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.




Self-Care Management of Older Military Retirees


Book Description

Recent changes in the Military Health Services System (MHSS) have resulted in older military retirees feeling stripped of 'promised' health care benefits. Despite these changes, older military retirees remain eligible for full participation in MHSS health promotion and illness prevention programs. Current literature on self-care management of older adults is limited. No studies address the distinctive needs of older military retirees. A descriptive survey design and Howe's (1994) Self-Care Case Management Model were used in this study. The purpose of this study was to answer the following research questions: (1) What are the self-care behaviors practiced by community-based military retirees age 65 and older? (2) Who are the suppliers of self-care information to community-based military retirees age 65 and older? 3) What self- care management tools are used by community-based military retirees age 65 and older? Two separate interview instruments were used for data collection. The Mini-Mental State Examination (MMS) (Folstein, Folstein, & McHugh, 1975) and an interview questionnaire developed by the researcher. The interview questionnaire consisted of 56 open-ended questions with forced response sets and assessed six different dimensions of self-care. Reliability and validity were estimated for both instruments. A convenience sample of 30 subjects was selected. Descriptive statistics and the Statistical Package for the Social Sciences (SPSS) were used to analyze data. Selected personal characteristics of the subjects were also examined. Principle findings of the study showed older military retirees were self-reliant in caring for functional activities and mental/social conditions and relied on professional health care providers in caring for physical conditions. Self was identified as the key supplier of sgt\h1=hd4hd\h13 0)et>h- )Æ)Æ)Æ)Æ)Æ)Æ)Æ)Æ)Æ)Æ)Æ)Æ)Æ)Æ)




Retooling for an Aging America


Book Description

As the first of the nation's 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for bold initiatives starting immediately to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who currently receive little or no training in how to tend to their aging loved ones. The book also recommends that Medicare, Medicaid, and other health plans pay higher rates to boost recruitment and retention of geriatric specialists and care aides. Educators and health professional groups can use Retooling for an Aging America to institute or increase formal education and training in geriatrics. Consumer groups can use the book to advocate for improving the care for older adults. Health care professional and occupational groups can use it to improve the quality of health care jobs.




Social Isolation and Loneliness in Older Adults


Book Description

Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.







NTIS Alert


Book Description




Families Caring for an Aging America


Book Description

Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.







Developments in Aging


Book Description




Retirement Information Guide


Book Description