Using data compiled from longitudinal studies of World War II, Korean War, and Vietnam War veterans, contributors to this groundbreaking book examine the effects of military service across the lifespan. The US spends over 100 billion dollars annually on healthcare for more than 30 million active military and veterans. The prevalence of negative trauma and post-traumatic stress disorder (PTSD) among military veterans is well-known. But other more subtle effects of military service--particularly on health and well-being in later life--are less well-understood, among researchers as well as medical and mental health professionals who care for veterans. Chapters in this book give us crucial insights into the impact of military service, including the surprising finding that service can serve as a protective factor in some contexts, throughout the aging process. Topic areas include the effects of combat and stress on longevity and brain functioning; the use of memory, cognition, and ego development at various points in life; the relationship between experiences of discrimination and the later development of PTSD; marriage longevity; employment; and the way notions of patriotism and nationalism among service personnel and their families may change over time.

Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not surprising that some service members developed such mental health conditions as posttraumatic stress disorder, depression, and substance use disorder. Subsequent epidemiologic studies conducted on military and veteran populations that served in the operations in Afghanistan and Iraq provided scientific evidence that those who fought were in fact being diagnosed with mental illnesses and experiencing mental healthâ€"related outcomesâ€"in particular, suicideâ€"at a higher rate than the general population. This report provides a comprehensive assessment of the quality, capacity, and access to mental health care services for veterans who served in the Armed Forces in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn. It includes an analysis of not only the quality and capacity of mental health care services within the Department of Veterans Affairs, but also barriers faced by patients in utilizing those services.

Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.

The number of older war veterans receiving disability benefits is steadily growing and is predicted to rise in the next decade. This book provides comprehensive knowledge about health and psychosocial concerns of veterans aging with disabilities and unmet needs and compares policy in three countries that have been involved in massive warfare in the 20th century––the United Kingdom (UK), the United States (US), and Israel. Using a cross-national comparative study of the policies, legislation and services provided by these three countries, which have significant numbers of aging disabled military veterans, this book provides evidence-based knowledge on the trajectories and attendant mental-health and psychosocial problems this sub-group faces when aging with a disability. It sheds light on the paradox in which most veterans with disabilities in the UK, USA and Israel are older, while the current legislation and budget target younger veterans with disabilities. The book reflects the current debate regarding the desired policy toward older veterans with disabilities in these countries and whether to provide them with proactive health services prior to retirement to prevent "accelerated aging". It also evaluates the dilemma of whether to serve aging veterans separately as a unique population or to provide them with the same services used by the general population. This book will be of interest to all academics and students working in disability studies, rehabilitation studies, gerontology, psychology, sociology, social work, social policy, and law more broadly.

"While much has been written about the role of caregiving for the elderly and chronically ill and for children with special needs, little is known about "military caregivers" -- the population of those who care for wounded, ill, and injured military personnel and veterans. These caregivers play an essential role in caring for injured or wounded service members and veterans. This enables those for whom they are caring to live better quality lives, and can result in faster and improved rehabilitation and recovery. Yet playing this role can impose a substantial physical, emotional, and financial toll on caregivers. This report summarizes the results of a study designed to describe the magnitude of military caregiving in the United States today, as well as to identify gaps in the array of programs, policies, and initiatives designed to support military caregivers. Improving military caregivers' well-being and ensuring their continued ability to provide care will require multifaceted approaches to reducing the current burdens caregiving may impose, and bolstering their ability to serve as caregivers more effectively. Given the systematic differences among military caregiver groups, it is also important that tailored approaches meet the unique needs and characteristics of post-9/11 caregivers."--Abstract.