Terri Tanielian's Books

Hidden Heroes

America's Military Caregivers

By: Rajeev Ramchand,Terri Tanielian,Michael P. Fisher,Christine Anne Vaughan,Thomas E. Trail,Caroline Epley,Phoenix Voorhies,Michael William Robbins,Eric Robinson,Bonnie Ghosh-Dastidar

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Hidden Heroes

America's Military Caregivers

By: Rajeev Ramchand,Terri Tanielian,Michael P. Fisher,Christine Anne Vaughan,Thomas E. Trail,Caroline Epley,Phoenix Voorhies,Michael William Robbins,Eric Robinson,Bonnie Ghosh-Dastidar

Little has been reported about “military caregivers”—the population of those who care for wounded, ill, and injured military personnel and veterans. This report summarizes the results of a study designed to describe the magnitude of military caregiving in the United States today, as well as to identify gaps in the array of programs, policies, and initiatives designed to support military caregivers.

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289

Publisher

Rand Corporation

Published Date

ISBN 10

0833085557

ISBN 13

9780833085559

Developing a Research Strategy for Suicide Prevention in the Department of Defense

Status of Current Research, Prioritizing Areas of Need, and Recommendations for Moving Forward

By: Rajeev Ramchand,Nicole K. Eberhart,Christopher Guo,Eric Pedersen,Terrance Dean Savitsky,Terri Tanielian,Phoenix Voorhies

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Developing a Research Strategy for Suicide Prevention in the Department of Defense

Status of Current Research, Prioritizing Areas of Need, and Recommendations for Moving Forward

By: Rajeev Ramchand,Nicole K. Eberhart,Christopher Guo,Eric Pedersen,Terrance Dean Savitsky,Terri Tanielian,Phoenix Voorhies

To support U.S. Department of Defense (DoD) efforts to create a unified, comprehensive strategic plan for suicide prevention research, a RAND study cataloged studies funded by DoD and other entities, examined whether current research maps to DoD’s strategic research needs, and provided recommendations to encourage better alignment and narrow the research-practice gap when it comes to disseminating findings to programs serving military personnel.

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191

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Rand Corporation

Published Date

ISBN 10

083308772X

ISBN 13

9780833087720

Military Caregivers

Cornerstones of Support for Our Nation's Wounded, Ill, and Injured Veterans

By: Terri Tanielian,Rajeev Ramchand,Michael P. Fisher,Carra S. Sims,Racine Harris

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Military Caregivers

Cornerstones of Support for Our Nation's Wounded, Ill, and Injured Veterans

By: Terri Tanielian,Rajeev Ramchand,Michael P. Fisher,Carra S. Sims,Racine Harris

Military caregivers are an essential part of our nation's ability to care for returning wounded warriors. Far too often, their own needs are neglected. The RAND Corporation and the Elizabeth Dole Foundation lay the groundwork to inform policy and program development relative to the needs of military caregivers that often differ from the needs of the general caregiving population.

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Rand Corporation

Published Date

ISBN 10

0833080075

ISBN 13

9780833080073

How Schools Can Help Students Recover from Traumatic Experiences

A Tool Kit for Supporting Long-Term Recovery

By: Lisa H. Jaycox,Lindsey K. Morse,Terri Tanielian,Bradley D. Stein

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How Schools Can Help Students Recover from Traumatic Experiences

A Tool Kit for Supporting Long-Term Recovery

By: Lisa H. Jaycox,Lindsey K. Morse,Terri Tanielian,Bradley D. Stein

This tool kit describes how trauma exposure impacts students' performance and behavior and provides a compendium of programs for schools to support the long-term recovery of traumatized students. It also compares the programs with one another.

