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Mental Health Reform: Design and Implementation of a System to Optimize Outcomes for Veterans and Their Families
The social, health, and economic burden of mental health problems in the veteran community is heavy. Internationally, the array of services and support available to veterans and their families are extensive but vary in quality, are often disconnected, complex to navigate, and lack clear coordination...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9565186/ https://www.ncbi.nlm.nih.gov/pubmed/36231981 http://dx.doi.org/10.3390/ijerph191912681 |
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author | Phelps, Andrea Lawrence-Wood, Ellie Couineau, Anne-Laure Hinton, Mark Dolan, Paul Smith, Patrick Notarianni, MaryAnn Forbes, David Hosseiny, Fardous |
author_facet | Phelps, Andrea Lawrence-Wood, Ellie Couineau, Anne-Laure Hinton, Mark Dolan, Paul Smith, Patrick Notarianni, MaryAnn Forbes, David Hosseiny, Fardous |
author_sort | Phelps, Andrea |
collection | PubMed |
description | The social, health, and economic burden of mental health problems in the veteran community is heavy. Internationally, the array of services and support available to veterans and their families are extensive but vary in quality, are often disconnected, complex to navigate, and lack clear coordination. This paper describes a conceptual framework to guide the design and implementation of a system of services and supports to optimize the mental health and wellbeing of all veterans and their families. The framework recognizes the diversity of veterans across intersecting identities that uniquely shape experiences of posttraumatic mental health and wellbeing. It brings together several strands of research: the values and principles that should underpin the system; the needs of diverse veterans and their families; challenges in the current services and supports; evidence-based interventions; and principles of effective implementation. Central to the future system design is a next generation stepped model of care that organizes best and next practice interventions in a coherent system, matches service provision to level of need and addresses access and navigation. Practical guidance on implementation provides an aspirational and flexible structure for system evolution, and a template for all stakeholders—individuals, groups, agencies and organizations—to effect system change. |
format | Online Article Text |
id | pubmed-9565186 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-95651862022-10-15 Mental Health Reform: Design and Implementation of a System to Optimize Outcomes for Veterans and Their Families Phelps, Andrea Lawrence-Wood, Ellie Couineau, Anne-Laure Hinton, Mark Dolan, Paul Smith, Patrick Notarianni, MaryAnn Forbes, David Hosseiny, Fardous Int J Environ Res Public Health Concept Paper The social, health, and economic burden of mental health problems in the veteran community is heavy. Internationally, the array of services and support available to veterans and their families are extensive but vary in quality, are often disconnected, complex to navigate, and lack clear coordination. This paper describes a conceptual framework to guide the design and implementation of a system of services and supports to optimize the mental health and wellbeing of all veterans and their families. The framework recognizes the diversity of veterans across intersecting identities that uniquely shape experiences of posttraumatic mental health and wellbeing. It brings together several strands of research: the values and principles that should underpin the system; the needs of diverse veterans and their families; challenges in the current services and supports; evidence-based interventions; and principles of effective implementation. Central to the future system design is a next generation stepped model of care that organizes best and next practice interventions in a coherent system, matches service provision to level of need and addresses access and navigation. Practical guidance on implementation provides an aspirational and flexible structure for system evolution, and a template for all stakeholders—individuals, groups, agencies and organizations—to effect system change. MDPI 2022-10-04 /pmc/articles/PMC9565186/ /pubmed/36231981 http://dx.doi.org/10.3390/ijerph191912681 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Concept Paper Phelps, Andrea Lawrence-Wood, Ellie Couineau, Anne-Laure Hinton, Mark Dolan, Paul Smith, Patrick Notarianni, MaryAnn Forbes, David Hosseiny, Fardous Mental Health Reform: Design and Implementation of a System to Optimize Outcomes for Veterans and Their Families |
title | Mental Health Reform: Design and Implementation of a System to Optimize Outcomes for Veterans and Their Families |
title_full | Mental Health Reform: Design and Implementation of a System to Optimize Outcomes for Veterans and Their Families |
title_fullStr | Mental Health Reform: Design and Implementation of a System to Optimize Outcomes for Veterans and Their Families |
title_full_unstemmed | Mental Health Reform: Design and Implementation of a System to Optimize Outcomes for Veterans and Their Families |
title_short | Mental Health Reform: Design and Implementation of a System to Optimize Outcomes for Veterans and Their Families |
title_sort | mental health reform: design and implementation of a system to optimize outcomes for veterans and their families |
topic | Concept Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9565186/ https://www.ncbi.nlm.nih.gov/pubmed/36231981 http://dx.doi.org/10.3390/ijerph191912681 |
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