Army Health Promotion Risk Reduction Suicide Prevention Report 2010

Author : Peter W. Chiarelli
Publisher : DIANE Publishing
ISBN 13 : 1437937152
Total Pages : 350 pages
Book Rating : 4.52/5 ( download)

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Download or read book Army Health Promotion Risk Reduction Suicide Prevention Report 2010 written by Peter W. Chiarelli and published by DIANE Publishing. This book was released on 2010-11 with total page 350 pages. Available in PDF, EPUB and Kindle. Book excerpt: This candid report is the result of a focused 15-month effort to better understand the increasing rate of suicides in U.S. Army. Key findings include: gaps in the current policies, processes and programs necessary to mitigate high risk behaviors; an erosion of adherence to existing Army policies and standards; an increase in indicators of high risk behavior including illicit drug use, other crimes and suicide attempts; lapses in surveillance and detection of high risk behavior; an increased use of prescription anti-depressants, amphetamines and narcotics; degraded accountability of disciplinary, admin. and reporting processes; and the continued high rate of suicides, high risk related deaths and other adverse outcomes. Charts and tables.

Author : United States Government US Army
Publisher : CreateSpace
ISBN 13 : 9781490499239
Total Pages : 348 pages
Book Rating : 4.37/5 ( download)

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Download or read book Army Health Promotion Risk Reduction Suicide Prevention Report - The Chiarelli Report written by United States Government US Army and published by CreateSpace. This book was released on 2013-06-22 with total page 348 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report reflects a year's worth of work at the direction of the Army's Senior Leadership to provide a "directed telescope" on the alarming rate of suicides in the Army. It represents both initial findings of the Army Suicide Prevention Task Force and informs the future of Suicide Prevention within the Army. Suicide is a devastating event. What was once considered a private affair or family matter now threatens our Army's readiness. Equally alarming to the rising rate of suicide in the Army is an increasing number of Soldiers who engage in high risk behavior. Equivocal deaths,1 deaths by drug toxicity, accidental deaths, attempted suicides, and drug overdoses are reducing the ranks and negatively effecting the Army's ability to engage in contingency operations in Iraq and Afghanistan. These deaths further strain efforts to sustain institutional operations. No one could have foreseen the impact of nine years of war on our leaders and Soldiers. As a result of the protracted and intense operational tempo, the Army has lost its former situational awareness and understanding of good order and discipline within its ranks. This report's comprehensive review exposes gaps in how we see, identify, engage and mitigate high risk Soldiers. These gaps exist in our systems and processes due in part to Army Transformation and nearly a decade of war. Policy, process, structure and programs have not kept pace with the expanding needs of our strained Army. While leadership schools emphasize battlefield skills, leaders are not as adept at negotiating the art of leadership in a garrison environment as they were prior to OEF and OIF. Failure to execute policies designed to ensure good order and discipline in garrison sends a message of permissive complacency. Failure to refer a Soldier with a drug positive urinalysis to the Army Substance Abuse Program (ASAP); initiate administrative separation for positive urinalysis; administratively separate Soldiers committing multiple instances of misconduct; and report unlawful activity all contribute to a breakdown in good order and discipline. This, in turn, has led to an increasing population of high risk Soldiers whose transmittable behavior can erode Army values and unit readiness. Additionally, our units, Soldiers and Families are feeling the strain and stress of nine years of conflict. The cumulative effect of transitions borne of institutional requirements (professional military education, PCS moves, promotions) coupled with family expectations/obligations (marriage, child birth, aging parents) and compounded by deployments is, on one hand, building a resilient force while on the other, pushing some units, Soldiers and Families to the brink.

Author : Department of the Army
Publisher :
ISBN 13 : 9781463603373
Total Pages : 50 pages
Book Rating : 4.71/5 ( download)

