information for practice

The costs of military service are substantial. Many costs are readily apparent; others are less apparent but no less important. Among the most pervasive and potentially disabling consequences of these costs is the threat to the psychological health of our nation’s fighting forces, their families, and their survivors. Our involvement in the Global War on Terrorism has created unforeseen demands not only on individual military service members and their families, but also on the Department of Defense itself, which must expand its capabilities to support the psychological health of its service members and their families. In particular, the system is being challenged by emergence of two “signature injuries” from the current conflict – posttraumatic stress disorder and traumatic brain injury. These two injuries often coincide, requiring integrated and interdisciplinary treatment methods. New demands have exposed shortfalls in a health care system that in previous decades had been oriented away from a wartime focus. Staffing levels were poorly matched to the high operational tempo even prior to the current conflict, and the system has become even more strained by the increased deployment of active duty providers with mental health expertise. As such, the system of care for psychological health that has evolved over recent decades is insufficient to meet the needs of today’s forces and their beneficiaries, and will not be sufficient to meet their needs in the future.