Social and Behavioral Sciences Commons^™

Research Review: "Transgenerational Factors Associated With Military Service: Comparison Of Children Of Veterans And Nonveterans In A Nationally Representative Sample", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This review examines the impact of military service on the children of veterans post-service, using data from the 2018-2019 National Survey of Children’s Health. Children from veteran families were found to have higher family incomes and health insurance coverage but also exhibited higher rates of clinically recognized externalizing behavioral conditions compared to children from nonveteran families. Despite adjusting for socioeconomic factors, children of veterans still showed elevated levels of externalizing problems, suggesting a need for integrated child-focused screening and services within veteran support systems. This review also contains implications of these findings for practice, policy, and future research.

Consensus On Best Practices In Neuroscience-Informed Treatment Of Combat-Related Posttraumatic Stress In Military Veterans: A Delphi Study Of Experts In The Field Of Mental Health, Danielle Lauren Winters

Counseling & Human Services Theses & Dissertations

The purpose of this study was to capture consensus among mental health professionals who work with combat trauma-afflicted veterans and/or utilize a neuroscience-informed counseling approach, about a set of best practices for uniting neuroscience-informed treatment modalities with the treatment of veterans who present with Post Traumatic Stress (PTS). A multi-round Delphi study was used to elicit information from mental health professionals, which led to the proposition of ways in which mental health professionals may more efficiently work with combat veterans while utilizing neuroscience-informed treatments such as Prolonged Exposure Therapy, Eye Movement Desensitization and Reprocessing (EMDR) neuro-informed Cognitive Behavioral therapy (nCBT), …

A Public Policy Approach To Life After Service For U.S. Military Veterans: Mental Health, Homelessness, And Reintegration, Eric D. Button

Graduate Theses and Dissertations

This dissertation, through a public policy lens, examines life after U.S. military service as it relates to reintegration, the ability of state-level veteran-specific mental health programs to address veterans’ mental health challenges, and states’ ability to address veteran homelessness. First, I use 2019 Centers for Disease Control and Prevention (CDC) Behavioral Risk Factors Surveillance Survey data, along with various measures of state-level characteristics, to examine the influence of relevant state-level policies on veterans’ mental health outcomes. Based on multi-level modeling results, findings suggest that the presence of at least one state-level veteran specific mental health program may be a mitigating …

A Patient-Centered Study Examining Self-Identification Of Mental Health Challenges Among Female Military Officers, Rosellen Roche, Joel Manzi, Katelyn Bard

Journal of Patient-Centered Research and Reviews

Due to the expansion of leadership roles in the military for women, female military personnel now face stressors equal to, and yet unique from, their male counterparts. This pilot study surveyed 73 female U.S. Army officers regarding their experiences of leadership and mental wellness within the military. A mixed-methods survey was distributed via 2 private Facebook groups for female Army officers following an anonymized convenience sampling. This anonymous, patient-centered protocol was used to protect against known stigma surrounding disclosing mental health concerns in the military. Respondents were asked a series of questions including perceived mental health status and access to …

Education On My Healthevet To Increase Access To Psychiatric Healthcare For Veterans, Roxann Hackbarth

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Introduction: Access to mental health care can be challenging for many veterans. The Veterans Health Administration (VHA) developed the patient portal My Healthevet (MHV) to increase access to healthcare services. Despite this program, many veterans still do not take advantage of the portal. The goal of this literature review was to gain knowledge on benefits and barriers of using patient portals, identification of patients who use and do not use patient portals, and interventions to increase the use of patient portals.
Evidence Summary: The use of patient portals, including the VHA portal MHV, helps to increase interactions between clinicians and …

From Military Service To Diakonia: A Training Program For Clergy Ministering To Veterans, Danielle Xanthos

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Many veterans opt to seek the support of clergy before mental health professionals. Most clergy, however, are unfamiliar with the nuances of the veteran culture and experience. Mental health professionals who specialize in working with the veteran population can collaborate with clergy to bridge this gap of care to mutually develop a better understanding of veteran culture and symptoms of mental health conditions common among the veteran population, and by equipping clergy with basic tools that promote psychological and spiritual wellbeing. Special consideration is given to the concept of moral injury and the application of Acceptance and Commitment Therapy, illustrating …

Assessing Positive Mental And Physical Health Outcomes For Veterans -- Executive Summary, Bonnie Chapman Beers, Keoki Spaulding

Institute for Veterans and Military Families

The following is a visual executive summary of the Institute for Veterans and Military Family’s (IVMF) evaluation of the effectiveness of Travis Manion Foundation (TMF) initiatives on improving the level of thriving and well-being among participating veterans, families of the fallen, and civilian members. The evaluation found that participants of multiple TMF initiative types have increased positive mental and physical health outcomes.

