A Needs Assessment of New York State Veterans: Final Report to the New York State Health Foundation, Summary

Mental health disorders and other types of impairments resulting from deployment experiences are beginning to emerge, but fundamental gaps remain in our knowledge about the needs of veterans returning from Iraq and Afghanistan, the services available to meet those needs, and the experiences of veterans who have tried to use these services. The current study focuses directly on the veterans living in New York state; it includes veterans who currently use U.S. Department of Veterans Affairs (VA) services as well as those who do not; and it looks at needs across a broad range of domains. The authors collected information and advice from a series of qualitative interviews with veterans of Operation Iraqi Freedom (OIF)/Operation Enduring Freedom (OEF) residing in New York, as well as their family members. In addition, they conducted a quantitative assessment of the needs of veterans and their spouses from a sample that is broadly representative of OEF/OIF veterans in New York state. Finally, they conducted a review the services currently available in New York state for veterans. The study found substantially elevated rates of post-traumatic stress disorder (PTSD) and major depression among veterans. It also found that both VA and non-VA services are critically important for addressing veterans' needs, and that the health care systems that serve veterans are extremely complicated. Addressing veterans' mental health needs will require a multipronged approach: reducing barriers to seeking treatment; improving the sustainment of, or adherence to, treatment; and improving the quality of the services being delivered. Finally, veterans have other serious needs besides mental health care and would benefit from a broad range of services

The Magnitude and Sources of Disagreement Among Gun Policy Experts

The effects of firearm policies have rarely been the subject of rigorous scientific evaluation in comparison with most other policies with similarly consequential effects on public safety, health, and the economy. Without strong scientific evidence of the effects of laws, policymakers and the public rely heavily on the expert judgments of advocates or social scientists. This makes gun policy experts' estimates of the true effects of policies an important influence on gun policy debates and decisions. In this report, RAND researchers describe the results of a survey in which gun policy experts estimated the likely effects of 15 gun-related policies on 12 societal outcomes. The researchers use these and other responses to establish the diversity of beliefs among gun policy experts about the true effects of gun laws, establish where experts are in more or less agreement on those effects, and evaluate whether differences in the policies favored by experts result from disagreements about the policies' true effects or disagreements in experts' policy objectives or values. The analysis suggests that experts on both sides of the gun policy debate share some objectives but disagree on which policies will achieve those objectives. Therefore, collecting more and stronger evidence about the true effects of policies is, the researchers believe, a necessary step toward building greater consensus

Physical and psychological health following military sexual assault: recommendations for care, research, and policy /

This paper reviews data on the prevalence of sexual assault among servicemembers, predictors of disclosure, efforts to improve disclosure, victim needs and DoD efforts to provide necessary resources in the immediate aftermath of a sexual assault. The authors compared civilian and DoD guidelines for care and found them to be generally consistent. However, little is known about the fidelity with which DoD recommendations are implemented.Print version record.Cover; Copyright; Physical and Psychological Health Following Military Sexual Assault; Bibliography; About This Paper.This paper reviews data on the prevalence of sexual assault among servicemembers, predictors of disclosure, efforts to improve disclosure, victim needs and DoD efforts to provide necessary resources in the immediate aftermath of a sexual assault. The authors compared civilian and DoD guidelines for care and found them to be generally consistent. However, little is known about the fidelity with which DoD recommendations are implemented.Includes bibliographical references (pages 19-23).JSTO

Visualizing Firearm Mortality and Law Effects: An Interactive Web-Based Tool

The Firearm Law Effects and Mortality Explorer is designed to provide users with information about the distribution of firearm deaths across states and demographic subgroups. In addition, it allows users to explore how those deaths might be affected by the implementation of a set of commonly enacted state firearm laws using estimates of those effects produced by the RAND research team. In the documentation that accompanies the tool, the research team describes the data sources used to produce the visualizations in the tool, the assumptions underlying the visualizations, and the statistical models that produce the law effect estimates the visualizations depict