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Evaluation of the Department of Veterans Affairs Mental Health Services

By: National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee to Evaluate the Department of Veterans Affairs Mental Health Services

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Evaluation of the Department of Veterans Affairs Mental Health Services

Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not surprising that some service members developed such mental health conditions as posttraumatic stress disorder, depression, and substance use disorder. Subsequent epidemiologic studies conducted on military and veteran populations that served in the operations in Afghanistan and Iraq provided scientific evidence that those who fought were in fact being diagnosed with mental illnesses and experiencing mental healthâ€"related outcomesâ€"in particular, suicideâ€"at a higher rate than the general population. This report provides a comprehensive assessment of the quality, capacity, and access to mental health care services for veterans who served in the Armed Forces in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn. It includes an analysis of not only the quality and capacity of mental health care services within the Department of Veterans Affairs, but also barriers faced by patients in utilizing those services.

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467

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National Academies Press

Published Date

ISBN 10

0309466601

ISBN 13

9780309466608

Provision of Mental Health Counseling Services Under TRICARE

By: Institute of Medicine,Board on the Health of Select Populations,Committee on the Qualifications of Professionals Providing Mental Health Counseling Services Under TRICARE

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Provision of Mental Health Counseling Services Under TRICARE

By: Institute of Medicine,Board on the Health of Select Populations,Committee on the Qualifications of Professionals Providing Mental Health Counseling Services Under TRICARE

In this book, the IOM makes recommendations for permitting independent practice for mental health counselors treating patients within TRICARE-the DOD's health care benefits program. This would change current policy, which requires all counselors to practice under a physician's supervision without regard to their education, training, licensure or experience.

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351

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National Academies Press

Published Date

ISBN 10

0309157196

ISBN 13

9780309157193

The Mental Health and Substance Use Workforce for Older Adults

In Whose Hands?

By: Institute of Medicine,Board on Health Care Services,Committee on the Mental Health Workforce for Geriatric Populations

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The Mental Health and Substance Use Workforce for Older Adults

In Whose Hands?

By: Institute of Medicine,Board on Health Care Services,Committee on the Mental Health Workforce for Geriatric Populations

At least 5.6 million to 8 million-nearly one in five-older adults in America have one or more mental health and substance use conditions, which present unique challenges for their care. With the number of adults age 65 and older projected to soar from 40.3 million in 2010 to 72.1 million by 2030, the aging of America holds profound consequences for the nation. For decades, policymakers have been warned that the nation's health care workforce is ill-equipped to care for a rapidly growing and increasingly diverse population. In the specific disciplines of mental health and substance use, there have been similar warnings about serious workforce shortages, insufficient workforce diversity, and lack of basic competence and core knowledge in key areas. Following its 2008 report highlighting the urgency of expanding and strengthening the geriatric health care workforce, the IOM was asked by the Department of Health and Human Services to undertake a complementary study on the geriatric mental health and substance use workforce. The Mental Health and Substance Use Workforce for Older Adults: In Whose Hands? assesses the needs of this population and the workforce that serves it. The breadth and magnitude of inadequate workforce training and personnel shortages have grown to such proportions, says the committee, that no single approach, nor a few isolated changes in disparate federal agencies or programs, can adequately address the issue. Overcoming these challenges will require focused and coordinated action by all.

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396

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National Academies Press

Published Date

ISBN 10

0309256658

ISBN 13

9780309256650

Bringing Restorative Justice and Art into Mental Health Settings (executive summaries)

By: The Mental Health Matters Erasmus partnership (Grant Agreement: 2019-1-UK01- KA204-97CBFC43-EN)

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Bringing Restorative Justice and Art into Mental Health Settings (executive summaries)

By: The Mental Health Matters Erasmus partnership (Grant Agreement: 2019-1-UK01- KA204-97CBFC43-EN)

