Military Service Members and Veterans are not the same. This study sought to develop culturally appropriate operational definitions for Veterans by evaluating available literature, preferred self-identification, and cultural context. Previous research (Freed, 2019;Tanielian & Tanielian, 2014) identified that mental health providers need to be culturally competent to treat Veterans effectively. Cultural competence impacts the development of therapeutic rapport and treatment outcomes. The classified nature of the military facilitates a deficit of knowledge and resources for researchers resulting in varying and culturally inaccurate defining terminology resulting in the terms “military”, “service member”, and “veteran” used interchangeably in research for Veterans and members of the military (Randles & Finnegan, 2021). The study evaluated the relationship between how research modeled Veterans, the relationship between the criteria of
References
[1]
American Council on Education (2022). College Board’s College-Level Examination Program (CLEP). ACE National Guide.
https://www.acenet.edu/National-Guide/Pages/Organization.aspx?oid=e9089b28-9016-e811-810f-5065f38bf0e1
[2]
American Legion (2021). The Charter of the American Legion National Constitution and By-Laws. The American Legion.
[3]
American Psychological Association (2017). Multicultural Guidelines: An Ecological Approach to Context, Identity, and Intersectionality, 2017.
http://www.apa.org/about/policy/multicultural-guidelines.pdf
[4]
American Psychological Association (2020). Military & Veterans. American Psychological Association. https://www.apa.org/advocacy/military-veterans
[5]
American Psychological Association (2022a). Cultural Competence. APA Dictionary of Psychology, American Psychological Association.
https://dictionary.apa.org/cultural-competence
[6]
American Psychological Association (2022b). College Level Examination Program (CLEP). APA Dictionary of Psychology, American Psychological Association.
https://dictionary.apa.org/college-level-examination-program
[7]
Amiot, C. E., Doucerain, M. M., Zhou, B., & Ryder, A. G. (2018). Cultural Identity Dynamics: Capturing Changes in Cultural Identities over Time and Their Intraindividual Organization. European Journal of Social Psychology, 48, 629-644.
https://doi.org/10.1002/ejsp.2355
[8]
Anchor Therapy Clinic (2020). VET Program Data. Anchor Therapy Clinic.
[9]
Anchor Therapy Clinic (2022, January 15). Archival Data Authorization of Use. Anchor Therapy Clinic.
[10]
Andresen, F. J., Monteith, L. L., Kugler, J., Cruz, R. A., & Blais, R. K. (2019). Institutional Betrayal Following Military Sexual Trauma Is Associated with More Severe Depression and Specific Posttraumatic Stress Disorder Symptom Clusters. Journal of Clinical Psychology, 75, 1305-1319. https://doi.org/10.1002/jclp.22773
[11]
Blais, R. K., Brignone, E., Fargo, J. D., Galbreath, N. W., & Gundlapalli, A. V. (2018). Assailant Identity and Self-Reported Nondisclosure of Military Sexual Trauma in Partnered Women Veterans. Psychological Trauma: Theory, Research, Practice, and Policy, 10, 470-474. https://doi.org/10.1037/tra0000320
[12]
Blais, R. K., Brignone, E., Fargo, J. D., Livingston, W. S., & Andresen, F. J. (2019). The Importance of Distinguishing between Harassment-Only and Assault Military Sexual Trauma during Screening. Military Psychology, 31, 227-232.
https://doi.org/10.1080/08995605.2019.1598218
[13]
Blais, R. K., Tirone, V., Orlowska, D., Lofgreen, A., Klassen, B., Held, P., Stevens, N., & Zalta, A. K. (2021). Self-Reported PTSD Symptoms and Social Support in US Military Service Members and Veterans: A Meta-Analysis. European Journal of Psychotraumatology, 12, Article ID: 1851078. https://doi.org/10.1080/20008198.2020.1851078
[14]
Boer, D., Hanke, K., & He, J. (2018). On Detecting Systematic Measurement Error in Cross-Cultural Research: A Review and Critical Reflection on Equivalence and Invariance Tests. Journal of Cross-Cultural Psychology, 49, 713-734.
https://doi.org/10.1177/0022022117749042
[15]
Bovin, M. J., Kimerling, R., Weathers, F. W., Prins, A., Marx, B. P., Post, E. P., & Schnurr, P. P. (2021). Diagnostic Accuracy and Acceptability of the Primary Care Posttraumatic Stress Disorder Screen for the Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition) among US Veterans (PDF). JAMA Network Open, 4, e2036733.
https://doi.org/10.1001/jamanetworkopen.2020.36733
[16]
Breslauer, T. B., & Davis, C. D. (2021). R46412 Veterans Service Organizations (VSOS): Frequently Asked Questions 1-8. Congressional Research Service.
