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Mental illness --- Discrimination against the mentally ill --- Mentally ill --- Madness --- Mental diseases --- Mental disorders --- Disabilities --- Psychology, Pathological --- Mental health
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Mental health services --- Discrimination against the mentally ill --- Mentally ill --- Behavioral health care --- Mental health care --- Psychiatric care --- Psychiatric services --- Medical care
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Mental health services --- Discrimination against the mentally ill --- Mentally ill --- Behavioral health care --- Mental health care --- Psychiatric care --- Psychiatric services --- Medical care
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Mental health services --- Discrimination against the mentally ill --- Mentally ill --- Behavioral health care --- Mental health care --- Psychiatric care --- Psychiatric services --- Medical care
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Mental health services --- Mental illness --- Diagnosis --- Madness --- Mental diseases --- Mental disorders --- Disabilities --- Psychology, Pathological --- Mental health --- Behavioral health care --- Mental health care --- Psychiatric care --- Psychiatric services --- Medical care
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A RAND team conducted an independent implementation evaluation of the Re-Engineering Systems of Primary Care Treatment in the Military (RESPECT-Mil) Program, a system of care designed to screen, assess, and treat posttraumatic stress disorder and depression among active duty service members in the Army's primary care settings. Evaluating the Implementation of the Re-Engineering Systems of Primary Care Treatment in the Military (RESPECT-Mil) presents the results from RAND's assessment of the implementation of RESPECT-Mil in military treatment facilities and makes recommendations to improve the delivery of mental health care in these settings. Analyses were based on existing program data used to monitor fidelity to RESPECT-Mil across the Army's primary care clinics, as well as discussions with key stakeholders. During the time of the evaluation, efforts were under way to implement the Patient Centered Medical Home, and uncertainties remained about the implications for the RESPECT-Mil program. Consideration of this transition was made in designing the evaluation and applying its findings more broadly to the implementation of collaborative care within military primary care settings.
Soldiers --- Veterans --- Brain --- Iraq War, 2003-2011 --- Afghan War, 2001 --- -Combat Disorders --- Stress Disorders, Post-Traumatic --- Military Personnel --- Program Evaluation --- Afghan Campaign 2001 --- -Mental health services --- Evaluation. --- Mental health services --- Mental health --- Wounds and injuries --- Patients --- rehabilitation --- psychology --- United States
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The Air Force has long recognized the importance of selecting the most qualified officers possible. For more than 60 years, it has relied on the Air Force Officer Qualifying Test (AFOQT) as one measure of those qualifications. A variety of concerns have been raised about whether the AFOQT is biased, too expensive, or even valid for predicting officer success. The authors conducted a literature search to answer these concerns. They conclude that the AFOQT is a good selection test that predicts important Air Force outcomes and is not biased against minorities or women. The Air Force would not benefit by replacing the AFOQT with the SAT primarily because it would still have to administer subtests that measure specific aptitudes and knowledge needed for predicting pilot and combat systems officer success. However, other valid selection tools, such as personality tests, could be used to complement the AFOQT.
Air Force Officer Qualifying Test. --- United States. --- Examinations. --- Officers --- Training of.
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Well-defined, systematic, and transparent processes to identify health research gaps, needs, and priorities are vital to ensuring that available funds target areas with the greatest potential for impact. This report documents a scoping review of published methods used for identifying health research gaps, establishing research needs, and determining research priorities and provides relevant information on 362 studies. Of the 362 studies, 167 were linked to funding decisionmaking and underwent a more detailed data abstraction process. The authors noted that most studies focused on physical health conditions, but few addressed psychological health conditions. The most frequent method for identifying research gaps, needs, and priorities was to convene workshops or conferences. One-third of studies employed quantitative methods, and nearly as many used the James Lind Alliance Priority Setting Partnerships approach. Other methods included literature reviews, qualitative methods, consensus methods, and reviews of source materials. The criterion most widely applied to determine health research gaps, needs, and priorities was the importance to stakeholders, followed by the potential value and feasibility of carrying out the research. The two largest stakeholder groups were researchers and clinicians. More than one-half the studies involved patients and the public as stakeholders. Very few studies have evaluated the impact of methods used to identify research gaps, needs, and priorities. This report provides a roadmap of methods used for identifying health research gaps, needs, and priorities, which may help accelerate progress toward validating methods that ensure the effective targeting of funds to meet the greatest areas of need and to maximize impact.
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Behavioral health disparities, in which socially disadvantaged groups—such as racial/ethnic minorities, women, and sexual-orientation minorities—experience greater risk for certain mental health and substance use problems, are well documented in the general population. Less is known about whether similar behavioral health disparities exist among military service members. The U.S. Department of Defense (DoD) desires to understand whether the behavioral health disparities seen in the civilian population also exist in the military, as this knowledge is important to helping DoD target its efforts to address the needs of service members and improve force readiness. To investigate this issue, the authors examined (1) whether minority-group service members are more likely to experience mental health and substance use problems relative to their majority counterparts in the military and (2) whether minority–majority group differences in behavioral health in the military are similar to or different from those in the civilian population. The authors used data from the 2015 Health Related Behaviors Survey, the 2015 National Survey on Drug Use and Health, the 2015 and 2016 Behavioral Risk Factor Surveillance System, and the 2015 National Health and Nutrition Examination Survey. Behavioral health outcomes include mental health (e.g., depression, suicide behaviors, posttraumatic stress disorder) and substance use (e.g., problematic alcohol use, tobacco use) conditions.
United States --- Armed Forces --- Minorities --- Mental health.
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More than 155,000 New Yorkers were trained in Mental Health First Aid (MHFA) between 2016 and 2020. Free citywide trainings were made available to all New Yorkers and were disseminated through city agencies and community-based settings. RAND Corporation researchers conducted a mixed-methods study that included a web-based survey of past trainees and a series of focus groups with leaders of community-based organizations and city agency staff to assess the impact of the MHFA trainings and needs for future training. In this report, the authors describe the evaluation activities that took place; the methods behind them; and the results at the individual, agency, and community levels. They also offer recommendations for ways to improve future mental health education efforts. Respondents applied MHFA skills extensively and broadly across their social networks. Nine in ten respondents had contact with an individual with a mental health problem in the past six months. Among those who had contact, 84 percent indicated using their MHFA skills to help a friend or family member, and nearly half reported applying skills with a co-worker, neighbor, or acquaintance. Because MHFA was offered through city agency workplaces and community-based settings, tens of thousands of New Yorkers were given tools to come to the aid of individuals in their personal and professional lives. MHFA may be a promising approach to building supportive social networks, organizations, and communities that are primed to recognize and assist those experiencing mental health challenges.
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