Download or read book The Impact of Military Sexual Trauma on Opioid Use Disorder and Related Outcomes in Men and Women Veterans written by Kerry Low Beckman and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation research included three primary aims related to military sexual trauma (MST) and opioid use disorder (OUD) among U.S. Veterans enrolled in Veterans Health Administration (VA) care. Specifically, aims were to (1) assess the relationship between MST and OUD, (2) assess the relationship between MST and treatment for OUD among Veterans who have an OUD diagnosis, and (3) evaluate the potential role of chronic pain as a mediator in the relationship between MST and OUD, as chronic pain is a common diagnosis in sexual trauma survivors and is a major cause of opioid use. Because gender plays a critical role in how a Veteran reacts to and copes with MST, the differential role of gender was assessed in all three aims. Data were derived from VA administrative data from fiscal years 2009-2017. Analyses included multivariable logistic regression in Aims 1 and 3, and multi-level logistic regression models to account for the facility-level factors that impact opioid prescribing and OUD treatment access in Aim 2. This research can be used to inform care planning and recommendations for Veterans who are survivors of MST that is sensitive to gender-related concerns, chronic pain diagnoses, and OUD risk. It also informs barriers to receipt of effective OUD treatment and care coordination at VA facilities for these high-risk patients.
Download or read book Military Sexual Trauma Current Knowledge and Future Directions written by Carolyn B Allard and published by Routledge. This book was released on 2014-06-11 with total page 155 pages. Available in PDF, EPUB and Kindle. Book excerpt: Military Sexual Trauma: Current Knowledge and Future Directions showcases the work of several prominent military sexual trauma (MST) researchers, scholars, and clinicians from across the United States. A review of existing research and original empirical findings converge to indicate that MST contributes to a range of physical health problems, complex posttraumatic responses, and other mental health consequences above and beyond the effects of other types of traumatic experiences. This collection also presents evidence suggesting that MST is often difficult to identify both within the individual military member and within the military population as a whole. Recommendations are offered for addressing this problem. In addition to the research review and empirical findings, an evolutionary framework for understanding sexual assault of women in the military is presented. Taken together, this collection of works may inform MST intervention and prevention efforts. This book was originally published as a special issue of Journal of Trauma & Dissociation.
Download or read book Treating Military Sexual Trauma written by Lori S. Katz and published by Springer Publishing Company. This book was released on 2015-07-20 with total page 325 pages. Available in PDF, EPUB and Kindle. Book excerpt: The incidence of sexual assault and harassment experienced by members of the US Armed forces has reached epidemic proportions. Its victims often suffer from devastating, life-long consequences to their careers, health, relationships, and psychological wellbeing. This authoritative resource is written for mental health clinicians about understanding and treating military sexual trauma (MST). With contributions from top experts in the field, this book presents information on evidence-based and emerging treatments to address the complex symptoms related to MST. This text provides a solid foundation for clinicians who work with veterans and active duty military personnel and discusses how to address the unique challenges of treating MST in their clients.
