Effectiveness of In-Theater Mental Health Assessments.

IF 1.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Military Medicine Pub Date : 2024-11-05 DOI:10.1093/milmed/usae213
SarahLouise Perez, Hasan U Dimayuga, Kevin M Estrada, Adan Flores, Andrew B Hall
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Abstract

Introduction: The leading cause for medical evacuation from the U.S. Central Command area of responsibility is because of mental health conditions. The In-Theater Mental Health Assessment (ITMHA) is a DoD-required screening of deployed personnel. It is vital to examine the efficacy of ITMHA's potential to significantly impact the mental health outcomes of service members.

Materials and methods: All ITMHA results of individuals in 2 deployed Army battalions along with a brigade headquarters deployed to U.S. Central Command between October 2022 and October 2023 were collected and analyzed. Descriptive statistics were used to characterize the results of the ITMHA.

Results: Of 670 deployed service members, 157 (23%) scored positive on ITMHA. Ten service members were referred for additional mental health evaluation. The remaining 147 (22%) service members who scored positive were not referred because of a lack of significant impairment or were already engaged in mental health services. One service member in the study was evacuated because of a mental health condition. The most common major life stressors identified were family/relationship issues, sleep problems, and mental health concerns.

Conclusions: The number of deployed personnel identified through the ITMHA as requiring mental health care was modest. The ITMHA has multiple limitations that, if addressed, will improve its utility to mitigate mental health decline in the expeditionary environment.

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剧场内心理健康评估的有效性。
导言:从美国中央司令部责任区医疗后送的主要原因是精神健康状况。战区内心理健康评估(ITMHA)是国防部要求对部署人员进行的筛查。研究 ITMHA 对服役人员心理健康结果产生重大影响的潜力至关重要:收集并分析了 2022 年 10 月至 2023 年 10 月期间部署到美国中央司令部的两个陆军营和一个旅司令部的所有 ITMHA 结果。描述性统计用于描述 ITMHA 结果的特征:在 670 名部署的军人中,157 人(23%)在 ITMHA 中得分呈阳性。有 10 名军人被转介接受额外的心理健康评估。其余 147 名(22%)得分呈阳性的服役人员没有被转诊,因为他们没有明显的损伤或已经接受了心理健康服务。研究中有一名军人因精神健康状况而撤离。最常见的主要生活压力是家庭/人际关系问题、睡眠问题和心理健康问题:通过 ITMHA 确认需要心理健康护理的部署人员数量不多。ITMHA 有许多局限性,如果能加以解决,将能提高其在远征环境中缓解心理健康下降的效用。
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来源期刊
Military Medicine
Military Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
2.20
自引率
8.30%
发文量
393
审稿时长
4-8 weeks
期刊介绍: Military Medicine is the official international journal of AMSUS. Articles published in the journal are peer-reviewed scientific papers, case reports, and editorials. The journal also publishes letters to the editor. The objective of the journal is to promote awareness of federal medicine by providing a forum for responsible discussion of common ideas and problems relevant to federal healthcare. Its mission is: To increase healthcare education by providing scientific and other information to its readers; to facilitate communication; and to offer a prestige publication for members’ writings.
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