Kimberly A. Hepner's Books

To inform improvements to the quality of care delivered by the military health system for posttraumatic stress disorder and major depressive disorder, researchers developed a framework and identified, developed, and described a candidate set of measures for monitoring, assessing, and improving the quality of care. This document describes their research approach and the measure sets that they identified.

This report presents results from a systematic review and meta-analyses of research examining how mindfulness meditation affects 13 performance-related outcomes of interest to the U.S. Army and broader military. The authors supplemented the systematic review by examining how mindfulness meditation could support stress management and exploring characteristics of selected mindfulness programs.

A RAND study, the first to examine care received by a census of active-duty service members diagnosed with mild traumatic brain injury in the Military Health System, assessed the number and characteristics of these patients (including deployment history and history of traumatic brain injury), their care settings, the treatments they received, co-occurring conditions, the duration of treatment, and the risk factors for requiring long-term care.

The U.S. Department of Defense (DoD) strives to maintain a physically and psychologically healthy, mission-ready force, and the care provided by the Military Health System (MHS) is critical to meeting this goal. Given the rates of posttraumatic stress disorder (PTSD) and depression among U.S. service members, attention has been directed to ensuring the quality and availability of programs and services targeting these and other psychological health (PH) conditions. Understanding the current quality of care for PTSD and depression is an important step toward improving care across the MHS. To help determine whether service members with PTSD or depression are receiving evidence-based care and whether there are disparities in care quality by branch of service, geographic region, and service member characteristics (e.g., gender, age, pay grade, race/ethnicity, deployment history), DoD's Defense Centers of Excellence for Psychological Health and Traumatic brain Injury (DCoE) asked the RAND Corporation to conduct a review of the administrative data of service members diagnosed with PTSD or depression and to recommend areas on which the MHS could focus its efforts to continuously improve the quality of care provided to all service members. This report characterizes care for service members seen by MHS for diagnoses of PTSD and/or depression and finds that while the MHS prerforms well in ensuring outpatient follow-up following psychiatric hospitalization, providing sufficient psychotherapy and medication management needs to be improved. Further, quality of care for PTSD and depression varied by service branch, TRICARE region, and service member characteristics, suggesting the need to ensure that all service members receive high-quality care." -- Back cover.

This report examines changes in behavioral health care delivered to service members by the Military Health System following the onset of the COVID-19 pandemic, including patterns of care, use of telehealth, and quality of care. The findings and recommendations are intended to inform improvements to behavioral health care in the Military Health System and provide insights into the implications of its ongoing integration of telehealth.

Book's by Kimberly A. Hepner

Measuring the Quality of Care for Psychological Health Conditions in the Military Health System

Measuring the Quality of Care for Psychological Health Conditions in the Military Health System

The Impact of Mindfulness Meditation Programs on Performance-Related Outcomes

The Impact of Mindfulness Meditation Programs on Performance-Related Outcomes

Understanding Treatment of Mild Traumatic Brain Injury in the Military Health System

Understanding Treatment of Mild Traumatic Brain Injury in the Military Health System

Quality of Care for PTSD and Depression in the Military Health System

Quality of Care for PTSD and Depression in the Military Health System

Behavioral Health Care Delivery Following the Onset of the COVID-19 Pandemic

Behavioral Health Care Delivery Following the Onset of the COVID-19 Pandemic

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