Download or read book Silence Is Violence written by Heidi Lobstein and published by Independently Published. This book was released on 2018-12-29 with total page 355 pages. Available in PDF, EPUB and Kindle. Book excerpt: Reporting of incidents of sexual assault in the military has increased dramatically over the past ten years, with 6131 reported in 2014, up from 1700 incidents reported in 2004. Data on veterans shows about 1 in 4 women and 1 in 100 men report that they had experienced Military Sexual Trauma (MST). Existing research indicates that MST has been associated with increased screening rates of depression and alcohol abuse, in addition to significantly increased odds of meeting criteria for post-traumatic stress disorder (PTSD). In addition, MST has been associated with reporting increased number of current physical symptoms, impaired health status, and more chronic health problems in veterans. MST is an unrecognized epidemic, not talked about, yet having an impact on the health of our veterans today. It took me 37,287 words to describe the impact of sexual trauma in the military has had on my life. It has taken me over 30 years to come to terms with my experience where I can now write about it and speak about it. I want to educate people about rape in the military. Perhaps I will be able to help others by sharing my experience. To keep silent just perpetuates the violence and reinforces the culture of rape that has been accepted in the military. As a young girl in my twenties I entered the United States Air Force in 1987 for their post nursing school internship program to develop my nursing skills. Despite the horrific trauma, I went through I survived and graduated the nursing internship program, but the cost would be tremendous. The experience of being gang raped changed me in ways I couldn't articulate until recently. I grew up in Indiana and went to nursing school at Purdue University. My brother Darwin and I called it "Undue Perversity!" I went into the Air Force directly after nursing school. Since my military days, I have worked as a Psychiatric Nurse. I have experienced both sides of being on a psychiatric unit. I have been a patient suffering from PTSD after MST and I have taken care of psychiatric patients. I was working at the Veteran's Administration with patients, some of whom have had MST. My insight and perspective in this book will be helpful to both practitioners helping veterans and to other veterans suffering from sexual trauma as well.
Download or read book Me Too Military Sexual Trauma written by Heidi Lobstein and published by . This book was released on 2018-09-07 with total page 261 pages. Available in PDF, EPUB and Kindle. Book excerpt: Reporting of incidents of sexual assault in the military has increased dramatically over the past ten years, with 6131 reported in 2014, up from 1700 incidents reported in 2004. Data on veterans shows about 1 in 4 women and 1 in 100 men report that they had experienced Military Sexual Trauma (MST). Existing research indicates that MST has been associated with increased screening rates of depression and alcohol abuse, in addition to significantly increased odds of meeting criteria for post-traumatic stress disorder (PTSD). In addition, MST has been associated with reporting increased number of current physical symptoms, impaired health status, and more chronic health problems in veterans. MST is an unrecognized epidemic, not talked about, yet having an impact on the health of our veterans today. It took me 37,287 words to describe the impact of sexual trauma in the military has had on my life. It has taken me over 30 years to come to terms with my experience where I can now write about it and speak about it. I want to educate people about rape in the military. Perhaps I will be able to help others by sharing my experience. To keep silent just perpetuates the violence and reinforces the culture of rape that has been accepted in the military. As a young girl in my twenties I entered the United States Air Force in 1987 for their post nursing school internship program to develop my nursing skills. Despite the horrific trauma, I went through I survived and graduated the nursing internship program, but the cost would be tremendous. The experience of being gang raped changed me in ways I couldn't articulate until recently. I grew up in Indiana and went to nursing school at Purdue University. My brother Darwin and I called it "Undue Perversity!" I went into the Air Force directly after nursing school. Since my military days, I have worked as a Psychiatric Nurse. I have experienced both sides of being on a psychiatric unit. I have been a patient suffering from PTSD after MST and I have taken care of psychiatric patients. I was working at the Veteran's Administration with patients, some of whom have had MST. My insight and perspective in this book will be helpful to both practitioners helping veterans and to other veterans suffering from sexual trauma as well.
Download or read book The Impact of Experiential Avoidance on the Relationships Among Military Sexual Trauma Excessive Behaviors and Health related Outcomes in Female Veterans written by Natalie Kate Nugent and published by . This book was released on 2014 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt: Military Sexual Trauma (MST) as defined in United States Public Law, refers to inappropriate sexual conduct, assault, or harassment experienced by a military servicemember during his or her course of active duty or active duty for training (38 U.S.C. ℗ʹ 1720D). MST has emerged as a distinct form of trauma, resulting in different and often more severe sequelae than other forms of civilian sexual assault and/or non-sexual trauma. This study sought to explore the potential moderating and mediating roles of experiential avoidance on the relationship between MST and health outcomes in an attempt to identify a unifying mechanism through which poor outcomes were more likely to emerge or become amplified. Participants included 65 female veterans seeking treatment through the women's health clinic located within the VA Ann Arbor Healthcare System (VAAAHS). Eligible participants completed a series of questionnaires assessing for the presence of trauma exposure, including MST, experiential avoidance, and potential outcomes such as depression, anxiety, PTSD, physical health concerns, and engagement in excessive/problem behaviors. Within this sample, 29.2% of respondents endorsed exposure to MST. Subsequent mediation and moderation analyses were computed and it was determined that experiential avoidance partially mediated the relationship between MST exposure and PTSD symptomatology. Furthermore, levels of experiential avoidance, PTSD, anxiety, and physical health concerns varied as a result of trauma exposure type (i.e., MST, civilian sexual assault/childhood sexual abuse, or non-sexual trauma). These findings support the hypothesis that MST exposure is associated with poorer post-trauma functioning across a variety of symptoms measures. Furthermore, the findings suggest that the presence of experiential avoidance may impact post-trauma functionality. Implications for the treatment of MST are discussed.
