Posts tagged improving

Improving the mental health of veterans

“A growing number of veterans diagnosed with mental disorders, co-existence with other medical problems. More than 1.5 million euros the previous year had 5.5 million veterans recently diagnosed mental health. This concept paper identifies how the following three areas:

Identify and test new approaches address overall improvement of mental health through prevention, diagnosis and traitement.Identifier specific measures for the monitoring of their effectiveness, so that we allocate more resources associated efficacement.Développer and seek testing new models of treatment to eliminate the stigma and help with registration problems. (Reference VA 13 Challenges)

challenge / problem understanding

war, terrorists and bans a devastating effect on the psyche of the soldiers military. He There are no predictable patterns of calling and random events occur explosives hidden sniper, has suicide hostile to free the soldiers. This fear and anxiety cause stress to create ideal conditions for production of human psychopathology. If people know the meaning of their threat and can not predict its occurrence, little or no neurotic or psychotic behavior is normally developed. Since this is not done, what is especially in a war against terrorism, where the unpredictability and randomness are common, it is not surprising that over 20% of soldiers with psychological problems are.

because the trauma diagnosed first hand (eg loss of a limb or suffer other lost parts of their body, or other people die on the field) leads to a severe emotional trauma, which if not treated quickly a large number of post-traumatic psychological problems. Everyone is looking to adapt to survive. not reduced in normal coping emotional suffering, the people everything back their pain reduced. Often these changes in coping strategies is perverse that normal people do not think it very strange. This bizarre behavior are nothing more than a person who tries to stay alive and face, although atypical, that society recognizes as a mental health problem imposed. For individuals, rather than unravel the maladaptive coping strategy, a life jacket, which is very difficult to time.

The RAND report

“invisible wounds of war” April 2008, found that psychological and cognitive injuries are extremely common, with traumatic brain injury (TBI) and Post Traumatic Stress Disorder (PTSD) is well distributed and not yet understand well is: “The invisible wounds of war deserve special attention and a high priority. Special efforts are needed to ensure they are properly recognized and treated. “The Rand report also finds that four recommendations in both DoD and VA, and expands the civil community must be standardized:

increasing the number of beneficiaries who are trained and certified proof supply (based care on evidence), so that capacity sufficient to meet current and futurspolitiques to encourage changes active duty personnel and veterans to see the care nécessairesOffrir is proved, members of the care based on evidence and veterans or whenever, where services in research fournisInvestir information gaps to fill and effectively plan

Key Issues

There are several important issues which, in view soldier psychological well-being must be investigated. To begin, we need to look at this problem holistically, systemically and in terms of systems. We must understand that many of our soldiers are very young and vulnerable and not fall back on the wisdom of experience to is against such traumatic events. “prevention, early detection and treatment of combat are treated in the not whatever psychological, sociological and cultural interventions and connected to each soldier immediate family members and close friends. To do less is to treat only part of the solution. We must see the problem through the prism of thought systems with casual loop diagrams, the true nature of the complexity of the soldiers posted to clarify. Minimize the potential problem before it occurs, is the number one problem – the preparation of the soldier and his extended social network requires better with scenarios that the soldier will manage to avoid the face. Simulations, interviews with veterans of the sage, systematic techniques to calm and sensitivity training personal personal resilience factors, emotional self-control, self-control and self-motivation every need. Early diagnosis is the next question, which, if it actually have to counter with the chronic nature of the disease and work around the problem while still with acute when habits have not been established. The other question remains is to choose the> The most robust and effective method of treatment if treatment is necessary.

The RAND report

shows an increase in the number of trained and certified professionals are required to offer high quality (results-oriented, patient centered, efficient, equitable and timely care) in all sectors, both military and personnel and civil service already in use. determine recruitment and retention of these providers of mental health is a challenge, the exact number of suppliers on the projections of demand over time should be. Although the exact number of newly trained provider is not known, it is probably in the thousands. Additional training in evidence-based treatment of trauma is also used for tens of thousands of existing

approach

The RAND report that the seven main strategies used

Setting of financial reimbursement for providers to offer appropriate compensation and incentives to attract and retain highly qualified and motivated to ensure the delivery of care quality.Panel development of a certification process to document the clinical skills of providers. Providers would be required to have sufficient knowledge only military culture, military employment and relevant issues to former combattants.Expansion existing training programs for psychiatrists, psychologists, social workers. Marriage and family therapists and other consultants in their programs and practices include training within the parameters of the specific treatments related to trauma and culture militaire.Créer of regional training centers for joint training of DoD, VA, and civilian providers of care services on evidence of PTSD and is based major depression. Centres should be funded, the Federal Government, may be outside of the DoD and VA budgetsLier certification training so that providers not only receive the necessary training, but monitored and controlled to ensure that standards of quality are met and maintained temps.Recyclage or expand the number of existing providers in the DoD and the VA (eg, military advisor to the Community Service program) to the delivery of care or support include preuves.L Based on an assessment of training efforts where they are implemented so that we understand how much training is required and what kind, so that effective care.

VA deeply concerned to find creative ways to three problem areas in the Task 5 address. Most areas of address seven key strategies, in particular 2, 3, 5.6, and 7

improve phase / Idea 1: Identifying and testing new approaches for general mental health through prevention, diagnosis and treatment.

about an experimental model to develop parametric and nonparametric statistical methods, would, at various approaches to the prevention, diagnosis and treatment, when control groups are evaluated. As already mentioned, a social forum of the soldier and his family are involved in related interviews prior to the application in the construction of a comprehensive set of capacity adjustment. Behavioral be developed and modeled for the leader of the soldiers immediately be able to rapidly diagnose an impending mental problem. An array of treatment strategies will be developed by an interdisciplinary team consisting of mental health support from a psychologist, a psychiatrist and a social worker, the soldiers and the needs of the extended family. If the soldier is a physical, the interdisciplinary team is expanded to include health / nutrition consultants, physiotherapists and occupational and be a neurologist. A professional team, a number of professional consultants will follow for the vocational rehabilitation provider.

Stage / 2 Author: Identify specific measures for monitoring their effectiveness so that we can allocate resources more efficiently.

We have a system of allocating resources to maximize the method for the allocation of funds for the prevention of use have different diagnostic and treatment service. Decision Support is available for the allocation of resources to facilitate. By Pareto optimization techniques, we are able to maximize the distribution of funds among several areas program.

to monitor and measure progress in treatment programs, we use a measure of the effectiveness of rehabilitation constellation of working life, social and personal factors related to happiness, heritage, importance and performance. These activities will be measured in qualitative and through an interdisciplinary team perspective of the soldiers. preventive action necessary to reduce the number of soldiers suffering from psychological problems. Diagnosis requires measures how fast they are, identified the leader of the immediate soldier and to the extent that the diagnosis is global.

Stage / 3 idea: Development and testing of new models of treatment on the stigma with which the admission of the problem and ask for removal related to help.

We have a concept of welfare based mental well-being and all aspects of the soldier’s life – spiritually and professionally, socially and personally. Success will be defined in terms of positive mental health instead, where psychopathology is self-esteem, self-esteem and self-motivation highlighted. We are on adult development and deal with the soldiers in a holistic way to exist, rather than treat only the specific problem.

Certified holistic health consultant