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1.
Rand Health Q ; 11(3): 7, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38855385

RESUMO

Developing strong resiliency and care solutions for airmen and guardians is key to human capital development and force readiness. The True North program is one of the Department of the Air Force's (DAF's) most significant recent investments in promoting the resiliency of its people. Assessing the program's level of success, justifying funding, and informing decisions about the program's future will require a rigorous evaluation. The authors of this study (1) identify desired outcomes for members participating in the program, (2) define appropriate measures of effectiveness that could be used in evaluating the True North program, and (3) make recommendations for ongoing internal evaluation of the program. The True North program encompasses selected installation welcome centers, embedded religious support teams (RSTs), and embedded mental health (EMH) teams. To determine how DAF might evaluate this program and its components, the authors reviewed relevant policies and procedures and literature relevant to the program components and conducted interviews with 17 True North program personnel and 21 group and squadron commanders. They present a program logic model to determine potential evaluation measures.

2.
Rand Health Q ; 9(4): 22, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-36238016

RESUMO

Populations affected by psychological distress are at risk of adverse career outcomes. The authors use data from the 2014 RAND Military Workplace Study and administrative personnel records of 17,502 U.S. military service members from 2014 to 2016 to evaluate the relationship between self-reported symptoms of depression and posttraumatic stress disorder (PTSD) in the U.S. military and subsequent service member separation rates. The authors find that self-reported symptoms of depression and PTSD were significantly associated with the odds of service member separation from the U.S. military. The odds that service members with symptoms suggestive of depressive disorders would separate from the military within the next 28 months were 2.62 times greater than the odds of service members with no symptoms of depression (95-percent confidence interval [CI] = 2.12, 3.22). Also, the odds that service members who reported symptoms of PTSD would separate from the military were 2.14 times greater than the odds of service members with no such symptoms (CI = 1.82, 2.51). The study's findings suggest that depression and PTSD symptoms, including subclinical symptoms, are related to subsequent separation from the military. Addressing mental-health needs could reduce negative employment outcomes that are costly for both the military and individual service members.

3.
Rand Health Q ; 9(4): 20, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-36238020

RESUMO

The U.S. Marine Corps' Body Composition and Military Appearance Program (BCMAP) standards were not developed from populations that reflect the current makeup of the force and the fitness requirements that they are subject to. Research suggests that the implementation of these standards could drive marines to adopt unhealthy behaviors, primarily those associated with disordered eating, to meet the standards while disproportionately affecting communities of color and women more generally. Furthermore, these unhealthy behaviors can cause significant short- and long-term mental and physical health problems that could negatively affect individual marines during their service and long after. Although there is some limited research on body-composition standards and eating disorders in the services, there has been little assessment of how the negative effects of policy and the behaviors associated with it affect the mental and physical health of individual marines (particularly those from communities of color and women more generally), career retention, and overall military readiness. Service and U.S. Department of Defense leadership have made talent management and diversity of the force at different levels of leadership an institutional priority; understanding how the BCMAP affects the force will help meet these objectives. This research will help decisionmakers understand how the BCMAP and its associated policies drive individual behavior, particularly for women in general and communities of color. It will also inform talent-management efforts and discussions about relevant national security implications while providing recommendations and a general framework for policy change.

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