Traumatic brain injuries and psychological health problems such as posttraumatic stress disorder, depression, and substance use, often referred to as invisible wounds, are common among U.S. military veterans who served in the era after September 11, 2001. Although there are effective treatments for these conditions, it has been challenging to identify places that provide such care, as there has not been a shared definition of what makes care high quality. In a previous study, high-quality care for invisible wounds was defined as care that is veteran-centered, accessible, and evidence-based and that includes outcome monitoring. Identifying standards to operationalize this definition is essential for improving access to high-quality, effective care. In this report, the authors recommend ten standards for the delivery of high-quality care for invisible wounds and provide considerations for implementing and disseminating these standards. Adoption of these standards of care would allow veterans, veteran-serving organizations, and payers to identify high-quality care providers and distinguish between good and poor care. The standards also provide a road map for providers that fall short of the benchmark and might need to invest in training and other resources to improve quality and demonstrate their ability to provide the best possible care for veterans living with invisible wounds.
Kuwait practices a system of institutionalized discrimination against its residents known as Bedoons, longtime inhabitants who have been denied Kuwaiti citizenship and are now being rendered stateless. Barred from employment, denied education for their children, restricted in their movements, and living under the constant threat of arbitrary arrest and deportation, Bedoons are a community of "have nots" in one of the wealthiest countries in the world. At the same time, tens of thousands of Bedoons who fled Kuwait during the Iraqi occupation have been barred from returning to their country. After decades of treating Bedoons as citizens and repeatedly promising to confer formal citizenship on them, the Kuwaiti government reversed its practice and declared them illegal residents of the only country they have ever known. Although the policy was adopted before the Iraqi invasion, it has intensified since the Kuwaiti government was restored to power following the victory of the Desert Storm military campaign.
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