This e-book brings together the work of six organisations working on the Mental Health Matters project, which is supported by the Erasmus+ Programme, under KA204 Strategic Partnerships for adult education”. It is coordinated by the Restorative Justice for All International Institute (United Kingdom), and is delivered in partnership with “Koinonikes Sineteristikes Drastriotites Efpathon Omadon EDRA” (Greece), “Social Center forInnovation” (Cyprus), “Fundacion Intras (Spain), the Athens School of Fine Arts (Greece)and Lelekben Otthon (Hungary). The project aims to challenge current practices in mental health settings by bringing together restorative justice with art. The two concepts can help rebalance power amongst patients and providers while providing healing and therapeutic results. MHMaims to create the first methodological approach for bringing together the practices of restorative justice and art while creating innovative tools and training material for key stakeholders such as artist, mental health professionals and restorative justice practitioners. This ebook presents the first findings of the project.

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RJ4All Publications

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ISBN 10

1911634283

ISBN 13

9781911634287

Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations

Final Assessment

By: Institute of Medicine,Board on the Health of Select Populations,Committee on the Assessment of Ongoing Efforts in the Treatment of Posttraumatic Stress Disorder

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Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations

Final Assessment

By: Institute of Medicine,Board on the Health of Select Populations,Committee on the Assessment of Ongoing Efforts in the Treatment of Posttraumatic Stress Disorder

Posttraumatic stress disorder (PTSD) is one of the signature injuries of the U.S. conflicts in Afghanistan and Iraq, but it affects veterans of all eras. It is estimated that 7-20% of service members and veterans who served in Operation Enduring Freedom and Operation Iraqi Freedom may have the disorder. PTSD is characterized by a combination of mental health symptoms - re-experiencing of a traumatic event, avoidance of trauma-associated stimuli, adverse alterations in thoughts and mood, and hyperarousal - that last at least 1 month and impair functioning. PTSD can be lifelong and pervade all aspects of a service member's or veteran's life, including mental and physical health, family and social relationships, and employment. It is often concurrent with other health problems, such as depression, traumatic brain injury, chronic pain, substance abuse disorder, and intimate partner violence. The Department of Defense (DoD) and the Department of Veterans Affairs (VA) provide a spectrum of programs and services to screen for, diagnose, treat for, and rehabilitate service members and veterans who have or are at risk for PTSD. The 2010 National Defense Authorization Act asked the Institute of Medicine to assess those PTSD programs and services in two phases. The Phase 1 study, Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations: Initial Assessment, focused on data gathering. Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations Final Assessment is the report of the second phase of the study. This report analyzes the data received in Phase 1 specifically to determine the rates of success for each program or method. Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations Final Assessment considers what a successful PTSD management system is and whether and how such a system is being implemented by DoD and VA. This includes an assessment of what care is given and to whom, how effectiveness is measured, what types of mental health care providers are available, what influences whether a service member or veteran seeks care, and what are the costs associated with that care. This report focuses on the opportunities and challenges that DoD and VA face in developing, implementing, and evaluating services and programs in the context of achieving a high-performing system to care for service members and veterans who have PTSD. The report also identifies where gaps or new emphases might be addressed to improve prevention of, screening for, diagnosis of, and treatment and rehabilitation for the disorder. The findings and recommendations of Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations: Final Assessment will encourage DoD and VA to increase their efforts in moving toward a high-performing, comprehensive, integrated PTSD management strategy that addresses the needs of current and future service members, veterans, and their families.

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262

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National Academies Press

Published Date

ISBN 10

0309301769

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9780309301763

People With Mental Illness in the Criminal Justice System

Answering a Cry for Help

By: Group for the Advancement of Psychiatry,Committee on Psychiatry and the Community

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People With Mental Illness in the Criminal Justice System

Answering a Cry for Help

By: Group for the Advancement of Psychiatry,Committee on Psychiatry and the Community

