LEADER 00000cam  22006738i 4500 
001    ocn928136943 
003    OCoLC 
005    20170927053251.7 
006    m     o  d         
007    cr ||||||||||| 
008    151105t20162016caud    ob    000 0 eng   
010      2015042810 
020    9780833090522|q(electronic bk.) 
020    0833090526|q(electronic bk.) 
020    |z9780833090492|q(paperback;)|q(alk. paper) 
035    (OCoLC)928136943 
037    22573/ctt1b3bzk3|bJSTOR 
040    DLC|beng|erda|epn|cDLC|dOCLCO|dOCLCQ|dDOS|dOCLCO|dYDXCP
       |dJSTOR|dOCLCO|dEBLCP|dN$T|dOCLCO|dOCLCQ|dOCLCO|dOCLCQ
       |dOCLCO|dCOO|dIDB|dMERUC 
042    pcc 
043    n-us--- 
049    CKEA 
050 10 UH223 
082 00 616.85/21008835500973|223 
100 1  Hepner, Kimberly A.,|eauthor. 
245 10 Quality of care for PTSD and depression in the Military 
       Health System :|bphase I report /|cKimberly A. Hepner, 
       Elizabeth M. Sloss, Carol P. Roth, Heather Krull, Susan M.
       Paddock, Shaela Moen, Martha J. Timmer, Harold Alan 
       Pincus. 
264  1 Santa Monica, CA :|bRAND,|c[2016] 
300    1 online resource (xxxi, 188 pages) :|bcolor charts. 
336    text|btxt|2rdacontent 
337    computer|bc|2rdamedia 
338    online resource|bcr|2rdacarrier 
490 1  Research report ;|vRR-978-OSD 
500    "February 18, 2016"--Table of contents page. 
504    Includes bibliographical references. 
505 0  Preface -- Figures -- Tables -- Summary -- Acknowledgments
       -- Abbreviations -- Chapter One: Introduction: PTSD and 
       Depression Among Service Members -- Care Provided to 
       Service Members with PTSD and Depression -- Measuring 
       Quality of Health Care -- PTSD and Depression Quality 
       Measures -- Organization of This Report -- Chapter Two: 
       Methods: Overview -- Processing Inpatient and Outpatient 
       Encounter Data -- Identification of Service Members in 
       PTSD and Depression Cohorts -- Technical Specifications 
       for Quality Measures -- Analyses -- Chapter Three: 
       Characteristics of Service Members in PTSD and Depression 
       Cohorts, and Their Care Settings and Treatments: 
       Demographic Characteristics of the PTSD and Depression 
       Cohorts -- Military Service Characteristics of the PTSD 
       and Depression Cohorts -- Utilization of Mental Health 
       Services -- Treatment Setting, Encounter Characteristics, 
       and Types of Providers Seen by PTSD and Depression 
       Patients -- Assessments and Behavioral Interventions 
       Delivered to Service Members in the PTSD and Depression 
       Cohorts -- Prescriptions for Psychotropic Medications 
       Filled by Service Members in the PTSD and Depression 
       Cohorts -- Summary -- Chapter Four: Quality of Care for 
       PTSD and Depression: Quality Measure Results for PTSD -- 
       Overview of Measures for Service Members in PTSD Cohort --
       Quality Measure Results for Depression -- Summary of 
       Measures for Service Members in the Depression Cohort -- 
       Chapter Five: Variations in Care for PTSD and Depression 
       Based on Patient Characteristics: Performance of PTSD 
       Measures by Age of Service Member -- Performance of PTSD 
       Measures by Race/Ethnicity of Service Member -- 
       Performance of PTSD Measures by Gender of Service Member -
       - Performance of PTSD Measures by Pay Grade of Service 
       Member -- Performance of PTSD Measures by Deployment 
       History of Service Member -- Performance of Depression 
       Measures by Age of Service Member -- Performance of 
       Depression Measures by Race/Ethnicity of Service Member --
       Performance of Depression Measures by Gender of Service 
       Member -- Performance of Depression Measures by Pay Grade 
       of Service Member -- Performance of Depression Measures by
       Deployment History of Service Member -- Summary of 
       Variations by Service Member Characteristics -- Chapter 
       Six: Summary and Recommendations: Main Findings -- Policy 
       Implications -- Final Thoughts -- Appendix: A. Technical 
       Specifications for Administrative Data Quality Measures 
       for PTSD -- B. Technical Specifications for Administrative
       Data Quality Measures for Depression -- C. Rules for 
       Processing Administrative Data for Inpatient Stays and 
       Outpatient Visits -- References. 
520    "The U.S. Department of Defense (DoD) strives to maintain 
       a physically and psychologically healthy, mission-ready 
       force, and the care provided by the Military Health System
       (MHS) is critical to meeting this goal. Given the rates of
       posttraumatic stress disorder (PTSD) and depression among 
       U.S. service members, attention has been directed to 
       ensuring the quality and availability of programs and 
       services targeting these and other psychological health 
       (PH) conditions. Understanding the current quality of care
       for PTSD and depression is an important step toward 
       improving care across the MHS. To help determine whether 
       service members with PTSD or depression are receiving 
       evidence-based care and whether there are disparities in 
       care quality by branch of service, geographic region, and 
       service member characteristics (e.g., gender, age, pay 
       grade, race/ethnicity, deployment history), DoD's Defense 
       Centers of Excellence for Psychological Health and 
       Traumatic Brain Injury (DCoE) asked the RAND Corporation 
       to conduct a review of the administrative data of service 
       members diagnosed with PTSD or depression and to recommend
       areas on which the MHS could focus its efforts to 
       continuously improve the quality of care provided to all 
       service members. This report characterizes care for 
       service members seen by MHS for diagnoses of PTSD and/or 
       depression and finds that while the MHS performs well in 
       ensuring outpatient follow-up following psychiatric 
       hospitalization, providing sufficient psychotherapy and 
       medication management needs to be improved. Further, 
       quality of care for PTSD and depression varied by service 
       branch, TRICARE region, and service member characteristics,
       suggesting the need to ensure that all service members 
       receive high-quality care"--Publisher's description. 
588 0  Online resource; title from PDF title page (RAND, viewed 
       March 2, 2016). 
650  0 Medicine, Military|zUnited States|xEvaluation. 
650  0 Post-traumatic stress disorder|xTreatment|zUnited States. 
650  0 Depression, Mental|xTreatment|zUnited States|xEvaluation. 
650  0 Soldiers|xMental health|zUnited States. 
650  7 PSYCHOLOGY|xPsychopathology|xDepression.|2bisacsh 
650  7 HEALTH & FITNESS|xDiseases|xGeneral.|2bisacsh 
650  7 MEDICAL|xClinical Medicine.|2bisacsh 
650  7 MEDICAL|xDiseases.|2bisacsh 
650  7 MEDICAL|xEvidence-Based Medicine.|2bisacsh 
650  7 MEDICAL|xInternal Medicine.|2bisacsh 
650 12 Military Medicine. 
650 12 Stress Disorders, Post-Traumatic|xtherapy. 
651  0 United States|xArmed Forces|xMedical care|xEvaluation. 
651  2 United States. 
650 22 Depression|xtherapy. 
650 22 Mental Health Services|xstandards. 
710 2  National Defense Research Institute (U.S.),|epublisher,
       |eissuing body. 
830  0 Research report (Rand Corporation) ;|vRR-978-OSD. 
914    ocn928136943 
994    92|bCKE