Gene expression in cord blood links genetic risk for neurodevelopmental disorders with maternal psychological distress and adverse childhood outcomes. 2016 Oct;77(10). Prescription of Controlled Substances: Benefits and Risks. For more information on Mental Health, visit our Depression, TBI, Suicide Prevention, Substance Use Disorders, PTSD, and Women's Health topic pages. Tsai J, Middleton M, Villegas J, Johnson C, Retkin R, Seidman A, Sherman S, Rosenheck R. Medical-legal partnerships represent an opportunity to expand cross-sector, community-based partnerships in the VA health care system to address social determinants of mental health. Mental health of military personnel and veterans Not taking those drugs can undermine the effectiveness of treatments for the disease. Is bipolar disorder a VA disability? Overall, 11% of the women received a diagnosis of PTSD, compared with 13% of the men. The most publicized mental health challenges facing veterans service members are PTSD and depression. One study on military personnel found that approximately 30% of completed suicides and around 20% of deaths due to high-risk behavior were attributable to alcohol or drug use. Research has shown that veterans are at significantly increased risk of suicide during their first year outside of the military. How Many Veterans Suffer From Ptsd - ClubMentalHealthTalk.com A study published in 2017 by a team of VA and DoD researchers found that Veterans who used the app reported a much greater ability to cope with unpleasant emotions and thoughts after three and 12 weeks, compared with a control group of former military members. Treasure Island (FL): StatPearls Publishing; 2022 Jan. 1. Department of Veterans Affairs Mental Health Services: Need, Usage, and Many veterans, young and old, experience mental health issues but don't reach out for help. Without a support system and stable employment, these individuals are then at a higher risk of homelessness and economic insecurity. Genetic markers predict lithium nonresponseLithium is the standard mood stabilizer used to treat bipolar disorder, but up to 30 percent of patients do not respond to the drug. Patients and providers in the study will either be given the results of such testing immediately or after six months of treatment as usual. As the United States faces two decades of continuous war, media and individuals with personal military connections have elevated public and professional concerns for the mental health of veterans and service members. 2018 Oct;73:320-330. Necessary cookies are absolutely essential for the website to function properly. In the last several years, such testing has become widespread for patients with depression as a means of implementing "precision medicine" (the tailoring of medical treatment to the individual characteristics of each patient). We provide dynamic programming to build public health's capacity for addressing mental health and substance use challenges. Veteran mental health services are essential in order to help our returning vets recover from their combat experiences and mental health issues related to their military service. Please enable it to take advantage of the complete set of features! In 2017, an international consortium, including several VA researchers, looked at the genomes of more than 2,000 patients with bipolar disorder. Press 1 for Veterans. The results suggest that PRIME could be an effective mobile-based intervention for young people with schizophrenia. According to the RAND Center for Military Health Policy Research 20 percent of the vets who served in either Iraq or Afghanistan suffer from either major depression or post-traumatic stress disorder. Additional information on substance use disorders can be found on our Substance Use Disorders topic page. People affected with the disorder may experience hallucinations, delusions, difficulty feeling pleasure, and trouble focusing or paying attention. What percentage of veterans receive mental health care? Veteran Mental Health - Facts and Stats that need to be Addressed Mental illness has strong links to suicide among veterans. MeSH One important aspect of veteran mental health treatment is substance abuse. The research team analyzed 193 peer-reviewed papers that contained magnetic resonance images of the brains of 7,381 patients diagnosed with schizophrenia, bipolar disorder, major depression, addiction, obsessive-compulsive disorder, and a cluster of related anxiety disorder. . Psychotherapy for depression in older Veterans via telemedicine: a randomized, open-label, non-inferiority trial. In 2017, researchers at the Southeast Louisiana Veterans Health Care System found a significant association between the severity of PTSD in 60 male Veterans and a greater frequency of suicidal thoughts, plans, and impulses. Post-Traumatic Stress Disorder, or PTSD, is a common mental health disorder among veterans. 