Concerns about access to behavioral health care for military service members and their dependents living in geographically remote locations prompted research into how many in this population are remote and the effects of this distance on their use of behavioral health care. The authors conducted geospatial and longitudinal analyses to answer these questions and reviewed current policies and programs to determine barriers and possible solutions.

Access to Behavioral Health Care for Geographically Remote Service Members and Dependents in the U.S.

Health, Fitness & Dieting

Pincus, Harold Alan

Brown, Ryan Andrew

Miyashiro, Lisa

Marshall, Grant N.

Breslau, Joshua

Farris, Coreen

Osilla, Karen Chan

Ruder, Teague

Voorhies, Phoenix

Barnes-Proby, Dionne

Pfrommer, Katherine

Rana, Yashodhara

Adamson, David M.

Mental Health

RAND Corporation

A RAND study examined programs to address sexual harassment, sexual assault, unlawful discrimination, substance abuse, suicide, and hazing. This report discusses findings, then makes recommendations for the Office of the Secretary of Defense to better understand the relationships among these problematic behaviors and its oversight and coordination of programs to address those behaviors.

Improving Oversight and Coordination of Department of Defense Programs That Address Problematic Behaviors Among Military Personnel: Final Report

Self-Help

Stewart, Robert

Lim, Nelson

Wong, Eunice C.

Trail, Thomas E.

Steinberg, Paul S.

Wenger, Jennie W.

Kamarck, Kristy N.

Marquis, Jefferson P.

Wong, Anny

Hall, Kimberly Curry

Shontz, Douglas

Death & Grief

This report reviews previous research on sexual assault against men and describes results from RAND researchers' interviews with military service providers and civilian experts. These interviews addressed victim needs, reporting, resources, public perceptions, outreach, and service provider training. The report concludes with recommendations for improving support to male sexual assault victims in the U.S. military.

Needs of Male Sexual Assault Victims in the U.S. Armed Forces

Politics & Social Sciences

Matthews, Miriam

Tankard, Margaret

Dunbar, Michael Stephen

Sociology

This report provides recommendations for how the Air Force's survey system for monitoring abuse and misconduct in Basic Military Training can best be adapted for use in technical training and flying training environments. The report also provides background on the training environments, revisions to tailor the survey content for these environments, survey pretest results, strategies to promote participation, and recommendations for future use.

A Survey System to Assess Abuse and Misconduct Toward Air Force Students in Occupational Specialty Training

Business & Money

Wagner, Lisa

Burns, Rachel M.

Robson, Sean

Posard, Marek N.

Miller, Laura L.

Keller, Kirsten M.

Holliday, Stephanie Brooks

Bicksler, Barbara

Matsuda, Mauri

Management & Leadership

This report describes analyses designed to identify service member and environmental characteristics that are associated with service members' risk of sexual assault or sexual harassment. These analyses draw on data from one of the largest surveys ever conducted on sexual assault and harassment experiences, the 2014 RAND Military Workplace Study.

Risk Factors for Sexual Assault and Sexual Harassment in the U.S. Military

Morral, Andrew R.

Schell, Terry L.

Cefalu, Matthew

Business

The authors describe the development and design of a survey instrument created to help the U.S. Department of Defense estimate the number of active-duty service members who experience hazing and bullying. This report should be of interest to those who wish to better understand measurement of hazing and bullying and those responsible for understanding and addressing hazing and bullying in the U.S. military.

Survey Instrument to Assess the Prevalence of Hazing and Bullying in the Active-Duty U.S. Military

To help the U.S. Department of Defense (DoD) estimate the percentage of service members who experienced racial or ethnic harassment or discrimination in the past year, RAND Corporation researchers, with feedback from external experts and DoD representatives, developed a survey instrument. The authors of this report describe the instrument-development process, the instrument itself, and recommendations to support its use.

Survey for Assessing Racial/Ethnic Harassment and Discrimination in the U.S. Military

History

Gore, Kristie L.

Military

The Psychological Health Center of Excellence commissioned RAND researchers to conduct supplemental analysis to support its response to Congress of the use of intensive outpatient programs to treat active-duty service members affected by the mental health consequences of sexual harassment and sexual assault while in the military. The goal was to better understand different program components available to these affected service members.

Considerations Around the Use of Intensive Outpatient Programs for Service Members Who Experienced Sexual Trauma in the U.S. Military

Cherney, Samantha

Cottrell, Linda

Weilant, Sarah

Hummer, Justin

RAND researchers conducted three evidence reviews focused on sexual assault and sexual harassment in adults. The first review focuses on psychotherapy interventions for victims in military settings, the second focuses on barriers and facilitators to accessing care, and the third focuses on associations between victims and three mental health conditions: posttraumatic stress disorder, depression, and substance use disorders.

Psychological Harms and Treatment of Sexual Assault and Sexual Harassment in Adults: Systematic and Scoping Reviews to Inform Improved Care for Military Populations

Hall, Owen

Feistel, Katie

Rollison, Julia

Hero, Joachim O.

Bialas, Armenda

Li, Rosemary

Larkin, Jody

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