[17]
Brondolo, E., Blair, I. V., & Kaur, A. (2018). Biopsychosocial Mechanisms Linking Discrimination to Health: A Focus on Social Cognition.
[18]
Brown, N. B., & Bruce, S. E. (2016). Stigma, Career Worry, and Mental Illness Symptomatology: Factors Influencing Treatment-Seeking for Operation Enduring Freedom and Operation Iraqi Freedom Soldiers and Veterans. Psychological Trauma: Theory, Research, Practice, and Policy, 8, 276-283. https://doi.org/10.1037/tra0000082
[19]
Bujang, M. A., Omar, E. D., & Baharum, N. A. (2018). A Review on Sample Size Determination for Cronbach’s Alpha Test: A Simple Guide for Researchers. The Malaysian Journal of Medical Sciences: MJMS, 25, 85-99.
https://doi.org/10.21315/mjms2018.25.6.9
[20]
Burgess, J. (2021). DAV National Constitution. Disabled American Veterans National Headquarters.
[21]
Cameron, K. (2021). American Psychological Association 2021. In MilitaryandVeteranCultural Competency: Society for Military Psychology (Ser. Society for Military Psychology). American Psychological Association.
[22]
Cameron, K. P., & Ginzburg, M. (2019). Healing Heroes: Veteran and First Responder Cultural Competency. Anchor Therapy Clinic.
[23]
Cardoos, S. (2021). VA Psychology Internship Program. Department of Veterans Affairs.
[24]
Carr, M. M., Potenza, M. N., Serowik, K. L., & Pietrzak, R. H. (2021). Race, Ethnicity, and Clinical Features of Alcohol Use Disorder among US Military Veterans: Results from the National Health and Resilience in Veterans Study. The American Journal on Addictions, 30, 26-33. https://doi.org/10.1111/ajad.13067
[25]
Carter, S. P., Malte, C. A., Rojas, S. M., Hawkins, E. J., & Reger, M. A. (2020). Examination of Potential Disparities in Suicide Risk Identification and Follow-Up Care within the Veterans Health Administration. Suicide & Life-Threatening Behavior, 50, 1127-1139. https://doi.org/10.1111/sltb.12673
[26]
Charuplakkal, J., & Kumaramkandath, R. (2021). The Use of Operational Definitions in Social Work Ph.D. Theses in India. Journal of Social Work Education and Practice, 6, 31-43.
[27]
Chen, J. A., Fortney, J. C., Bergman, H. E., Browne, K. C., Grubbs, K. M., Hudson, T. J., & Raue, P. J. (2020). Therapeutic Alliance across Trauma-Focused and Non-Trauma-Focused Psychotherapies among Veterans with PTSD. Psychological Services, 17, 452-460.
https://doi.org/10.1037/ser0000329
[28]
Cheney, A. M., Koenig, C. J., Miller, C. J., Zamora, K., Wright, P., Stanley, R., Fortney, J., Burgess, J. F., & Pyne, J. M. (2018). Veteran-Centered Barriers to V.A. Mental Healthcare Services Use. BMC Health Services Research, 18, Article No. 591.
https://doi.org/10.1186/s12913-018-3346-9
[29]
Clark, H. L., Cole, R. E., & Funderburk, L. K. (2018). US Military Dietetic Internship and Graduate Program: Retrospective Analysis of Selection Criteria and Student Success. Journal of the Academy of Nutrition and Dietetics, 118, 1057-1064.
https://doi.org/10.1016/j.jand.2017.12.002
[30]
Clausen, A. N., Fercho, K. A., Monsour, M., Disner, S., Salminen, L., Haswell, C. C., Rubright, E. C., Watts, A. A., Buckley, M. N., Maron-Katz, A., Sierk, A., Manthey, A., Suarez-Jimenez, B., Olatunji, B. O., Averill, C. L., Hofmann, D., Veltman, D. J., Olson, E. A., Li, G., Forster, G. L. et al. (2022). Assessment of Brain Age in Posttraumatic Stress Disorder: Findings from the ENIGMA PTSD and Brain Age Working Groups. Brain and Behavior, 12, e2413. https://doi.org/10.1002/brb3.2413
[31]
Crabb, T., & Segal, D. R. (2018). Comparative Systems of Analysis: Military Sociology in the United States and Europe. In G. Caforio, & M. Nuciari (Eds.), Handbook of the Sociology of the Military (pp. 61-86). Springer.
https://doi.org/10.1007/978-3-319-71602-2_4
[32]
Crossman, A. (2019). Understanding Military Sociology.
https://www.thoughtco.com/military-sociology-3026277
[33]
Crytzer, M. L. (2019). Caring for Military Veterans in the Community: An Interprofessional Approach. Journal of Community Health Nursing, 36, 57-64.
