LAY SUMMARY The Canadian Forces Cancer and Mortality Study (CFCAMS) is an example of a study that uses the life-course approach to research. This article provides an overview of CFCAMS challenges and solutions. Institutional challenges arise from the different mandates of the Department of National Defence and Veterans Affairs Canada. These challenges were addressed by collaboration with Statistics Canada. Data-driven challenges were addressed by data linkage in a secure environment at Statistics Canada. Budget-based challenges could be addressed only for topics that aligned with funded priorities. Human-resource-related challenges include recruitment and retention of experienced personnel, and addressing these challenges is an ongoing issue. These interconnected challenges can leave gaps that result in unrealized stakeholder expectations. Policy-relevant research must incorporate these expectations. Understanding the roles and structures required to generate life-course research can lead to increased influence on policy and practice.
{"title":"Studying military and Veteran health using a life-course approach: Lessons learned from a Canadian record linkage study","authors":"E. Rolland-Harris, Shirley Bryan, L. VanTil","doi":"10.3138/jmvfh-2022-0071","DOIUrl":"https://doi.org/10.3138/jmvfh-2022-0071","url":null,"abstract":"LAY SUMMARY The Canadian Forces Cancer and Mortality Study (CFCAMS) is an example of a study that uses the life-course approach to research. This article provides an overview of CFCAMS challenges and solutions. Institutional challenges arise from the different mandates of the Department of National Defence and Veterans Affairs Canada. These challenges were addressed by collaboration with Statistics Canada. Data-driven challenges were addressed by data linkage in a secure environment at Statistics Canada. Budget-based challenges could be addressed only for topics that aligned with funded priorities. Human-resource-related challenges include recruitment and retention of experienced personnel, and addressing these challenges is an ongoing issue. These interconnected challenges can leave gaps that result in unrealized stakeholder expectations. Policy-relevant research must incorporate these expectations. Understanding the roles and structures required to generate life-course research can lead to increased influence on policy and practice.","PeriodicalId":36411,"journal":{"name":"Journal of Military, Veteran and Family Health","volume":"38 14","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139442946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
LAY SUMMARY This article examines the different levels of liability Canada has assumed for disabled serving military members and Veterans from 1866 to 2020. Throughout Canada’s history, the first consideration for financial compensation has been the enrolment component of the casualty, that is, Regular, Reserve, or Special Force. Since 1883, disabled serving Regular Force members have received full pay and benefits while recovering from service-related injuries. Whether through the Militia Act, the Pension Act, long-term disability insurance, or the current Veterans Well-being Act (VWA), disabled Regular Force Veterans received financial compensation based on lost earnings. Before 1914, Canada’s military was a predominantly part-time militia, and if a member was disabled or killed due to a service-related injury or illness, lost civilian earnings and family circumstances were considered in financial compensation. From the First World War until the 1970s, serving Reservists were eligible for military pay and benefits while recovering from service-related injuries. Currently, subject to an investigation clearing them of fault or malfeasance, they may apply for an allowance equivalent to military pay with no benefits. Between 1919 and 1999, the government accepted less and less liability for disabled Reserve Force Veterans until recent changes to Veterans benefits legislation incrementally improved this.
{"title":"Canada’s varying approach to compensating disabled Reserve Force members and Veterans since 1866","authors":"John Milne","doi":"10.3138/jmvfh-2022-0079","DOIUrl":"https://doi.org/10.3138/jmvfh-2022-0079","url":null,"abstract":"LAY SUMMARY This article examines the different levels of liability Canada has assumed for disabled serving military members and Veterans from 1866 to 2020. Throughout Canada’s history, the first consideration for financial compensation has been the enrolment component of the casualty, that is, Regular, Reserve, or Special Force. Since 1883, disabled serving Regular Force members have received full pay and benefits while recovering from service-related injuries. Whether through the Militia Act, the Pension Act, long-term disability insurance, or the current Veterans Well-being Act (VWA), disabled Regular Force Veterans received financial compensation based on lost earnings. Before 1914, Canada’s military was a predominantly part-time militia, and if a member was disabled or killed due to a service-related injury or illness, lost civilian earnings and family circumstances were considered in financial compensation. From the First World War until the 1970s, serving Reservists were eligible for military pay and benefits while recovering from service-related injuries. Currently, subject to an investigation clearing them of fault or malfeasance, they may apply for an allowance equivalent to military pay with no benefits. Between 1919 and 1999, the government accepted less and less liability for disabled Reserve Force Veterans until recent changes to Veterans benefits legislation incrementally improved this.","PeriodicalId":36411,"journal":{"name":"Journal of Military, Veteran and Family Health","volume":"17 6","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139443105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
LAY SUMMARY The Canadian Armed Forces (CAF) is at a critical juncture as it seeks to reconstitute under a new framework of cultural change. Supporting this cultural shift are internal and external reports, surveys, advisory panels, class action lawsuits, and academic literature that acknowledge the systemic and structural barriers that must be addressed to realize the cultural change sought. Aligned with federal commitments to Gender-Based Analysis Plus, the authors call for the application of an anti-oppression lens to reimagine the principle that underpins the personnel management system: the universality of service. In doing so, this article discusses the policy implications and opportunities of turning an anti-oppression lens on the taken-for-granted principle within the military that has historically been employed in a discriminatory way. Such an approach would challenge the blanket application of the policy and enable the CAF to integrate culture change into its implementation of key strategic goals, including long-term reconstitution efforts.
