LEADER 04367nam 2200625 450 001 9910219970903321 005 20220915154241.0 010 $a0-8330-8732-0 035 $a(CKB)3710000000442145 035 $a(EBL)2081438 035 $a(Au-PeEL)EBL2081438 035 $a(CaPaEBR)ebr11071727 035 $a(OCoLC)913695170 035 $a(MiAaPQ)EBC2081438 035 $a(PPN)267917600 035 $a(EXLCZ)993710000000442145 100 $a20150714h20142014 uh 0 101 0 $aeng 135 $aurcnu|||||||| 181 $2rdacontent 182 $2rdamedia 183 $2rdacarrier 200 00$aAccess to behavioral health care for geographically remote service members and dependents in the U.S. /$fRyan Andrew Brown [et al.] 210 1$aSanta Monica, Ca :$cRAND,$d2014. 210 4$dİ2014 215 $a1 online resource (xxi, 150 pages) $cillustrations (chiefly color), color maps 300 $a"RAND National Defense Research Institute." 311 1 $a0-8330-8729-0 320 $aIncludes bibliographical references. 327 $aCover; 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 327 $aAnalysis of Health Care Use in the National Study of Drug Use and Health Explanations 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 327 $aIntegration of Behavioral Health Treatment into Primary Care Telemental 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 327 $aI. Structures, Processes, and Outcomes Framework References 330 $aConcerns 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. 606 $aSoldiers$xMental health services$zUnited States$xEvaluation 606 $aMilitary dependents$xMental health services$zUnited States$xEvaluation 606 $aRural health$zUnited States 606 $aNeeds assessment$zUnited States 615 0$aSoldiers$xMental health services$xEvaluation. 615 0$aMilitary dependents$xMental health services$xEvaluation. 615 0$aRural health 615 0$aNeeds assessment 676 $a355.345 700 $aBrown$b Ryan Andrew$01244075 702 $aBrown$b Ryan Andrew 712 02$aRand Corporation. 712 02$aDefense Centers of Excellence for Psychological Health & Traumatic Brain Injury (U.S.) 712 02$aNational Defense Research Institute (U.S.) 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910219970903321 996 $aAccess to behavioral health care for geographically remote service members and dependents in the U.S$92885776 997 $aUNINA