https://doi.org/10.1080/07370016.2019.1583839
[34]
Davis, J. D., Orr, R., Knapik, J. J., & Harris, D. (2020). Functional Movement Screen (FMSTM) Scores and Demographics of US Army Pre-Ranger Candidates. Military Medicine, 185, e788-e794. https://doi.org/10.1093/milmed/usz373
[35]
De Oliveira Maraldi, E. (2020). Response Bias in Research on Religion, Spirituality and Mental Health: A Critical Review of the Literature and Methodological Recommendations. Journal of Religion and Health, 59, 772-783.
https://doi.org/10.1007/s10943-018-0639-6
[36]
De Ridder, D., Schlee, W., Vanneste, S., Londero, A., Weisz, N., Kleinjung, T. et al. (2021). Tinnitus and Tinnitus Disorder: Theoretical and Operational Definitions (an International Multidisciplinary Proposal). In Progress in Brain Research (Vol. 260, pp. 1-25). Elsevier. https://doi.org/10.1016/bs.pbr.2020.12.002
[37]
Department of Veterans Affairs (2021). National Center for Veterans Analysis and Statistics: Percent Change in Veteran Population by State from 2000 to 2020. Department of Veterans Affairs.
[38]
Department of Veterans Affairs (2022). VA Researchers Who Served. Office of Research & Development. https://www.research.va.gov/researchers_whoserved/default.cfm
[39]
Don Richardson, J., Ketcheson, F., King, L., Shnaider, P., Marlborough, M., Thompson, A., & Elhai, J. D. (2017). Psychiatric Comorbidity Pattern in Treatment-Seeking Veterans. Psychiatry Research, 258, 488-498.
https://doi.org/10.1016/j.psychres.2017.08.091
[40]
Dyvik, S. L., & Welland, J. (2018). War Ink: Sense-Making and Curating War through Military Tattoos. International Political Sociology, 12, 346-361.
https://doi.org/10.1093/ips/oly018
[41]
Epstein, R. M., & Borrell-Carrio, F. (2005). The Biopsychosocial Model: Exploring Six Impossible Things. Families, Systems, & Health, 23, 426-431.
https://doi.org/10.1037/1091-7527.23.4.426
[42]
Faul, F., Erdfelder, E., Lang, A.-G., & Buchner, A. (2007). G*Power 3: A Flexible Statistical Power Analysis Program for the Social, Behavioral, and bioMedical Sciences. Behavior Research Methods, 39, 175-191. https://doi.org/10.3758/BF03193146
[43]
Fogger, S. A., Moore, R., & Pickett, L. (2016). Posttraumatic Stress Disorder and Veterans: Finding Hope and Supporting Healing. The Journal for Nurse Practitioners, 12, 598-604. https://doi.org/10.1016/j.nurpra.2016.07.014
[44]
Forbes, D., Pedlar, D., Adler, A. B., Bennett, C., Bryant, R., Busuttil, W. et al. (2019). Treatment of Military-Related Post-Traumatic Stress Disorder: Challenges, Innovations, and the Way Forward. International Review of Psychiatry, 31, 95-110.
https://doi.org/10.1080/09540261.2019.1595545
[45]
Freed, A. C. (2019). Mental Health Worker’s Self-Reported Clinical Competencies and Expertise in Treating Veterans. Dissertation Abstracts International: Section B: The Sciences and Engineering. ProQuest Information & Learning.
http://0-search.ebscohost.com.library.alliant.edu/login.aspx?direct=true&db=psyh&AN=2019-00352-005&site=ehost-live&scope=site
[46]
Friedman, M. J. (2019). Treating PTSD in Military Personnel: A Clinical Handbook. Guilford Publications.
[47]
Gallucci, R. (2022). Veterans of Foreign Wars National Veterans Service Policy & Procedure. National Veterans Service Advisory Committee.
[48]
Gentile, G., Karns, J., Shurkin, M., & Givens, A. (2020). The Evolution of US Military Policy from the Constitution to the Present, Volume I: The Old Regime: The Army, Militia, and Volunteers from Colonial Times to the Spanish-American War. Rand Corporation. https://doi.org/10.7249/RR1995.1
[49]
Gobin, R. L., Mackintosh, M., Willis, E., Allard, C. B., Kloezeman, K., & Morland, L. A. (2018). Predictors of Differential PTSD Treatment Outcomes between Veteran and Civilian Women after Cognitive Processing Therapy. Psychological Trauma: Theory, Research, Practice, and Policy, 10, 173-182. https://doi.org/10.1037/tra0000266
[50]
Griffith, J., Connelly, V., Catignani, S., & Johansson, E. (2020). Reservists and Veterans: Viewed from within and without. In A. Sookermany (Ed.), Handbook of Military Sciences (pp. 1-26). Springer. https://doi.org/10.1007/978-3-030-02866-4_34-1
[51]
Groenwold, R. H. (2013). 3 vormen van bias: vertekening van onderzoeksresultaten en hoe dat te voorkomen [Three Types of Bias: Distortion of Research Results and How That Can Be Prevented]. Nederlands Tijdschrift voor Geneeskunde, 157, A6497.