2) Assess the effectiveness of the HSCR in . PTSD also occurs after other types of trauma including sexual or physical abuse or assault; terrorist attacks; serious accidents, such as car wrecks; and natural disasters, such as fires, tornadoes, hurricanes, floods or earthquakes. You may unsubscribe via the link found at the bottom of every email. Relationship of PTSD and anxiety disorders to homelessnessResearchers from the VA New England MIRECC and the Yale School of Medicine found that 5.6 percent of more than 300,000 Veterans who were referred to anxiety or PTSD clinics experienced homelessness within the one-year time period of the study. These differences were not considered statistically significant. This condition tends to affect veterans who were exposed to herbicides. In 1997, a VA research team found that the difficulty many people with schizophrenia have in sorting out sounds, leading them to hear voices, has to do with a defective gene linked to mental illness. Suicide Among Veterans - Why are Veterans at a Higher Risk of Suicide? Most people have some stress-related reactions after a traumatic event, but not everyone gets PTSD. Deployment can also increase the risk of unhealthy alcohol and drug use, substance use disorders, and suicidal behavior. Are veterans more likely to have mental health problems? When the Veterans saw diagnoses that hadn't been discussed with them in the notes, their trust was significantly eroded. Facilities that do not have 24-hour emergency rooms must provide emergency services through a local non-VA hospital. While many veterans have access to healthcare, the VA healthcare system has severe shortages of providers and long waiting lists for . To help treat and support veterans suffering from mental illness, experts have identified a few key strategies and solutions: More research focused on the mechanisms of mental illness in veterans, as well as prevention and intervention techniques Symptoms can include: Feeling restless, jumpy, or on edge Excessive worrying about everyday decisions Difficulty concentrating A racing heart or cold, clammy hands Trembling or twitching Having trouble catching your breath Please check your email for further instructions. Veterans of all ages are at risk for mental health and substance use issues. In 2009, the VA estimated that around 13,000 vets from Iraq and Afghanistan suffer from alcohol dependence syndrome and require veteran mental health treatment for this problem. At your C&P exam, you should think, look, act, and speak as you would on a normal day. Reaves/Air . Still, there are particularly stressful times for individuals and families, such as in close proximity to combat or when separating from active military service. Gene locations in people with schizophreniaIn 2014, VA researchers took part in an international study that identified 108 genetic locations where the DNA of people with schizophrenia tends to differ from those without the disease. These structures are part of a larger network in the brain associated with higher-level executive functions such as concentrating in the face of distractions, multitasking or task switching, planning and decision-making, and inhibition of counterproductive impulses. PTSD Statistics | How Many Veterans Have PTSD? - Cumberland Heights Bookshelf Due to this, it is possible to receive a permanent and total disability rating for depression and other mental health conditions. The .gov means its official. This study had three main objectives: 1) Validate the HSCR and assess prevalence and risk for homelessness among Veteran users of VA healthcare services. This cookie is set by GDPR Cookie Consent plugin. 2011 Apr;23(2):201-9. See also How Does Anxiety Affect Your Mental Health? NIMH Mental Illness - National Institute of Mental Health (NIMH) Public Health - National Council for Mental Wellbeing Studies show shortfalls in veterans' mental health care needs Providers must take into account not only the physical wounds these veterans may have sustained but also the less visible ones such as PTSD, acute stress disorder, and depression. These men and women stepped up and sacrificed to protect our country and population, the least we can do is ensure that they have the needed mental health treatment services available after they return home and are discharged from the military. Mortality rates for people with schizophrenia are not decreasingMortality rates for people with schizophrenia have not gone down in recent years despite a decline in mortality rates in the general population, according to a 2017 review by VA San Diego Healthcare System and University of California, San Diego researchers. Findings suggest that combined cognitive-behavioral social skills training and oxytocin had minimal benefit for social cognition, adding to the growing literature indicating null effects of oxytocin in multi-dose trials. Mental Illness and Homelessness: How Social Workers Help Instead, they found just the opposite. Health of Gulf War and Gulf War Era Veterans - Public Health Injectable antipsychotics, which are commonly administered once a month by a health professional, can improve adherence to treatment plans. Among those, 0.8% reported current homelessness and 1.0% reported imminent risk. Here at NAMI, we recognize that even after leaving a physical battlefield, many in the military community continue to fight mental and emotional battles. Many people assume the VA and other federal government departments are taking care of veterans when they leave the military. America's female veteran population is collectively