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Rand Corporation

Published Date

ISBN 10

0833042866

ISBN 13

9780833042866

Physical and Psychological Health Following Military Sexual Assault

Recommendations for Care, Research, and Policy

By: Coreen Farris,Terry L. Schell,Terri Tanielian

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Physical and Psychological Health Following Military Sexual Assault

Recommendations for Care, Research, and Policy

By: Coreen Farris,Terry L. Schell,Terri Tanielian

This paper reviews data on the prevalence of sexual assault among servicemembers, predictors of disclosure, efforts to improve disclosure, victim needs and DoD efforts to provide necessary resources in the immediate aftermath of a sexual assault. The authors compared civilian and DoD guidelines for care and found them to be generally consistent. However, little is known about the fidelity with which DoD recommendations are implemented.

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Rand Corporation

Published Date

ISBN 10

0833078283

ISBN 13

9780833078285

Invisible Wounds of War

Psychological and Cognitive Injuries, Their Consequences, and Services to Assist Recovery

By: Terri L. Tanielian

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Invisible Wounds of War

Psychological and Cognitive Injuries, Their Consequences, and Services to Assist Recovery

By: Terri L. Tanielian

Since October 2001, approximately 1.64 million U.S. troops have been deployed for Operations Enduring Freedom and Iraqi Freedom (OEF/OIF) in Afghanistan and Iraq. Early evidence suggests that the psychological toll of these deployments -- many involving prolonged exposure to combat-related stress over multiple rotations -- may be disproportionately high compared with the physical injuries of combat. In the face of mounting public concern over post-deployment health care issues confronting OEF/OIF veterans, several task forces, independent review groups, and a Presidential Commission have been convened to examine the care of the war wounded and make recommendations. Concerns have been most recently centered on two combat-related injuries in particular: post-traumatic stress disorder and traumatic brain injury. With the increasing incidence of suicide and suicide attempts among returning veterans, concern about depression is also on the rise. The study discussed in this monograph focuses on post-traumatic stress disorder, major depression, and traumatic brain injury, not only because of current high-level policy interest but also because, unlike the physical wounds of war, these conditions are often invisible to the eye, remaining invisible to other servicemembers, family members, and society in general. All three conditions affect mood, thoughts, and behavior; yet these wounds often go unrecognized and unacknowledged. The effect of traumatic brain injury is still poorly understood, leaving a large gap in knowledge related to how extensive the problem is or how to address it. RAND conducted a comprehensive study of the post-deployment health-related needs associated with these three conditions among OEF/OIF veterans, the health care system in place to meet those needs, gaps in the care system, and the costs associated with these conditions and with providing quality health care to all those in need. This monograph presents the results of our study, which should be of interest to mental health treatment providers; health policymakers, particularly those charged with caring for our nation's veterans; and U.S. service men and women, their families, and the concerned public. All the research products from this study are available at http://veterans.rand.org. Data collection for this study began in April 2007and concluded in January 2008. Specific activities included a critical reviewof the extant literature on the prevalence of post-traumatic stress disorder, major depression, and traumatic brain injury and their short- and long-term consequences; a population-based survey of service members and veterans who served in Afghanistan or Iraq to assess health status and symptoms, as well asutilization of and barriers to care; a review of existing programs to treat service members and veterans with the three conditions; focus groups withmilitary service members and their spouses; and the development of a microsimulation model to forecast the economic costs of these conditions overtime. Among our recommendations is that effective treatments documented in the scientific literature -- evidence-based care -- are available for PTSD and major depression. Delivery of such care to all veterans with PTSD or majordepression would pay for itself within two years, or even save money, by improving productivity and reducing medical and mortality costs. Such care may also be a cost-effective way to retain a ready and healthy military force for the future. However, to ensure that this care is delivered requires system-level changes across the Department of Defense, the Department of Veterans Affairs, and the U.S. health care system.

