| Preface |
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iii | |
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vii | |
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ix | |
| Summary |
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xi | |
| Acknowledgments |
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xvii | |
| Abbreviations |
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xix | |
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1 | (4) |
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Chapter Two Scope of the Problem: How Many Service Members and Dependents Are Remote, and Who Are They? |
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5 | (16) |
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Data Sources for Location of Service Members and Providers |
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5 | (3) |
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A Working Definition of Remoteness |
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8 | (5) |
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Data Analysis: Implementing the Remoteness Definition |
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13 | (6) |
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19 | (2) |
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Chapter Three Effects of Remoteness on Civilian Behavioral Health Care Use |
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21 | (10) |
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Rural and Urban Differences in Use of Behavioral Health Care |
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21 | (2) |
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Analysis of the National Survey of Drug Use and Health |
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23 | (1) |
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Analysis of Health Care Use in the National Study of Drug Use and Health |
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24 | (2) |
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Explanations for Rural-Urban Disparities in Behavioral Health Care |
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26 | (3) |
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29 | (2) |
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Chapter Four Effects of Remoteness on Military Behavioral Health Care Use |
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31 | (12) |
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Prospective Analysis of Remoteness and Behavioral Health Care Use |
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31 | (7) |
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38 | (5) |
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Chapter Five Barriers and Gaps in Policy and Practice |
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43 | (14) |
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Interviews with Key Experts |
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43 | (8) |
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Summary of Findings from Expert Interviews |
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51 | (1) |
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52 | (3) |
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55 | (2) |
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Chapter Six Clinical and System Approaches for Improving Access for Remote Populations |
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57 | (10) |
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Integration of Behavioral Health Treatment into Primary Care |
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57 | (5) |
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Telemental Health as a Potential Partial Solution |
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62 | (1) |
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Issues Affecting Access to Telemental Health |
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63 | (4) |
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Chapter Seven Recommendations |
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67 | (8) |
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A Defense Enrollment Eligibility Reporting System Personnel Data |
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75 | (6) |
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B Driving Distance to Military Treatment and Veterans Affairs Facilities |
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81 | (6) |
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C Community Provider Shortage Areas |
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87 | (6) |
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D ZIP Code File for Geospatial Analysis |
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93 | (4) |
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97 | (8) |
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F National Study of Drug Use and Health Utilization Analyses |
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105 | (4) |
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109 | (10) |
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H Review of the Effectiveness of Telemental Health |
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119 | (12) |
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I Structures, Processes, and Outcomes Framework |
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131 | (2) |
| References |
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133 | |
