Book/Printed Material Behavioral health care in the Military Health System : access and quality for remote service members

Title

• Behavioral health care in the Military Health System : access and quality for remote service members

Summary

• Geographic location can be a barrier to accessing and receiving high-quality behavioral health care for both civilians and military personnel. As a consequence, service members who reside far from military treatment facilities may be at higher risk for poorer clinical outcomes than those who are less remotely located. The authors evaluate remote service members' access to Military Health System (MHS) care for those with posttraumatic stress disorder (PTSD), depression, or substance use disorder (SUD) and assess the quality of the behavioral health care they received. The report highlights how quality-measure performance varies by remote status, focusing on differences in quality of care that are large and potentially clinically significant. The authors also discuss policy implications and offer recommendations for how the military can use new strategies-including synchronous telehealth or technology-enabled interventions-to ensure access to high-quality care for all service members, regardless of location.

Names

• Hepner, Kimberly A., author
• Brown, Ryan Andrew, author
• Roth, Carol Pindar, author
• Ruder, Teague, author
• Pincus, Harold Alan, 1951-
• National Defense Research Institute (U.S.). Forces and Resources Policy Center
• Rand Corporation
• United States. Defense Health Agency

Created / Published

• Santa Monica, CA : RAND, [2021]

Contents

• Introduction -- Methods -- Remote Versus Non-Remote Differences in Demographics and Behavioral Health Care Utilization -- Access to Direct Care for the Behavioral Health Cohort -- Quality of Behavioral Health Care: Initial Care -- Quality of Behavioral Health Care: Medication Management -- Quality of Behavioral Health Care: Transitions of Care -- Summary and Recommendations -- Appendix A: Sensitivity Analyses of Remoteness Definition -- Appendix B: Technical Specifications for Access and Behavioral Health Quality of Care Measures -- Appendix C: PTSD, Depression, and SUD Cohort Demographic and Service Characteristics -- Appendix D: Cohort Descriptive Data by Diagnostic Cohort -- Appendix E: Summary of Remote Versus Non-Remote Differences in Behavioral HealthQuality Measures.

Headings

• -  Soldiers--Mental health services--United States
• -  Rural health--United States
• -  Medicine, Military--United States
• -  Medicine, Military
• -  Rural health
• -  United States

Notes

• -  "RAND National Defense Research Institute."
• -  "Prepared for the Defense Health Agency."
• -  Also available on the Internet as a PDF file.
• -  Includes bibliographical references.
• -  See also RAND/RB-10093-OSD.
• -  Description based on print version record; resource not viewed.

Medium

• 1 online resource (xxviii, 186 pages) : illustrations.

Call Number/Physical Location

• UH629.3

Digital Id

• https://hdl.loc.gov/loc.gdc/gdcebookspublic.2024739159

Library of Congress Control Number

• 2024739159

Rights Advisory

• This is non-restricted, fully open content that may be accessed on and off of the Library of Congress campus, with no restrictions, by an unlimited number of users

Access Advisory

• Unrestricted online access

Online Format

• image
• pdf

LCCN Permalink

• https://lccn.loc.gov/2024739159

Additional Metadata Formats

• MARCXML Record
• MODS Record
• Dublin Core Record