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499

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Rand Corporation

Published Date

ISBN 10

0833044540

ISBN 13

9780833044549

Caring for the Family Caregiver

By: Elaine Wittenberg,Joy Goldsmith,Sandra L. Ragan,Terri Ann Parnell

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Caring for the Family Caregiver

By: Elaine Wittenberg,Joy Goldsmith,Sandra L. Ragan,Terri Ann Parnell

Caring for the Family Caregiver is an extensive practical tool kit for health care providers across the healthcare continuum. Regardless if it is a mother caring for a child with a developmental disability, a wife caring for a husband with a long term chronic illness, or a daughter sitting at the bedside of her father who is enrolled in hospice, family caregivers are the silent "other patient" in the health care drama. Healthcare providers who do not attend to the needs of the caregiver not only inflict interactional suffering, but dilute their treatment by not engaging the caregiver as a partner. In fact, they may unintentionally do harm as the caregiver flounders and thus patient treatment fails. As noted by one dying cancer patient in an educational YouTube video of his cancer journey, "there are two patients not one." If we are to eliminate the interactional suffering experienced by family caregivers, we must train both the caregiver and the health care team for the important interaction and roles that are required for the successful care of the patient. Caregivers lack information, skills, and emotional support for the tireless task they are volunteering for. They need to be taught how to advocate for themselves and their patients and how to best communicate with the health care team. Likewise, health care providers have the skills and knowledge to provide outstanding patient centered care; however, they are not taught the importance of the family caregiver, nor do they always understand that experience or how to help"--

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Page Count

241

Publisher

Oxford University Press, USA

Published Date

ISBN 10

0190055235

ISBN 13

9780190055233

Improving Substance Use Care

Addressing Barriers to Expanding Integrated Treatment Options for Post-9/11 Veterans

By: Eric R. Pedersen,Kathryn E. Bouskill,Stephanie Brooks Holliday,Sierra Smucker

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Improving Substance Use Care

Addressing Barriers to Expanding Integrated Treatment Options for Post-9/11 Veterans

By: Eric R. Pedersen,Kathryn E. Bouskill,Stephanie Brooks Holliday,Sierra Smucker

Veterans who have served in the military since September 11, 2001, are at particularly high risk for co-occurring substance use disorders (SUDs) and mental health disorders, such as posttraumatic stress disorder and depression. Many treatment facilities require abstinence from substances prior to admission for mental health care, but the combination of symptoms that these disorders present makes them difficult to treat separately. Thus, integrated care—in which both SUDs and mental health problems are addressed concurrently—is a recommended form of treatment for these veterans. To help improve access to effective treatment for these veterans, the authors review the literature on efficacious approaches to treating SUDs alone and alongside mental health disorders. They also present findings from an analysis of the availability of treatment centers that offer SUD care for veterans and from a series of interviews and site visits with treatment providers. The authors conclude with guidance and recommendations to support the delivery of quality care for veterans with SUDs and, ultimately, to help expand and enhance treatment opportunities for veterans with co-occurring SUDs and mental health disorders.

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212

Published Date

ISBN 10

1977405320

ISBN 13

9781977405326

Hidden Heroes

America's Military Caregivers

By: Rajeev Ramchand,Terri Tanielian,Michael P. Fisher,Christine Anne Vaughan,Thomas E. Trail,Caroline Epley,Phoenix Voorhies,Michael William Robbins,Eric Robinson,Bonnie Ghosh-Dastidar

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Hidden Heroes

America's Military Caregivers

By: Rajeev Ramchand,Terri Tanielian,Michael P. Fisher,Christine Anne Vaughan,Thomas E. Trail,Caroline Epley,Phoenix Voorhies,Michael William Robbins,Eric Robinson,Bonnie Ghosh-Dastidar

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289

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Rand Corporation

Published Date

ISBN 10

0833085557

ISBN 13

9780833085559

Bridging Gaps in Mental Health Care

Lessons Learned from the Welcome Back Veterans Initiative

By: Terri Tanielian,Caroline Batka,Lisa S. Meredith

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Bridging Gaps in Mental Health Care

Lessons Learned from the Welcome Back Veterans Initiative

By: Terri Tanielian,Caroline Batka,Lisa S. Meredith

This report describes the progress made and challenges faced by Welcome Back Veterans, an initiative that supports organizations that, in turn, provide programs and services to support veterans and their families.

