Military and Veterans Studies Commons^™

Access And Barriers To Care During Transition From Active Duty To Veteran Status In Veterans With Diabetes: A Look At Health Literacy, Change, And Ongoing Diabetes Self-Management Education, Mark R. Malebranche

Dissertations

Background and Rationale: Transition from active duty to veteran status may be a challenging time, especially for veterans with diabetes. These veterans face multiple changes that can cause distress. Most veterans with diabetes have type 2 diabetes, however a diagnosis of type 1 diabetes on active duty is cause for discharge for active duty.

Purposes and Aims: The purpose of this study was to describe the transition experience of veterans diagnosed with diabetes while on active duty from active duty to veteran status. The study describes barriers and facilitators to healthcare and diabetes self-care management. The four aims of the …

Veterans Treatment Courts: Pure Pretextualism Or A Venue For Veterans' Needs?, John William Erickson Jr.

School of Criminal Justice Theses and Dissertations

The intended goals of Veterans Treatment Courts (VTCs) are consistent with what drove the establishment of Drug Courts and Mental Health Courts in the ‘90s. That is, a recognition that the traditional criminal justice system is geared toward punitive court dispositions; not the unique characteristics of addicts and/or mental health defendants (G. Lerner-Wren, personal communication, January 12, 2015). For example, In Dade County, Florida, a former U.S. Attorney, then the Dade County State Attorney, recognized that reform was necessary to avoid the criminalization of drug addiction; given the high prevalence of cocaine abuse. Today, U.S. Military Veterans returning from Iraq …

Supporting Student Veterans Utilizing Participatory Curriculum Development, Bryce A. Doehne

Antioch University Dissertations & Theses

An organizational level program utilizing Participatory Curriculum Development (PCD) (Taylor, 2003) is presented to assist postsecondary institutions with development, implementation, and evaluation of programs to support student veterans. Postsecondary institutions are provided with a “how to” program manual that includes literature-based core and supplemental programs, trauma-informed theory, and a methodological framework to implement programs. Practical program evaluation measures are offered to assist postsecondary institutions with evaluating the outcomes of their efforts to support student veterans. The electronic version of this dissertation is at AURA: Antioch University Repository and Archive, http://aura.antioch.edu/ and OhioLink ETD Center, https://etd.ohiolink.edu

Veterans' Perceptions Of Military Stigma And The Shame Associated With Combat-Related Posttraumatic Stress, Alexander J. Buelna

Walden Dissertations and Doctoral Studies

Military stigma is a heavy burden of social stigma internalized by veterans who are diagnosed with posttraumatic stress disorder (PTSD) during post-deployment psychological screening. PTSD is classified as a mental disorder associated with widespread reluctance to seek medical assistance. Among military veterans who suffer from combat-related posttraumatic stress (PTS), military stigma is considered a widespread problem. The purpose of this phenomenological study was to explore veterans' perceptions of various aspects of military stigma, including post-deployment psychological screening, the diagnosis of PTSD, and factors associated with reluctance to seek medical assistance for PTS. In-depth interviews were conducted with a convenience sample …

Vitamin D Clinical Relevance In The Recovery From Traumatic Brain Injury Among The Military Population, Yuisa M. Colón

Honors Undergraduate Theses

Background: Traumatic brain injury (TBI) still remains a difficult disorder to treat. TBI has been associated to chronic neuroinflammation and a high risk for neurodegenerative disorders. Since 2001 between ten to twenty percent of all deployed military members have suffered a combat-related TBI. Nearly twenty to thirty percent of those will experience chronic cognitive, behavioral and somatic symptoms after suffering a TBI.
Methods: The objective of this review is to evaluate current literature examining vitamin D as a neurosteroid with protective properties and its clinical relevance after traumatic brain injury. Vitamin D is known to participate in neurobiological …

The War At Home, Joseph A. Altobelli Mr.

Capstones

This site was made to show how the cuts to and politics behind the Veterans Affairs Hospital in New York affects the veterans it is set up to care for.

