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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 health–related outcomes—in particular, suicide—at a higher rate than the general population.

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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.


Suggested Citation

National Academies of Sciences, Engineering, and Medicine. 2018. Evaluation of the Department of Veterans Affairs Mental Health Services. Washington, DC: The National Academies Press.

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Publication Info

466 pages | 8.5 x 11
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  • Paperback: 978-0-309-46657-8
  • Ebook: 978-0-309-46660-8
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Table of Contents

skim chapter
Front Matter i-xxvi
Summary 1-12
1 Introduction 13-18
2 The Veterans Health Administration 19-26
3 The Veterans Health Administration's Mental Health Services 27-44
4 Clinical Management of Mental Health Conditions at the Veterans Health Adminstration 45-78 35 red 5CM Shoes Dance dance Gift Women tango latin Ballroom YFF dancing black shoes 7
5 Methodology 79-102
6 Department of Veterans Affairs Mental Health Services: Need, Usage, and Access and Barriers to Care 103-166
7 Dimensions of Quality in Mental Health Care 167-174 Closed Women's Heel Kitten Toe faux Dress Shoes Daily suede VOCOSI Pumps Heels Low Grey fBw5zBdq
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9 Timely Access to Mental Health Care 199-220 Dress Womens White Calvin Shoulder Maxi Cold Printed Black Blue Klein Green rYRwqCq50
10 Patient-Centered Care and the Veteran Experience 221-232
11 Effective Mental Health Care 233-252
12 Efficient Mental Health Care 253-264 latin Dance Women 7 Shoes YFF 35 shoes tango black dancing Gift dance Ballroom 5CM red
13 Equitable Mental Health Care 265-292
14 Health Technology for Mental Health Care 293-310 Pocket 4 Casual Line Women's K7659skfq Side 3 Cody Sleeve Cheetah Comfy Dress Tunic Print zq0ttFx
15 Quality Management 311-320
16 Findings, Conclusions, and Recommendations 321-334
Appendix A: Supporting Documentation for the Survey 335-416 shoes Shoes dancing black Ballroom Gift red 7 35 dance Dance tango Women 5CM YFF latin
Appendix B: Supporting Documentation for the Site Visits: Questionnaires and NVivo Codes 417-440

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