Gore Kristie L, Cherney Samantha, Weilant Sarah, Hummer Justin, Cottrell Linda, Farris Coreen
Rand Health Q. 2023 Sep 15;10(4):8. eCollection 2023 Sep.
Section 702 of the fiscal year 2019 National Defense Authorization Act directed the U.S. Department of Defense (DoD) to conduct a pilot study to assess the feasibility and advisability of using intensive outpatient treatment programs to address posttraumatic stress disorder (PTSD) and associated mental health problems among service members who have experienced sexual harassment or sexual assault while in the military. RAND researchers conducted a programmatic review of four intensive outpatient programs (IOPs)-two in the private sector and two in DoD-to understand different program components available to active-duty service members who have suffered sexual trauma and other trauma. A review of policies to understand TRICARE authorization procedures and other regulations governing IOPs and an analysis of data from the 2014 RAND Military Workplace Study survey on the prevalence of sexual trauma among personnel with mental health conditions helped obtain contextual information to inform the Psychological Health Center of Excellence's response to Congress. The review identified evidence-based approaches that IOPs have successfully used in programs designed for military service members and barriers to using this type of care to treat members of the military community. While examining the IOP model of care, the research team identified knowledge gaps surrounding the experiences, treatment needs, and effectiveness of different treatment components and models of care for active-duty service members affected by the mental health consequences of sexual harassment and sexual assault in the military.
2019财年《国防授权法案》第702条指示美国国防部开展一项试点研究，以评估使用强化门诊治疗项目来解决军事服役期间遭受性骚扰或性侵犯的军人创伤后应激障碍（PTSD）及相关心理健康问题的可行性和可取性。兰德公司的研究人员对四个强化门诊项目（IOP）进行了项目审查——两个来自私营部门，两个来自国防部——以了解遭受性创伤和其他创伤的现役军人可获得的不同项目组成部分。对政策进行审查以了解特里卡尔医保（TRICARE）的授权程序以及其他管理强化门诊项目的规定，并对2014年兰德军事工作场所研究中关于有心理健康问题人员中性创伤患病率的调查数据进行分析，有助于获取背景信息，为卓越心理健康中心回应国会提供参考。该审查确定了强化门诊项目在为军人设计的项目中成功使用的循证方法，以及使用这类护理来治疗军人社区成员所面临的障碍。在研究强化门诊护理模式时，研究团队发现了围绕受军事服役期间性骚扰和性侵犯心理健康后果影响的现役军人的经历、治疗需求以及不同治疗组成部分和护理模式有效性方面的知识空白。
