This report assesses the U.S. military's approach to reducing stigma for mental health disorders and their treatment, how well it is working, and how it might be improved. It presents priorities for program and policy development and research and evaluation to get service members the treatment they need as efficiently and effectively as possible.

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.

Mental health can be improved through the collective action of society. Improving mental health requires broadly based policies and programmes, as well as specific activities in the health field relating to the prevention and treatment of ill health. .

Problems stemming from the misuse and abuse of alcohol and other drugs are by no means a new phenomenon, although the face of the issues has changed in recent years. National trends indicate substantial increases in the abuse of prescription medications. These increases are particularly prominent within the military, a population that also continues to experience long-standing issues with alcohol abuse. The problem of substance abuse within the military has come under new scrutiny in the context of the two concurrent wars in which the United States has been engaged during the past decade-in Afghanistan (Operation Enduring Freedom) and Iraq (Operation Iraqi Freedom and Operation New Dawn). Increasing rates of alcohol and other drug misuse adversely affect military readiness, family readiness, and safety, thereby posing a significant public health problem for the Department of Defense (DoD). To better understand this problem, DoD requested that the Institute of Medicine (IOM) assess the adequacy of current protocols in place across DoD and the different branches of the military pertaining to the prevention, screening, diagnosis, and treatment of substance use disorders (SUDs). Substance Use Disorders in the U.S. Armed Forces reviews the IOM's task of assessing access to SUD care for service members, members of the National Guard and Reserves, and military dependents, as well as the education and credentialing of SUD care providers, and offers specific recommendations to DoD on where and how improvements in these areas could be made.

Nearly 1.9 million U.S. troops have been deployed to Afghanistan and Iraq since October 2001. Many service members and veterans face serious challenges in readjusting to normal life after returning home. This initial book presents findings on the most critical challenges, and lays out the blueprint for the second phase of the study to determine how best to meet the needs of returning troops and their families.

With global commitments and combat duty, our armed forces face life-threatening challenges on a daily basis. However, less visible threats also impact the mental health of our military men and women. Experts examine challenges on the battlefield, such as women coming to terms with life after being prisoners of war, or soldiers dealing with mistakenly killing civilians. But life in the armed forces presents less dramatic, daily challenges. Away from the front lines, soldiers have to raise their families, sometimes as single parents. Children have to learn what it's like to be in a military family, and to make sense of war. Gay or lesbian officers cope with a don't ask, don't tell policy. An unprecedented range of contributors—military officers, medical doctors, psychologists, psychiatrists, and professors—take us onto the bases and the battlefields and inside the minds of military personnel who face far greater challenges than most of us ever see in the headlines. These volumes also highlight factors that make members of the military resilient and stable, as well as programs and practices that can ease the psychological burdens of military personnel, families, and children. Readers can better understand how society views our military and military operations, and how each one of us can play a role in supporting our armed forces.