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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 program and policy development and research and evaluation to get service members the treatment they need as efficiently and effectively as possible.
Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.
Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not surprising that some service members developed such mental health conditions as posttraumatic stress disorder, depression, and substance use disorder. Subsequent epidemiologic studies conducted on military and veteran populations that served in the operations in Afghanistan and Iraq provided scientific evidence that those who fought were in fact being diagnosed with mental illnesses and experiencing mental healthâ€"related outcomesâ€"in particular, suicideâ€"at a higher rate than the general population. This report provides a comprehensive assessment of the quality, capacity, and access to mental health care services for veterans who served in the Armed Forces in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn. It includes an analysis of not only the quality and capacity of mental health care services within the Department of Veterans Affairs, but also barriers faced by patients in utilizing those services.
With global commitments and combat duty, our armed forces face life-threatening challenges on a daily basis. However, less visible threats also impact the mental health of our military men and women. Experts examine challenges on the battlefield, such as women coming to terms with life after being prisoners of war, or soldiers dealing with mistakenly killing civilians. But life in the armed forces presents less dramatic, daily challenges. Away from the front lines, soldiers have to raise their families, sometimes as single parents. Children have to learn what it's like to be in a military family, and to make sense of war. Gay or lesbian officers cope with a don't ask, don't tell policy. An unprecedented range of contributors—military officers, medical doctors, psychologists, psychiatrists, and professors—take us onto the bases and the battlefields and inside the minds of military personnel who face far greater challenges than most of us ever see in the headlines. These volumes also highlight factors that make members of the military resilient and stable, as well as programs and practices that can ease the psychological burdens of military personnel, families, and children. Readers can better understand how society views our military and military operations, and how each one of us can play a role in supporting our armed forces.
Too often American veterans return from combat and spiral into depression, anger and loneliness they can neither share nor tackle on their own. Military Mental Health Care: A Guide for Service Members, Veterans, Families, and Community seeks to aid our troubled, returning forces by dissecting the numerous mental health problems they face upon arriving stateside. Don Philpott and Cheryl Lawhorne-Scott, co-authors with Janelle Hill of the highly successful Wounded Warrior Handbook, detail not only each issue’s symptoms, but also discuss what treatments are available, and the best ways for veterans to access those treatments while readjusting to civilian life. In addition, they connect and explain many alarming trends, such as joblessness, poverty and addiction, appearing in our nation’s veteran population on a broader scale. PTSD and struggles with anxiety affect far more than veterans themselves, as sobering phenomena like homelessness, suicide, domestic violence and divorce too often become realities for those returning from war. Military Mental Health Care is both a resource for struggling veterans and a useful tool for their loved ones, or anyone looking for ways to support the veterans in their lives.
Nearly 1.9 million U.S. troops have been deployed to Afghanistan and Iraq since October 2001. Many service members and veterans face serious challenges in readjusting to normal life after returning home. This initial book presents findings on the most critical challenges, and lays out the blueprint for the second phase of the study to determine how best to meet the needs of returning troops and their families.
Written-Off tells the story of how mental health stigma comes to have a profound impact on the lives of people diagnosed with mental illnesses. It reviews theory, research, and history - illustrated with a multitude of personal stories - in four major areas. These areas are: the prevalence and predictors of negative attitudes and behaviors toward mental illness, the impact of community attitudes and behaviors on the self-perceptions of people diagnosed with mental illness, the impact of self-perceptions on the community participation of people diagnosed with mental illness, and how to change self-perceptions through a variety of approaches.
