Rand health quarterly最新文献

An Analysis of the U.S. Department of Defense's Military Health Readiness Assessments. 美国国防部军事健康准备评估分析。

Rand health quarterly Pub Date : 2025-06-17 eCollection Date: 2025-06-01

Sarah O Meadows, Kimberly A Hepner, Jessica L Sousa, Ryan Haberman, Shirley Dong

{"title":"An Analysis of the U.S. Department of Defense's Military Health Readiness Assessments.","authors":"Sarah O Meadows, Kimberly A Hepner, Jessica L Sousa, Ryan Haberman, Shirley Dong","doi":"","DOIUrl":"","url":null,"abstract":"Congress mandates that the Department of Defense (DoD) assess and monitor the health readiness of the armed forces. Accordingly, DoD implements a suite of health assessments to monitor service members' health readiness. One annual and four additional deployment-related health assessments screen for issues with physical and behavioral health at specified intervals throughout the deployment cycle to facilitate early intervention and any medical care required to maintain force readiness. The content of many of the items in these assessments overlap, and the required time frames for assessment completion can be very close to one another. In addition, administration of similar assessments can involve unnecessary monetary and other resource costs. The Office of the Assistant Secretary of Defense for Health Affairs asked the RAND National Defense Research Institute to evaluate DoD's suite of health readiness assessments against their stated objectives and identify potential opportunities for improvement, increased efficiencies, and cost savings. In this study, the authors review the policies behind these health assessments at both department and service branch levels and the assessments themselves for overlaps and gaps, comparing them with U.S. guidelines for health screenings and the use of similar health assessments among high-risk civilian professions. Drawing from this analysis and interviews with military stakeholders, they offer recommendations for improving the health assessments' efficiency and effectiveness.","PeriodicalId":74637,"journal":{"name":"Rand health quarterly","volume":"12 3","pages":"6"},"PeriodicalIF":0.0,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12218374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Stitching the Threads Together: A Cross-Disciplinary Literature Review on Youth Arts Engagement and Well-Being. 将线索拼接在一起：关于青少年艺术参与和幸福感的跨学科文献综述。

Rand health quarterly Pub Date : 2025-06-17 eCollection Date: 2025-06-01

Joie D Acosta, Lia Pak, Devin McCarthy, Rhianna C Rogers, William Marcellino, Maya Rabinowitz, Isabelle González, Theo Jacobs, Leah Dion

{"title":"Stitching the Threads Together: A Cross-Disciplinary Literature Review on Youth Arts Engagement and Well-Being.","authors":"Joie D Acosta, Lia Pak, Devin McCarthy, Rhianna C Rogers, William Marcellino, Maya Rabinowitz, Isabelle González, Theo Jacobs, Leah Dion","doi":"","DOIUrl":"","url":null,"abstract":"Promoting the well-being of all youth today can lead to productive, successful, and healthy adults and the health of society tomorrow. But promoting the well-being of all youth is not simple: It requires a multifaceted set of pathways and strategies that are still being defined in the research literature. A large and growing body of research on youth, well-being, and the arts exists, but it is fragmented across multiple disciplines (e.g., psychology, education) and areas (e.g., different art forms, different definitions of youth well-being and arts engagement). In this study, the authors summarize findings from a literature review they conducted to investigate global themes and gaps in the current multidisciplinary literature on the relationship between the arts and youth well-being. The authors used an equity-centered environmental scan to extract nuanced insights from the vast repository of information. Drawing on these insights, they provide recommendations that offer ways to fill gaps in current research and promote the cross-disciplinary partnerships needed to untangle the complex strands of literature and weave them back together in a meaningful way.","PeriodicalId":74637,"journal":{"name":"Rand health quarterly","volume":"12 3","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12218372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Navigating the Housing and Foster Care Systems in Los Angeles County: A Longitudinal Case Study of 24 Transition Age Youth. 洛杉矶县住房和寄养系统的导航：对24名过渡年龄青年的纵向案例研究。

