Lily Geyer

Given the unprecedented demands on the U. S. military since 2001 and the risks posed by stress and trauma, there has been growing concern about the prevalence and consequences of sleep problems. This first-ever comprehensive review of military sleep-related policies and programs, evidence-based interventions, and barriers to achieving healthy sleep offers a detailed set of actionable recommendations for improving sleep across the force.

The U. S. Department of Defense established the National Intrepid Center of Excellence (NICoE) to provide specialized services for troops suffering from traumatic brain injury (TBI). Through interviews with NICoE staff, home station providers, service members treated at the NICoE, and their families, as well as surveys and site visits, RAND evaluated interactions between the NICoE and providers referring patients and implementing treatment plans.

This study examines the readiness reporting system in light of changes experienced by Army units in the past decade, a period in which the Army learned to adapt to emerging requirements by adding new capabilities quickly and flexibly. The current readiness reporting system captures only a portion of those changes in capabilities and has some important limitations. The study recommends ways to improve the reporting system for an adaptive Army.