Dr. Krull studies the systems in place for evaluating and treating military personnel who experience mental health challenges, like posttraumatic stress disorder (PTSD) and traumatic brain injury (TBI). He investigates how these evaluations can be made fairer and more efficient, ultimately enhancing the support available to service members and veterans. This research is crucial because it affects how individuals who have served in the military are assessed for disabilities and what types of treatment they receive. He also explores the impact of behavioral health care on soldiers and their families, aiming to improve outcomes after mental health treatment.
Key findings
By 2017, 85% of service members evaluated for PTSD received a disability award, a significant increase from 49% in 2007.
The Department of Defense implemented a new evaluation system for PTSD and TBI in 2011 that improved the process and support for affected service members.
A promising tool, the Walter Reed Functional Impairment Scale, showed potential for measuring readiness among soldiers after receiving mental health care.
Over half of veterans in the Wounded Warrior Project reported mental health issues, underscoring a critical need for improved services.
Service members with better care coordination for mild traumatic brain injuries show greater recovery rates, indicating variability in healthcare quality.
Frequently asked questions
Does Dr. Krull study PTSD?
Yes, Dr. Krull extensively studies PTSD, particularly how it affects military service members and the processes for evaluating and treating it.
What treatments has Dr. Krull researched?
He has researched various treatments for PTSD and traumatic brain injuries, focusing on improving the quality of care and the effectiveness of mental health services in the military.
Is Dr. Krull's work relevant to veterans?
Absolutely, his research is highly relevant to veterans, particularly in understanding their unique health care needs and improving the support they receive.
What is the Disability Evaluation System?
The Disability Evaluation System assesses service members' ability to perform their duties when facing health issues, including mental health conditions like PTSD.
How does Dr. Krull's research impact military families?
His research evaluates the effects of mental health care on soldiers and their families, aiming to improve treatment outcomes and overall family readiness.
Publications in plain English
Readiness of Soldiers and Adult Family Members Who Receive Behavioral Health Care: Identifying Promising Outcome Metrics.
2022
Rand health quarterly
Hepner KA, Roth CP, Krull H, Xenakis L, Pincus HA
Plain English This study looked at how ready soldiers and their adult family members are after receiving mental health care, focusing on conditions like PTSD, depression, and anxiety. The researchers found that while no existing tools were fully suitable for measuring readiness in soldiers or their families, a tool called the Walter Reed Functional Impairment Scale showed promise for soldiers. This is important because understanding readiness can help improve the effectiveness of mental health treatment and support for those who serve in the military.
Who this helps: This benefits soldiers and their families as well as mental health care providers in the military.
Evolution of Department of Defense Disability Evaluation and Management of Posttraumatic Stress Disorder and Traumatic Brain Injury: Overview of Policy Changes, 2001-2018.
2022
Rand health quarterly
Simmons MM, Farmer CM, Cherney S, Krull H
Plain English This research paper looks at how the U.S. Department of Defense (DoD) has changed its process for evaluating service members with injuries like posttraumatic stress disorder (PTSD) and traumatic brain injury (TBI) from 2001 to 2018. After implementing significant reforms in 2007 and adopting a new system in 2011, service members now benefit from a streamlined evaluation process that reduces confusion and improves care, allowing many more individuals to receive a fair assessment of their disabilities. The understanding and treatment of PTSD and TBI have also evolved, leading to better support for those affected.
Who this helps: This benefits military service members and veterans suffering from PTSD and TBI.
Trends in Department of Defense Disability Evaluation System Ratings and Awards for Posttraumatic Stress Disorder and Traumatic Brain Injury, 2002-2017.
2022
Rand health quarterly
Krull H, Farmer CM, Rennane S, Goldstein E, Armour P +1 more
Plain English This study looked at how the Department of Defense's evaluation process for disabilities related to posttraumatic stress disorder (PTSD) and traumatic brain injury (TBI) changed from 2002 to 2017. Researchers found that the number of service members receiving disability ratings for these conditions increased, with 85% of those evaluated for PTSD receiving a disability award by 2017, compared to 49% in 2007. These changes are important because they reflect improvements in recognizing and supporting service members suffering from these serious mental health issues.
Who this helps: This helps veterans and active-duty service members dealing with PTSD and TBI.
U.S. Department of Defense Disability Compensation Under a Fitness-for-Duty Evaluation Approach.
2022
Rand health quarterly
Rennane S, Asch BJ, Mattock MG, Krull H, Ligor DC +2 more
Plain English The study examined the U.S. Department of Defense's current system for determining disability compensation for service members and explored four different alternatives to make this process simpler. The alternatives focus more on whether a service member can perform their duties instead of relying heavily on disability ratings. These changes could improve compensation fairness and processing times, ultimately helping service members transition more smoothly if they become unfit for duty.
Who this helps: This helps service members who are evaluated for disability and their families.
Classification and characterization of nonequilibrium Higgs modes in unconventional superconductors.