[52]
Grossbard, J. R., Lehavot, K., Hoerster, K. D., Jakupcak, M., Seal, K. H., & Simpson, T. L. (2013). Relationships among Veteran Status, Gender, and Key Health Indicators in a National Young Adult Sample. Psychiatric Services, 64, 547-553.
https://doi.org/10.1176/appi.ps.003002012
[53]
Heppner, P.P., Wampold, B.E., Owen J., Thompson, M.N., & Wang, K.T. (2016). Research Design in Counseling (4th ed.). Cengage Learning.
[54]
Herndon, P. (Ed.) (2016). Understanding Military Culture. In Good Practice: Tools and Information for Professional Psychologists. American Psychological Association.
[55]
Hester, R. D. (2017). Lack of Access to Mental Health Services Contributing to the High Suicide Rates among Veterans. International Journal of Mental Health Systems, 11, Article No. 47. https://doi.org/10.1186/s13033-017-0154-2
[56]
Hibberd, F. J. (2019). What Is Scientific Definition? Journal of Mind & Behavior, 40, 29-52.
[57]
Hirst, A. (2021). “Videogames Saved My Life”: Everyday Resistance and Ludic Recovery among US Military Veterans. International Political Sociology, 15, 482-503.
https://doi.org/10.1093/ips/olab018
[58]
House of Representatives Congress (2015). 50 U.S.C. 3911—Definitions. U.S. Government Publishing Office.
https://www.govinfo.gov/app/details/USCODE-2015-title50/USCODE-2015-title50-chap50-subchapI-sec3911
[59]
Hunsaker, J. D., & Bush, R. J. (2018). Substance Use in Military and Veteran Populations. In L. Roberts, & C. Warner (Eds.), Military and Veteran Mental Health (pp. 295-305). Springer. https://doi.org/10.1007/978-1-4939-7438-2_19
[60]
Inoue, C., Shawler, E., Jordan, C. H., & Jackson, C. A. (2021). Veteran and Military mental Health Issues. StatPearls.
https://www.statpearls.com/ArticleLibrary/viewarticle/131236
[61]
Jacobson, I. G., Williams, E. C., Seelig, A. D., Littman, A. J., Maynard, C. C., Bricker, J. B., Rull, R. P., Boyko, E. J., & Millennium Cohort Study Team (2020). Longitudinal Investigation of Military-Specific Factors Associated with Continued Unhealthy Alcohol Use among a Large US Military Cohort. Journal of Addiction Medicine, 14, e53-e63.
https://doi.org/10.1097/ADM.0000000000000596
[62]
Jamieson, N., Usher, K., Maple, M., & Ratnarajah, D. (2020). Invisible Wounds and Suicide: Moral Injury and Veteran Mental Health. International Journal of Mental Health Nursing, 29, 105-109. https://doi.org/10.1111/inm.12704
[63]
Katon, J. G., Zephyrin, L., Meoli, A., Hulugalle, A., Bosch, J., Callegari, L., Galvan, I. V., Gray, K. E., Haeger, K. O., Hoffmire, C., Levis, S., Ma, E. W., Mccabe, J. E., Nillni, Y. I., Pineles, S. L., Reddy, S. M., Savitz, D. A., Shaw, J. G., & Patton, E. W. (2018). Reproductive Health of Women Veterans: A Systematic Review of the Literature from 2008 to 2017. Seminars in Reproductive Medicine, 36, 315-322.
https://doi.org/10.1055/s-0039-1678750
[64]
Lancaster, S. L., Kintzle, S., & Castro, C. A. (2018). Validation of the warrior identity scale in the Chicagoland veterans study. Identity, 18, 34-43.
https://doi.org/10.1080/15283488.2017.1410157
[65]
Latour, C., O’Byrne, L., McCarthy, M., Chacko, R., Russell, E., & Price, R. K. (2020). Improving Mental Health in US Veterans Using mHealth Tools: A Pilot Study. Health Informatics Journal, 26, 3201-3214. https://doi.org/10.1177/1460458220954613
[66]
Levy, L., & Tracy, J. K. (2018). Gambling Disorder in Veterans: A Review of the Literature and Implications for Future Research. Journal of Gambling Studies, 34, 1205-1239.
https://doi.org/10.1007/s10899-018-9749-z
[67]
Lowman, C. A. (2019). Optimizing Clinical Outcomes in VA Mental Health Care. In E. Ritchie, & M. Llorente (Eds.), Veteran Psychiatry in the US (pp. 29-48). Springer.
