Systematic Reviews

Federally-funded Systematic Reviews of Psychological Health Research to Address Gaps in Practice

DHCC manages a series of systematic reviews that are focused on psychological health areas relevant to service members and their care. The systematic reviews aim to promote evidence-based clinical policies based on the highest standards of evidence, facilitate the implementation of effective treatments to improve the care of service members, and continue to identify gaps in clinical knowledge to promote further evidence reviews. The systematic reviews are conducted by a component of the RAND Corporation, which is nationally recognized as one of the Agency for Healthcare Research and Quality’s (AHRQ) Evidence-based Practice Centers (EPCs). Read more in Frequently Asked Questions about our systematic reviews.

Series 2 Reports: Systematic Reviews of Psychological Health Research to Address Gaps in Practice

An ongoing series of systematic reviews focused on improving the identification and implementation of evidence-based treatments and approaches for psychological health conditions often experienced by service members. In accordance with the 2016 National Defense Authorization Act (NDAA) [1] , the current effort aims to address variability in health care practices and outcomes to improve quality of care, patient safety, and patient satisfaction.

  • Systematic review of functional effects of medication-assisted treatment for opioid dependence (in progress)
  • Systematic review of provider interventions to increase uptake of evidence-based treatment for depression (in progress)
  • Systematic review of gender differences in responses to first-line alcohol use treatment (in progress)
  • Systematic review of cognitive behavioral therapy alone or in combination with pharmacotherapy in patients dually diagnosed with alcohol use disorder and depression (in progress)
  • Evidence map of the use of technology to augment clinical care in depression and anxiety disorders (in progress)

Series 1 Reports: Evidence Synthesis of Key Complementary and Alternative Medicine (CAM) Topic Areas

A series of systematic reviews focused on determining the efficacy, comparative effectiveness and safety of complementary and alternative medicine (CAM) interventions for substance use disorders, major depressive disorder, posttraumatic stress disorder, chronic pain and smoking cessation. The goal of this effort is to inform the VA/DoD clinical practice guidelines (CPGs), as well as to address the recommendations from the Defense Health Board (DHB) [2] and Institute of Medicine (IOM) [3] to concentrate implementation efforts on evidence-based interventions.

Meditation-based Interventions

Needle Acupuncture Interventions

Needle Acupuncture for Posttraumatic Stress Disorder (2016) (In Progress)

Herbs and Supplements

References

[1]2016 NDAA. Retrieved from https://www.congress.gov/bill/114th-congress/house-bill/1735.

[2] Defense Health Board. (2011). DoD Psychotropic Medication Prescription Practices and Complementary Alternative Medicine Use. Retrieved from http://www.health.mil/About-MHS/Defense-Health-Agency/Special-Staff/Defense-Health-Board/Reports.

[3] IOM. (2014). Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations: Final Assessment. Retrieved from https://www.nap.edu/catalog/18724/treatment-for-posttraumatic-stress-disorder-in-military-and-veteran-populations.