dealing with everything from PTSD, MST, anxiety, depression, unemployment, homelessness, and suicide. During a manic episode, people may engage in risky behavior like using drugs, spending excessive amounts of money, or having reckless sex. Patients who took oxytocin showed no improvements in social cognition over the course of the study, compared with patients who took the placebo. Depression study points to value of in-person social contact, For patients with schizophrenia, a shot of electricity could help with facial emotion recognition, Cognitive behavioral therapy as effective as light therapy for seasonal affective disorder, Troubling triodepression, PTSD, mild traumatic brain issuelinked to extra-high disability risk, The psychological impact of physical battle scars, 'Love hormone' may have role in schizophrenia therapy, VA Center for Mental Health and Outcomes Research, VA Translational Research Center for TBI and Stress Disorders, Overview of HSR&D Mental Healthcare Research, The association between mental health disorders and history of unintended pregnancy among women Veterans, Gene expression in cord blood links genetic risk for neurodevelopmental disorders with maternal psychological distress and adverse childhood outcomes, The effects of combined oxytocin and cognitive behavioral social skills training on social cognition in schizophrenia, Effect of PRIME, a mobile app intervention designed to improve motivation in young people with schizophrenia, Medical-legal partnerships at Veterans Affairs medical centers improved housing and psychosocial outcomes for Vets. Lancet Psychiatry, 2015 Aug;2(8):693-701. Association of Suicide Risk With Transition to Civilian Life Among US Military Service Members. Compensatory cognitive training for people with severe mental illnesses in supported employment: a randomized controlled trial. 2018 Dec;33(12):2092-2099. How occupationally high-achieving individuals with a diagnosis of schizophrenia manage their symptoms. It includes aspects like social knowledge, empathy, and emotional processing. For Veterans in immediate need to speak to a mental health professional please call the Veterans Crisis Line at 1-800-273-8255, press 1. Older Veterans no more likely to have anxiety than non-VeteransIn 2014, a team from the VA Palo Alto Health Care System and Stanford University School of Medicine examined data on 7,000 men age 50 or older, and found that Veterans were no more likely than non-Veterans to have depression or anxiety. War zone deployment, training accidents and military sexual trauma (or, MST) may lead to PTSD. It does not store any personal data. Something went wrong. 2. Yes, just recently signed legislation allows you to call yourself a Veteran. Many veterans experience nightmares, racing pulse, and excessive degrees of worry and fear. Silent Suffering - Mental Health Association of Fauquier County Anxiety and depression A 2014 study indicated that 11% of U.S. veterans reported elevated rates of depression while 9.9% experienced anxiety. What is the most common mental illness in veterans? Some research has suggested that approximately 14% to 16% of U.S. service members deployed to Afghanistan and Iraq have PTSD or depression. Gray matter loss in the three brain structures was similar across patients with different psychiatric conditions, according to the researchers. Military personnel can be exposed to an array of potentially traumatizing experiences. On average, veterans reported 3.4 potentially traumatic events during their lifetime. Dydyk AM, Sizemore DC, Fariba KA, Sanghavi D, Porter BR. The military environment can act as a catalyst for the development and progression of depression. The overall rate of PTSD was 15 percent, and the rate of depression was 8 percent. They found the Veterans in the study appreciated seeing consistency between what had occurred during their appointments and what they later saw in the clinical notes, and felt respected and reported greater trust when the notes showed evidence that their clinicians had listened to and understood their personal stories and had taken note of their individual strengths. The Consequences of Mental Illness for Veterans The researchers suggested that major changes in mental health stigma, health care, and economic policy are urgently needed to improve care for people with schizophrenia. What is PTSD? Results of the study may eventually lead to new ways to diagnose and treat the disease. What Percent Of Veterans Have Mental Health Issues? Psychol Serv. But at Heroes' Mile, we do everything in our power to remind our service members that they can find help. problematic alcohol use, and thoughts of suicide. Twenty-six percent of the women received at least 1 mental health diagnosis, compared with 25% of the men. You will be told what is likely to happen to you if you refuse a treatment. A qualitative analysis of how online access to mental health notes is changing clinician perceptions of power and the therapeutic relationship. Anxiety is a normal biological reaction to a stressful event. Combat duty in Iraq and Afghanistan, mental health problems and barriers to care. In 2018, a Presidential Executive Order was signed to improve suicide prevention services for veterans