Download or read book Understanding and Treating Military Sexual Trauma written by Kristen Zaleski and published by . This book was released on 2018 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This authoritative update presents current findings on--and clinically and ethically sound responses to--the epidemic of sexual assault in the military. It examines in powerful detail how military culture enables a pervasive subculture of sexual violence, from consistently devaluing women to blaming victims and denying them justice. The author's dual attachment/trauma theory lens attends to a wide range of outcomes such as unit members closing ranks against survivors and the continuing impact of assault trauma on veterans' lives. And the book's second half critiques standard forms of treating military sexual trauma in favor of individualized therapy addressing the physical, psychological, and neurological aspects of trauma and recovery. This important volume covers: · Theory and history of sexual violence as a weapon of war. · Legal and health considerations in the aftermath of military sexual assault. · Critical distinctions between military and civilian legal response to sexual assault. · Variations in symptomology among survivors. · Specific barriers to services for male and LGBT survivors. · New and emerging treatment options for military sexual trauma/PTSD. This Second Edition of Understanding and Treating Military Sexual Trauma follows its predecessor as an essential reference on its subject for mental health clinicians treating sexual trauma in the military as well as trauma researchers, sociologists, women's health practitioners, and university students whose focus is women's studies, public policy, public health, social work, psychology, sociology, or political science.
Download or read book Safety for Survivors written by United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Health and published by . This book was released on 2014 with total page 102 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Military Sexual Trauma Among Female Veterans written by Maria Acevedo (Graduate student) and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Despite the implementation of the universal screener by the Department of Veteran Affairs (VA) to identify military sexual trauma (MST) many female veterans continue to experience sexual assaults. To better understand where the disparity exists, a literature review was conducted to review studies that discuss and provide information on the mental and physical health risks and outcomes of MST among female veterans. Four electronic databases were searched using the key words: military, veteran, MST, cognitive processing therapy studies, females, military sexual trauma, sexual assault, sexual abuse, sexual violence, military culture, treatment, Cognitive Processing Therapy (CPT), Cultural Spillover Theory, Posttraumatic Stress Disorder (PTSD), Depressive Disorder (DD) and Substance Abuse Disorder (SUD). Of the 1,079 documents found, 16 studies met inclusion criteria. The majority examined CPT as a successful method of intervention and treatment for veterans who had experienced PTSD, depression, and SUD linked to MST. Limitations were present as a few studies offered a larger sample size contributing to generalization of the study. Findings have implications for social workers who may provide counseling for veterans as they may lack specific military education and the knowledge on how to address veteran related issues.
Download or read book Evaluation of the Department of Veterans Affairs Mental Health Services written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-03-29 with total page 467 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Military Sexual Trauma in Female Veterans Psychoeducation and Treatment Approaches written by Jeanne Spence and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This informative guide was created to help civilian therapists, interns and trainees work with military personal, specifically with female veterans who are survivors of a Military Sexual Trauma (MST) and present with Post Traumatic Stress Disorder (PTSD). When becoming a therapist, cultural awareness is always important. When working with military or veteran clients, learning about military culture is equally important. Some military personal, active duty and/or veterans prefer a military therapist because they perceive he or she understands the culture and the language and will save the client hours trying to explain military life. This guide will provide civilians with psychoeducation on sexual assaults in the military; how common they are, how often they go unreported, and why. It will also explain how the military culture can both amplify the psychological impact of a sexual assault and impede the recovery process. Finally, this guide will outline the negative ramifications of MST and PTSD in female veterans, such as avoidance and substance problems, and enumerate multiple treatment options. Some are evidence based, some are not; however, all are described in this manual.