https://doi.org/10.1007/978-3-030-05384-0_4
[68]
McCaslin, S. E., Becket-Davenport, C., Dinh, J. V., Lasher, B., Kim, M., Choucroun, G., & Herbst, E. (2021). Military Acculturation and Readjustment to the Civilian Context. Psychological Trauma: Theory, Research, Practice, and Policy, 13, 611-620.
https://doi.org/10.1037/tra0000999
[69]
McClean, H. B. (2019). Delay, Deny, Wait Till They Die: Balancing Veterans’ Rights and Non-Adversarial Procedures in the VA Disability Benefits System. SMU Law Review, 72, 277-316. https://doi.org/10.2139/ssrn.3341489
[70]
Meffert, B. N., Morabito, D. M., Sawicki, D. A., Hausman, C., Southwick, S. M., Pietrzak, R. H., & Heinz, A. J. (2019). US Veterans Who Do and Do Not Utilize Veterans Affairs Health Care Services: Demographic, Military, Medical, and Psychosocial Characteristics. The Primary Care Companion for CNS Disorders, 21, 18m02350.
https://doi.org/10.4088/PCC.18m02350
[71]
Miles, S. R., Harik, J. M., Hundt, N. E., Mignogna, J., Pastorek, N. J., Thompson, K. E. et al. (2017). Delivery of Mental Health Treatment to Combat Veterans with Psychiatric Diagnoses and TBI Histories. PLOS ONE, 12, e0184265.
https://doi.org/10.1371/journal.pone.0184265
[72]
Military Psychologist (2017, December). Military Psychologist, 32.
[73]
Molina, M., & Garip, F. (2019). Machine Learning for Sociology. Annual Review of Sociology, 45, 27-45. https://doi.org/10.1146/annurev-soc-073117-041106
[74]
Motl, T. C., George, K. A., Gibson, B. J., Mollenhauer, M. A., & Birke, L. (2022). Stereotyping of Student Service Members and Veterans on a University Campus in the U.S. Military Psychology, 34, 604-615. https://doi.org/10.1080/08995605.2021.2025012
[75]
Muka, T., Glisic, M., Milic, J., Verhoog, S., Bohlius, J., Bramer, W. et al. (2020). A 24-Step Guide on How to Design, Conduct, and Successfully Publish a Systematic Review and Meta-Analysis in Medical Research. European Journal of Epidemiology, 35, 49-60.
https://doi.org/10.1007/s10654-019-00576-5
[76]
Mukherjee, S., & Kumar, U. (2019). Military Psychology in War and Peace: An Appraisal. In U. Kumar (Ed.), The Routledge International Handbook of Military Psychology and Mental Health (pp. 3-11). Routledge. https://doi.org/10.4324/9780429281266-1
[77]
National Academies of Sciences, Engineering, and Medicine (2018). Evaluation of the Department of Veterans Affairs Mental Health Services. National Academies Press.
[78]
National Defense (2018). 32 C.F.R. § 66.
https://www.govinfo.gov/content/pkg/CFR-2018-title32-vol1/xml/CFR-2018-title32-vol1-part66.xml
[79]
Nedegaard, R., & Zwilling, J. (2017). Promoting Military Cultural Competence among Civilian Care Providers: Learning through Program Development. Social Sciences, 6, Article 13. https://doi.org/10.3390/socsci6010013
[80]
Norman, S. B., Rosen, J., Himmerich, S., Myers, U. S., Davis, B., Browne, K. C., & Piland, N. (2015). Student Veteran Perceptions of Facilitators and Barriers to Achieving Academic Goals. Journal of Rehabilitation Research and Development, 52, 701-712.
https://doi.org/10.1682/JRRD.2015.01.0013
[81]
Office of the Federal Register, National Archives and Records Administration (1950). Federal Register Vol. 15, No.77, April 21, 1950. Office of the Federal Register, National Archives and Records Administration.
https://www.govinfo.gov/app/details/FR-1950-04-21
[82]
Office of the Federal Register, National Archives and Records Administration (2021). 32 CFR § 765.13—Insignia to Be Worn on Uniform by Persons Not in the Service. Office of the Federal Register, National Archives and Records Administration.
https://www.govinfo.gov/app/details/CFR-2021-title32-vol5/CFR-2021-title32-vol5-sec765-13
[83]
Office of the Secretary of Defense, & Department of Defense, Department of Defense Dictionary of Military and Associated Terms (2021). Department of Defense.
