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Mental Health Stigma in the Military [Minkštas viršelis]

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  • Formatas: Paperback / softback, 330 pages, aukštis x plotis x storis: 256x179x20 mm, weight: 681 g
  • Išleidimo metai: 17-Oct-2014
  • Leidėjas: RAND
  • ISBN-10: 0833085042
  • ISBN-13: 9780833085047
Kitos knygos pagal šią temą:
Mental Health Stigma in the MilitaryDidesnis paveikslėlis
  • Formatas: Paperback / softback, 330 pages, aukštis x plotis x storis: 256x179x20 mm, weight: 681 g
  • Išleidimo metai: 17-Oct-2014
  • Leidėjas: RAND
  • ISBN-10: 0833085042
  • ISBN-13: 9780833085047
Kitos knygos pagal šią temą:
Pastovi nuoroda: https://www.kriso.lt/db/9780833085047.html
Raktažodžiai:
This report assesses the U.S. military’s approach to reducing stigma for mental health disorders and their treatment, how well it is working, and how it might be improved. It presents priorities for getting service members the treatment they need.
Preface iii
Figures
ix
Tables
xi
Summary xiii
Acknowledgments xxv
Abbreviations xxvii
Chapter One Introduction
1(6)
Need for an Assessment of the U.S. Department of Defense Approach to Stigma Reduction
1(1)
Purpose of This Research
2(1)
Methods
2(3)
Literature Review
2(1)
Microsimulation Modeling of Costs
3(1)
Interviews with Program Staff
3(1)
Prospective Policy Analysis
4(1)
Expert Panel
4(1)
Organization of This Report
5(2)
Chapter Two Defining Stigma in the Military Context
7(10)
Importance of a Clear Operational Definition and Conceptual Model of Stigma
7(1)
Definition of Mental Health Stigma in the Military Context
8(1)
Conceptual Model of Mental Health Stigma in the Military Context
8(5)
Military Context Is Unique
11(1)
Public, Institutional, and Social Contexts Are Interconnected but Not Well Understood
12(1)
Related Terms Are Often Used Interchangeably but Are, in Fact, Distinct from Stigma
13(1)
Stereotype, Prejudice, and Discrimination
13(1)
Barriers to Care
14(1)
Stigma Reduction Is One Strategy Used to Promote Treatment-Seeking and Well-Being
14(3)
Chapter Three Prevalence of Mental Health Stigma in the Military
17(12)
Prevalence of Stigma in the Military
17(6)
Joint Mental Health Advisory Team 7
17(3)
Marines Attending the Combat Operational Stress Control Program
20(1)
Navy Quick Poll
20(1)
2011 Department of Defense Health Related Behaviors Survey of Active Duty Military Personnel
21(1)
Hoge et al. Study of Barriers to Care Among Military Personnel Experiencing Combat Duty
22(1)
Survey of Individuals Previously Deployed for Operation Enduring Freedom or Operation Iraqi Freedom
22(1)
Limitations of Military Measures of Stigma
23(1)
Challenges Comparing the Prevalence of Stigma in the Military with That in the General U.S. Population
24(3)
Conclusion
27(2)
Chapter Four Societal Costs of Mental Health Stigma in the Military
29(26)
Literature Review to Estimate Stigma's Impact on Treatment-Seeking
30(1)
Regression Analyses to Estimate Stigma's Impact on Treatment-Seeking
31(21)
Exploratory Analyses Examining Other Barriers to Care
52(1)
Expert Panel to Vet Model Assumptions and Parameters
52(1)
Modeling Societal and Medical Costs
53(1)
Conclusion
54(1)
Chapter Five Promising Programmatic and Policy Approaches to Reducing Stigma
55(12)
Intervening in the Public and Social Contexts
55(5)
Public and Social Context Interventions Tested in Civilian Populations
56(1)
Contact with Individuals with Mental Illness
56(1)
Training on How to Help Someone in Emotional Distress
57(1)
Multimedia Campaigns
58(1)
Public and Social Context Interventions Tested in Military Populations
58(2)
Intervening in the Institutional Context
60(1)
Intervening with People with Mental Health Concerns
61(2)
Summary of Possible Interventions
63(4)
Public and Social Contexts
64(1)
Military Context
64(1)
People with Mental Health Disorders
65(2)
Chapter Six U.S. Department of Defense Programs to Reduce Mental Health Stigma