Research Brief: "Military Service Absences And Family Members’ Mental Health: A Timeline Followback Assessment", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief examines mental health correlating with a parent's absence during a military deployment. The findings show that adolescents were affected by a military parent being absent from significant events, and that they would benefit from programs that offer pre and post-deployment briefings. In the future, research should investigate how contact during military deployment affects the service member and their family.

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.

Residual Impact Of Previous Injury On Musculoskeletal Characteristics In Special Forces Operators, Jeffrey J. Parr, Nicholas C. Clark, John P. Abt, Julie Y. Kresta, Karen A. Keenan, Shawn F Kane, Scott M. Lephart

Physical Therapy Faculty Publications

Background: Musculoskeletal injuries are a significant burden to United States Army Special Operations Forces. The advanced tactical skill level and physical training required of Army Special Operators highlights the need to optimize musculoskeletal characteristics to reduce the likelihood of suffering a recurrent injury.

Purpose: To identify the residual impact of previous injury on musculoskeletal characteristics.

Study Design: Cross-sectional study; Level of evidence, 3.

Methods: Isokinetic strength of the knee, shoulder, and back and flexibility of the shoulder and hamstrings were assessed as part of a comprehensive human performance protocol, and self-reported musculoskeletal injury history was obtained. Subjects were stratified based …

Research Brief: "Receipt Of Employment Services Among Veterans Health Administration Users With Psychiatric Diagnoses", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This study found that about four percent (4.2%) of VHA users with psychiatric diagnoses accessed employment services in a given year. VHA patients with a psychiatric diagnosis of schizophrenia had higher odds of accessing employment services relative to VHA users with other psychiatric diagnoses, including PTSD, depression, and other anxiety disorders. In practice, veterans should be aware that receiving VHA employment services should not affect VA benefits and should discuss their medical and financial benefits with benefits advisors and other appropriate advisors. In policy, Policymakers could consider allocating funds to further study the efficacy and effectiveness of various employment services …

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: "Prevalence Of Suicidality Among Hispanic And African American Veterans Following Surgery", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about the likelihood of suicidal behavior and ideation among African Americans and Hispanic Americans after surgery. In policy and practice, pain medications should be prescribed after major surgery, health professionals should evaluate for both physical and psychological suffering several months after surgery, and also provide more services to the patient if necessary; the VHA should expand its suicide prevention program and tailor interventions toward cultural subgroups. Suggestions for future research include looking at prescriber and patient characteristics when prescribing pain medication, looking at the differences in post-surgery coping by race, and relying on data from veterans about …

Research Brief: "Military And Mental Health Correlates Of Unemployment In A National Sample Of Women Veterans", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This study found that unemployment among female veterans was independently associated with screening positive for depression, as well as several other factors related to military service and veteran status. In practice, caring for the mental health of female veterans might improve their employment prospects, and in addition, many unemployed female veterans expressed that civilian coworkers did not understand their military experience. In policy, the VA and other federal agencies might model programs to support unemployed female veterans after the Institute for Veterans and Military Families’ Veteran Women Igniting the Spirit of Entrepreneurship (V-WISE) program. Suggestions for future study include incorporating …

Soldiers Returning From Deployment: A Qualitative Study Regarding Exposure, Coping, And Reintegration, Lisa A. Brenner, Lisa M. Betthauser, Nazanin Bahraini, Jaimie L. Lusk, Heidi Terrio, Ann I. Scher, Karen A. Schwab

Graduate School of Professional Psychology: Student Scholarship

Purpose/Objective: The purpose of this study was to qualitatively explore exposure to deployment-related physical and/or emotional trauma and associated symptoms among Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) soldiers. Interviews also focused on in-theater- and reintegration-related experiences. Research Method/Design: OEF/OIF soldiers (N = 103) participated in semistructured interviews, and a qualitative descriptive methodology was used to analyze the data. Results: Themes were identified regarding (a) common experiences related to emotional and physical traumas and associated symptoms and strategies for coping and making meaning of experiences and (b) how combat and reintegration experiences affected soldiers’ senses of self, relationships with others, …

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: "Alcohol Use And Craving Among Veterans With Mental Health Disorders And Mild Traumatic Brain Injury", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about the relation between alcohol craving and mental health disorders among veterans, and how mental health disorders impact alcohol cravings. For policy and practices, the research shows that alcohol cravings and mental health disorders among veterans could be a sign for risk of alcohol use disorder. It also shows that the VA should assess veterans for alcohol use disorder, and also research more ties between mental health disorders and alcohol use. Suggestions for future research include conducting the study in a larger, more representative population, as well as involving families in measuring alcohol use/cravings to ensure less …

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.