2020
Nature communications
Schwarz L, Fauseweh B, Tsuji N, Cheng N, Bittner N +6 more
Plain English This study looked at special oscillations called Higgs modes in unusual superconductors, which are materials that can conduct electricity without resistance. The researchers developed a theory to categorize these oscillations based on the type of symmetry in the materials' structures. They found that their approach could differentiate between different types of these oscillations using measurements from laser pulses, which helps to better understand how these superconductors behave.
Who this helps: This helps scientists and researchers studying superconductors and related technologies.
Understanding Treatment of Mild Traumatic Brain Injury in the Military Health System.
2017
Rand health quarterly
Farmer CM, Krull H, Concannon TW, Simmons M, Pillemer F +6 more
Plain English This study looked at how mild traumatic brain injuries (mTBIs), like concussions, are treated within the military healthcare system. It found that while most service members recover quickly, some continue to receive treatment for more than three months, showing that care varies greatly in quality and coordination. Improving how these injuries are diagnosed and treated is crucial for ensuring better health outcomes for injured service members.
Who this helps: This research benefits active-duty service members who suffer from mild TBIs and the healthcare providers treating them.
Coupling of Higgs and Leggett modes in non-equilibrium superconductors.
2016
Nature communications
Krull H, Bittner N, Uhrig GS, Manske D, Schnyder AP
Plain English This study looked at how two specific modes, called Higgs and Leggett, behave in superconductors when they are not in a stable state. The researchers found that when they used a specific experimental technique, both modes were excited at the same time and began to interact strongly, which doesn’t happen when the system is stable. This is important because it could lead to new ways to control and understand these modes in superconductors and other quantum materials.
Who this helps: This helps researchers and scientists studying superconductors and quantum materials.
Current and Projected Characteristics and Unique Health Care Needs of the Patient Population Served by the Department of Veterans Affairs.
2016
Rand health quarterly
Eibner C, Krull H, Brown KM, Cefalu M, Mulcahy AW +17 more
Plain English This research looked at the current and future health needs of veterans who use the Department of Veterans Affairs (VA) for health care. It found that while the number of veterans is expected to decrease over the next ten years, those using VA services are generally older and facing more health problems, such as costly chronic conditions. This information is important because it helps the VA plan for how to best meet the changing needs of veterans in light of their increasing health care demands.
Who this helps: This helps veterans and the health care professionals serving them.
Quality of Care for PTSD and Depression in the Military Health System: Phase I Report.
2016
Rand health quarterly
Hepner KA, Sloss EM, Roth CP, Krull H, Paddock SM +3 more
Plain English This study examined the quality of care for military members with PTSD and depression to see if they were getting the right treatment. It found that while the military health system effectively follows up with patients after hospital stays, it needs to improve psychotherapy and medication support. Additionally, the quality of care varied among different military branches and demographic groups, highlighting the need for more consistent, high-quality care for all service members.
Who this helps: This helps military service members diagnosed with PTSD or depression.
Health and Economic Outcomes in the Alumni of the Wounded Warrior Project: 2010-2012.
2014
Rand health quarterly
Krull H, Oguz M
Plain English This study looked at how well alumni of the Wounded Warrior Project (WWP) are doing in terms of their mental and physical health, as well as their financial situation. The findings showed that male alumni, those who are married, and high-ranking service members tend to have better mental health, while women and those in lower ranks report better physical health. This information is important because it helps WWP tailor its programs to better support the needs of different groups within their alumni base.
Who this helps: This benefits veterans and service members who are part of the Wounded Warrior Project.
Health and Economic Outcomes Among the Alumni of the Wounded Warrior Project: 2013.
2014
Rand health quarterly
Cerully JL, Oguz M, Krull H, Giglio K
Plain English The study looked at the health and economic challenges faced by veterans who are part of the Wounded Warrior Project. It found that over half of these veterans have mental health issues like depression and PTSD, and many struggle to get the care they need. Additionally, nearly half of them are not working, and a significant number are overweight or obese, which affects their quality of life.
Who this helps: This supports veterans by highlighting their need for improved mental health services and job opportunities.
Improving Joint Expeditionary Medical Planning Tools Based on a Patient Flow Approach.
2012
Rand health quarterly
Chan EW, Krull H, Lachman BE, LaTourrette T, Costello R +4 more
Plain English This study looked at how the U.S. military organizes medical care for injured soldiers during missions. The researchers found that by focusing on the speed at which patients move through different levels of medical care, they can improve planning and resource distribution. They suggest updates to the existing Joint Medical Analysis Tool (JMAT) to make it work better for these needs.
Who this helps: This helps military medical planners and healthcare providers in the field.
Health and Economic Outcomes in the Alumni of the Wounded Warrior Project.
2012
Rand health quarterly
Krull H, Haugseth MT
Plain English The study looked at the health and economic well-being of veterans who are part of the Wounded Warrior Project, comparing their outcomes based on factors like marital status, gender, pay grade, and employment status. They found that these veterans, supported by WWP, had better health and financial results compared to other veterans and non-veterans. This matters because it shows the positive impact of WWP in helping veterans fully engage in life after military service.
Who this helps: This helps veterans and the organizations supporting them.