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ISBN 10

0833098985

ISBN 13

9780833098986

Military Caregivers

Cornerstones of Support for Our Nation's Wounded, Ill, and Injured Veterans

By: Terri Tanielian,Rajeev Ramchand,Michael P. Fisher,Carra S. Sims,Racine Harris

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Military Caregivers

Cornerstones of Support for Our Nation's Wounded, Ill, and Injured Veterans

By: Terri Tanielian,Rajeev Ramchand,Michael P. Fisher,Carra S. Sims,Racine Harris

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Rand Corporation

Published Date

ISBN 10

0833079638

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9780833079633

Public-private Partnerships for Providing Behavioral Health Care to Veterans and Their Families

What Do We Know, what Do We Need to Learn, and what Do We Need to Do?

By: Eric R. Pedersen,Nicole K. Eberhart,Kayla M. Williams,Terri L. Tanielian,Caroline Epley,Deborah M. Scharf

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Public-private Partnerships for Providing Behavioral Health Care to Veterans and Their Families

What Do We Know, what Do We Need to Learn, and what Do We Need to Do?

By: Eric R. Pedersen,Nicole K. Eberhart,Kayla M. Williams,Terri L. Tanielian,Caroline Epley,Deborah M. Scharf

American veterans and their family members struggle with behavioral health problems, yet few engage in treatment to address these problems. Barriers to care include trouble accessing treatment and limited communication between civilian and military health care systems, which treat veterans and their family members separately. Even though the Department of Veterans Affairs (VA) is making efforts to address barriers to care, more work is needed to effectively serve veterans and their families. Public-private partnerships have been discussed as a potential solution and could include collaborations between a public agency, such as the VA, and a private organization, such as a veteran service organization, private industry, or private hospital. Despite the call for such partnerships, not much is known about what a public-private partnership would entail for addressing behavioral health concerns for veterans and their families. The health care literature is sparse in this area, and published examples and recommendations are limited. Thus, the authors wrote this report to inform the creation of public-private partnerships to better serve veterans and their families. The report outlines nine key components for public-private partnerships addressing veteran behavioral health care. These components are supported by qualitative interview data from five successful public-private partnerships that serve veterans and their families. This report will assist policymakers in the VA and other federal agencies in developing and fostering public-private partnerships to address the behavioral health care needs of veterans and their families. The report also discusses next steps for research and policymaking efforts with regard to these partnerships.

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ISBN 10

083309047X

ISBN 13

9780833090478

Developing a Research Strategy for Suicide Prevention in the Department of Defense

Status of Current Research, Prioritizing Areas of Need, and Recommendations for Moving Forward

By: Rajeev Ramchand,Nicole K. Eberhart,Christopher Guo,Eric Pedersen,Terrance Dean Savitsky,Terri Tanielian,Phoenix Voorhies

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Developing a Research Strategy for Suicide Prevention in the Department of Defense

Status of Current Research, Prioritizing Areas of Need, and Recommendations for Moving Forward

By: Rajeev Ramchand,Nicole K. Eberhart,Christopher Guo,Eric Pedersen,Terrance Dean Savitsky,Terri Tanielian,Phoenix Voorhies

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191

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Rand Corporation

Published Date

ISBN 10

083308772X

ISBN 13

9780833087720

Invisible Wounds of War

Psychological and Cognitive Injuries, Their Consequences, and Services to Assist Recovery

By: Terri L. Tanielian

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Invisible Wounds of War

Psychological and Cognitive Injuries, Their Consequences, and Services to Assist Recovery

By: Terri L. Tanielian

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499

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Rand Corporation

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ISBN 10

0833044540

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9780833044549

Ready to Serve

Community-based Provider Capacity to Deliver Culturally Competent, Quality Mental Health Care to Veterans and Their Families

By: Terri L. Tanielian,Coreen Farris,Caroline Epley,Carrie M. Farmer,Eric Robinson,Charles C. Engel,Michael William Robbins,Lisa Jaycox

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Ready to Serve

Community-based Provider Capacity to Deliver Culturally Competent, Quality Mental Health Care to Veterans and Their Families

By: Terri L. Tanielian,Coreen Farris,Caroline Epley,Carrie M. Farmer,Eric Robinson,Charles C. Engel,Michael William Robbins,Lisa Jaycox