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Download or read book Health Promotion, Risk Reduction, and Suicide Prevention written by Department of the Army and published by . This book was released on 2009-12-17 with total page 50 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Army Suicide Prevention Program (ASPP), a proponent of Deputy Chief of Staff, G-1 (DCS, G-1), has an Army-wide commitment to provide resources for suicide intervention skills, prevention, and follow-up in an effort to reduce the occurrence of suicidal behavior across the Army enterprise. The ASPP develops initiatives to tailor and target policies, programs, and training in order to mitigate risk and behavior associated with suicide. A function of the ASPP is to track demographic data on suicidal behaviorsto assist Army leaders in the identification of trends. The goal is to minimize suicidal behavior by reducing the risk of suicide for Active Army and Reserve Component Soldiers, Army DA civilians, and Army Family members. The ASPP establishes a community approach to reduce Army suicides through the function of the Community Health Promotion Councils (CHPC). The CHPC integrates multidisciplinary capabilities to assist commanders in implementing local suicide-prevention programs, and establishes the importance of early identification of, and intervention with problems that detract from personal and unit readiness. The ASPP has 3 principle phases or categories of activities to mitigate the risk and impact of suicidal behaviors; prevention, intervention, and postvention. The ASPP Program Manager shall also serve as a member of the Department of Defense (DOD) Suicide Prevention and Risk Reduction Committee and subcommittees to ensure the ASPP is nested with the Defense Community of Excellence (DCoE) suicide prevention efforts. The Office of the Surgeon General (OTSG), ICW CHPCs will develop a specific plan to provide commanders additional guidance on ensuring at risk medications are tracked and medical peer review is completed through quality assurance. Guidance will provide commanders information on how to- (1) Inform commanders on how to track at risk medications when the health care provider (HCP) or pharmacy will not release their medication information. (2) Determine how the Army will track medication filled by an outside DOD medical pharmacy. Prevention focuses on preventing normal life "stressors" from turning into life crises. "Prevention Programming" focuses on equipping the Soldier, Family member, and Army DA civilian with coping skills to handle overwhelming life circumstances. Prevention includes early screening to establish baseline mental health and to offer specific remedial programs before dysfunctional behavior occurs. Prevention is dependent upon caring and proactive unit leaders and managers who make the effort to know their personnel, including estimating their ability to handle stress, and who offer a positive, cohesive environment which nurtures, and develops positive life-coping skills. These "gatekeepers" serve as the first line of defense to mitigate risk (See glossary for "gatekeeper" explanation).Intervention attempts to prevent a life crisis or mental disorder from leading to thoughts of suicide, to help someone manage suicidal thoughts and takes action to intervene when a suicide appears imminent. It encourages and/or mandates professional assistance to handle a particular crisis or treat a mental illness. In this area, early involvement is a crucial factor in suicide risk reduction. Intervention includes alteration of the conditions that produced the current crisis, treatment of underlying psychiatric disorder(s) that contributed to suicidal thoughts, and follow-up care to assure problem resolution. This also could include controlling a person's environment such as removing the means and enacting watchful care from a buddy. Commanders play an integral part during this phase, as it is their responsibility to ensure access to behavioral health care and that a particular problem or crisis has been resolved before assuming the person is out of danger.

Author : Dessa K. Bergen-Cico
Publisher : Routledge
ISBN 13 : 1317249380
Total Pages : 226 pages
Book Rating : 4.82/5 ( download)

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Download or read book War and Drugs written by Dessa K. Bergen-Cico and published by Routledge. This book was released on 2015-11-17 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: War and Drugs explores the relationship between military incursions and substance use and abuse throughout history. For centuries, drugs have been used to weaken enemies, stimulate troops to fight, and quell post-war trauma. They have also served as a source of funding for clandestine military and paramilitary activity. In addition to offering detailed geopolitical perspectives, this book explores the intergenerational trauma that follows military conflict and the rising tide of substance abuse among veterans, especially from the Vietnam and Iraq-Afghan eras. Addiction specialist Bergen-Cico raises important questions about the past and challenges us to consider new approaches in the future to this longest of US wars.

Author : Rajeev Ramchand
Publisher : Rand Corporation
ISBN 13 : 0833052314
Total Pages : 229 pages
Book Rating : 4.15/5 ( download)

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Download or read book The War Within written by Rajeev Ramchand and published by Rand Corporation. This book was released on 2011 with total page 229 pages. Available in PDF, EPUB and Kindle. Book excerpt: The increase in suicides among military personnel has raised concern. This book reviews suicide epidemiology in the military, catalogs military suicide-prevention activities, and recommends relevant best practices.

Author : Who
Publisher :
ISBN 13 : 9789240693166
Total Pages : pages
Book Rating : 4.65/5 ( download)

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Download or read book Preventing Suicide written by Who and published by . This book was released on 2014 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Author : Robert J. Topmiller
Publisher : Routledge
ISBN 13 : 131726309X
Total Pages : 183 pages
Book Rating : 4.98/5 ( download)

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Download or read book Binding Their Wounds written by Robert J. Topmiller and published by Routledge. This book was released on 2015-12-03 with total page 183 pages. Available in PDF, EPUB and Kindle. Book excerpt: The victims of US military campaigns are usually nameless civilians in far away places, but there are also victims closer to home - the soldiers so often used and then discarded by the establishment. Binding Their Wounds is a book about US veterans written by a US veteran - Bob 'Doc' Topmiller. Topmiller fought in Vietnam, founded a school for orphans there, and become a professor of history before he tragically committed suicide. Close friend and scholar Kerby Neill stepped in to complete the book. The result is a history of US veterans and their treatment by the US establishment from the early republic to the recent wars in Iraq and Afghanistan. Binding Their Wounds offers policy recommendations to improve post-conflict treatment and care for veterans which are long overdue.