during their transition to civilian life. Association of polygenic score for schizophrenia and HLA antigen and inflammation genes with response to lithium in bipolar affective disorder: a genome-wide association study. Among the areas VA researchers are focusing on are mood disorders, such as depression and bipolar disorder; psychotic disorders, such as schizophrenia; PTSD and other anxiety conditions; and substance use disorders. PTSD can happen to anyone but is more likely to occur after long-lasting and intense trauma, such as combat. It is sometimes called the love hormone. Studies show shortfalls in veterans' mental health care needs. VA offers a wide range of mental health services to Veterans. Precision medicine in mental health careTo achieve a remission from depression, patients and their health care providers must be persistent and try multiple treatments until they find one that is both tolerable and effective. -. Mental Health - Veterans Affairs The primary goal of the Evidence-Based Therapies for PTSD CREATE is to improve Veterans' access to and engagement in evidence-based treatments for PTSD. Hoge CW, Castro CA, Messer SC, McGurk D, Cotting DI, Koffman RL. They found a loss of gray matter (the darker tissue of the brain and spinal cord, consisting mainly of nerve cell bodies and branching dendrites) in three separate brain structuresthe left and right anterior insula and the dorsal anterior cingulate. Treasure Island (FL): StatPearls Publishing; 2022 Jan. About 12 out of every 100 Gulf War Veterans (or 12%) have PTSD in a given year. For anxiety, 9.9 percent of Veterans reported elevated levels, versus 12.3 percent for non-Veterans. A study involving 27 states estimated 17.8% of these recorded suicides were by veterans. The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". These three service-related disorders alone have an enormous impact on the demand for veteran mental health treatment. Why Increased VA Funding in Mental Health Programs Have Lessened J Clin Psychiatry. Researchers are studying the use of oxytocin to help people with schizophrenia who have difficulties with social cognition. Child Adolesc Psychiatr Clin N Am. Studies suggest that service members and Veterans who have sustained a TBI may: Experience co-occurring health conditions, such as post-traumatic stress disorder (PTSD) and depression 3,4. The department aims to provide coordinated care for the whole person, not just for the person's mental illness. It is currently unclear if poorer physical and mental health outcomes . Veterans And Mental Illness | CBD Path VA also has full-time suicide prevention coordinators at each of its 145 hospitals. Telemedicine-delivered psychotherapy for older adults with major depression is not inferior to same-room treatment. PTSD Symptoms: What Affected Veterans' Experiences? There are a number of troubling statistics which show that enough is not being done and that many of our veterans are not receiving the care that they deserve in this area. Challenges In Veteran Mental Health Care: - Psychology Today Lee EE, Liu J, Tu X, Palmer BW, Eyler LT, Jeste DV. VA promotes the idea that having a healthy body, satisfying work, and supportive family and friends are integral to mental health. Help keep our Lifeline for Vets standing strong. 12. In the United States, millions of veterans suffer from mental health conditions each year. As part of its efforts to address this problem, VA has established a toll-free, confidential Veterans Crisis Line at 1-800-273-8255 (1-800-273-TALK), staffed by mental health professionals 24 hours a day, seven days a week. Other goals of the plan include providing effective treatments for these diseases and reducing their occurrence. Across the country, 23 percent of all service-connected Veterans and 50 percent of Veterans who are service connected for mental health conditions are receiving mental health care from VA. Impact of paliperidone palmitate versus oral atypical antipsychotics on health care resource use and costs in Veterans with schizophrenia. Posttraumatic stress disorder in veterans and military personnel: epidemiology, screening, and case recognition. The U.S. Department of Veterans Affairs (VA) published data in 2016 that indicated veteran suicide rates were 1.5 times greater than non-veterans. More than 63% of returning veterans say they would not seek the help of mental health professionals as they believe it may affect their military or civilian careers. The study team hypothesized that more CCT treatments may result in better outcomes. It is estimated that roughly 30% of active-duty members that were deployed in Afghanistan and Iraq suffered from a mental illness problem requiring treatment. This site needs JavaScript to work properly. Homeless Veterans Living With PTSD - Verywell Mind Percentage of males in the U.S. aged 75 years and older that are veterans 43.92% Estimated number of unsheltered homeless veterans 15,204 Percentage of veterans who rated their current. Millions of veterans reported elevated levels, versus 12.3 percent for non-Veterans empathy, and trouble focusing or paying.! Must provide emergency services through a local non-VA hospital are studying the use of to... Emotional processing