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Measuring barriers to mental health care in the military : the RAND barriers and facilitators to care item banks / Joie D. Acosta, Wenjing Huang, Maria Orlando Edelen, Jennifer L. Cerully, Sarah Soliman, Anita Chandra.
Van Pelt Library RA790.6 .A242 2018
Available
- Format:
- Book
- Author/Creator:
- Acosta, Joie D.
- Language:
- English
- Subjects (All):
- Mental health services--United States.
- Mental health services.
- Armed Forces.
- United States--Armed Forces--Mental health services.
- United States.
- Mental Health Services.
- Military Personnel.
- Medical Subjects:
- Mental Health Services.
- Military Personnel.
- United States.
- Physical Description:
- xxv, 142 pages : illustrations ; 26 cm
- Other Title:
- RAND barriers and facilitators to care item banks
- Place of Publication:
- Santa Monica, CA : RAND, 2018.
- Summary:
- Many service members report suffering from mental health conditions, such as depression, posttraumatic stress disorder, and problematic substance use. While the proportion of service members initiating treatment has increased in the past decade, fewer than half of the service members who indicate a need for mental health services actually receive care. Service members report a variety of barriers, both logistical (e.g., difficulty scheduling an appointment) and attitudinal (e.g., negative beliefs about treatment), to seeking mental health care. This report summarizes the findings of a study to develop an item bank of barriers to mental health care for the Department of Defense (DoD); establish the reliability and preliminary validity of the item bank and a short form (i.e., a subset of items from the bank that can be used as a short survey); and identify options for how DoD can use the item bank to assess and monitor barriers to such care. During the course of the study, the authors also identified a series of facilitators of mental health care. The analyses resulted in the creation of two item banks-a 54-item bank assessing barriers to mental health care and a six-item bank assessing facilitators of care-and a 15-item short form culled from the barriers bank. The contents of this report will be of particular interest to policymakers and health policy officials within DoD, as well as policymakers in other sectors who sponsor or manage efforts to reduce barriers to mental health and increase treatment seeking and appropriate treatment utilization.
- Contents:
- CHAPTER ONE: Introduction and Purpose
- CHAPTER TWO: Conceptual Model of Influences on a Service Member's Decision to Seek Mental Health Care
- CHAPTER THREE: How Barriers to and Facilitators of Mental Health Care Have Been Measured
- CHAPTER FOUR: Factor Analyses, Item Analyses, and Preliminary Validity of RAND Barriers and Facilitators Banks
- CHAPTER FIVE: How DoD Can Use the RAND Barriers to and Facilitators of Mental Health Care
- APPENDIXES: A. Methods Used to Identify Existing Measures and Develop a Conceptual
- B. Methods Used to Narrow Down the Measures to a Manageable List for
- C. Methods Used to Field-Test the Preliminary Item Pool
- D. Methods Used to Analyze Field-Test Data to Create the Final Item Bank
- E. Methods Used to Develop Options for Utilizing the Item Banks.
- Notes:
- Title from PDF title page (viewed December 7, 2018).
- "Prepared for the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury."
- "This research was ... conducted within the Forces and Resources Policy Center of the RAND National Defense Research Institute."--Preface (page iv).
- Includes bibliographical references (pages 129-142).
- Description based on electronic resource.
- Supersedes RAND/PR-2709-OSD.
- ISBN:
- 0833098608
- 9780833098603
- OCLC:
- 1082968159
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