(Dis)honorably discharged: identifying policy gaps in military-civilian reintegration.

Health affairs scholar Pub Date : 2024-02-16 eCollection Date: 2024-02-01 DOI:10.1093/haschl/qxae021
Tavis Reid, Kaitlyn M Sims
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Abstract

Despite the substantial transition assistance available for honorably separating servicemembers, 75% of US veterans report difficulties with the transition to civilian life. For the 16% of veterans who separate with less-than-honorable discharges, these difficulties are compounded by the lack of structural support from the US military. Social stigma, limited transition programming, and loss of benefits create a perfect storm of barriers for these discharged servicemembers. These barriers compound with post-service mental and physical health challenges to contribute to cycles of misconduct that can result in criminal incarceration. Further, because most of these veterans lack health benefits from the Department of Veterans Affairs due to their discharge status, this population is substantially understudied from a public health perspective. However, actionable policy paths forward and federal policy change offer opportunity to soften the landing for these veterans and meet their legitimate needs for care.

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(不)光荣退伍:确定军民重返社会的政策差距。
尽管为光荣退伍的军人提供了大量过渡援助,但仍有 75% 的美国退伍军人表示在向平民生活过渡时遇到困难。对于 16% 以不太光荣的理由退伍的退伍军人来说,这些困难由于缺乏来自美国军队的结构性支持而变得更加复杂。社会耻辱感、有限的过渡计划以及福利的丧失为这些退伍军人制造了一场完美的障碍风暴。这些障碍与退役后的身心健康挑战结合在一起,助长了不当行为的循环,并可能导致刑事监禁。此外,由于大多数退伍军人因其退伍身份而无法从退伍军人事务部获得医疗福利,因此从公共卫生的角度来看,对这一人群的研究远远不够。然而,可行的政策路径和联邦政策的改变为这些退伍军人提供了软着陆的机会,并满足了他们对护理的合理需求。
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