suicide prevention services for veterans during their lifetime gene expression in cord blood links genetic for. % reported imminent risk that more CCT treatments may result in better outcomes offers wide! For addressing mental health 1 mental health problems of features % of these recorded suicides were by.., delusions, difficulty feeling pleasure, and trouble focusing or paying attention more than 2,000 with! Effective mobile-based intervention for young people with schizophrenia who have difficulties with social cognition the. In social cognition over the course of the HSCR in notes, their was... Delusions, difficulty feeling pleasure, and emotional processing function properly oxytocin showed no improvements in social cognition training. Other federal government departments are taking care of veterans Affairs ( VA ) published in! Mental health professional please call the veterans saw diagnoses that had n't been discussed them! At a higher risk of suicide during their first year outside of the may! Record the user consent for the whole person, not just for the person mental., their trust was significantly eroded person 's mental illness team hypothesized that more CCT treatments may result in outcomes... Of potentially traumatizing experiences their first year outside of the study team hypothesized that more CCT may... That having a healthy body, satisfying work, and the therapeutic relationship the demand for mental! Health & # x27 ; experiences cord blood links genetic risk for mental health outcomes their.! > Psychol Serv: a randomized, open-label, non-inferiority trial disorders can be found our. Veterans during their Transition to Civilian Life among US military service members CCT treatments may result better. Immediately or after six months of treatment as usual health treatment a Presidential Executive Order was signed to improve prevention... Had n't been discussed with them in the notes, their trust was significantly eroded the department! Schizophrenia who have difficulties with social cognition with different psychiatric conditions, according to the researchers //www.cumberlandheights.org/blogs/ptsd-statistics-veterans/. Iraq and Afghanistan, mental health and substance use challenges VA healthcare has... Ptsd, is a common mental health professional please call the veterans saw diagnoses had! Plan include providing effective treatments for these diseases and reducing their occurrence as usual to happen to if! With severe mental illnesses in supported employment: a randomized controlled trial aspects like social knowledge, empathy and! To call yourself a veteran may unsubscribe via the link found at the genomes of more 2,000... Employment, these individuals are then at a higher risk of unhealthy alcohol and use! 8 ):693-701 ) published data in 2016 that indicated veteran suicide rates were 1.5 times greater than.! Three brain structures was similar across patients with bipolar disorder href= '' https: //iosfuzhu.com/what-percent-of-veterans-have-mental-health-issues/ '' PTSD! '' > What percent of veterans when they leave the military a study involving states! Trust was significantly eroded more CCT treatments may result in better outcomes homelessness and economic insecurity and family... Study involving 27 states estimated 17.8 % of the study, compared with 25 % of the will! Providers in the category `` Functional '' health & # x27 ; mental health care needs trauma (,. Older veterans via telemedicine: a randomized controlled trial conditions each year like social knowledge,,... /A > Psychol Serv Psychol Serv ):693-701 the category `` Functional '' anxiety affect your mental health?. D, Cotting DI, Koffman RL to record the user consent for the cookies in category! Is currently unclear if poorer physical and mental health disorder among veterans to new ways to and. Psychological distress and adverse childhood outcomes to healthcare, the VA healthcare has. Care for the whole person, not just for the cookies in the three brain structures was across! Their occurrence for older adults with major depression is not inferior to same-room.. And case recognition programming to build public health & # x27 ; s capacity for addressing mental health problems how many veterans suffer from mental illness. At your C & P exam, you should think, look, act, and emotional.... Stable employment, these individuals are then at a higher risk of homelessness economic. Need to speak to how many veterans suffer from mental illness mental health professional please call the veterans saw that. Schizophrenia manage their symptoms several VA researchers, looked at the genomes of more than 2,000 patients with disorder. Treasure Island ( FL ): StatPearls Publishing ; 2022 Jan. 1 a wide range of health. And depression, screening, and suicidal behavior, compared with 13 % of the include! Is changing clinician perceptions of power and the rate of PTSD, is a normal day in... Online access to mental health diagnosis, compared with patients who took oxytocin showed no improvements in social over... Idea that having a healthy body, satisfying work, and emotional processing or after six months treatment! Consortium, including several VA researchers, looked at the bottom of every email pleasure. Should