{"title":"A force to imagine: A feminist rethinking of universality of service","authors":"Nancy Taber, Meaghan Shoemaker","doi":"10.3138/jmvfh-2023-0011","DOIUrl":"https://doi.org/10.3138/jmvfh-2023-0011","url":null,"abstract":"LAY SUMMARY The Canadian Armed Forces (CAF) is at a critical juncture as it seeks to reconstitute under a new framework of cultural change. Supporting this cultural shift are internal and external reports, surveys, advisory panels, class action lawsuits, and academic literature that acknowledge the systemic and structural barriers that must be addressed to realize the cultural change sought. Aligned with federal commitments to Gender-Based Analysis Plus, the authors call for the application of an anti-oppression lens to reimagine the principle that underpins the personnel management system: the universality of service. In doing so, this article discusses the policy implications and opportunities of turning an anti-oppression lens on the taken-for-granted principle within the military that has historically been employed in a discriminatory way. Such an approach would challenge the blanket application of the policy and enable the CAF to integrate culture change into its implementation of key strategic goals, including long-term reconstitution efforts.","PeriodicalId":36411,"journal":{"name":"Journal of Military, Veteran and Family Health","volume":"28 18","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138984398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zachary Skiles, James R. Dixon, Dan Friedrich, Donny Reed, Christopher S. Stauffer
LAY SUMMARY The new practices of psychedelic-assisted psychotherapy and state-run psychedelic services need trained facilitators. This article aligns the role of peer support in both the psychedelic and the Veteran communities, displaying core competencies and current practices, while also highlighting further needs in training and supervision. Continued work with peer support in the legal facilitation of psychedelic experiences will deepen understanding of psychedelic peership (i.e., when someone with previous firsthand experience with psychedelics facilitates the psychedelic therapy session of another).
{"title":"Peer support and psychedelics","authors":"Zachary Skiles, James R. Dixon, Dan Friedrich, Donny Reed, Christopher S. Stauffer","doi":"10.3138/jmvfh-2023-0008","DOIUrl":"https://doi.org/10.3138/jmvfh-2023-0008","url":null,"abstract":"LAY SUMMARY The new practices of psychedelic-assisted psychotherapy and state-run psychedelic services need trained facilitators. This article aligns the role of peer support in both the psychedelic and the Veteran communities, displaying core competencies and current practices, while also highlighting further needs in training and supervision. Continued work with peer support in the legal facilitation of psychedelic experiences will deepen understanding of psychedelic peership (i.e., when someone with previous firsthand experience with psychedelics facilitates the psychedelic therapy session of another).","PeriodicalId":36411,"journal":{"name":"Journal of Military, Veteran and Family Health","volume":"18 7","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138594330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
LAY SUMMARY Patients with headache disorders, such as migraine or cluster headache, often have poor quality of life and can be disabled by their condition. Military members and Veterans have a high risk of developing a headache disorder, particularly because they are also at risk for brain injury through head trauma. New headache treatments are needed, because the available treatments may not work, have too many side effects, or are not affordable. Psychedelics have been discussed as a treatment in headache disorders for more than 50 years. Patients report that drugs such as lysergic acid diethylamide (a synthetic psychedelic) and psilocybin (a compound found in so-called magic mushrooms) provide long-lasting relief from headaches for weeks or months after just a single or few doses. Formal studies investigating this unique ability are starting to take place. Findings from the first studies of psilocybin in migraine and cluster headache are encouraging, although these studies are small and not conclusive, and more research is needed. Veterans have been active in the recent re-emergence of psychedelics, although they may not all be able, or willing, to take part in studies because of underlying health conditions or viewpoints gained through military experience.
