Access to behavioral health care for geographically remote service members and dependents in the U.S. / Ryan Andrew Brown, Grant N. Marshall, Joshua Breslau, Coreen Farris, Karen Chan Osilla, Harold Alan Pincus, Teague Ruder, Phoenix Voorhies, Dionne Barnes-Proby, Katherine Pfrommer, Lisa Miyashiro, Yashodhara Rana, David M. Adamson ; prepared for the Office of the Secretary of Defense and the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury.

Includes bibliographical references.

"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"--Publisher's description.

Online resource; title from electronic title page (JSTOR, viewed April 4, 2018).

Cover; Title Page; Copyright; Preface; Contents; Figures; Tables; Summary; Acknowledgments; Abbreviations; CHAPTER ONE: Introduction; CHAPTER TWO: Scope of the Problem: How Many Service Members and Dependents Are Remote, and Who Are They?; Data Sources for Location of Service Members and Providers; A Working Definition of Remoteness; Data Analysis: Implementing the Remoteness Definition; Summary; CHAPTER THREE: Effects of Remoteness on Civilian Behavioral Health Care Use; Rural and Urban Differences in Use of Behavioral Health Care; Analysis of the National Survey of Drug Use and Health.

Analysis of Health Care Use in the National Study of Drug Use and HealthExplanations for Rural-Urban Disparities in Behavioral Health Care; Summary; CHAPTER FOUR: Effects of Remoteness on Military Behavioral Health Care Use; Prospective Analysis of Remoteness and Behavioral Health Care Use; Summary; CHAPTER FIVE: Barriers and Gaps in Policy and Practice; Interviews with Key Experts; Summary of Findings from Expert Interviews; Policy Review; Summary; CHAPTER SIX: Clinical and System Approaches for Improving Access for Remote Populations.

Integration of Behavioral Health Treatment into Primary CareTelemental Health as a Potential Partial Solution; Issues Affecting Access to Telemental Health; CHAPTER SEVEN: Recommendations; APPENDIXES; A. Defense Enrollment Eligibility Reporting System Personnel Data; B. Driving Distance to Military Treatment and Veterans Affairs Facilities; C. Community Provider Shortage Areas; D. ZIP Code File for Geospatial Analysis; E. TRICARE Plans; F. National Study of Drug Use and Health Utilization Analyses; G. TRICARE Claims Data.; H. Review of the Effectiveness of Telemental Health.

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