{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T09:35:44Z","timestamp":1763717744878,"version":"3.45.0"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"Supplement_3","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Veteran Affairs Health Services Research & Development Service VA","award":["HSR&D #I50 HX002767"],"award-info":[{"award-number":["HSR&D #I50 HX002767"]}]},{"name":"VA Health Services Research and Development Research Career Development","award":["CDA 21-161"],"award-info":[{"award-number":["CDA 21-161"]}]},{"name":"Center for Healthcare Evaluation Research and Promotion"},{"name":"Center of Innovation","award":["CIN 13-405"],"award-info":[{"award-number":["CIN 13-405"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The Veteran Affairs (VA) mission statement is, \u201cTo fulfill President Lincoln\u2019s promise to care for those who have served in our nation\u2019s military and for their families, caregivers, and survivors.\u201d However, the current inclusion of Veteran families, caregivers, and survivors into VA care is nuanced, limited, and inconsistent. A hallmark of modern military life is that service members who have enrolled since 2001 (called \u201cpost 9\/11 Veterans\u201d) include a higher percentage of women, dual-military member households (married couples in which both members serve), and families with children. This is in large part because of the extensive support provided by the Department of Defense (DOD) for service members, including housing, childcare, healthcare, and other forms of social and physical support, such as services for dependents with disabilities. However, when a service member transitions out of the military, little to no DOD services transfer with them. Moreover, post-military services are less comprehensive and designed to meet the needs of Veterans, rather than provide holistic support for family members and dependents. This lack of services for family during the transition process may contribute to what has been recognized as a large social and financial support gap that can last up to 3 years post service, or in some cases, longer. This is when Veterans are at high risk for a variety of complications, including suicide because of emerging physical and mental health challenges that can be exacerbated by other support needs. Moreover, when a Veteran seeks services through the VA or community care for various military-related injuries, providers do not typically inquire about the services needed during transition for the Veteran\u2019s family, and do not include family members in the Veteran mental or physical health treatments. This could contribute to a Veteran\u2019s feeling of isolation or lack of continuity of care for themselves and other family members. This critical and often overlooked aspect of the transition process is the impetus for this call to action. As family-based researchers, we recognize that the role of familial involvement could be especially important for those with critical conditions that contribute to functional and mental health decline, such as traumatic brain injury, post-traumatic stress disorder, and others. Here, we present evidence that (1) including family members in psychosocial support improves Veterans\u2019 mental health outcomes; (2) family member resources for long-term disability support are available but underutilized; and (3) recognition of children and nontraditional family member caregivers (other than the spouse) as critical components of the VA health care system is needed. All 3 areas contribute to the overall health and well-being of Veterans and their families.<\/jats:p>","DOI":"10.1093\/milmed\/usaf395","type":"journal-article","created":{"date-parts":[[2025,7,23]],"date-time":"2025-07-23T11:52:13Z","timestamp":1753271533000},"page":"27-30","source":"Crossref","is-referenced-by-count":0,"title":["Integrating Families Into Veteran Care: A Call to Action for Holistic Support Systems"],"prefix":"10.1093","volume":"190","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4282-0619","authenticated-orcid":false,"given":"Andrea F","family":"Kalvesmaki","sequence":"first","affiliation":[{"name":"Informatics Decision-Enhancement, and Analytic Sciences (IDEAS) Center of Innovation, VA Salt Lake City Health Care System , Salt Lake City, UT 84148,","place":["United States"]},{"name":"Division of Epidemiology, Department of Internal Medicine, University of Utah School of Medicine , Salt Lake City, UT 84132,","place":["United States"]},{"name":"VA Elizabeth Dole Center of Excellence for Veteran and Caregiver Research"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5329-0393","authenticated-orcid":false,"given":"Amanda C","family":"Blok","sequence":"additional","affiliation":[{"name":"Center for Clinical Management Research, VA Ann Arbor Healthcare System , Ann Arbor, MI 48105,","place":["United States"]},{"name":"Department of Systems, Populations and Leadership, University of Michigan School of Nursing , Ann Arbor, MI 48109,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica R","family":"Dodge","sequence":"additional","affiliation":[{"name":"Center for Healthcare Evaluation Research and Promotion (CHERP), VA Pittsburgh Healthcare System, University Drive (151C) , Pittsburgh, PA 