Division Mental Health in the New Brigade Combat Team Structure: Part II. Redeployment and Postdeployment

Department of Psychiatry , Uniformed Services University of the Health Sciences, 베서스다, Maryland, United States
Military medicine (Impact Factor: 0.77). 10/2007; 172(9):912-7. DOI: 10.7205/MILMED.172.9.912
Source: PubMed


Recent Army transformation has led to significant changes in roles and demands for division mental health staff members. This article focuses on redeployment and postdeployment.
The postdeployment health assessment behavioral health screening and referral process and redeployment plan are reviewed, and data on postdeployment rates of negative events are reported.
All soldiers and many of their families participated in an aggressive education program. Of the 19,500 soldiers screened, 2,170 (11.1%) were referred for behavioral health consultation; of those referred, 219 (10.1%) were found to be at moderate or high risk for mental health issues (1.1% of total screened). Of the moderate/highrisk soldiers, 146 (71.9%) accepted follow-up mental health treatment upon return to home station. Fewer cases of driving under the influence, positive drug screens, suicidal gestures/ attempts, crimes, and acts of domestic violence were seen, in comparison with rates seen after an earlier deployment of this unit to Iraq.
A formalized approach with command support and coordination can have a positive impact on successful referral and treatment and reduce negative postdeployment events.

Download full-text


Available from: Jill Breitbach, Jan 23, 2014
  • Source

    Full-text · Article ·
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: This study examined soldier attitudes about postdeployment mental health screening, treatment, barriers to care, strategies for overcoming barriers, and settings, personnel and timing for conducting postdeployment mental health screening. Deploying soldiers participated in a voluntary anonymous survey. Of 3,294 soldiers, 2,678 (81.3%) responded to the survey. When the three most endorsed perceived barriers to mental health care (negative perception by unit members, negative perception by leaders, and being viewed as weak) were examined, approximately 15% fewer soldiers endorsed the perceptions, compared with a previous study conducted at the beginning of the war. Receipt of training focused on managing psychological problems associated with increased agreement to seek treatment. Participants endorsed surveys, interviews, and unit providers as preferred instruments and providers for postdeployment screening. Soldiers endorsed encouragement from family members and friends as the preferred approach to reducing barriers to mental health care. Extensive educational programs seemed to have reduced the stigma related to receiving mental health care. Programs that focus on friend and family member encouragement of soldiers to seek mental health assistance should continue. Postdeployment screening should be conducted under conditions in which soldiers are most likely to report problems honestly.
    Preview · Article · Jul 2008 · Military medicine
  • [Show abstract] [Hide abstract]
    ABSTRACT: A program combining pet therapy, therapeutic recreation, and social reintegration benefits wounded service members—as well as the blind volunteers and their guide dogs.
    No preview · Article · Aug 2008 · The American journal of nursing
Show more