Evaluating the Implementation of the Re-Engineering Systems of Primary Care Treatment in the Military (RESPECT-Mil)

A RAND team conducted an independent implementation evaluation of the Re-Engineering Systems of Primary Care Treatment in the Military (RESPECT-Mil) Program, a system of care designed to screen, assess, and treat posttraumatic stress disorder and depression among active duty service members in the A...

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Bibliographic Details
Main Authors: Wong, Eunice C, Jaycox, Lisa H, Ayer, Lynsay, Epley, Caroline, Harris, Racine, Naftel, Scott, Paddock, Susan M
Format: Report
Language:English
Subjects:
ARMY PERSONNEL
BHC(BEHAVIORAL HEALTH CHAMPIONS)
DEPRESSION
IMPLEMENTATION
MEDICAL PERSONNEL
Medicine and Medical Research
MENTAL HEALTH
MHS(MILITARY HEALTH SYSTEM)
Military Forces and Organizations
MILITARY MEDICINE
MONITORING
PCMH(PATIENT CENTERED MEDICAL HOMES)
PCP(PRIMARY CARE PROVIDERS)
POST TRAUMATIC STRESS DISORDER
Psychology
PTSD(POST TRAUMATIC STRESS DISORDER)
QUALITY
RCF(RESPECT-MIL CARE FACILITATORS)
RESPECT MIL(RE-ENGINEERING SYSTEMS OF PRIMARY CARE TREATMENT IN THE MILITARY)
RMIT(RESPECT-MIL IMPLEMENTATION TEAM)
SIGNS AND SYMPTOMS
SUSTAINABILITY
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Summary:A RAND team conducted an independent implementation evaluation of the Re-Engineering Systems of Primary Care Treatment in the Military (RESPECT-Mil) Program, a system of care designed to screen, assess, and treat posttraumatic stress disorder and depression among active duty service members in the Army s primary care settings. Evaluating the Implementation of the Re-Engineering Systems of Primary Care Treatment in the Military (RESPECT-Mil) presents the results from RAND s assessment of the implementation of RESPECT-Mil in military treatment facilities and makes recommendations to improve the delivery of mental health care in these settings. Analyses were based on existing program data used to monitor fidelity to RESPECT-Mil across the Army s primary care clinics, as well as discussions with key stakeholders. During the time of the evaluation, efforts were under way to implement the Patient Centered Medical Home, and uncertainties remained about the implications for the RESPECT-Mil program. Consideration of this transition was made in designing the evaluation and applying its findings more broadly to the implementation of collaborative care within military primary care settings.