67(12)
The Primary Approach Is a Universal Culture Shift to Promote Mental Health and Treatment-Seeking
67(3)
More-Indicated or Targeted Military Stigma-Reduction Programs Are Also Being Implemented
70(5)
Identifying and Interviewing Representatives from Stigma-Reduction Programs
70(1)
U.S. Department of Defense Programs and Policies Target the Military Treatment System
71(1)
U.S. Department of Defense Programs Target Military Norms, Culture, and Social Context
72(1)
U.S. Department of Defense Programs Target People with Mental Health Disorders
73(1)
Most Stigma Programs Are Department-Wide
74(1)
Few Stigma-Reduction Programs Are Being Evaluated
74(1)
Suggestions to Augment the U.S. Department of Defense's Approach to Reducing Mental Health Stigma
75(2)
Lessons Learned from Effective Civilian Programs May Help Improve the U.S. Department of Defense Programs Targeting Military Norms, Culture, and Social Context
75(1)
Programs Targeting the Individual Context May Help Broaden the U.S. Department of Defense's Current Approach
76(1)
Conclusion
77(2)
Chapter Seven U.S. Department of Defense Policies Related to Stigma
79(14)
Approach to Prospective Policy Analysis
79(12)
Literature Review
80(1)
Systematic Assessment of Policies
80(3)
Key Findings from the Content Analysis of U.S. Department of Defense Policies
83(8)
Conclusion
91(2)
Chapter Eight Key Findings and Priorities for Improving the U.S. Department of Defense's Approach to Stigma Reduction
93(12)
Key Findings from the Report
93(1)
Priorities to Improve Stigma-Reduction Interventions
94(3)
1 Explore Interventions That Directly Increase Treatment-Seeking
94(1)
2 Consider Evidence-Based Approaches to Empowering Service Members with Mental Health Concerns to Support Their Peers
95(1)
3 Design New or Adapt Existing Intervention-Delivery Mechanisms to Minimize Operational Barriers for Service Members Seeking Treatment
95(1)
4 Embed Stigma-Reduction Interventions in Clinical Treatment
96(1)
5 Implement and Evaluate Stigma-Reduction Programs That Target Service Members Who Have Not Yet Developed Symptoms of a Mental Health Disorder
96(1)
Priorities to Improve Policies That Contribute to Stigma Reduction
97(1)
1 Provide Better Guidance for Policies in Which a Mental Health Condition or Treatment Prohibits Job Opportunities or Actions
97(1)
2 Review the Stigmatizing Language Identified in Policies to Determine Whether It Should Be Removed
97(1)
3 Offer Incentives for Positive Behaviors That Promote Mental Well-Being
98(1)
Priorities to Improve Research and Evaluation Related to Stigma Reduction
98(3)
1 Continue to Improve and Evaluate the Modifications Made to Existing Programs That Begin to Address Stigma and Other Barriers to Care
98(1)
2 Examine the Dynamic Nature of Stigma and How It Interacts with Internal and External Conditions over Time
99(1)
3 Improve Measures of Prevalence to Improve Tracking of Stigma and Other Barriers to Care
100(1)
4 Review Classified Department-Wide and Service-Specific Policies to Determine Potential Implications for Mental Health Stigma and Discrimination
100(1)
Overarching Priority
101(2)
1 Convene a Task Force to Explore the Tensions Between a Command's Need to Know a Service Member's Mental Health Status and Treatment History and the Service Member's Need for Privacy
101(2)
Conclusion
103(2)
Appendixes
A Methods for Literature Review
105(10)
B Definitions of Mental Health Stigma
115(18)
C Prevalence of Stigma in the General U.S. Population
133(4)
D Detailed Methods for the Modeling Approach
137(30)
E Program Descriptions and Analysis
167(16)
F Policy-Analysis Methods
183(6)
G Policies with Implications for Stigma
189(34)
H Policies That Contain Negative Terminology with Implications for Stigma
223(4)
I Methods Used to Conduct the Expert Panel to Refine and Vet Priorities for Mental Health Stigma Reduction in the U.S. Department of Defense
227(6)
Bibliography 233