Rand health quarterly Pub Date : 2025-06-17 eCollection Date: 2025-06-01

Sarah B Hunter, Emma Bianculli, Michelle Bongard, Rick Garvey, Jason M Ward

{"title":"Navigating the Housing and Foster Care Systems in Los Angeles County: A Longitudinal Case Study of 24 Transition Age Youth.","authors":"Sarah B Hunter, Emma Bianculli, Michelle Bongard, Rick Garvey, Jason M Ward","doi":"","DOIUrl":"","url":null,"abstract":"Homelessness continues to be one of the most pressing policy issues in Los Angeles County, California. Although substantial investments have been made to address it over the past several years, the number of people experiencing homelessness is still large. It is important to address transition age youth, ages 18 to 25, who are experiencing homelessness because resolving homelessness at an early age may prevent chronic homelessness and the consequences of living unsheltered, such as increased morbidity and earlier mortality. This study is the second publication from a project designed to better understand the needs of unstably housed transition age youth navigating both the housing and foster care systems in Los Angeles County. The authors present the findings from a longitudinal data collection effort among transition age youth with foster care involvement who were experiencing housing instability in 2023. The authors followed this group by conducting monthly interviews for up to one year to gain information about their experiences and perspectives regarding their interactions with the foster care system, becoming stably housed, and related supports. This is the first study of its kind to systematically track a group of unstably housed foster care-involved transition age youth in Los Angeles County. This study should interest those who are serving transition age youth experiencing housing instability and involved with the foster care system, including government, social service, and health care organizations, as well as educators, employers, practitioners, advocacy groups, researchers, and others interested in addressing the homelessness crisis in Los Angeles County.","PeriodicalId":74637,"journal":{"name":"Rand health quarterly","volume":"12 3","pages":"3"},"PeriodicalIF":0.0,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12218387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Letter from the Editor. 编辑来信。

Rand health quarterly Pub Date : 2025-06-17 eCollection Date: 2025-06-01

引用次数: 0

Charting a Course for Emergency Management: Insights from the Literature, 2020-2023. 制定应急管理课程：来自文献的见解，2020-2023。

Rand health quarterly Pub Date : 2025-06-17 eCollection Date: 2025-06-01

Patrick S Roberts, Katie A Wilson, Sally J Calengor, Christopher Dictus, Clay Strickland, Jay Balagna

{"title":"Charting a Course for Emergency Management: Insights from the Literature, 2020-2023.","authors":"Patrick S Roberts, Katie A Wilson, Sally J Calengor, Christopher Dictus, Clay Strickland, Jay Balagna","doi":"","DOIUrl":"","url":null,"abstract":"The field of emergency management is changing rapidly. Emergency managers are being asked to carry out new missions-in particular, public health preparedness and response (as shown during the 2019 coronavirus pandemic), as well as addressing the consequences of increasingly frequent and severe weather events. As a result, and based on the insight that many emergency management approaches apply across all types of disasters, the field is moving toward an expanded all-hazards approach. As one step toward understanding these changes and charting a path forward for emergency management, the authors of this study assess the current state of thinking about the field by conducting literature reviews and analyses of both scholarly and practitioner-oriented sources, aggregating top issues in the field, identifying priorities for a research agenda, and suggesting ways for practitioners and researchers to engage with and learn from each other. While the study includes key findings and recommendations for emergency management going forward, it also serves as a pilot for a regular review of current issues in the emergency management field.","PeriodicalId":74637,"journal":{"name":"Rand health quarterly","volume":"12 3","pages":"8"},"PeriodicalIF":0.0,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12218358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Future of U.S. Global Health Work in Asia: How Can U.S. Civil-Military Health Assistance Enhance Asia's Health Security? 美国在亚洲的全球卫生工作的未来：美国军民卫生援助如何加强亚洲的卫生安全？

Rand health quarterly Pub Date : 2025-06-17 eCollection Date: 2025-06-01

Jennifer Bouey, Beth Grill, Ishita Ghai, Sabahat Zafar, Anita Chandra, Kristin J Leuschner

引用次数: 0

Optimizing Federal Grants to Scale Up Evidence-Based Practices in Health and Social Services: Recommendations from Federal and State Agency Officials. 优化联邦拨款，扩大基于证据的卫生和社会服务实践：来自联邦和州机构官员的建议。

