The Evolution of a School Behavioral Health Model in the US Army

Faran, Michael E.; Johnson, Patti L.; Ban, Paul; Shue, Tracy; Weist, Mark D.

doi:10.1016/j.chc.2014.11.008

Cited by 4 publications

(2 citation statements)

References 31 publications

(29 reference statements)

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“…School-and community-based interventions can increase social support networks for military-connected youth especially after relocating to a new military installation and during deployments. Although school-based interventions for military-connected youth are limited, existing models 56 and programs such as the “Student-2-Student” program, 57 have shown promising outcomes. Additional advantages to integrating school-based interventions include available peer and social support networks, better access to services, and decreases in social sigma which may be protective during developmental milestones and military-related transitions during childhood.…”

Section: Discussionmentioning

confidence: 99%

Evaluating Behavioral Health Interventions for Military-Connected Youth: A Systematic Review

et al. 2017

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Introduction Military-connected youth are at increased risk for experiencing distinct psychosocial and behavioral health vulnerabilities. Although behavioral health interventions have been developed to treat vulnerabilities in military-connected youth, little is known about the methodological quality of studies evaluating these interventions. In this study, a systematic review of behavioral health interventions for military-connected youth was conducted to examine methodological quality and treatment outcomes. Materials and Methods Electronic databases were systematically searched for studies evaluating behavioral health interventions for military-connected youth which yielded 3,324 citations. Methodological quality was evaluated by 2 researchers with 3 measures that assessed scientific rigor, transparency, external and internal validity, and power for quantitative, qualitative, and mixed-method trials. Interrater reliability was strong (κ = 0.81). Sample characteristics and treatment outcomes were also assessed. Results Fourteen studies meeting full inclusion criteria evaluated 10 behavioral health interventions. Methodological quality scores for all studies were poor to fair, with limitations in reporting, external and internal validity, and power. Research designs were predominantly nonexperimental. Treatment effects for both psychosocial and behavioral health outcomes were consistently positive for all studies. In studies reporting effect sizes, treatment effects were small to moderate (d = 0.01–0.42, odds ratio = 0.04–0.47, b = −0.02–0.56). Demographic and military characteristics of samples were inconsistently reported. Conclusion Behavioral health interventions for military-connected youth have noteworthy methodological limitations, indicating a need to employ more rigorous research strategies. Positive treatment outcomes, however, suggest promising interventions for improving psychosocial and behavioral health problems in military-connected youth. Future research directions and implications for clinical-community practice are also discussed.

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Section: Discussionmentioning

confidence: 99%

Evaluating Behavioral Health Interventions for Military-Connected Youth: A Systematic Review

et al. 2017

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“…Child and family behavioral health system. While the volume of research was growing on the impact of the wars on soldiers, studies also documented the impact on military children and spouses (39,40). In response, family services were expanded through a program that includes consultation to primary care, outreach, screening, treatment for family members, and mental health services delivered directly in primary and secondary schools located on military installations.…”

Section: Novel Behavioral Health Programsmentioning

confidence: 99%

Transformation of Mental Health Care for U.S. Soldiers and Families During the Iraq and Afghanistan Wars: Where Science and Politics Intersect

Hoge

Ivany

Brusher

et al. 2016

AJP

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The cumulative strain of 14 years of war on service members, veterans, and their families, together with continuing global threats and the unique stresses of military service, are likely to be felt for years to come. Scientific as well as political factors have influenced how the military has addressed the mental health needs resulting from these wars. Two important differences between mental health care delivered during the Iraq and Afghanistan wars and previous wars are the degree to which research has directly informed care and the consolidated management of services. The U.S. Army Medical Command implemented programmatic changes to ensure delivery of high-quality standardized mental health services, including centralized workload management; consolidation of psychiatry, psychology, psychiatric nursing, and social work services under integrated behavioral health departments; creation of satellite mental health clinics embedded within brigade work areas; incorporation of mental health providers into primary care; routine mental health screening throughout soldiers' careers; standardization of clinical outcome measures; and improved services for family members. This transformation has been accompanied by reduction in psychiatric hospitalizations and improved continuity of care. Challenges remain, however, including continued underutilization of services by those most in need, problems with treatment of substance use disorders, overuse of opioid medications, concerns with the structure of care for chronic postdeployment (including postconcussion) symptoms, and ongoing questions concerning the causes of historically high suicide rates, efficacy of resilience training initiatives, and research priorities. It is critical to ensure that remaining gaps are addressed and that knowledge gained during these wars is retained and further evolved.

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Behavioral Health Service Use by Military Children During Afghanistan and Iraq Wars

Wooten

Brittingham

Sumi

et al. 2019

J Behav Health Serv Res

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The Evolution of a School Behavioral Health Model in the US Army

Cited by 4 publications

References 31 publications

Evaluating Behavioral Health Interventions for Military-Connected Youth: A Systematic Review

Evaluating Behavioral Health Interventions for Military-Connected Youth: A Systematic Review

Transformation of Mental Health Care for U.S. Soldiers and Families During the Iraq and Afghanistan Wars: Where Science and Politics Intersect

Behavioral Health Service Use by Military Children During Afghanistan and Iraq Wars

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