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Evolution of Department of Defense Disability Evaluation and Management of Posttraumatic Stress Disorder and Traumatic Brain Injury: Overview of Policy Changes, 2001–2018 : RAND Corporation , 2021


RAND Corporation

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From the preface: "Service members whose illnesses or injuries call into question their ability to fulfill their military duties may be referred by a health care provider to the Integrated Disability Evaluation System (IDES), a joint program of the U.S. Department of Defense (DoD) and the U.S. Department of Veterans Affairs (VA). This program is responsible for determining whether the individual is fit for duty as guided by his or her military department standards and requirements. If the service member is found to be unfit, he or she is medically discharged from military service. The process also assesses the extent to which the individual is considered to be disabled and assigns a rating, which in turns helps to determine what type of disability compensation he or she may be due. Since 2001, there have been several changes to DoD and VA disability evaluation policies and processes. Most notably, in 2007, the departments moved away from conducting their own respective medical evaluations and ratings and toward an integrated system. During this same period, there were also numerous policy changes related to screening, diagnosing, and treating what have become known as the “signature injuries” of the wars in Iraq and Afghanistan: posttraumatic stress disorder (PTSD) and traumatic brain injury (TBI)."

Authors - Simmons, Molly, Farmer, Carrie M., Cherney, Samantha, Krull, Heather



Simmons, Molly, Farmer, Carrie M., Cherney, Samantha, Krull, Heather


RAND Corporation


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