Author : David Kieran
Publisher : NYU Press
ISBN 13 : 147989236X
Total Pages : 411 pages
Book Rating : 4.65/5 ( download)

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Download or read book Signature Wounds written by David Kieran and published by NYU Press. This book was released on 2019-04-02 with total page 411 pages. Available in PDF, EPUB and Kindle. Book excerpt: The surprising story of the Army’s efforts to combat PTSD and traumatic brain injury The wars in Iraq and Afghanistan have taken a tremendous toll on the mental health of our troops. In 2005, then-Senator Barack Obama took to the Senate floor to tell his colleagues that “many of our injured soldiers are returning from Iraq with traumatic brain injury,” which doctors were calling the “signature wound” of the Iraq War. Alarming stories of veterans taking their own lives raised a host of vital questions: Why hadn’t the military been better prepared to treat post-traumatic stress disorder (PTSD) and traumatic brain injury (TBI)? Why were troops being denied care and sent back to Iraq? Why weren’t the Army and the VA doing more to address these issues? Drawing on previously unreleased documents and oral histories, David Kieran tells the broad and nuanced story of the Army’s efforts to understand and address these issues, challenging the popular media view that the Iraq War was mismanaged by a callous military unwilling to address the human toll of the wars. The story of mental health during this war is the story of how different groups—soldiers, veterans and their families, anti-war politicians, researchers and clinicians, and military leaders—approached these issues from different perspectives and with different agendas. It is the story of how the advancement of medical knowledge moves at a different pace than the needs of an Army at war, and it is the story of how medical conditions intersect with larger political questions about militarism and foreign policy. This book shows how PTSD, TBI, and suicide became the signature wounds of the wars in Iraq and Afghanistan, how they prompted change within the Army itself, and how mental health became a factor in the debates about the impact of these conflicts on US culture.

Author : Anna Powles
Publisher : Routledge
ISBN 13 : 1317004426
Total Pages : 300 pages
Book Rating : 4.24/5 ( download)

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Download or read book United Nations Peacekeeping Challenge written by Anna Powles and published by Routledge. This book was released on 2016-03-09 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drawing from a diverse range of military, policing, academic and policymakers’ experiences, this book seeks to provide solutions of how national militaries and police can work together to better support future United Nations peacekeeping operations. It addresses the growing tension between increasing non-combat related responsibilities being placed on land forces and the ability of UN peacekeeping forces to fulfil the demands of government and development tasks in fragile and conflict-affected environments. An original contribution to the debate on UN peacekeeping reforms that includes constructing an enhanced partnership for peacekeeping; building on renewed commitment to share the burden and for regional cooperation; providing peacekeepers with the necessary capabilities to protect civilians; and supporting nations in transition from conflict to stabilisation. This book offers the very latest in informed analysis and decision-making on UN peacekeeping reform.

Author : Bruce Bongar
Publisher : Oxford University Press
ISBN 13 : 0190679492
Total Pages : 512 pages
Book Rating : 4.91/5 ( download)

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Download or read book Handbook of Military and Veteran Suicide written by Bruce Bongar and published by Oxford University Press. This book was released on 2017-03-30 with total page 512 pages. Available in PDF, EPUB and Kindle. Book excerpt: For the past decade, suicidal behavior in military and veteran populations has been a constant feature in the news and in the media, with suicide rates among active duty American military personnel reaching their highest level in almost three decades. Handbook of Military and Veteran Suicide reviews the most advanced scientific understanding of the phenomenon of active duty and veteran suicide, while providing a useful, hands-on clinical guide for those working with this population. This comprehensive Handbook covers all relevant topics and current research in suicide in military and veteran populations, including links between suicide and PTSD, the stigma of mental health treatment in the military, screening for firearms access in military and veteran populations, "subintentioned" suicide (e.g. reckless driving and other such "accidental" deaths), women in combat, and working with families. Chapters also cover suicide risk assessment, ethical issues in treating suicidal patients, evidence-based treatments for PTSD, traumatic brain injury, and managing suicide in older veterans. Significant issues that may arise in assessing and treating military and veteran populations who are at risk for suicide are presented and discussed with evidence-based and practical recommendations. This Handbook will benefit researchers, policy makers, and clinicians who work with active duty military and veteran populations.