In times of uncertainty and crisis, the mental health of individuals become a concern as added stressors and pressures can cause depression, anxiety, and stress. Today, especially with more people than ever experiencing these effects due to the Covid-19 epidemic and all that comes along with it, discourse around mental health has gained heightened urgency. While there have always been stigmas surrounding mental health, the continued display of these biases can add to an already distressing situation for struggling individuals. Despite the experience of mental health issues becoming normalized, it remains important for these issues to be addressed along with adequate education about mental health so that it becomes normalized and discussed in ways that are beneficial for society and those affected. Along with raising awareness of mental health in general, there should be a continued focus on treatment options, methods, and modes for healthcare delivery. The Research Anthology on Mental Health Stigma, Education, and Treatment explores the latest research on the newest advancements in mental health, best practices and new research on treatment, and the need for education and awareness to mitigate the stigma that surrounds discussions on mental health. The chapters will cover new technologies that are impacting delivery modes for treatment, the latest methods and models for treatment options, how education on mental health is delivered and developed, and how mental health is viewed and discussed. It is a comprehensive view of mental health from both a societal and medical standpoint and examines mental health issues in children and adults from all ethnicities and socio-economic backgrounds and in a variety of professions, including healthcare, emergency services, and the military. This book is ideal for psychologists, therapists, psychiatrists, counsellors, religious leaders, mental health support agencies and organizations, medical professionals, teachers, researchers, students, academicians, mental health practitioners, and more.
Every day, a battle is being fought for the mental health of our military personnel.In this gripping expose, Marjorie Morrison, takes readers behind the lines to show us the crisis facing our military's mental healthcare system.When Morrison left her thriving private psychology practice for a three-month assignment at the Marine Corps Recruit Depot, she hoped she would make a difference in the lives of Marines. She had no idea that it was she who would be changed.Those three months grew into a yearlong project, but the more Morrison tried to do her best for them, the more roadblocks she met. Despite the broken system, she was and is determined to help protect service member's mental health. The Inside Battle offers readers a glimpse into the current crisis through Morrison's personal experience and empowers them to make a difference in the lives of the men and women of the military.Marjorie Morrison has helped me to see that we have the power, the knowledge and most importantly the responsibility to protect each and every person who raises their hand and swears to protect our country. It is our duty as civilians ¦to fight for the men and women who fight for us. We know today how to support people before the stress happens so they don't have to come home broken.Debbie FordN.Y. Times best selling author of Why Good People Do Bad Things and co-author of The Shadow Effect
The first of its kind, this book reflects progress in a too-little explored corner of psychiatry to show that gender plays an integral role in mental health issues for men. Textbook of Men's Mental Health provides clinicians with the information they need for understanding how certain disorders manifest differently in men -- and for recognizing how treatment responses in men differ from those in women. Multidisciplinary coverage in this groundbreaking guide draws from fields such as public health and substance abuse to create a well-rounded approach to addressing men's specific mental health problems. With contributions by today's experts in men's mental health, this work gathers the latest research about men's psychiatric issues, from the difficulties in diagnosing male depression to strategies for engaging men in marital therapy. First addressing developmental issues specific to childhood, adolescence, and old age, the text then presents treatment options for an array of problems, from anxiety to sexual disorders to posttraumatic stress disorder. This volume then addresses psychosocial issues as they apply uniquely to men, such as fathering, marriage, aggression, and overcoming the stigma of mental health treatment -- as well as a chapter on how men's ethnicity influences the effectiveness of therapy. Among the topics discussed are how men behave in intimate relationships with women -- and the mental health considerations unique to gay men psychiatric disorders more prevalent in men than women, such as substance abuse, antisocial personality, and conduct disorder up-to-date facts on male sexual functioning, covering erectile dysfunction, premature ejaculation, and male orgasmic disorder why disorders less common in men -- anxiety, depression, PTSD -- require different treatment than for women coverage of compulsive disorders seen in men both more frequently, such as pathological gambling and compulsive sexual behavior -- and less frequently, such as kleptomania and compulsive buying insight into how body image, a problem usually associated with women, has become a serious health issue for men, as evidenced by eating disorders, muscle dysmorphia, and steroid abuse No previous text has addressed such a wide range of issues concerning men's mental health, presented here in evidence-based coverage featuring case vignettes, key points, practice guidelines, and an extensive reference list in each chapter. Clinicians who wish to make more prudent decisions regarding the care of men with mental health issues will find this text indispensable to their practice -- and to the well-being of their male patients.