Honoring Veterans Means Funding Suicide Prevention, Brendan Cushing-Daniels, Christopher R. Fee

Economics Faculty Publications

Many Americans may not know that it was Dwight D. Eisenhower who in 1954 issued the official proclamation celebrating the service of all veterans by designating Nov. 11, formerly known as Armistice Day, in honor of our vets. Eisenhower, of course, was supreme commander of Allied Forces in Europe during World War II and commander in chief as the 34th president of the United States.

In Ike’s words, “on that day let us solemnly remember the sacrifices of all those who fought so valiantly, on the seas, in the air, and on foreign shores, to preserve our heritage of freedom, …

A Systematic Review Of Rural Veteran Homelessness, Jonathan Fasse

Electronic Theses and Dissertations

This study is a systematic review to examine homeless veterans identified to be most at risk of unsuccessfully completing the VA’s housing program (HUD-VASH), which promotes the use of Housing First (HF) as it’s model for treating homelessness. The literature review identified those who were rural and experiencing comorbid substance use disorders (SUD) and mental health issues to likely be those who were most at risk. There were multiple reasons why this subgroup was most vulnerable including limited access to resources, higher levels of substance use and more serious mental health diagnoses, and chronic health needs. Both the literature review …

Psychometric Properties Of A Modified Moral Injury Questionnaire In A Military Population, Abby L. Braitman, Allison R. Battles, Michelle L. Kelley, Hannah C. Hamrick, Robert J. Cramer, Sarah Ehlke, Adrian J. Bravo

Psychology Faculty Publications

Moral injury (MI) results from perpetration of or exposure to distressing events, known as morally injurious events (MIEs), that challenge moral beliefs and values. Due to the type of involvement in recent military conflicts, many veterans report MIEs that may cause dissonance and, in turn, MI. Although 2 existing measures assess MIEs, neither currently assesses the defining characteristics of MI (i.e., guilt, shame, difficulty forgiving self and others, and withdrawal). The present study reports the initial psychometric test of a modified version (Robbins, Kelley, Hamrick, Bravo, & White, 2017) of the Moral Injury Questionnaire—Military version (MIQ-M; Currier, Holland, Drescher, & …

Research Brief: "Mental Health Of Transgender Veterans Of The Iraq And Afghanistan Conflicts Who Experienced Military Sexual Trauma", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about the relationship between identifying as a transgender veteran, military sexual trauma, and mental health disorders. In policy and practice, transgender veterans who have experienced military sexual trauma should discuss the trauma history with a mental health provider, and health care providers should work with transgender veterans to connect them with proper counseling services. The DoD should work to reduce gender identity stigma within the military and the VA should research MST treatment effectiveness among transgender veterans. Suggestions for future research include using self-rated identity as a variable and determining more about the effectiveness of MST treatments …

Research Brief: "Impact Of Military Trauma Exposures On Post-Traumatic Stress And Depression In Female Veterans", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about the relation between combat stressors, depression, and PTSD among female veterans. In policy and practice, health providers should refer female veterans to services if they have experienced military sexual trauma; the DoD and VA should conduct analysis on the experiences of service and veteran women, and how they can best support service women who experienced military sexual trauma. Suggestions for future research include using an expanded sample and more sampling strategies, as well as use clinical interviews to collect data.

Research Brief: "The National Veteran Sleep Disorder Study: Descriptive Epidemiology And Secular Trends, 2000–2010", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about the relation between sleep disorder diagnosis and cardiovascular disease, cancer, and mental health disorders among veterans. In policy and practice, physicians should familiarize themselves with signs of and screenings for sleep disorders and should discuss factors that affect sleep with their veteran patients; the VHA should continue recommending policies that help veterans receive a prompt diagnosis and treatment of their sleep disorders, policymakers should fund early intervention programs to help veterans learn how to cope with reintegration, and the VHA should create a database on sleep disorders in veterans. Suggestions for future research include studying veterans …

The Relationship Between The Military's Masculine Culture And Service Members' Help-Seeking Behaviors, Rachel Reit