[84]
Olenick, M., Flowers, M., & Diaz, V. J. (2015). US Veterans and Their Unique Issues: Enhancing Health Care Professional Awareness. Advances in Medical Education and Practice, 6, 635-639. https://doi.org/10.2147/AMEP.S89479
[85]
Orloff v. Willoughby, 345 U.S. 83 (1953).
https://supreme.justia.com/cases/federal/us/345/83/
[86]
Oshinski, R. (2021). Eligibility Determination.
https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8908
[87]
Oswald, F. L. (2020). Future Research Directions for Big Data in Psychology. In S. E. Woo, L. Tay, & R. W. Proctor (Eds.), Big Data in Psychological Research (pp. 427-441). American Psychological Association. https://doi.org/10.1037/0000193-020
[88]
Parker v. Levy, 417 U.S. 733, 758 (1974).
https://caselaw.findlaw.com/us-supreme-court/417/733.html
[89]
Parrott, S., Albright, D. L., & Eckhart, N. (2021). Veterans and Media: The Effects of News Exposure on Thoughts, Attitudes, and Support of Military Veterans. Armed Forces & Society, 48, 503-521. https://doi.org/10.1177/0095327X20986145
[90]
Prins, A., Bovin, M. J., Kimerling, R., Kaloupek, D. G., Marx, B. P., Pless Kaiser, A., & Schnurr, P. P. (2015). The Primary Care PTSD Screen for DSM-5 (PC-PTSD-5). Measurement Instrument.
[91]
Prins, A., Bovin, M. J., Smolenski, D. J., Mark, B. P., Kimerling, R., Jenkins-Guarnieri, M. A., Kaloupek, D. G., Schnurr, P. P., Pless Kaiser, A., Leyva, Y. E., & Tiet, Q. Q. (2016). The Primary Care PTSD Screen for DSM-5 (PC-PTSD-5): Development and Evaluation within a Veteran Primary Care Sample. Journal of General Internal Medicine, 31, 1206-1211. https://doi.org/10.1007/s11606-016-3703-5
[92]
Ramoni, R., Office of Research & Development (2022). VA FY 2022-2028 Strategic Plan. U.S. Department of Veterans Affairs.
[93]
Randles, R., & Finnegan, A. (2021). Veteran Help-Seeking Behaviour for Mental Health Issues: A Systematic Review. BMJ Military Health, 168, 99-104.
https://doi.org/10.1136/bmjmilitary-2021-001903
[94]
Reisman, M. (2016). PTSD Treatment for Veterans: What’s Working, What’s New, and What’s Next. Pharmacy and Therapeutics, 41, 623-634.
[95]
Reyes, A. T., Song, H., Bhatta, T. R., & Kearney, C. A. (2022). Exploring the Relationships between Resilience, Mindfulness, and Experiential Avoidance after the Use of a Mindfulness- and Acceptance-Based Mobile App for Posttraumatic Stress Disorder. Perspectives in Psychiatric Care, 58, 776-784. https://doi.org/10.1111/ppc.12848
[96]
Ridgeway, C. L. (2022). Sociology and Psychology. In Oxford Research Encyclopedia of Psychology. Oxford University Press.
https://doi.org/10.1093/acrefore/9780190236557.013.896
[97]
Rolke, W., & Gongora, C. G. (2021). A Chi-Square Goodness-of-Fit Test for Continuous Distributions against a Known Alternative. Computational Statistics, 36, 1885-1900.
https://doi.org/10.1007/s00180-020-00997-x
[98]
Rosenthal, K., Strecker, S., & Pastor, O. (2020). Modeling Difficulties in Data Modeling: Similarities and Differences between Experienced and Non-Experienced Modelers. In G. Dobbie, U. Frank, G. Kappel, S. W. Liddle, & H. C. Mayr (Eds.), Conceptual Modeling. ER 2020. Lecture Notes in Computer Science (pp. 501-511). Springer.
https://doi.org/10.1007/978-3-030-62522-1_37
[99]
Schaeffer, K. (2021). The Changing Face of America’s Veteran Population. Pew Research Center.
[100]
Schafer, K. M., Duffy, M., Kennedy, G., Stentz, L., Leon, J., Herrerias, G., Fulcher, S., & Joiner, T. E. (2022). Suicidal Ideation, Suicide Attempts, and Suicide Death among Veterans and Service Members: A Comprehensive Meta-Analysis of Risk Factors. Military Psychology, 34, 129-146. https://doi.org/10.1080/08995605.2021.1976544
[101]
Secretary of Defense, & McGinn, G. (2009). DoD Instruction (DoDI) 1336.01: Certificate of Release or Discharge from Active Duty (D.D. Form 214/5 Series). Department of Defense.