Swords Into Stethoscopes: How The U.S. Military Could Conduct Medical Diplomacy, Oliver Kendall

Political Science Honors Projects

Since the early 1960’s, Cuba and China have won international appreciation by sending doctors abroad to help where they are needed. While there was surprise in some quarters when U.S. military personnel were deployed to combat Ebola in the last months of 2014, the Department of Defense actually has a long history of medical activity. In its current form, DoD medical outreach cannot likely garner soft power in the way that the Chinese and Cuban programs can, but with a few modifications, the U.S. military could be a serious conductor of medical diplomacy that would save countless lives and benefit …

2nd Place Contest Entry: Treatment Of Post-Traumatic Stress Disorder In A Veteran Population: Efficacy Of Complementary And Alternative Medicine Therapies, Brooke D. Snelgrove

Kevin and Tam Ross Undergraduate Research Prize

This is Brooke Snelgrove's submission for the 2014-2015 Kevin and Tam Ross Undergraduate Research Prize, which won second place. She wrote about the treatment of post-traumatic stress disorder (PTSD) among veterans with Complementary and Alternative Medicine therapies. You can read the final essay that came out of her research here.

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 …

2nd Place Research Paper: Treatment Of Post-Traumatic Stress Disorder In A Veteran Population: Efficacy Of Complementary And Alternative Medicine Therapies, Brooke D. Snelgrove

Kevin and Tam Ross Undergraduate Research Prize

It is estimated that a half million veterans from recent deployments in the Middle East conflicts and about 479,000 veterans deployed during the Vietnam War are diagnosed with Post Traumatic Stress Disorder (PTSD). Current treatments are limited by a relatively high frequency of patients who do not continue with their therapy. With increased PTSD diagnosis and limited effectiveness of treatments, there is a growing need to research and develop new therapies to better assist affected service members. The present study assessed the clinical validity of Complementary and Alternative Medicine therapies for the treatment of PTSD symptoms in a military population …

Research Brief: "Disparities In The Consequences Of Sarcopenia: Implications For African American Veterans", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief shows why more research should be done on African American veterans who have sarcopenia. In policy and practice, African American veterans should tell their healthcare providers about their geriatric medical needs, and health professionals should inform their veteran patients about how to avoid muscle wasting that can lead to sarcopenia; the VA should provide criteria for diagnosing sarcopenia among aging veterans. Suggestions for future research include analysis of the relation between myosteatosis and diabetes, as well as focusing on understanding the effects of sarcopenia on African American veterans.

Evaluation Of Post-Deployment Ptsd Screening Of Marines Returning From A Combat Deployment, Erika L. Hall

Walden Dissertations and Doctoral Studies

The purpose of this quantitative study was to examine whether the post-deployment screening instrument currently utilized to assess active-duty Marines for symptoms of PTSD upon their return from a combat deployment can be solely relied upon to accurately assess for PTSD. Additionally, this study sought to compare the number of Marines who have sought trauma-related mental health treatment based on their answers on the Post-Deployment Health Assessment (PDHA) to the number who have sought trauma-related mental health treatment based on their answers on their PTSD Checklist - Military Version (PCL-M). The participants in this study were comprised of a sample …

Racism Vs. Social Capital: A Case Study Of Two Majority Black Communities, Bruce W. Strouble

Walden Dissertations and Doctoral Studies

Several researchers have identified social capital as a means to improve the social sustainability of communities. While there have been many studies investigating the benefits of social capital in homogeneous White communities, few have examined it in Black homogeneous communities. Also, there has been limited research on the influence of racism on social capital in African American communities. In this dissertation a comparative case study was used within a critical race theory framework. The purpose was to explore the role of racial oppression in shaping social capital in majority African American communities. Data were collected from 2 majority Black communities …

