Readiness of Soldiers and Adult Family Members Who Receive Behavioral Health Care : Identifying Promising Outcome Metrics /


Kimberly A. Hepner [and four others].
Bok Engelsk 2021
Annen tittel
Utgitt
Santa Monica, Calif. : RAND Corporation , 2021
Opplysninger
CHAPTER ONE: Introduction -- CHAPTER TWO: Methods -- CHAPTER THREE: Measuring the Readiness of Soldiers and Families -- CHAPTER FOUR: Evaluation of Existing Data Sources and Potential Instruments to Support a Readiness Metric -- CHAPTER FIVE: Improving Readiness Assessment -- CHAPTER SIX: Summary and Recommendations -- APPENDIX A: Readiness Policies -- APPENDIX B: Interview Protocols -- APPENDIX C: Existing Data Sources -- APPENDIX D: Terms Used for Instrument Search -- APPENDIX E: Instruments Identified in the Instrument Search -- APPENDIX F: Instruments from Supplemental Search. - Behavioral health (BH) conditions—such as posttraumatic stress disorder, depression, and anxiety—are the second most common medical reasons for nondeployability in the U.S. Army. The authors of this report aimed to identify promising metrics to assess readiness among soldiers and adult family members who receive BH care. These metrics would expand the Army's outcome monitoring, which currently includes symptom improvement metrics, for patients who received BH care. The authors developed rigorous criteria to evaluate candidate readiness metrics, conducted interviews with stakeholders (Army subject-matter experts and BH providers), reviewed existing sources of data that could support the development of a readiness metric, and conducted a literature review to identify instruments that have been used to measure readiness-related domains in both military and civilian populations. The authors found that no existing data source or patient self-report instrument met criteria for implementation of a readiness metric for soldiers, but one instrument, the Walter Reed Functional Impairment Scale (WRFIS), is promising. No existing data source or patient self-report instrument met criteria for Army-wide implementation of a readiness metric for adult family members. Stakeholders reported that psychiatric symptoms, diagnosis, treatment, and impaired functioning are important indicators of lack of readiness among soldiers and adult family members. BH providers reported variability in assessing readiness and applying profiles, but behavioral experts provided suggestions for improving readiness assessment. The authors recommend that the Army conduct a pilot evaluation of a soldier readiness metric based on the WRFIS and increase standardization in applying profiles by continuing provider training.
Emner
Geografisk emneord
United States : (OCoLC)fst01204155
Dewey

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