Cover
Title Page
Copyright
Preface
Contents
Figures
Tables
Summary
Acknowledgments
Abbreviations
Chapter One: Introduction
Description of Survey Sample and Survey Recruitment
Survey Instrument
Overall Sample Characteristics
Organization of This Report
Chapter Two: The Health Status of Contractors Who Are Deployed to Conflict Environments Is Not Well Understood: A Review of the Literature
Physical and Mental Health Risks Faced by Contractors in Conflict Environments
Prevalence of Mental Health Problems Among Contractors Compared with Military Personnel
Industry-Led Mental Health and Well-Being Initiatives
Stigma in Seeking Professional Mental Health Care
Denial of Defense Base Act Claims
Conclusion
Overall Contractor Deployment Experiences
Predeployment Training and Preparation
Contractors’ Combat Exposure
Contractors’ Living Conditions
Comparing Contractor and U.S. Military Deployment Experiences
Conclusions
Proportion of Contractors Who Met Criteria for Probable Mental Health Problems
Conclusions
Contractors’ Overall Health Ratings Are Generally Positive
Contractors Reported a Variety of Physical and Mental Health Conditions Experienced as a Result of Deployment on Contract
Conclusions
Health Insurance
Defense Base Act Claims
Utilization of Health Care
Access to Company-Provided Stress Management Resources
Perceived Barriers to Mental Health Treatment
Conclusions
Contractor Deployment Experiences Are Similar to Those of Military Populations but Vary by Nationality and Job Specialty
Contractors Are Affected by Serious Mental Health Problems
Contractors Also Suffer from Physical Health Problems
Although Most Contractors Have Health Insurance, It Appears That Many of Their Health Care Needs Are Not Being Met
Reduce Barriers to Seeking Treatment for Mental Health Problems
Conduct Additional Research to Better Understand the Needs of This Population
Conclusions
A. Additional Data Tables
B. Sensitivity Analyses
References