Lynsay Ayer

To what degree is the suicide trend in the U. S. Army unique to that service, relative to what is observed in the general U. S. population? Researchers investigate how accounting for additional population risk factors beyond age and gender (race/ethnicity, time, marital status, and educational attainment) affects suicide rate differences between soldiers and a comparable subset of the general U. S. population.

Some schools have begun employing artificial intelligence (AI)-based tools to help identify students at risk for suicide and self-harm. The authors provide a preliminary examination of how these programs are implemented, how stakeholders perceive the effects of the programs, and their potential benefits and risks. The authors then offer recommendations for school leaders, policymakers, and technology developers to consider.

This interim report presents preliminary implementation and impact evaluation findings for New York City's Connections to Care program, which seeks to expand access to mental health support for low-income New Yorkers through a task shifting model delivered by community-based organizations. This report also describes study methods and the baseline sample for the impact evaluation at the time of writing.

Integrating women into special operations forces poses potential challenges for unit cohesion. The integration of women raises issues of effectiveness, in terms of physical standards and ensuring the readiness, cohesion, and morale essential to high-performing teams. This report assesses those challenges and provides analytical support for validating occupational standards for positions controlled by U. S. Special Operations Command.

This report presents 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 PTSD and depression among active duty service members in Army primary care settings. Analyses were based on existing program data used to monitor fidelity across clinics, as well as discussions with key stakeholders.

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 report presents results of an implementation evaluation of a clinician training program to improve care for Navy personnel with co-occurring disorders. Clinicians saw a need for such training and viewed it positively. Results also suggest that careful planning and targeting training towards programs best suited to treating co-occurring disorders would improve training effectiveness and likely translate into higher-quality care.