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Behavioral health care in the Military Health System : access and quality for remote service members / Kimberly A. Hepner, Ryan Andrew Brown, Carol P. Roth, Teague Ruder, Harold Alan Pincus.
- Format:
- Book
- Author/Creator:
- Hepner, Kimberly A., author.
- Brown, Ryan Andrew, author.
- Roth, Carol Pindar, author.
- Ruder, Teague, author.
- Language:
- English
- Subjects (All):
- Soldiers--Mental health services--United States.
- Soldiers.
- Rural health--United States.
- Rural health.
- Medicine, Military--United States.
- Medicine, Military.
- United States.
- Other Title:
- Behavioral Health Care in the Military Health System
- Place of Publication:
- Santa Monica, Calif. RAND Corporation 2021
- 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.
- 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.
- Notes:
- See also RAND/RB-10093-OSD.
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