Title Access to behavioral health care for geographically remote service members and dependents in the U.S. / Ryan Andrew Brown, Grant N. Marshall, Joshua Breslau, Coreen Farris, Karen Chan Osilla, Harold Alan Pincus, Teague Ruder, Phoenix Voorhies, Dionne Barnes-Proby, Katherine Pfrommer, Lisa Miyashiro, Yashodhara Rana, David M. Adamson ; prepared for the Office of the Secretary of Defense and the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury

Published Santa Monica, CA : RAND, [2014] ©2014

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Description 1 online resource (xxi, 150 pages) : illustrations (chiefly color), color maps Series Research report (Rand Corporation) ; RR-578-OSD. Contents Cover; Title Page; Copyright; Preface; Contents; Figures; Tables; Summary; Acknowledgments; Abbreviations; CHAPTER ONE: Introduction; CHAPTER TWO: Scope of the Problem: How Many Service Members and Dependents Are Remote, and Who Are They?; Data Sources for Location of Service Members and Providers; A Working Definition of Remoteness; Data Analysis: Implementing the Remoteness Definition; Summary; CHAPTER THREE: Effects of Remoteness on Civilian Behavioral Health Care Use; Rural and Urban Differences in Use of Behavioral Health Care; Analysis of the National Survey of Drug Use and Health Analysis of Health Care Use in the National Study of Drug Use and HealthExplanations for Rural-Urban Disparities in Behavioral Health Care; Summary; CHAPTER FOUR: Effects of Remoteness on Military Behavioral Health Care Use; Prospective Analysis of Remoteness and Behavioral Health Care Use; Summary; CHAPTER FIVE: Barriers and Gaps in Policy and Practice; Interviews with Key Experts; Summary of Findings from Expert Interviews; Policy Review; Summary; CHAPTER SIX: Clinical and System Approaches for Improving Access for Remote Populations Integration of Behavioral Health Treatment into Primary CareTelemental Health as a Potential Partial Solution; Issues Affecting Access to Telemental Health; CHAPTER SEVEN: Recommendations; APPENDIXES; A. Defense Enrollment Eligibility Reporting System Personnel Data; B. Driving Distance to Military Treatment and Veterans Affairs Facilities; C. Community Provider Shortage Areas; D. ZIP Code File for Geospatial Analysis; E. TRICARE Plans; F. National Study of Drug Use and Health Utilization Analyses; G. TRICARE Claims Data.; H. Review of the Effectiveness of Telemental Health Summary "Concerns about access to behavioral health care for military service members and their dependents living in geographically remote locations prompted research into how many in this population are remote and the effects of this distance on their use of behavioral health care. The authors conducted geospatial and longitudinal analyses to answer these questions and reviewed current policies and programs to determine barriers and possible solutions"--Publisher's description Bibliography Includes bibliographical references Notes Online resource; title from electronic title page (JSTOR, viewed April 4, 2018) Subject Veterans -- Mental health services -- United States -- Evaluation Military dependents -- Mental health services -- United States -- Evaluation Rural health -- United States Needs assessment -- United States Mental health services. Families. Nuclear families. Health services accessibility. Rural population. Mental Health Services Military Personnel Nuclear Family Family Health Services Accessibility Rural Population BUSINESS & ECONOMICS -- Human Resources & Personnel Management. HISTORY -- Military -- Other. TECHNOLOGY & ENGINEERING -- Military Science. Rural population Nuclear families Mental health services Health services accessibility Families Armed Forces -- Medical care Needs assessment Rural health SUBJECT United States -- Armed Forces -- Medical care. http://id.loc.gov/authorities/subjects/sh85139845 United States Subject United States Form Electronic book Author National Defense Research Institute (U.S.), issuing body. Rand Corporation, issuing body. Defense Centers of Excellence for Psychological Health & Traumatic Brain Injury (U.S.), sponsoring body. LC no. 2014045167 ISBN 9780833087324 0833087320 9780833087300 0833087304

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