Master's Theses (2009 -)

Since the terrorist attacks on September 11, 2001, over 2.5 million active duty U.S. military service members have deployed to Iraq and Afghanistan (Knobloch & Wilson, 2015). Of those who return as veterans, twenty percent experience serious mental health problems, and only 30-40% of them seek help or treatment (Tanielian & Jaycox, 2008; Wilson, Gettings, Hall, & Pastor, 2015). Recently, the military has increased efforts to encourage help-seeking behaviors among service members and to normalize mental health treatment. However, the military’s masculine culture and emphasis on strength and toughness inhibits the success of these efforts. The present studies investigate the …

Research Brief: "Women At War: The Crucible Of Vietnam", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief summarizes a scholarly article of the same name. It reviews research which evaluates the perspectives of women who served in the Vietnam War and the impact of deployment/military service on their mental health in comparison to contemporary servicewomen.

Association Between Combat, Morally Injurious Experiences, Spiritual Injury, And Alcohol Use Among Active Duty Military Personnel And Veterans, Allison T. Robbins

Psychology Theses & Dissertations

Literature has supported that, along with physical and psychological injuries, combat profoundly impacts veterans’ moral and spiritual belief systems and may contribute to negative health behaviors. Moral injury is a developing construct related to negative consequences associated with war-zone stressors that transgress military veterans’ deeply held values and belief systems. Additionally, spiritual injury addresses negative responses to an event that damages their relationship with God, self, and others, and alienates an individual from that which gives meaning to their lives. The purpose of the present study was to examine the relationship between combat exposure, morally injurious experiences (MIEs), spiritual injury, …

Research Brief: "Unmet Mental Healthcare Need And Suicidal Ideation Among U.S. Veterans", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about the relationship between veterans' unfulfilled mental healthcare needs and suicidal ideation. In policy and practice, physicians should provide information to veterans about organizations and initiatives for assistance, and veterans' organizations should address socioeconomic needs, mental healthcare needs, and alcohol and substance use among the veteran population; policymakers should provide healthcare services for veterans to ensure that they receive mental healthcare when they need it. Suggestions for future research include reporting techniques besides self-reporting, incorporating veterans into the study who might have mental health concerns but are not clinically diagnosed, and looking at the impact of family …

Research Brief: "Access To Mental Health Care Among Women Veterans: Is Va Meeting Women’S Needs?", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is a summary of access to mental health care among women veterans and gender related indicators of perceived access to mental health care.

Research Brief: "Mental Health Of Transgender Veterans In Us States With And Without Discrimination And Hate Crime Legal Protection", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This study suggests that policies protecting transgender individuals from employment discrimination are associated with better mental health, as it found that transgender individuals represent one of the most marginalized populations in both civilian and military communities. In practice, employers should continue encouraging a safe and welcoming environment for all employees, including individuals who identify as transgender, and medical providers serving transgender veterans should consider evaluating their patients’ mental health. In policy, policymakers might continue efforts to reduce discrimination based on sexual orientation and gender identity and might consider introducing bills to protect LGBTQ+ persons. Suggestions for future study include sampling …

Research Brief: "Impact Of Parents' Wartime Military Deployment And Injury On Young Children's Safety And Mental Health", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about the relationship between the mental health of military children and parental deployment. In policy and practice, healthcare providers and teachers should understand the risks during the post-deployment period and the DoD should implement programs to help military families during the post-deployment period. Suggestions for future research include conducting a study over time on this topic, as well as expanding the sample to include longer and multiple deployments and various age groups of children within military families.

Research Brief: "Suicide Risk Among 1.3 Million Veterans Who Were On Active Duty During The Iraq And Afghanistan Wars", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about a comparison between the post-service suicide risk of recent wartime veterans versus the suicide risk of the general population in the US. In policy and practice, veterans at risk for suicide should seek counseling, counselors should be aware of military service-specific stressors, and family members should support veterans through readjustment periods; the DoD and VA should continue offering medical screening and counseling services to recent veterans and veterans who were deployed. Suggestions for future research include examining the reasons for lower rates of suicide within certain military branches, determining the reasons for an excess suicide rate …

Research Brief: "Coping, Family Social Support, And Psychological Symptoms Among Student Veterans", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This study is about coping styles among student veterans and what is related to various coping styles. For policy and practice, universities should understand veterans' stigmatization of mental health services and should improve cultural competence; the Department of Veterans Affairs should work with universities to ensure student veteran success. Suggestions for future research include using a larger, more representative sample and looking at the effects of actual versus perceived social support.