Written by a committee of the Group for the Advancement of Psychiatry, People With Mental Illness in the Criminal Justice System: Answering a Cry for Help represents the collective wisdom of leaders in community psychiatry and is the third in a series of successful publications that have used Dear Abby letters as source material. The letters, submitted by readers with experience with mental illness and the criminal justice system, constitute a rich, real-world repository for the case stories presented in this fascinating volume. Using the experiences shared in the letters, the authors employ the Sequential Intercept Model to present a series of chapters offering detailed recommendations for psychiatrists, group practices, and criminal justice entities on partnering with individuals who are at risk and their families, with the goal of improving outcomes. The book's many features and functions make it relevant to a diverse audience: The Dear Abby letters on which the book's stories are based are heartfelt and human, providing a depth of emotion and understanding that cannot be found elsewhere, and the down-to-earth writing style and real-world material are designed to be useful and compelling to both practitioner and layperson. The case-based recommendations for effective interventions are very specific and practical to promote and enhance clinical skill development. A robust set of appendices presents information for professionals on a variety of critically important topics, including principles for criminal justice and community psychiatry; sequential intercept mapping; stages of engagement with the criminal justice system; HIPAA regulations; screening and mental status/criminal justice history; essential systems of care; and the risk-need-responsivity model. An extensive section of criminal justice/mental health online resources addresses areas such as law enforcement, courts, corrections, evidence-based practices, veterans, organizations, and miscellaneous topics, providing avenues of information and assistance for individuals, families, and clinicians. This simple, evidence-based guide challenges psychiatrists to initiate changes in their clinical work; in the operation of their agencies, programs, and teams; and in their partnerships with local criminal justice and behavioral health providers to positively impact people with behavioral health conditions in the criminal justice system. Implementing the approaches described so eloquently in People With Mental Illness in the Criminal Justice System: Answering a Cry for Help can potentially reduce the overrepresentation of people with mental illnesses in justice settings, provide alternatives to incarceration, and divert individuals who do not pose a public safety risk from jail.

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214

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American Psychiatric Pub

Published Date

ISBN 10

0873182200

ISBN 13

9780873182201

Depression in Parents, Parenting, and Children

Opportunities to Improve Identification, Treatment, and Prevention

By: Institute of Medicine,National Research Council,Division of Behavioral and Social Sciences and Education,Board on Children, Youth, and Families,Committee on Depression, Parenting Practices, and the Healthy Development of Children

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Depression in Parents, Parenting, and Children

Opportunities to Improve Identification, Treatment, and Prevention

Depression is a widespread condition affecting approximately 7.5 million parents in the U.S. each year and may be putting at least 15 million children at risk for adverse health outcomes. Based on evidentiary studies, major depression in either parent can interfere with parenting quality and increase the risk of children developing mental, behavioral and social problems. Depression in Parents, Parenting, and Children highlights disparities in the prevalence, identification, treatment, and prevention of parental depression among different sociodemographic populations. It also outlines strategies for effective intervention and identifies the need for a more interdisciplinary approach that takes biological, psychological, behavioral, interpersonal, and social contexts into consideration. A major challenge to the effective management of parental depression is developing a treatment and prevention strategy that can be introduced within a two-generation framework, conducive for parents and their children. Thus far, both the federal and state response to the problem has been fragmented, poorly funded, and lacking proper oversight. This study examines options for widespread implementation of best practices as well as strategies that can be effective in diverse service settings for diverse populations of children and their families. The delivery of adequate screening and successful detection and treatment of a depressive illness and prevention of its effects on parenting and the health of children is a formidable challenge to modern health care systems. This study offers seven solid recommendations designed to increase awareness about and remove barriers to care for both the depressed adult and prevention of effects in the child. The report will be of particular interest to federal health officers, mental and behavioral health providers in diverse parts of health care delivery systems, health policy staff, state legislators, and the general public.

