Mental Health Reform: Design and Implementation of a System to Optimize Outcomes for Veterans and Their Families

Andrea Phelps (), Ellie Lawrence-Wood, Anne-Laure Couineau, Mark Hinton, Paul Dolan, Patrick Smith, MaryAnn Notarianni, David Forbes and Fardous Hosseiny
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Andrea Phelps: Phoenix Australia—Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Melbourne 3053, Australia
Ellie Lawrence-Wood: Phoenix Australia—Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Melbourne 3053, Australia
Anne-Laure Couineau: Phoenix Australia—Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Melbourne 3053, Australia
Mark Hinton: Phoenix Australia—Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Melbourne 3053, Australia
Paul Dolan: Phoenix Australia—Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Melbourne 3053, Australia
Patrick Smith: Atlas Institute for Veterans and Families, Ottawa, ON K1Z 7K4, Canada
MaryAnn Notarianni: Atlas Institute for Veterans and Families, Ottawa, ON K1Z 7K4, Canada
David Forbes: Phoenix Australia—Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Melbourne 3053, Australia
Fardous Hosseiny: Atlas Institute for Veterans and Families, Ottawa, ON K1Z 7K4, Canada

IJERPH, 2022, vol. 19, issue 19, 1-10

Abstract: The social, health, and economic burden of mental health problems in the veteran community is heavy. Internationally, the array of services and support available to veterans and their families are extensive but vary in quality, are often disconnected, complex to navigate, and lack clear coordination. This paper describes a conceptual framework to guide the design and implementation of a system of services and supports to optimize the mental health and wellbeing of all veterans and their families. The framework recognizes the diversity of veterans across intersecting identities that uniquely shape experiences of posttraumatic mental health and wellbeing. It brings together several strands of research: the values and principles that should underpin the system; the needs of diverse veterans and their families; challenges in the current services and supports; evidence-based interventions; and principles of effective implementation. Central to the future system design is a next generation stepped model of care that organizes best and next practice interventions in a coherent system, matches service provision to level of need and addresses access and navigation. Practical guidance on implementation provides an aspirational and flexible structure for system evolution, and a template for all stakeholders—individuals, groups, agencies and organizations—to effect system change.

Keywords: mental health; veterans; service system (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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