A Conceptual Model of the Psychological Health System for U.S. Active Duty Service Members: An Approach to Inform Leadership and Policy Decision Making

The influence of individual-level factors such as pretraumatic risk and protective factors and the availability of unit-level and enterprise-level factors on psychological health outcomes have been previously considered individually, but have not been considered in tandem across the U.S. Military...

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Main Authors: Wang, Judy Y., Glover, Wiljeana J., Rhodes, Alison M., Nightingale, Deborah
Format: Article
Language:en_US
Published: Military Medicine 2016
Online Access:http://hdl.handle.net/1721.1/102566
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author Wang, Judy Y.
Glover, Wiljeana J.
Rhodes, Alison M.
Nightingale, Deborah
author_facet Wang, Judy Y.
Glover, Wiljeana J.
Rhodes, Alison M.
Nightingale, Deborah
author_sort Wang, Judy Y.
collection MIT
description The influence of individual-level factors such as pretraumatic risk and protective factors and the availability of unit-level and enterprise-level factors on psychological health outcomes have been previously considered individually, but have not been considered in tandem across the U.S. Military psychological health system. We use the existing literature on military psychological health to build a conceptual system dynamics model of the U.S.Military psychological health system “service-cycle” from accession and deployment to future psychological health screening and treatment. The model highlights a few key observations, challenges, and opportunities for improvement for the system that relate to several topics including the importance of modeling operational demand combined with the population’s psychological health as opposed to only physical health; the role of resilience and post-traumatic growth on the mitigation of stress; the positive and negative effects of pretraumatic risk factors, unit support, and unit leadership on the service-cycle; and the opportunity to improve the system more rapidly by including more feedback mechanisms regarding the usefulness of pre- and post-traumatic innovations to medical leaders, funding authorities, and policy makers.
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spelling mit-1721.1/1025662019-04-10T20:42:44Z A Conceptual Model of the Psychological Health System for U.S. Active Duty Service Members: An Approach to Inform Leadership and Policy Decision Making Wang, Judy Y. Glover, Wiljeana J. Rhodes, Alison M. Nightingale, Deborah The influence of individual-level factors such as pretraumatic risk and protective factors and the availability of unit-level and enterprise-level factors on psychological health outcomes have been previously considered individually, but have not been considered in tandem across the U.S. Military psychological health system. We use the existing literature on military psychological health to build a conceptual system dynamics model of the U.S.Military psychological health system “service-cycle” from accession and deployment to future psychological health screening and treatment. The model highlights a few key observations, challenges, and opportunities for improvement for the system that relate to several topics including the importance of modeling operational demand combined with the population’s psychological health as opposed to only physical health; the role of resilience and post-traumatic growth on the mitigation of stress; the positive and negative effects of pretraumatic risk factors, unit support, and unit leadership on the service-cycle; and the opportunity to improve the system more rapidly by including more feedback mechanisms regarding the usefulness of pre- and post-traumatic innovations to medical leaders, funding authorities, and policy makers. Department of Defense 2016-05-19T19:56:26Z 2016-05-19T19:56:26Z 2013 Article http://hdl.handle.net/1721.1/102566 en_US application/pdf Military Medicine
spellingShingle Wang, Judy Y.
Glover, Wiljeana J.
Rhodes, Alison M.
Nightingale, Deborah
A Conceptual Model of the Psychological Health System for U.S. Active Duty Service Members: An Approach to Inform Leadership and Policy Decision Making
title A Conceptual Model of the Psychological Health System for U.S. Active Duty Service Members: An Approach to Inform Leadership and Policy Decision Making
title_full A Conceptual Model of the Psychological Health System for U.S. Active Duty Service Members: An Approach to Inform Leadership and Policy Decision Making
title_fullStr A Conceptual Model of the Psychological Health System for U.S. Active Duty Service Members: An Approach to Inform Leadership and Policy Decision Making
title_full_unstemmed A Conceptual Model of the Psychological Health System for U.S. Active Duty Service Members: An Approach to Inform Leadership and Policy Decision Making
title_short A Conceptual Model of the Psychological Health System for U.S. Active Duty Service Members: An Approach to Inform Leadership and Policy Decision Making
title_sort conceptual model of the psychological health system for u s active duty service members an approach to inform leadership and policy decision making
url http://hdl.handle.net/1721.1/102566
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