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488

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National Academies Press

Published Date

ISBN 10

0309121787

ISBN 13

9780309121781

Primary Care

America's Health in a New Era

By: Institute of Medicine,Committee on the Future of Primary Care

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Primary Care

America's Health in a New Era

By: Institute of Medicine,Committee on the Future of Primary Care

Ask for a definition of primary care, and you are likely to hear as many answers as there are health care professionals in your survey. Primary Care fills this gap with a detailed definition already adopted by professional organizations and praised at recent conferences. This volume makes recommendations for improving primary care, building its organization, financing, infrastructure, and knowledge baseâ€"as well as developing a way of thinking and acting for primary care clinicians. Are there enough primary care doctors? Are they merely gatekeepers? Is the traditional relationship between patient and doctor outmoded? The committee draws conclusions about these and other controversies in a comprehensive and up-to-date discussion that covers: The scope of primary care. Its philosophical underpinnings. Its value to the patient and the community. Its impact on cost, access, and quality. This volume discusses the needs of special populations, the role of the capitation method of payment, and more. Recommendations are offered for achieving a more multidisciplinary education for primary care clinicians. Research priorities are identified. Primary Care provides a forward-thinking view of primary care as it should be practiced in the new integrated health care delivery systemsâ€"important to health care clinicians and those who train and employ them, policymakers at all levels, health care managers, payers, and interested individuals.

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411

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National Academies Press

Published Date

ISBN 10

0309175690

ISBN 13

9780309175692

Mental Floss: The Curious Compendium of Wonderful Words

A Miscellany of Obscure Terms, Bizarre Phrases & Surprising Etymologies

By: Erin McCarthy & the Team at Mental Floss

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Mental Floss: The Curious Compendium of Wonderful Words

A Miscellany of Obscure Terms, Bizarre Phrases & Surprising Etymologies

By: Erin McCarthy & the Team at Mental Floss

From Mental Floss, the premier destination for curious minds, comes a deep dive into the the world of words! You’ll discover the surprising (and sometimes very dark) origins of common terms, a guide to quirky old-timey words, a timeline of popular slang, tips & tricks to win at every word game, from Scrabble to Wordle, a collection of the best literary insults, and much more! Ever wonder if there is a synonym for the word synonym? Or why people really hate the word “moist?” Maybe you want to know why we tell a person to take something “with a grain of salt,” or why McDonalds went to war with a dictionary. From obscure words to the best literary insults ever written, this linguistic miscellany is sure to spice up your vocabulary, make you a whizz at word games, and prepare you for plenty of wordy repartee for your next soiree, with some of the most bizarre terms you never knew you needed. A CACOPHONY OF WORDS: Learn the meaning and surprising history of hundreds of words and phrases LOTS OF LISTS: Discover curated collections of literary insults, old-timey words, popular slang, and much more WORD GAME WIZ: Includes tips for mastering popular word games from Scrabble to Wordle WIT FOR WRITERS: Writers looking for just the right word will be inspired by hundreds of unusual and obscure words REFERENCE FOR READERS: Fans of every genre, from Norse Myths to Victorian Romance will find histories, origins, and backstories of the words that make up their favorites reads COMPLETE YOUR COLLECTION: Mental Floss: The Curious Reader, Mental Floss: The Curious Movie Buff, and Mental Floss: The Curious Viewer are also available

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Page Count

208

Publisher

Simon and Schuster

Published Date

ISBN 13

9798886740196

Book's by The Team at Mental Floss

Evaluation of the Department of Veterans Affairs Mental Health Services

Evaluation of the Department of Veterans Affairs Mental Health Services

Provision of Mental Health Counseling Services Under TRICARE

Provision of Mental Health Counseling Services Under TRICARE

The Mental Health and Substance Use Workforce for Older Adults

The Mental Health and Substance Use Workforce for Older Adults

Bringing Restorative Justice and Art into Mental Health Settings (executive summaries)

Bringing Restorative Justice and Art into Mental Health Settings (executive summaries)

Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations

Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations

People With Mental Illness in the Criminal Justice System

People With Mental Illness in the Criminal Justice System

Depression in Parents, Parenting, and Children

Depression in Parents, Parenting, and Children

Primary Care

Primary Care

Mental Floss: The Curious Compendium of Wonderful Words

Mental Floss: The Curious Compendium of Wonderful Words

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