Perceptions of Mental Health Confidentiality Policies and Practices in the US Military : RAND Corporation , December 17 , 2024
From the summary: “High rates of mental health issues among service members and a reluctance to access mental health services together represent one of the greatest ongoing threats to U.S. military readiness. Concerns about the confidentiality of mental health services received within the military have been documented as a significant barrier to service members obtaining needed treatment. Under certain circumstances, U.S. Department of Defense (DoD) policy states that mental health information can be shared with a member’s commanding officer. DoD Instruction (DoDI) 6490.08 (2011), Command Notification Requirements to Dispel Stigma in Providing Mental Health Care to Service Members, lays out these circumstances. Principal among them is whether there is a serious risk of self-harm, harm to others, or harm to a specific military mission. DoDI 6490.08 specifies that providers “shall provide the minimum amount of information to satisfy the purpose of the disclosure,” which includes “ways the command can support or assist the Service member’s treatment.” DoDI 6490.08 also stipulates in its instruction to commanders that information “shall be restricted to personnel with a specific need to know.””
Authors - Wong, Eunice C., Waymouth, Molly, McBain, Ryan K., Schell, Terry L., Hindmarch, Grace, et al.Subjects
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