[102]
Skopp, N. A., Smolenski, D. J., Bush, N. E., Beech, E. H., Workman, D. E., Edwards-Stewart, A., & Belsher, B. E. (2022). Caring Contacts for Suicide Prevention: A Systematic Review and Meta-Analysis. Psychological Services. https://doi.org/10.1037/ser0000645
[103]
Smith, A. K., Ratanatharathorn, A., Maihofer, A. X., Naviaux, R. K., Aiello, A. E., Amstadter, A. B., Ashley-Koch, A. E., Baker, D. G., Beckham, J. C., Boks, M. P., Bromet, E., Dennis, M., Galea, S., Garrett, M. E., Geuze, E., Guffanti, G., Hauser, M. A., Katrinli, S., Kilaru, V. et al. (2020). Epigenome-Wide Meta-Analysis of PTSD across 10 Military and Civilian Cohorts Identifies Methylation Changes in AHRR. Nature Communications, 11, Article No. 5965. https://doi.org/10.1038/s41467-020-19615-x
[104]
Soberay, K. A., Hanson, J. E., Dwyer, M., Plant, E. A., & Gutierrez, P. M. (2018). The Relationship between Suicidal Responses and Traumatic Brain Injury and Severe Insomnia in Active Duty, Veteran, and Civilian Populations. Archives of Suicide Research, 23, 391-410. https://doi.org/10.1080/13811118.2018.1479322
[105]
Stone, C. (2020). Stereotypes of Veterans. In Stereotypes: The Incidence and Impacts of Bias (p. 213). Praeger.
[106]
Stratton, K. J., Hawn, S. E., Amstadter, A. B., Cifu, D. X., & Walker, W. C. (2014). Correlates of Pain Symptoms among Iraq and Afghanistan Military Personnel Following Combat-Related Blast Exposure. Journal of Rehabilitation Research and Development, 51, 1189-1202. https://doi.org/10.1682/JRRD.2014.04.0111
[107]
Straud, C. L., Siev, J., Messer, S., & Zalta, A. K. (2019). Examining Military Population and Trauma Type as Moderators of Treatment Outcome for First-Line Psychotherapies for PTSD: A Meta-Analysis. Journal of Anxiety Disorders, 67, Article ID: 102133.
https://doi.org/10.1016/j.janxdis.2019.102133
[108]
Sürücü, L., & Maslakci, A. (2020). Validity and Reliability in Quantitative Research. Business & Management Studies: An International Journal, 8, 2694-2726.
https://doi.org/10.15295/bmij.v8i3.1540
[109]
Tanielian, T. L., & Tanielian, T. L. (2014). Ready to Serve: Community-Based Provider Capacity to Deliver Culturally Competent, Quality Mental Health Care to Veterans and Their Families. RAND Corporation. https://doi.org/10.7249/RR806
[110]
Thomas, M. M., Harpaz-Rotem, I., Tsai, J., Southwick, S. M., & Pietrzak, R. H. (2017). Mental and Physical Health Conditions in US Combat Veterans. The Primary Care Companion for CNS Disorders, 19. https://doi.org/10.4088/PCC.17m02118
[111]
Trivedi, R. B., Post, E. P., Sun, H., Pomerantz, A., Saxon, A. J., Piette, J. D., Maynard, C., Arnow, B., Curtis, I., Fihn, S. D., & Nelson, K. (2015). Prevalence, Comorbidity, and Prognosis of Mental Health among US Veterans. American Journal of Public Health, 105, 2564-2569. https://doi.org/10.2105/AJPH.2015.302836
[112]
U.S. Department of Defense (2013). DoD Information Security Program: Protection of Classified Information: DoD Manual 5200.01.
https://www.dodig.mil/Portals/48/Documents/Policy/520001_vol3.pdf
[113]
U.S. Department of Defense (2022). Certificate of Uniformed Service: DoD Instruction 1336.01.
https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodi/133601p.pdf
[114]
U.S. Department of Homeland Security (2020). United States Coast Guard Uniform Regulations: Commandant Instruction M1020.6K.
https://media.defense.gov/2020/Jul/09/2002451108/-1/-1/0/CIM_1020_6K.PDF
[115]
U.S. Department of Homeland Security (2021a). United States Coast Guard Recruiting Manual: Commandant Instruction M1100.2G.
https://media.defense.gov/2021/Aug/18/2002833714/-1/-1/0/CIM_1100_2G.PDF
[116]
U.S. Department of Homeland Security (2021b). United States Coast Guard Seperations: Commandant Instruction M10000.4.
https://media.defense.gov/2019/Dec/09/2002222065/-1/-1/0/CIM_1000_4.PDF
[117]
U.S. Department of the Air Force (2019). Military Recruiting and Accession: Department of the Air Force Manual 36-2031.