Rand health quarterly Pub Date : 2025-06-17 eCollection Date: 2025-06-01

Alex R Dopp, Blanche Wright, Jin Kim, Grace Hindmarch, Sarah B Hunter

{"title":"Optimizing Federal Grants to Scale Up Evidence-Based Practices in Health and Social Services: Recommendations from Federal and State Agency Officials.","authors":"Alex R Dopp, Blanche Wright, Jin Kim, Grace Hindmarch, Sarah B Hunter","doi":"","DOIUrl":"","url":null,"abstract":"Federal spending on evidence-based practices (EBPs) provides significant returns by offsetting billions of dollars in societal impacts each year. Practices are deemed evidence-based because they have demonstrated their effectiveness in addressing various social and health-related challenges. Federal agencies often invest in EBP delivery through discretionary grants, but there is limited guidance on how to optimize these grants to support large-scale EBP implementation. To address this gap, the authors held focus groups with federal and state agency officials (using the findings from ongoing RAND research to frame their discussions) to gather and synthesize their recommendations on how to optimize federal grantmaking for EBP implementation. With the focus group participants, the authors identified seven policy recommendations for federal officials to consider when designing, awarding, and executing grants for EBP implementation, including capacity-building in service delivery organizations to sustain EBPs after grant funding ends. The authors also present real-world case examples to illustrate how funding agencies have put each recommendation into practice.","PeriodicalId":74637,"journal":{"name":"Rand health quarterly","volume":"12 3","pages":"2"},"PeriodicalIF":0.0,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12218371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessing the Needs of Military-Connected Children and Resources to Address Those Needs. 评估与军事有关的儿童的需求和满足这些需求的资源。

Rand health quarterly Pub Date : 2025-06-17 eCollection Date: 2025-06-01

Laurie T Martin, Thomas E Trail, Jennifer Jeffries

{"title":"Assessing the Needs of Military-Connected Children and Resources to Address Those Needs.","authors":"Laurie T Martin, Thomas E Trail, Jennifer Jeffries","doi":"","DOIUrl":"","url":null,"abstract":"There is a growing concern around the mental and behavioral health of children and youth as such conditions as anxiety disorders, depression, attention-deficit hyperactivity disorder and conduct disorders affect almost one in five children and youth ages 3 to 17. The coronavirus pandemic brought many challenges: Children missed years of in-person schooling and socialization, experienced increased social isolation, and developed an overreliance on technology and social media to stay connected, entertained, and participate in online schooling. Collectively, studies suggest that children and youth have experienced, and will continue to experience, a wide variety of mental and behavioral health concerns that can affect their academic performance, social interactions, well-being, and overall quality of life. In addition to the general stresses and strains in the lives of children and youth, military-connected children and youth face distinct challenges-such as family separation and frequent moves-that can directly or indirectly affect children's mental health and exacerbate an already stressful time in their development. To help inform an ongoing commitment to military-connected children and youth, the Office of the Deputy Assistant Secretary of Defense for Military Community and Family Policy asked RAND to assess the needs of military-connected children in the context of military child development centers, military youth programs, and schools with a significant military child population. This study provides findings from this mental and behavioral health needs assessment.","PeriodicalId":74637,"journal":{"name":"Rand health quarterly","volume":"12 3","pages":"4"},"PeriodicalIF":0.0,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12218359/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Army Combat Fitness Test (ACFT) and the Health of the Active Component: Understanding the Link Between the ACFT and Personnel Health and Injuries. 陆军作战体能测试（ACFT）与现役军人健康：了解ACFT与人员健康与伤害的关系

Rand health quarterly Pub Date : 2025-06-17 eCollection Date: 2025-06-01

Daniel Hicks, Carra S Sims, Mary Avriette, Max Steiner, Sarah Baker

{"title":"The Army Combat Fitness Test (ACFT) and the Health of the Active Component: Understanding the Link Between the ACFT and Personnel Health and Injuries.","authors":"Daniel Hicks, Carra S Sims, Mary Avriette, Max Steiner, Sarah Baker","doi":"","DOIUrl":"","url":null,"abstract":"The Army Combat Fitness Test (ACFT) became the U.S. Army's physical fitness test of record in October 2022. The test is substantially different from the previous test and consists of six events intended to measure a more expansive set of capabilities: muscular strength and endurance, power, speed, agility, aerobic endurance, balance, flexibility, coordination, and reaction time. One of the Army's stated goals for the test was to reduce preventable injuries. More than half of soldiers experienced a new injury in 2021, so success in reducing the risk of injury could have a significant impact on both medical costs and lost workdays. Because the ACFT has been administered for a relatively short period, there are limited data available to assess the relationship between the ACFT and soldier health and injuries. Nevertheless, this research effort used available data to gain initial insights into this relationship. This study was part of RAND's independent assessment of the ACFT, focusing specifically on injury risk. To the extent that broader, more-holistic training is motivated by the more-expansive physical requirements of the ACFT, the literature suggests that the ACFT could in the long term lead to an overall reduction in injury rates. Many of the authors' recommendations focus on potential ACFT policy actions that the Army could take to help reduce preventable injuries and assess and monitor soldiers at risk.","PeriodicalId":74637,"journal":{"name":"Rand health quarterly","volume":"12 3","pages":"7"},"PeriodicalIF":0.0,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12218373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Letter from the Editor. 编辑来信。

Rand health quarterly Pub Date : 2025-03-17 eCollection Date: 2025-03-01

引用次数: 0