Ensuring that military veterans and their families have access to high-quality mental health care is a national priority. Over the past several years, the Departments of Defense and Veterans Affairs have increased the number of mental health professionals working within their facilities and have rolled out training and quality improvement initiatives designed to promote the use of evidence-based treatments. Despite these important efforts, research continues to demonstrate that many veterans prefer to seek services outside the Department of Defense and/or the Department of Veterans Affairs. Thus, providers working in the civilian sector are an increasingly important part of the overall workforce addressing veterans' mental health needs. To better understand a key aspect of our nation's ability to provide veterans and their families with access to high-quality mental health care, RAND conducted a survey of civilian mental health providers to gather information about their competency with military and veteran culture and their training and experience treating posttraumatic stress disorder and depression. This report provides the results of that survey. The findings and recommendations from this study should be relevant to individuals, organizations, and policy officials concerned about the capacity of the civilian health care sector to deliver culturally competent, high-quality services to veterans and their families.

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ISBN 10

0833089420

ISBN 13

9780833089427

Enhancing Capacity to Address Mental Health Needs of Veterans and Their Families

The Welcome Back Veterans Initiative

By: Terri L. Tanielian,Laurie T. Martin,Caroline Epley,RAND Health,Rand Corporation,Robert R. McCormick Tribune Foundation

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Enhancing Capacity to Address Mental Health Needs of Veterans and Their Families

The Welcome Back Veterans Initiative

By: Terri L. Tanielian,Laurie T. Martin,Caroline Epley,RAND Health,Rand Corporation,Robert R. McCormick Tribune Foundation

In the context of the conflicts in Iraq and Afghanistan over the past decade, there have been a growing number of efforts designed to support service members, veterans, and their families as they cope with deployment and ensure that those who experience mental health problems following their service have access to high-quality care for themselves and their families. Among these is the Welcome Back Veterans (WBV) Initiative, launched in 2008 by Major League Baseball and the Robert R. McCormick Foundation. During 2011-2013, the WBV Initiative issued grants to academic medical institutions around the nation to create and implement programs and services designed to address the mental health needs of returning veterans and their families. In 2010, the McCormick Foundation asked RAND to join the WBV Initiative in a performance monitoring role. RAND designed a system of regular data reporting to assess performance and impact of the WBV-funded activities at each site. This report provides an overview of the WBV Initiative, summarizes the impact of WBV-funded programs during their funding cycle between February 2011 and June 2013, and outlines the lessons learned in implementing veteran support programs. It also discusses the role of partnerships and innovative strategies for outreach.

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ISBN 10

0833087401

ISBN 13

9780833087409

Impact of a Uniform Formulary on Military Health System Prescribers : Baseline Survey Results

By: Terri L. Tanielian,Katherine Harris,Ana Suarez,Peter Glassman,Melissa Bradley,Renee Labor,Sidney Atkinson

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Impact of a Uniform Formulary on Military Health System Prescribers : Baseline Survey Results

By: Terri L. Tanielian,Katherine Harris,Ana Suarez,Peter Glassman,Melissa Bradley,Renee Labor,Sidney Atkinson

Assess Military Health System prescriber's experiences with, and opinions of, drug formularies.

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188

Publisher

Rand Corporation

Published Date

ISBN 10

0833033123

ISBN 13

9780833033123

Evidence Based Care Models for Recognizing and Treating Alcohol Problems in Primary Care Settings

By: Katherine Watkins,Harold Alan Pincus,Terri L. Tanielian

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Evidence Based Care Models for Recognizing and Treating Alcohol Problems in Primary Care Settings

By: Katherine Watkins,Harold Alan Pincus,Terri L. Tanielian

This report discusses how a chronic disease management model can be adapted to improve the detection, treatment and management of patients with alcohol-related problems in primary care settings. It highlights the relevant literature and covers issues and strategies for consideration.

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Rand Media

Published Date

ISBN 10

0833031201

ISBN 13

9780833031204

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