U.S. Army Enlisted Soldiers' Adherence To Prescribed Malaria Chemoprophylaxis In Afghanistan, Michael Paul Brisson

Walden Dissertations and Doctoral Studies

Over the past 13 years, the United States Army has been engaged in armed conflict within Afghanistan. Unfortunately, the United States Army has been forced to evacuate soldiers from the battlefield because of malaria, a parasitic disease that is endemic in Afghanistan. Even though the U.S. Army has adopted an effective chemoprophylaxis protocol, soldiers' adherence to their prescribed medication has been historically low. This research addressed a gap in literature regarding the adherence rates of U.S. Army enlisted soldiers to their prescribed oral malaria chemoprophylaxis. In addition, this research investigated self-reported reasons for soldiers' nonadherence to this medication. The study …

Reasons For Living And Self-Reported Suicidal Behavior Among A Sample Of U.S. Army Personnel, Deborah Elaine Willis

Walden Dissertations and Doctoral Studies

Suicidal Behavior in the U.S. Army is a problem that persists despite significant efforts to promote help-seeking behaviors and the investment of millions of dollars to develop resilience-building interventions. Evidence-based literature supports the use of reasons for living as a protective factor against suicidal behavior in clinical and nonclinical samples, yet it has rarely been studied in an active duty (AD) Army population. This study examined the relationship between self-reported reasons for living and self-reported suicidal behavior, to determine if high levels of reasons for living correlated with low risk of suicidal behavior, over and above demographics, depression, stressful life …

Research Brief: "The Potential For Health-Related Uses Of Mobile Phones And Internet With Homeless Veterans: Results From A Multisite Survey", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about the use of mobile phones among homeless veterans for medical appointment reminders, and other health services provided by healthcare practitioners. In policy and practice, social workers and counselors should determine whether mobile communication would benefit homeless veterans with whom they work and should identify certain barriers to mobile communication that could exist; the VA should expand its mobile notification efforts and look for programs that reduce barriers to regular access to mobile communication. Suggestions for future research include expanding the sample of homeless veterans to include those who are living on the streets or in a …

A Wellness Profile Of Student-Veterans At 4-Year Higher Education Institutions: The Role Of Gender, Combat Tours, And Deployment, William Monroe Heath

Graduate Theses and Dissertations

Afghanistan and Iraq war student-veterans have increased in population on college campuses in the United States (U.S.) as a result of using the Post 9/11 GI Bill. Healthy Campus 2020 (American College Health Association, 2012) highlighted the importance of college student wellbeing, health promotion and disease prevention, while the U.S. Department of Veteran Affairs has called for an approach to services that is strength based (United States Department of Veteran Affairs, 2008). To date, however, wellness studies conducted on Iraq and Afghanistan student-veterans using an evidenced-based model of holistic wellness have not been conducted. This study was designed to address …

Listening To The Ranks: Perceptions Of The U.S. Air Force Occupational Health And Safety Training, Melissa Jo Breunig

UNLV Theses, Dissertations, Professional Papers, and Capstones

Occupational health and safety hazards are abundant in military environments. Due to the hazardous occupational settings, injuries remain a public health concern in the United States military. Public health plays a critical role in injury reduction by addressing the need for comprehensive safety education training, and more specifically, exposure related injuries. A secondary data analysis was completed using Communication Theory as the overarching framework to analyze 13 qualitative interviews conducted with Airmen to gain their perceptions of the occupational health and safety training at Nellis and Creech Air Force Base (AFB). Pedagogy and training content were the two main themes …

Research Brief: "Veterans’ Attitudes Toward Work And Disability Compensation: Associations With Substance Abuse", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This study compares attitudes towards employment and service-connected disabilities among substance using and non-using veterans. In practice, veterans place a high value on being employed, regardless of whether they use substances; however, veterans who used substances were more likely to express fear of losing disability benefits if they became employed. In policy, state-level agencies and programs might work with counseling centers to determine the most productive ways to address the specific employment needs of veterans with disabilities and/or substance use issues. Suggestions for future study include sampling larger populations on a randomized basis to ensure that the results found here …