15240,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,11,19]]},"reference":[{"key":"2025112104323943700_usaf395-B1","doi-asserted-by":"publisher","first-page":"146","DOI":"10.1037\/ser0000174","article-title":"Family-focused interventions and resources for veterans and their families","volume":"15","author":"Sherman","year":"2018","journal-title":"Psychol Serv"},{"key":"2025112104323943700_usaf395-B2","doi-asserted-by":"publisher","first-page":"369","DOI":"10.1097\/YCO.0b013e32832c9064","article-title":"Military deployment: the impact on children and family adjustment and the need for care","volume":"22","author":"McFarlane","year":"2009","journal-title":"Curr Opin Psychiatry"},{"volume-title":"Strengthening the Military Family Readiness System for a Changing American Society","year":"2019","author":"National Academies of Sciences E, Medicine","key":"2025112104323943700_usaf395-B3"},{"key":"2025112104323943700_usaf395-B4","doi-asserted-by":"publisher","first-page":"352","DOI":"10.1016\/j.amepre.2019.10.016","article-title":"US military veterans\u2019 health and well-being in the first year after service","volume":"58","author":"Vogt","year":"2020","journal-title":"Am J Prevent Med"},{"key":"2025112104323943700_usaf395-B5","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1111\/1475-6773.13931","article-title":"Analysis of a national response to a White House directive for ending veteran suicide","volume":"57","author":"Kalvesmaki","year":"2022","journal-title":"Health Serv Res"},{"key":"2025112104323943700_usaf395-B6","doi-asserted-by":"publisher","first-page":"202","DOI":"10.1037\/ccp0000863","article-title":"Examining strength at home couples to prevent intimate partner violence on a military installation: a randomized controlled trial","volume":"92","author":"Taft","year":"2024","journal-title":"J Consult Clin Psychol"},{"key":"2025112104323943700_usaf395-B7","doi-asserted-by":"publisher","first-page":"e2349098","DOI":"10.1001\/jamanetworkopen.2023.49098","article-title":"Retention in individual trauma-focused treatment following family-based treatment among US veterans","volume":"6","author":"Dodge","year":"2023","journal-title":"JAMA Network Open"},{"key":"2025112104323943700_usaf395-B8","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1176\/appi.ps.201900113","article-title":"Coaching into care: veterans affairs telephone-based service for concerned family members of military veterans","volume":"72","author":"Sayers","year":"2021","journal-title":"Psychiatr Serv"},{"key":"2025112104323943700_usaf395-B9","doi-asserted-by":"publisher","first-page":"128","DOI":"10.1080\/10522158.2023.2167896","article-title":"Families transition, too! Military families transition out of service: a scoping review of research from the Five Eyes nations","volume":"25","author":"Dodge","year":"2022","journal-title":"J Family Social Work"},{"volume-title":"2022 National Strategy to Support Family Caregivers","year":"2022","author":"Administration for Community Living","key":"2025112104323943700_usaf395-B10"},{"key":"2025112104323943700_usaf395-B11","doi-asserted-by":"crossref","first-page":"1566","DOI":"10.1111\/jgs.18213","article-title":"Characterizing caregiving supportive services use by caregiving relationship status","volume":"71","author":"Travers","year":"2023","journal-title":"J Am Geriatr Soc"},{"key":"2025112104323943700_usaf395-B12","doi-asserted-by":"crossref","first-page":"e14360","DOI":"10.1111\/1475-6773.14360","article-title":"Adaptations and early adoption of a family caregiver intervention in the Veterans Affairs Health Care System: a multimethod pragmatic approach for national scaling","volume":"59","author":"Blok","year":"2024","journal-title":"Health Serv Res"},{"volume-title":"Families Caring for an Aging America","year":"2016","author":"Eden","key":"2025112104323943700_usaf395-B13"},{"key":"2025112104323943700_usaf395-B14","doi-asserted-by":"publisher","first-page":"756","DOI":"10.1332\/23978821Y2024D000000039","article-title":"Establishing a framework for youth caregiving research at the US Department of Veteran Affairs","volume":"8","author":"Kalvesmaki","year":"2024","journal-title":"Int J Care Caring"},{"key":"2025112104323943700_usaf395-B15","doi-asserted-by":"publisher","first-page":"487","DOI":"10.1007\/s10560-021-00797-2","article-title":"Young carers, the overlooked caregiving population: introduction to a special issue","volume":"38","author":"Kavanaugh","year":"2021","journal-title":"Child Adolesc Social Work J"}],"container-title":["Military Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/milmed\/article-pdf\/190\/Supplement_3\/27\/65394753\/usaf395.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/milmed\/article-pdf\/190\/Supplement_3\/27\/65394753\/usaf395.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T09:32:45Z","timestamp":1763717565000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/milmed\/article\/190\/Supplement_3\/27\/8328012"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,1]]},"references-count":15,"journal-issue":{"issue":"Supplement_3","published-online":{"date-parts":[[2025,11,19]]},"published-print":{"date-parts":[[2025,11,1]]}},"URL":"https:\/\/doi.org\/10.1093\/milmed\/usaf395","relation":{},"ISSN":["0026-4075","1930-613X"],"issn-type":[{"type":"print","value":"0026-4075"},{"type":"electronic","value":"1930-613X"}],"subject":[],"published-other":{"date-parts":[[2025,11]]},"published":{"date-parts":[[2025,11,1]]}}}