Suchergebnisse

The suicide rate of active-duty soldiers doubled between 2003 and 2010. In response, the Department of Defense and the United States Army improved their data collection methods to better understand the causes of military suicides. As retired colonel Dr. Elspeth Cameron Ritchie writes, unit history and the accumulation of stressors—from relationship problems to chronic pain—are significant suicide risk factors among soldiers. But, she argues, Army officials must use this knowledge to design more-effective strategies for suicide reduction, including limiting access to weapons, especially post-deployment, and better connecting soldiers with their communities.

Intro -- Preface -- References -- Contents -- Contributors -- Part I: The Big Picture-Social and Medical Issues -- Chapter 1: Framing the Issue: An Introduction -- Introduction -- Background -- Chapter 2: Frontline Work Taking Care of Homeless Veterans -- Mr. P -- Mr. D -- Mr. R -- Mr. M and Mr. O -- The Shelters -- Mrs. S -- Mr. L -- Mr. V -- Unhoused -- The Strength of Community -- Chapter 3: Medical Care for Homeless Persons -- Background -- General Strategies -- Diabetes Mellitus -- Hypertension -- Cardiovascular Disease (CVD) -- Smoking Cessation -- HIV and Sexually Transmitted Illnesses -- Hepatitis B and C -- Vaccines -- Tuberculosis -- Skin Diseases -- Cold Weather Injury -- Osteoarthritis -- Pharmacological Treatment Considerations -- Use of Assistive Devices -- Conclusion -- References -- Chapter 4: Chronic Pain Management in the Homeless Population -- Introduction -- The Pathophysiology of Pain -- Special Populations -- Chronic Pain and Mental Health -- Chronic Pain and Substance Use Disorder -- Chronic Pain in the Veteran Population -- General Approach to the Diagnosis of Chronic Pain -- Pain Assessment -- Physical Exam -- Mental Health Assessment -- Treatment of Chronic Pain -- Pharmacological Approach -- Opioids -- Opioid-Associated Morbidity and Mortality -- Opioid Screening -- Opioid Side Effects -- Central Nervous System -- Neuroendocrine Effects -- Gastrointestinal (GI) System -- Cardiovascular System -- Others -- Special Situations When Prescribing Opioids -- Distinguishing Between Medication Tolerance, Physical Dependence, and Opioid Use Disorder (OUD) and Pseudoaddiction -- Cannabinoids and Pain -- Conclusion -- References -- Chapter 5: Comprehensive Management of the Lower Extremity in the Homeless Patient -- Introduction -- Hyperkeratosis -- Onychocryptosis/Retronychia -- Tinea Pedis/Dermatophytosis.

Part 1. Background and introduction. Comparative morbidity and mortality of women serving in the US military during a decade of warfare / Robert F. DeFraites, David W. Niebuhr, Brigilda C. Teneza, Leslie L. Clark, and Sharon L. Ludwig ; Female soldiers and post-traumatic stress disorder / Elspeth C. Ritchie, Michael R. Bell, M. Shayne Gallaway, Michael Carino, Jeffrey L. Thomas, Paul Bliese, and Sharon McBride ; Women and war: Australia / Beverly Raphael, Sussan Neuhaus, and Samantha Crompvoets -- Part 2. Women at war. Medical issues for women warriors on deployment / Anne L. Naclerio ; Reproductive health / Cara J. Krulewitch ; Issues in the prevention of malaria among women at war / Remington L. Nevin ; Women, ships, submarines, and the US Navy / Heather D. Hellwig and Paulette T. Cazares ; Female combat medics / Charles Figley, Barbara L. Pitts, Paula Chapman, and Christine Elnitsky ; Human sexuality and women in the area of operations / Amy Canuso -- Part 3. Women home from war. Women home from war / Elizabeth C. Henderson ; Mothers in war / Amy Canuso ; Building the framework for successful deployment reunions / Erin Simmons ; Traumatic brain injury: implications for women in the military / Victoria Tepe and Suzanne Garcia -- Part 4. Psychological issues for active duty women. Suicide-related ideation and behaviors in military women / Marjan Ghahramanlou-Holloway, Brianne George, Jaime T. Carreno-Ponce, and Jacqueline Garrick ; Intimate partner violence, military personnel, and veterans / Glenna Tinney and Melissa E. Dichter -- Part 5. The female veteran experience. The woman veteran experience / Isabel D. Ross, Natara D. Garovoy, Susan J. McCutcheon, and Jennifer L. Strauss ; Mental health of women warriors: the power of belonging / Kate McGraw ; The Veterans Health Administration response to military sexual trauma / Margret E. Bell and Susan J. McCutcheon ; Compensation, pension, and other benefits for women veterans with disabilities / Jacqueline Garrick.

In the very first text of its kind, Women at War brings together all available information and experience on women's physical and mental health in one resource to enlighten the practitioners caring for them. Our U.S Department of Defense is approximately 15% women with over 300,000 women having deployed since September 11th, 2001. This book reviews the epidemiology, changes in policy and demographics of women in the services, the factors affecting their health and health care while serving in austere environments, issues related to reproductive and urogenital health and how health care provide.

More veterans are likely to present to the VA with service-connected claims for adverse effects related to exposure to a prophylactic antimalarial drug commonly used by the military for more than 2 decades.

This volume tells the history of homosexuality in the United States military beginning in 1986, when the issue first came to the forefront of social consciousness. Each chapter is written through the eyes of gay mental healthcare providers, covering how to steadily adapt and learn to treat veterans struggling with the traumas associated with the stigma of homosexuality in service. Topics include the "Don't-Ask-Don't-Tell" (DADT) policy, its repeal in 2011, and addresses the current trends and challenges. Unlike any other professional book, this text includes the personal stories of gay military mental healthcare providers, as well as gay civilian clinicians who have worked with the military population in various segments in history. These accounts offer invaluable support for medical professionals working with this demographic. Chapters cover the various psychological damage service personnel encounter as it uniquely pertains to those struggling with the stigma of LGBTQ rights. Chapters include clinical pearls for particular psychiatric concerns, lessons learned for the future, and hard-earned successes as stigmas and perceptions evolved over time. Gay Mental Healthcare Providers and Patients in the Military is an excellent resource for psychiatrists, psychologists, social workers, policymakers, and all professionals who are interested in LGBTQ rights in the context of veteran psychiatry

Grounded in the best science available, this essential volume presents practical guidelines for effective clinical intervention in the immediate, intermediate, and long-term aftermath of large-scale traumatic events. Vital lessons learned from a variety of mass traumas and natural disasters are incorporated into the book's thorough review of strategies for helping specific victim and survivor populations. The editors and authors include over 40 leading experts in disaster mental health. Of crucial importance, they clearly summarize the empirical evidence supporting eac.