Research Brief: "Mental Health Outreach And Screening Among Returning Veterans: Are We Asking The Right Questions?", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief summarizes a scholarly article of the same name. It reviews research which assesses how healthcare providers can do more for veterans towards mental health and outreach.

Research Brief: "Suicidality Among Military-Connected Adolescents In California Schools", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This study examines the prevalence of suicidal ideations among military-connected youth in California, and found that twenty-four percent of military-connected youth reported seriously considering suicide. Given these findings, school personnel and mental health providers should teach coping techniques for anxiety, depression, and stress; they would also benefit from implementing a policy that forbids service members from bringing firearms home during extended leaves and weekends. Future studies should sample military children of all grade levels, including college/university.

Research Brief: "Post-Sexual Assault Health Care Utilization Among Oef/Oif Servicewomen", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about the use of medical and mental health services by servicewomen after sexual assault that occurred while in the military. In policy and practice, servicewomen who have been sexually assaulted should seek medical and mental healthcare in a timely manner, even if they don't believe it is necessary, to prevent HIV infection and pregnancy; the DoD should continue its use of the DoJ's gold standard of care while ensuring that servicewomen feel that they can reach out for post-assault healthcare. Suggestions for future research include sampling more servicewomen who utilize care, expanding the geographic spread of the …

Research Brief: "The Evaluation Of Mindfulness-Based Stress Reduction For Veterans With Mental Health Conditions", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about the usage of mindfulness-based stress reduction for the psychological well-being of veterans with mental health conditions. In policy and practice, mindfulness-based stress reduction instructors should be certified in the processes of mindfulness, and professionals should create a standardized mindfulness-based stress reduction treatment manual; the VHA could include mindfulness-based stress reduction treatments into current treatment plans and could commission studies about if they are more cost-effective than pharmacologic treatments. Suggestions for future research include conducting individual interviews in addition to group interviews, and assessing the effectiveness of mindfulness-based stress reduction on PTSD outcomes.

Research Brief: "The Impact Of Sport And Physical Activity On The Well-Being Of Combat Veterans: A Systematic Review", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about the influence that sports and exercise have on veterans' well-being and therapies that impact the well-being of combat veterans. In policy and practice, healthcare practitioners should prepare comprehensive treatment models that encompass physical activity and sports where appropriate, and support groups should encourage veterans to participate in competitive sports or other recreational activities; the DoD could expand programs to provide sports to more disabled combat veterans and the VA should re-evaluate its programs to ensure there are no barriers to participation. Suggestions for future research include studying the effects of sports and exercise on the well-being …

Research Brief: "Women At War: Understanding How Women Veterans Cope With Combat And Military Sexual Trauma", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about stressors during military service that OEF/OIF female veterans experienced and how they coped with the stress. In policy and practice, female veterans should tell healthcare providers of their healthcare needs, and should form support groups with other veteran women; family members should support returning female service members; the VA should adapt its services to address the needs of female veterans, policymakers should allocate funding toward creating non-VA mental health and substance abuse counseling, and the VA should offer gender-specific mental health programs. Suggestions for future research include analyzing differences between age groups and length of time …

Research Brief: "Teaching Post 9/11 Student Veterans With Symptoms Of Ptsd: The Influence Of Faculty Perceptions And Self-Efficacy", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This study aims to understand how perceptions of veterans and their military service influence instructor self-efficacy, and is important because enrollment of veterans into higher education is expected to continue increasing. In practice, universities should encourage a collaborative understanding between student veterans and faculty members to assist in producing positive educational outcomes, and policies should consider providing more resources for veterans at universities. Future research should strive to have a larger sample size, and use more neutral words that have fewer negative connotations.

Research Brief: “Clinical And Demographic Factors Associated With Employment Status In Us Military Veterans Returning From Iraq And Afghanistan”, Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief focuses on the connection between employment status and veterans with or without PTSD, mild Traumatic Brain Injury, sleep issues, or pain issues. In practice, depression and those 40+ years of age were associated with the employment status in this study of a sample of post-deployment U.S. veterans. In policy, it is found that policymakers should know that veterans' adjustment issues may not be the threshold of being effective employees. Future research could target combat veterans’ motivations and the ability to pursue education, as well as a study of those who are employed and have had an mTBI and …