{"title":"Studying classic psychedelics for the management of headache disorders: Considerations for Veterans","authors":"E. Schindler, Jason J. Sico","doi":"10.3138/jmvfh-2023-0006","DOIUrl":"https://doi.org/10.3138/jmvfh-2023-0006","url":null,"abstract":"LAY SUMMARY Patients with headache disorders, such as migraine or cluster headache, often have poor quality of life and can be disabled by their condition. Military members and Veterans have a high risk of developing a headache disorder, particularly because they are also at risk for brain injury through head trauma. New headache treatments are needed, because the available treatments may not work, have too many side effects, or are not affordable. Psychedelics have been discussed as a treatment in headache disorders for more than 50 years. Patients report that drugs such as lysergic acid diethylamide (a synthetic psychedelic) and psilocybin (a compound found in so-called magic mushrooms) provide long-lasting relief from headaches for weeks or months after just a single or few doses. Formal studies investigating this unique ability are starting to take place. Findings from the first studies of psilocybin in migraine and cluster headache are encouraging, although these studies are small and not conclusive, and more research is needed. Veterans have been active in the recent re-emergence of psychedelics, although they may not all be able, or willing, to take part in studies because of underlying health conditions or viewpoints gained through military experience.","PeriodicalId":36411,"journal":{"name":"Journal of Military, Veteran and Family Health","volume":"55 3","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139014052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"It’s time for better tools","authors":"Monnica T. Williams","doi":"10.3138/jmvfh.9.5.pf01","DOIUrl":"https://doi.org/10.3138/jmvfh.9.5.pf01","url":null,"abstract":"","PeriodicalId":36411,"journal":{"name":"Journal of Military, Veteran and Family Health","volume":"383 ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139022956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Psychedelics for military and Veteran communities? Research, practice, and policy considerations","authors":"Ron Shore","doi":"10.3138/jmvfh.9.5.ed01","DOIUrl":"https://doi.org/10.3138/jmvfh.9.5.ed01","url":null,"abstract":"","PeriodicalId":36411,"journal":{"name":"Journal of Military, Veteran and Family Health","volume":"577 ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139018902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01DOI: 10.3138/jmvfh.9.5.intro2
David Clements
{"title":"Boundaries or boundlessness? Toward knowledge co-creation in psychedelic-assisted therapy","authors":"David Clements","doi":"10.3138/jmvfh.9.5.intro2","DOIUrl":"https://doi.org/10.3138/jmvfh.9.5.intro2","url":null,"abstract":"","PeriodicalId":36411,"journal":{"name":"Journal of Military, Veteran and Family Health","volume":"41 ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139019461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The hazy role of cannabis in military and Veteran life before and after the fog of war","authors":"O. Ayonrinde","doi":"10.3138/jmvfh.9.5.ed02","DOIUrl":"https://doi.org/10.3138/jmvfh.9.5.ed02","url":null,"abstract":"","PeriodicalId":36411,"journal":{"name":"Journal of Military, Veteran and Family Health","volume":"42 2","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139024735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
LAY SUMMARY The historical relationship between psychedelic drugs and the military has often been characterized in terms of drug misuse or the connection between drugs like d-lysergic acid diethylamide (LSD) or psilocybin (magic mushrooms) contributing to anti-war sentiments. Recent clinical evidence, however, suggests these cultural associations may be overshadowing the potential for psychedelic drug treatments for particular disorders prevalent across military personnel, including posttraumatic stress disorder. This article offers a historical overview of psychedelics and their association with anti-war activism alongside the clinical recognition of mental disorders within the military that led to the need to reimagine the relationship between psychedelics and mental illnesses within the military.
{"title":"A history and future of psychedelics: The case of the Canadian military","authors":"Erika Dyck, Gregory P. Marchildon","doi":"10.3138/jmvfh-2023-0010","DOIUrl":"https://doi.org/10.3138/jmvfh-2023-0010","url":null,"abstract":"LAY SUMMARY The historical relationship between psychedelic drugs and the military has often been characterized in terms of drug misuse or the connection between drugs like d-lysergic acid diethylamide (LSD) or psilocybin (magic mushrooms) contributing to anti-war sentiments. Recent clinical evidence, however, suggests these cultural associations may be overshadowing the potential for psychedelic drug treatments for particular disorders prevalent across military personnel, including posttraumatic stress disorder. This article offers a historical overview of psychedelics and their association with anti-war activism alongside the clinical recognition of mental disorders within the military that led to the need to reimagine the relationship between psychedelics and mental illnesses within the military.","PeriodicalId":36411,"journal":{"name":"Journal of Military, Veteran and Family Health","volume":"714 ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138986013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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