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Hidden Heroes

Hidden Heroes: America's Military Caregivers

Rajeev Ramchand
Terri Tanielian
Michael P. Fisher
Christine Anne Vaughan
Thomas E. Trail
Caroline Epley
Phoenix Voorhies
Michael William Robbins
Eric Robinson
Bonnie Ghosh-Dastidar
Copyright Date: 2014
Published by: RAND Corporation
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  • Book Info
    Hidden Heroes
    Book Description:

    Little has been reported about “military caregivers”—the population of those who care for wounded, ill, and injured military personnel and veterans. This report summarizes the results of a study designed to describe the magnitude of military caregiving in the United States today, as well as to identify gaps in the array of programs, policies, and initiatives designed to support military caregivers.

    eISBN: 978-0-8330-8556-6
    Subjects: Public Health, Health Sciences, Management & Organizational Behavior, Psychology

Table of Contents

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  1. Front Matter
    (pp. i-ii)
  2. Preface
    (pp. iii-iv)
  3. Table of Contents
    (pp. v-viii)
  4. Figures
    (pp. ix-x)
  5. Tables
    (pp. xi-xii)
  6. Summary
    (pp. xiii-xxvi)
  7. Acknowledgments
    (pp. xxvii-xxviii)
  8. Abbreviations
    (pp. xxix-xxx)
  9. CHAPTER ONE Introduction
    (pp. 1-28)

    Approximately 22 million veterans live in the United States today (Department of Veterans Affairs [VA], 2013a). These veterans span multiple generations and eras of service, from World War II to the most recent conflicts in Iraq and Afghanistan. Data from the VA indicate that roughly 3.8 million of these veterans receive compensation for a documented disability that resulted from a disease or injury incurred or aggravated during active military service (VA, 2013a).¹ The number and proportion of disabled veterans has increased significantly since 2001, largely as a result of the conflicts in Iraq and Afghanistan. While advanced technologies and battlefield...

  10. CHAPTER TWO Critical Lifelines: The Role and Contributions of Military Caregivers
    (pp. 29-68)

    At its core, the social ecological framework of caregiving has the care recipient and his or her caregiver. This chapter focuses primarily on this relationship, and is divided into four sections. In the first section, we estimate the number of caregivers to quantify the magnitude of caregiving, and military caregiving in the United States. The next two sections focus on characteristics of the caregiver and the care recipient. In the final section, we discuss the types of tasks that caregivers perform as part of their caregiving duties and the time that performing these duties takes. Throughout these sections, we integrate...

  11. CHAPTER THREE Understanding and Addressing Caregiver Needs: The Risks and Consequences of Caregiving and Programs to Mitigate Them
    (pp. 69-114)

    Past research has documented adverse impacts of caregiving on caregivers in a wide array of life domains, including physical health, mental health, familial relationships and parenting, employment, and finances (NAC and AARP, 2009; NAC, 2010; Pinquart and Sörensen, 2003b). However, most of the available research on caregivers has been conducted on convenience samples of civilian caregivers. Little, if any, research has assessed the impacts of caregiving in a probability-based sample of military caregivers, leaving the true nature and extent of these impacts ambiguous.

    In this chapter, we address this gap, comparing post-9/11 caregivers, pre-9/11 caregivers, and civilian caregivers to non-caregivers...

  12. CHAPTER FOUR Evolving Needs: Sustaining Caregiver and Care Recipient Well-Being Now and in the Future
    (pp. 115-124)

    Caregiving has been traditionally construed as an issue relevant to the aging and elderly population. This has largely been driven by challenges faced by middle-aged caregivers tending to the needs of their aged parents. The focus on caregivers for the aging makes sense: A third of pre-9/11 and civilian caregivers are children of the person they are caring for, and over half are caring for someone over age 65. More recently, caregiver research and support programs have included consideration of parents and siblings of persons with special needs across the lifespan (NAC and AARP, 2009). As a result, many policies...

  13. CHAPTER FIVE Closing Gaps: Conclusions and Recommendations
    (pp. 125-146)

    Recognizing the sacrifices and contributions of our armed forces remains a national priority. Since its earliest years, the United States has had specific policies and programs designed to care for our wounded warriors (Rostker, 2013). Since its founding, the Veterans Administration, and now the Department of Veterans Affairs, has provided medical care, rehabilitation, and disability benefits to facilitate the reentry of our most wounded veterans. Over the years, these programs have been expanded to facilitate disabled veterans achieving optimal functioning and to facilitate reentry into the workforce for all veterans as they separate from military service. The subset of veterans...

  14. APPENDIX A Survey Methods
    (pp. 147-168)
  15. APPENDIX B Survey Analysis
    (pp. 169-178)
  16. APPENDIX C Enumeration of Military Caregivers
    (pp. 179-182)
  17. APPENDIX D Environmental Scan Methods
    (pp. 183-190)
  18. APPENDIX E Environmental Scan Organizational Characteristics
    (pp. 191-210)
  19. APPENDIX F Federal and State Policies and Programs to Support Military Caregivers
    (pp. 211-226)
  20. APPENDIX G Programs and Organizations Excluded from the Environmental Scan
    (pp. 227-244)
  21. APPENDIX H Military Support Programs and Organizations Included in the Environmental Scan
    (pp. 245-246)
  22. References
    (pp. 247-258)