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Since 2001, less than half of one percent of the American public have volunteered to serve in the United States Armed Forces. With high-tempo repeated deployments and unconventional warfare, the Post 9/11 military has been exposed to unique trauma and stressors during an unprecedented two-decade long conflict. In voluntarily taking on this role, members are immersed in the total institution of military culture and required to make countless personal sacrifices, often experiencing trauma or other stressors that most in a civilian population will never face. Prevalence rates of mental health problems in active duty as well as veteran populations suggest that approximately 15-30% have acquired mental health conditions (including PTSD, TBI, depression). Substance use and suicidality are often comorbid and may complicate the clinical profile considerably. Current treatment approaches include those well validated and common in general clinical populations (i.e., CBT, PE, CPT) although many have been modified for use with veterans. Nonetheless, despite billions of dollars in public support, many military members continue to not receive the mental health services they need. Challenges include system and access barriers, a lack of military cultural competency in providers, as well as societal and institutional stigma leading to veteran reluctance to seek mental health treatment. Best practice recommendations are offered to clinicians who seek to better serve clients who are military members (both active duty and veterans).

This is an Accepted Manuscript of a book chapter published by Routledge in: Kalmbach, K.C., & Moore, B.A. (2019). Posttraumatic growth in military populations: Theory, research, and application. In U. Kumar (Ed.), The Routledge International Handbook of Military Psychology and Mental Health. Taylor & Francis/Routledge. Available online. A print copy of the handbook is available in the Texas A&M University-San Antonio Library.

Military psychology has become one of the world’s fastest-growing disciplines with ever-emerging new applications of research and development. The Routledge International Handbook of Military Psychology and Mental Health is a compendium of chapters by internationally renowned scholars in the field, bringing forth the state of the art in the theory, practice and future prospects of military psychology. This uniquely interdisciplinary volume deliberates upon the current issues and applications of military psychology not only within the military organization and the discipline of psychology, but also in the larger context of its role of building a better world. Split into three parts dedicated to specific themes, the first part of the book, "Military Psychology: The Roots and the Journey," provides an overview of the evolution of the discipline over the years, delving into concepts as varied as culture and cognition in the military, a perspective on the role of military psychology in future warfare and ethical issues. The second part, "Soldiering: Deployment and Beyond," considers the complexities involved in soldiering in view of the changing nature of warfare, generating a focal discourse on various aspects of military leadership, soldier resilience and post-traumatic growth in the face of extreme situations, bravery and character strengths and transitioning to civilian life. In the final section, "Making a Choice: Mental Health Issues and Prospects in the Military," the contributors focus on the challenges and practices involved in maintaining the mental health of the soldier, covering issues ranging from stress, mental health and well-being, through to suicide risk and its prevention, intervention and management strategies, moral injury and post-traumatic stress disorder. Incorporating enlightening contributions of eminent scholars from around the world, the volume is a comprehensive repository of current perspectives and future directions in the domain of military psychology. It will prove a valuable resource for mental health practitioners, military leaders, policy-makers and academics and students across a range of disciplines.

This chapter seeks to assist law enforcement by providing an empirical review of research on the relationship between military service and risk of dangerousness—to self (suicide) or others (violent crime). Risk posed by military members is poorly understood and largely overstated by media reports. The following discussion will reveal that—notwithstanding the unique aspects of military culture and service—most risk factors for violence (towards self and others) are similar for both military members and nonmilitary alike. However, some aspects of military service, (e.g., combat exposure), may impact the behavior and thought processes of service members who come into contact with law enforcement in the community. A better informed approach to the issues can assist officers in handling incidents, resulting in safer and more effective outcomes for all involved.

The role of the forensic mental health professional (MHP) often differs substantially from that of the typical clinician. These differences bear directly on the ethical delivery of services.

Biobehavioral research, especially that which is conducted with prisoners, has become much more closely regulated in the last 30 years. State and federal law, as well as professional standards, regulate the conduct of many types of research; in the case of prisoners, this regulation is even more stringent. However, currently no mandatory, uniform, national regulatory or oversight process exists, and many privately funded research endeavors are operating in a regulatory void. In response to this, the National Bioethics Advisory Commission has argued for the creation of a single, national, independent regulatory body to oversee all human participant research, regardless of funding source. As ethicolegal research standards evolve alongside advances in science and technology, an appreciation of the history of prisoner research and an awareness of current standards is critical to conducting ethical prison research.