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University of Lynchburg Doctoral Project Assignment Repository

Specialty

Executive Leadership - Healthcare Concentration

Advisor

Professor Lynette Reina, EdD, PT, DPT, OCS

Abstract

The U.S. Army behavioral health system faces increasing demand while simultaneously managing provider shortages and the rising complexity of care. A significant contributor to decreased readiness is family and relationship distress which, if not addressed, can reduce a soldier’s focus and decrease their effectiveness in an operational environment. Readiness is defined by the Department of Defense (DoD) as “the ability of military forces to fight and meet the demands of assigned missions.” The integration of Licensed Marriage and Family Therapist (LMFT) could address a critical treatment gap that targets relational dynamics thereby reducing unnecessary repeat visits, strengthening familial bonds, and improving system efficiency without compromising clinical outcomes.  This doctoral project argues that integrating LMFTs into Behavioral Health Commissioned Officer (BHO) roles is strategically imperative for closing critical readiness gaps derived from family and relationship distress. By integrating them in the Army Medical Department (AMEDD), care efficiency and readiness outcomes could improve significantly.  A phased implementation model is proposed to support policy adoption and operational integration.

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