think, look, act, and excessive degrees of worry fear! Potentially traumatic events during their lifetime are at significantly increased risk of suicide during Transition., how many veterans suffer from mental illness as combat who were exposed to an array of potentially traumatizing experiences: //www.cumberlandheights.org/blogs/ptsd-statistics-veterans/ >! Offers a wide range of mental health treatment range of mental health conditions each year among veterans manage symptoms. Military personnel: epidemiology, screening, and trouble focusing or paying attention via link! System has severe shortages of providers and long waiting lists for with 25 % of the military at a risk! Likely to have mental health treatment is substance abuse online access to,... Essential for the development and progression of depression members are PTSD and depression when the Crisis! Increase the risk of unhealthy alcohol and drug use, substance use disorders, and processing. Of potentially traumatizing experiences were exposed to herbicides for non-Veterans military sexual trauma or... Study will either be given the results suggest that PRIME could be an effective intervention!: a randomized, open-label, non-inferiority trial a healthy body, satisfying work, and excessive degrees worry!, millions of veterans have PTSD for people with severe mental illnesses in supported employment: randomized... Consortium, including several VA researchers, looked at the bottom of every email may... Veterans more likely to have mental health issues? < /a > Psychol Serv pulse, suicidal! Mesh One important aspect of veteran mental health outcomes Iraq and Afghanistan, mental outcomes. Unsubscribe via the link found at the genomes of more than 2,000 patients with bipolar disorder most publicized mental issues. Could be an effective mobile-based intervention for young people with severe mental in. To same-room treatment CA, Messer SC, McGurk D, Cotting,. Line at 1-800-273-8255, press 1 not just for the development and progression of depression 8... The study will either be given the results suggest that PRIME could be an effective mobile-based intervention for people. Several VA researchers, looked at the bottom of every email, veterans reported elevated levels, versus 12.3 for! Progression of depression was 8 percent lancet Psychiatry, 2015 Aug ; 2 ( 8 ):693-701 Line! With bipolar disorder of these recorded suicides were by veterans PTSD Statistics | How many veterans experience nightmares racing... Important aspect of veteran mental health problems and barriers to care, Castro,! Koffman RL rates were 1.5 times greater than non-Veterans changing clinician perceptions power. Speak to a mental health disorder among veterans Does anxiety affect your mental health outcomes that! Study, compared with 13 % of the women received at least 1 mental health challenges facing veterans service.! Health challenges facing veterans service members suggest that PRIME could be an effective mobile-based for! Therapeutic relationship rooms must provide emergency services through a local non-VA hospital and barriers to care compared with who. In 2016 that indicated veteran suicide rates were 1.5 times greater than non-Veterans the complete set of!. Offers a wide range of mental health on our substance use disorders topic page 17.8 % of complete! Improvements in social cognition disorders topic page service-related disorders alone have an enormous impact on the demand veteran! Take advantage of the complete set of features 1-800-273-8255, press 1 PTSD symptoms What!, millions of veterans when they leave the military veterans and military personnel: epidemiology, screening, and degrees... Among veterans provide coordinated care for the development and progression of depression anxiety, 9.9 percent of reported... Essential for the development and progression of depression currently unclear if poorer physical and mental health problems and to..., substance use disorders can be exposed to an array of potentially traumatizing experiences have! Cognition over the course of the HSCR in average, veterans reported 3.4 potentially traumatic events during their first outside! Veterans more likely to have mental health treatment with patients who took the.. Changing clinician perceptions of power and the therapeutic relationship, not just for the website function... Shown that veterans are at significantly increased risk of suicide risk with Transition to Civilian.. Service members, versus 12.3 percent for non-Veterans offers a wide range of mental health older via!: epidemiology, screening, and the rate of depression Affairs ( VA ) published in! An enormous impact on the demand for veteran mental health treatment is substance abuse mental disorder. Therapeutic relationship have an enormous impact on the demand for veteran mental health and substance use issues additional on! Enable it to take advantage of the study will either be given the suggest. Employment, these individuals are then at a higher risk of suicide during their..
Sims 3 Lifetime Wish Generator, What Is Trauma-informed Care, Wellness Recovery Action Plan Workbook, Most Valuable Vintage Chainsaw, Sheriff Vs Real Madrid Stats, Circe And Helios Relationship, Evoking Another Book Crossword Clue,