[118]
U.S. Department of the Air Force (2020a). Administrative Separation of Airmen: Department of the Air Force Instruction 36-3208.
https://static.e-publishing.af.mil/production/1/af_a1/publication/dafi36-3211/dafi36-3211.pdf
[119]
U.S. Department of the Air Force (2020b). Dress and Personal Appearance of United States Air Force and United States Space Force Personnel: Department of the Air Force Instruction 36-2903.
https://static.e-publishing.af.mil/production/1/af_a1/publication/dafi36-2903/dafi36-2903.pdf
[120]
U.S. Department of the Army (2016). Regular Army and Reserve Components Enlistment Program: Army Regulation 601-210.
https://armypubs.army.mil/epubs/DR_pubs/DR_a/ARN6642-AR_601-210-001-WEB-1.pdf
[121]
U.S. Department of the Army (2017). Procedures for Disability Evaluation for Retention, Retirement, or Separation. Regular Army and Reserve Components Enlistment Program: Army Pamphlet 635-40.
https://armypubs.army.mil/epubs/DR_pubs/DR_a/pdf/web/PAM635-40_Web_FINAL.pdf
[122]
U.S. Department of the Army (2021). Wear and Appearance of Army Uniforms and Insignia: Army Regulation 670-1.
https://armypubs.army.mil/epubs/DR_pubs/DR_a/ARN30302-AR_670-1-000-WEB-1.pdf
[123]
U.S. Department of the Navy (2021). United States Navy Uniform Regulations: NAVPERS 15665I.
https://www.mynavyhr.navy.mil/References/US-Navy-Uniforms/Uniform-Regulations/
[124]
U.S. Department of the Navy (2022). Enlistments and Reenlistments under Continuous Service Conditions: MILPERSMAN 1160-030.
https://www.mynavyhr.navy.mil/Portals/55/Reference/MILPERSMAN/1000/1100Recruiting/1160-030.pdf
[125]
U.S. Marine Corps (2021a). Enlisted Retention and Career Development Program: Marine Corps Order 1040.31.
https://www.marines.mil/portals/1/Publications/MCO%201040.31.pdf?ver=2012-10-11-163756-583
[126]
U.S. Marine Corps (2021b). Marine Corps Uniform Regulations: Marine Corps Order 1020.34H.
https://www.marines.mil/portals/1/Publications/MCO%201020.34H%20v2.pdf?ver=2018-06-26-094038-137
[127]
University of Minnesota (2022). What Is Culture? The Center for Advanced Research on Language Acquisition (CARLA): Culture.
https://carla.umn.edu/culture/definitions.html
[128]
Van Ess, N. (2017). Military Order of the Purple Heart Bylaws. National Executive Committee.
[129]
Veterans of Foreign Wars (2021). Columbia Electronic Encyclopedia (6th ed., p. 1).
[130]
Wade, D. T., & Halligan, P. W. (2017). The Biopsychosocial Model of Illness: A Model Whose Time Has Come. Clinical Rehabilitation, 31, 995-1004.
https://doi.org/10.1177/0269215517709890
[131]
Weissman, J. D., Russell, D., Haghighi, F., Dixon, L., & Goodman, M. (2019). Health Coverage Types and Their Relationship to Mental and Physical Health in U.S. Veterans. Preventive Medicine Reports, 13, 85-92.
https://doi.org/10.1016/j.pmedr.2018.11.016
[132]
Wendleton, L. R., Martin, L. A., Stewart Steffensmeier, K. R., LaChappelle, K., Fehling, K., Etingen, B., Ray, C., Carnevale, D., Hardie, C., Grimes, I., & Ono, S. S. (2019). Building Sustainable Models of Veteran-Engaged Health Services Research. Journal of Humanistic Psychology. https://doi.org/10.1177/0022167819845535
[133]
Wilson, J. P. (2012). The Lens of Culture: Theoretical and Conceptual Perspectives in the Assessment of Psychological Trauma and PTSD. In J. P. Wilson, & C. Sk. Tang (Eds.), Cross-Cultural Assessment of Psychological Trauma and PTSD International and Cultural Psychology Series (pp. 3-30). Springer.
https://doi.org/10.1007/978-0-387-70990-1_1
[134]
Wu, H., Peek, L., Mathews, M. C., & Mattson, N. (2022). Cultural Competence for Hazards and Disaster Researchers: Framework and Training Module. Natural Hazards Review, 23, Article ID: 06021005.
https://doi.org/10.1061/(ASCE)NH.1527-6996.0000536
[135]
Yep, G. A., & Nakayama, T. (2022). My Three Cultures: Navigating the Multicultural Identity Landscape. In J. Martin (Ed.), Intercultural Communication: Experiences and Contexts (8th ed., pp. 61-62). McGraw-Hill.
[136]
Zwiebach, L., Lannert, B. K., Sherrill, A. M., McSweeney, L. B., Sprang, K., Goodnight, J. R., Lewis, S. C., & Rauch, S. A. (2019). Military Cultural Competence in the Context of cognitive Behavioural Therapy. The Cognitive Behaviour Therapist, 12, e5.
https://doi.org/10.1017/S1754470X18000132