --- Survey, Health --- Surveys, Abortion --- Surveys, Health --- Disabled sailors --- Disabled soldiers --- Service-disabled veterans --- Veterans, Disabled --- Anglo-American Invasion of Iraq, 2003-2011 --- Dawn, Operation New, 2010-2011 --- Gulf War II, 2003-2011 --- Iraqi Freedom, Operation, 2003-2010 --- New Dawn, Operation, 2010-2011 --- Operation Iraqi Freedom, 2003-2010 --- Operation New Dawn, 2010-2011 --- Operation Telic, 2003-2011 --- Persian Gulf War, 2003-2011 --- Telic, Operation, 2003-2011 --- Delivery of health care --- Delivery of medical care --- Health care --- Health care delivery --- Health services --- Medical and health care industry --- Medical services --- Personal health services --- Community reintegration, Veteran --- Post-deployment reintegration --- Reintegration, Veteran --- Veteran-community reintegration --- methods --- Reintegration --- Pharmacy Audit --- Audit, Pharmacy --- Pharmacy Audits --- Community Health --- Health, Community --- Preventive Medicine --- Education, Public Health Professional --- Medical History Taking --- Empirical Research --- First Aid --- Traumatology --- War Exposure --- Military Personnel --- Military Family --- Rehabilitation Research --- Bedridden Persons --- Immobilization --- Sports for Persons with Disabilities --- Health Services for Persons with Disabilities --- People with disabilities --- War on Terrorism, 2001-2009 --- Operation Enduring Freedom, 2001 --- -War on Terrorism, 2001-2009 --- Public health --- Resocialization --- Sanitary Surveys, Water Supply --- -Operation Enduring Freedom, 2001 --- Afghan War, 2001-2021 --- Iraq War, 2003-2011 --- United States. --- Airmen --- AF (Air force) --- Air Force (U.S.) --- U.S.A.F. (Air force) --- United States Air Force --- US Air Force --- USAF (Air force) --- Military Health