Veteran Psychiatry in the US


Book Description

This volume explores the unique psychiatric needs of active and former military personnel and offers clinical pearls for the optimal delivery of care for these individuals. Written by experts in military and veteran psychiatry, this book addresses the most common issues in military and veteran patients, including depression, traumatic brain injury, posttraumatic stress disorder, substance use disorder, homelessness, and suicidality. Chapters highlight the characteristics of veterans suffering from each disorder that requires special treatment, making it a valuable resource for both military and civilian clinicians. Veteran Psychiatry in the US is a valuable resource for all mental health clinicians working with or seeking to work with veterans, including psychiatrists, neurologists, primary care physicians, psychologists, counselors, social workers, nurses, residents, and all others.







Combat Social Work


Book Description

Social workers have a long, proud history of service in most branches of the United States military. The experiences of social workers and other human service professionals of all military ranks have an important, often profound, and lasting impact that informs not only their practice within the military but throughout their career long after they have left the combat zone. In exploring the experiences of 13 American combat social workers (CSWs)--whose role is, among other things, providing military mental health services to members in their unit--this book shares lessons from military service through the lens of social work practitioners. The text includes strategies learned about social work practice in a war zone that are highly applicable to other highly stressful contexts (e.g., crisis intervention, stress reduction procedures, suicide prevention, brief psychotherapy, and consultation on family issues). Combat Social Work is uniquely positioned to serve as a valuable resource for social workers and other mental health providers interested in the assessment and treatment of trauma with active members of the military and military veterans.




Multicultural Counseling


Book Description

Employs the framework of anti-oppressive “Liberation Counseling The first multicultural counseling book to use a strengths-based perspective, this innovative text emphasizes culture and diversity as an asset to be nurtured and approached with humility, empathy, and culturally responsive interventions. The book is also unique in its consideration of marginalized experiences not limited to ethnicity, race, or poverty, but those that also include polyamory, gamers, immigrants, refugees, people with disabilities, and other marginalized populations. Separate sections consider the particular situations of more than 20 distinct populations to foster treatment that is imbued with sensitivity and understanding. The book calls for counselors to deeply examine their own beliefs, attitudes, and judgments to ensure they have productive work with diverse clients. Distinct chapters explore the counselor’s worldview, the client's worldview, and include demonstrations of how to apply multicultural counseling by addressing race and culture; providing culturally responsive assessment, diagnosis, and treatment planning; and designing a culturally sensitive workplace. Content is enhanced by self-reflection questions, end-of-chapter discussion questions, and multifaceted clinical case scenarios providing an in-depth look at the lived reality of marginalized people. Key Features: Emphasizes cultural considerations in treating more than 20 different marginalized populations Engages counselors to deeply examine their own values and beliefs so they don't adversely impact treatment of different populations Written by counselor educators and other subject matter experts with expertise in treating varied populations Uses multifaceted case studies to illustrate content and apply concepts Provides podcast interviews with members of diverse groups Each chapter includes learning objectives, key terms, chapter summary, and discussion questions Delivers robust instructor ancillaries, including an Instructor's Manual that maps to CACREP standards




Quality of Care for PTSD and Depression in the Military Health System


Book Description

Understanding the current quality of care for posttraumatic stress disorder (PTSD) and depression delivered to service members is an important step toward improving care across the Military Health System (MHS). T.his report describes the characteristics of active-component service members who received care for PTSD or depression through the MHS and assesses the quality of care received using quality measures derived from administrative data




Evaluation of the Department of Veterans Affairs Mental Health Services


Book Description

Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not surprising that some service members developed such mental health conditions as posttraumatic stress disorder, depression, and substance use disorder. Subsequent epidemiologic studies conducted on military and veteran populations that served in the operations in Afghanistan and Iraq provided scientific evidence that those who fought were in fact being diagnosed with mental illnesses and experiencing mental healthâ€"related outcomesâ€"in particular, suicideâ€"at a higher rate than the general population. This report provides a comprehensive assessment of the quality, capacity, and access to mental health care services for veterans who served in the Armed Forces in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn. It includes an analysis of not only the quality and capacity of mental health care services within the Department of Veterans Affairs, but also barriers faced by patients in utilizing those services.




Invisible Wounds of War


Book Description

Summarizes key findings and recommendations from Invisible Wounds of War: Psychological and Cognitive Injuries, Their Consequences, and Services to Assist Recovery (Tanielian and Jaycox [Eds.], MG-720-CCF, 2008), a comprehensive study of the post-deployment health-related needs associated with post-traumatic stress disorder, major depression, and traumatic brain injury among veterans of Operations Enduring Freedom/Iraqi Freedom.




Returning Home from Iraq and Afghanistan


Book Description

Nearly 1.9 million U.S. troops have been deployed to Afghanistan and Iraq since October 2001. Many service members and veterans face serious challenges in readjusting to normal life after returning home. This initial book presents findings on the most critical challenges, and lays out the blueprint for the second phase of the study to determine how best to meet the needs of returning troops and their families.




The American Psychiatric Association Practice Guideline for the Pharmacological Treatment of Patients With Alcohol Use Disorder


Book Description

Alcohol use disorder (AUD) is a major public health problem in the United States. The estimated 12-month and lifetime prevalence values for AUD are 13.9% and 29.1%, respectively, with approximately half of individuals with lifetime AUD having a severe disorder. AUD and its sequelae also account for significant excess mortality and cost the United States more than $200 billion annually. Despite its high prevalence and numerous negative consequences, AUD remains undertreated. In fact, fewer than 1 in 10 individuals in the United States with a 12-month diagnosis of AUD receive any treatment. Nevertheless, effective and evidence-based interventions are available, and treatment is associated with reductions in the risk of relapse and AUD-associated mortality. The American Psychiatric Association Practice Guideline for the Pharmacological Treatment of Patients With Alcohol Use Disorder seeks to reduce these substantial psychosocial and public health consequences of AUD for millions of affected individuals. The guideline focuses specifically on evidence-based pharmacological treatments for AUD in outpatient settings and includes additional information on assessment and treatment planning, which are an integral part of using pharmacotherapy to treat AUD. In addition to reviewing the available evidence on the use of AUD pharmacotherapy, the guideline offers clear, concise, and actionable recommendation statements, each of which is given a rating that reflects the level of confidence that potential benefits of an intervention outweigh potential harms. The guideline provides guidance on implementing these recommendations into clinical practice, with the goal of improving quality of care and treatment outcomes of AUD.




Treating Complex Traumatic Stress Disorders in Children and Adolescents


Book Description

With contributions from prominent experts, this pragmatic book takes a close look at the nature of complex psychological trauma in children and adolescents and the clinical challenges it presents. Each chapter shows how a complex trauma perspective can provide an invaluable unifying framework for case conceptualization, assessment, and intervention amidst the chaos and turmoil of these young patients' lives. A range of evidence-based and promising therapies are reviewed and illustrated with vivid case vignettes. The volume is grounded in clinical innovations and cutting-edge research on child and adolescent brain development, attachment, and emotion regulation, and discusses diagnostic criteria, including those from DSM-IV and DSM-5. See also Drs. Ford and Courtois's edited volume Treating Complex Traumatic Stress Disorders in Adults, Second Edition, and their authored volume, Treatment of Complex Trauma: A Sequenced, Relationship-Based Approach.