Download or read book Returning Home from Iraq and Afghanistan written by Institute of Medicine and published by National Academies Press. This book was released on 2010-03-31 with total page 193 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Suicide Among Veterans and Other Americans 2001 2014 written by Department of Veterans Affairs and published by . This book was released on 2016-09-15 with total page 46 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2014, suicide was the 10th leading cause of death in the U.S. and rates of suicide in the U.S. general population are increasing. The Department of Veterans Affairs (VA) has worked tirelessly to develop suicide prevention resources for every Veteran who is experiencing a mental health crisis. VA is committed to identifying and reaching all Veterans who may be at risk for suicide and continues to enhance programs designed to reduce risk among those who receive services from the Veterans Health Administration (VHA). This report is unprecedented in its breadth and depth of information about the characteristics of suicide among Veterans. It contains the first comprehensive assessment of differences in rates of suicide among Veterans with and without use of VHA services and comparisons between Veterans and other Americans. Figures and tables. This is a print on demand report.
Download or read book The End of Trauma written by George A. Bonanno and published by Basic Books. This book was released on 2021-09-07 with total page 282 pages. Available in PDF, EPUB and Kindle. Book excerpt: With “groundbreaking research on the psychology of resilience” (Adam Grant), a top expert on human trauma argues that we vastly overestimate how common PTSD is in and fail to recognize how resilient people really are. After 9/11, mental health professionals flocked to New York to handle what everyone assumed would be a flood of trauma cases. Oddly, the flood never came. In The End of Trauma, pioneering psychologist George A. Bonanno argues that we failed to predict the psychological response to 9/11 because most of what we understand about trauma is wrong. For starters, it’s not nearly as common as we think. In fact, people are overwhelmingly resilient to adversity. What we often interpret as PTSD are signs of a natural process of learning how to deal with a specific situation. We can cope far more effectively if we understand how this process works. Drawing on four decades of research, Bonanno explains what makes us resilient, why we sometimes aren’t, and how we can better handle traumatic stress. Hopeful and humane, The End of Trauma overturns everything we thought we knew about how people respond to hardship.
Download or read book Pain Management and the Opioid Epidemic written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-09-28 with total page 483 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.
Download or read book Communities in Action written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-04-27 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
Download or read book Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure COPE written by Sudie E. Back and published by Oxford University Press, USA. This book was released on 2014-10-08 with total page 193 pages. Available in PDF, EPUB and Kindle. Book excerpt: Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE) is a cognitive-behavioral psychotherapy program designed for patients who have posttraumatic stress disorder (PTSD) and a co-occurring alcohol or drug use disorder. COPE represents an integration of two evidence-based treatments: Prolonged Exposure (PE) therapy for PTSD and Relapse Prevention for substance use disorders. COPE is an integrated treatment, meaning that both the PTSD and substance use disorder are addressed concurrently in therapy by the same clinician, and patients can experience substantial reductions in both PTSD symptoms and substance use severity. Patients use the COPE Patient Workbook while their clinician uses the Therapist Guide to deliver treatment. The program is comprised of 12 individual, 60 to 90 minute therapy sessions. The program includes several components: information about how PTSD symptoms and substance use interact with one another; information about the most common reactions to trauma; techniques to help the patient manage cravings and thoughts about using alcohol or drugs; coping skills to help the patient prevent relapse to substances; a breathing retraining relaxation exercise; and in vivo (real life) and imaginal exposures to target the patient's PTSD symptoms.
