Suchergebnisse

Since Operation Desert Shield/Storm (ODS/S), the reserve forces have participated in almost every large foreign deployment. Understanding how mobilizations and deployments of reservists affect their attitudes and those of their families and employers is important because of the potential effects on retention and future recruiting. This article examines retention of enlisted reservists three years after Operation Desert Storm, using a rich array of data available from the 1991 Guard/Reserve Survey of Officers and Enlisted Personnel. Overall, there is little difference between the retention of mobilized and nonmobilized reservists. The most important factors in retention are satisfaction with reserve duty and spouses' attitudes toward reserve participation. Among the mobilized, a statistical model shows no difference in the probability of retention, regardless of economic loss. However, these conclusions may not extend to deployments that are less popular and more frequent, such as those experienced by the reserve components in recent years.

A RAND team conducted an independent implementation evaluation of the Re-Engineering Systems of Primary Care Treatment in the Military (RESPECT-Mil) Program, a system of care designed to screen, assess, and treat posttraumatic stress disorder and depression among active duty service members in the Army's primary care settings. Evaluating the Implementation of the Re-Engineering Systems of Primary Care Treatment in the Military (RESPECT-Mil) presents the results from RAND's assessment of the implementation of RESPECT-Mil in military treatment facilities and makes recommendations to improve the delivery of mental health care in these settings. Analyses were based on existing program data used to monitor fidelity to RESPECT-Mil across the Army's primary care clinics, as well as discussions with key stakeholders. During the time of the evaluation, efforts were under way to implement the Patient Centered Medical Home, and uncertainties remained about the implications for the RESPECT-Mil program. Consideration of this transition was made in designing the evaluation and applying its findings more broadly to the implementation of collaborative care within military primary care settings.