248939 An operational reserve: Is the concept still operative after a decade of war?

Monday, October 31, 2011: 5:30 PM

Stephen K. Trynosky, JD, MPH , U.S. Army Reserve, Washington, DC
In the past decade, the U.S. military's Reserve components have faced an unprecedented rise in operational tempo. Since 2001, over 700,000 Reservists have been mobilized in support of domestic and overseas operations. In recent years, defense policymakers and certain military advocacy groups have championed a new concept – the Operational Reserve. The Operational Reserve is a significant departure from the historic role of the Reserve and National Guard as it serves with the expectation of being routinely and regularly employed in ongoing military missions. This concept was enshrined in both the 2006 and 2010 Quadrennial Defense Reviews (QDRs) with minimal discussion of the long-term consequences. In the roughly eight years since the inception of the Operational Reserve concept, an examination of its impact is overdue. Reserve personnel are increasingly distributed in geographic concentrations unrepresentative of the nation they serve. This concentration and repeated deployments places a disproportionate burden on certain communities, employers and local governments. As the Reserve population becomes more exurban and rural, particularly in the Army National Guard, convenient and reliable access to quality medical care and mental health services becomes an even more significant consideration. Recent reports have shown a surge in demand for behavioral health and counseling services among Reservists returning from deployment as well as a sharp spike in Reserve suicides between 2009 and 2010. Many counties and states with high densities of Reserve personnel are among the least equipped to deal with the pressing medical and family support needs caused by repeated combat deployments.

Learning Areas:
Administration, management, leadership
Diversity and culture
Public health or related public policy

Learning Objectives:
Explain the concept of the Operational Reserve. Describe the changing geographic distribution of the U.S. military's reserve components since the advent of the all-volunteer force. Discuss the use of the U.S. military's reserve components in Iraq and Afghanistan. List the challenges faced by reserve personnel and their familes living in areas with limited access to medical providers, both during and after deployments.

Keywords: Government, Policy/Policy Development

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have over 12 years of service as Medical Service Corps Officer in the U.S. Army and the U.S. Army Reserve. I gave well received presentations on issues related to military healthcare at the 2006, 2008 and 2010 APHA annual meetings. This presentation is a continuation of that research. NOTE: This presentation represents the views and opinions of the author alone. The views expressed do not necessarily reflect those of the US Army Medical Department, the US Army Reserve or the Department of Defense.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.