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Care of Military Service Members, Veterans, and Their Families
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24 March 2014

Care of Military Service Members, Veterans, and Their Families serves a critical need, which has been highlighted by recent reported rates of combat-related stress disorders and traumatic brain injury, as well as increases in suicide rates among service members and veterans over the past decade and the distress and challenges faced by their children and families. More than 2.5 million Americans currently serve in the U.S. military on active duty, in the Reserves, or in the National Guard, and more than 20 million civilians are veterans. Although patients are viewed here in the context of military service, they seek health care in military, veteran, and civilian settings, and their mental health concerns are as diverse as those encountered in the civilian population. This book is designed for clinicians in all care settings and provides thorough coverage of U.S. military structures and cultures across the armed services, as well as detailed material on the particular mental health challenges faced by service members and their families.
• A full overview of the military
lifestyle is provided, including the life cycle of the military (recruitment
to retirement), service subcultures (Navy, Army, Marines, Air Force, and
Reserve and Guard components), challenges of military life for service
members and families (moves, deployments, etc.), and military mental health.
Material on military culture provides insight for practitioners who may not
be familiar with this population.
• The book focuses on collaborative
care, particularly between the military health care system and the Veterans
Administration, providing clinicians with strategies to mitigate stigma and
other barriers to care through mental health service delivery in primary
care settings.
• The incidence of traumatic brain injury among service
members has increased because of the use of improvised explosive devices,
and an entire chapter is devoted to diagnosing and treating these injuries
as well as educating patients and their families on the condition.
• The
families of service members face significant challenges, and several
chapters are devoted to the needs of military children, the families of ill
and injured service members and veterans, deployment-related care, and
caring for the bereaved.
The book's comprehensive review of resources available to military service members, veterans, and families both ensures high-quality care and reduces the workload for treating physicians. Care of Military Service Members, Veterans, and Their Families is an authoritative and much-needed addition to the mental health literature.
MEDICAL / Psychiatry / General
In short this book is a fabulous reference for psychiatrists, psychologists, individual and family therapists, and other clinicians who treat military members, veterans, and their families.
— Annette M. Matthews, MD
This is a great resource. The book flows seamlessly from topic to topic, making it easy to learn about the military world in a way that makes sense. I would recommend this to anyone preparing to or currently dealing with service members or veterans.
— Sundeep S. Randhawa, M.D.
Stephen J. Cozza, M.D., is a professor of psychiatry and associate director of the Center for the Study of Traumatic Stress at the Uniformed Services University of the Health Sciences in Bethesda, Maryland.
Matthew N. Goldenberg, M.D., is a professor of psychiatry at the Uniformed Services University of the Health Sciences in Bethesda, Maryland.
Robert J. Ursano, M.D., is director of the Center for the Study of Traumatic Stress, a professor of psychiatry and neuroscience, and chair of the Department of Psychiatry at the Uniformed Services University of the Health Sciences in Bethesda, Maryland.
Contributors
Dedication
Preface
Acknowledgments
PART I:
Fundamentals for Treating Military Service Members, Veterans, and
Families
chapter 1. An Introduction to Military Service
chapter 2.
Understanding Military Families: Their Characteristics, Strengths, and
Challenges
chapter 3. Military Children and Programs That Meet Their
Needs
chapter 4. Military Health Care System and the U.S. Department of
Veterans Affairs: An Overview
PART II: Military Service–Related
Conditions and Interventions
chapter 5. Health Consequences of Military
Service and Combat
chapter 6. Combat Stress Reactions and Psychiatric
Disorders After Deployment
chapter 7. Substance Use
Disorders
chapter 8. Care of Combat-Injured Service Members
chapter
9. Traumatic Brain Injury
chapter 10. Suicidal Thoughts and Behaviors in
Military Service Members and Veterans
chapter 11. Collaborative Care:
Mitigating Stigma and Other Barriers to Care Through Mental Health
Service Delivery in Primary Care Settings
PART III: Meeting the
Needs of Military and Veteran Children and Families
chapter 12.
Deployment-Related Care for Military Children and Families
chapter 13.
Children and Families of Ill and Injured Service Members and
Veterans
chapter 14. Caring for Bereaved Military Family
Members
chapter 15. Building Resilience in Military
Families
Index