Global Approaches to Supporting Mental Health and Resettlement for Veterans With Embodied Trauma: A Comprehensive Scoping Review

IF 1.2 Q3 PSYCHOLOGY, CLINICAL Counselling & Psychotherapy Research Pub Date : 2025-03-14 DOI:10.1002/capr.70011

Charlotte O'Brien, Aisha Akeel, Grace McCormick, Scott Cole, Divine Charura

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Abstract

Objectives

Military veterans face significant holistic challenges when leaving military services and resettling back into the community. Recent research has shown that veterans experience higher rates of mental health difficulties than the general population and experience poorer treatment outcomes. The aim of this comprehensive scoping review was to map out the current therapeutic interventions used to support mental health care and resettlement for veterans across the globe, proposing key themes, noting any gaps and limitations.

Method

We followed a five-staged scoping review protocol to map the existing landscape of the veteran mental health research literature regarding therapeutic and resettlement interventions, identifying key themes by: (1) identifying the research question, (2) identifying the relevant literature, (3) selecting the studies, (4) charting the data and (5) collating, summarising, and reporting the results.

Results

Results show a decline in publications regarding veteran mental health and resettlement interventions since 2018, the Americentric, ‘WEIRD’ nature of the research base, and preference for individualised, technology-based psychological interventions, with a lack of culturally-informed, community-focused, relational research.

Conclusion

This work highlights an urgent need for further non-Westernised research into holistic psychological interventions which relationally support the culturally diverse needs of veterans resettling back into their communities across the globe. It also advocates for a holistic bio-psycho-social-sexual-spiritual-existential approach to the needs of each veteran, using a culturally-informed, relational and community-based assessment, formulation, and treatment plan for embodied trauma, moving beyond the pathologisation of dis-ease, and mobilising the traumatised self back into the body, relationship and community.

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目标退伍军人在离开军队并重返社区时，面临着巨大的整体挑战。最近的研究表明，退伍军人的心理健康困难率高于普通人群，治疗效果也较差。本次综合范围界定综述的目的是对当前用于支持全球退伍军人心理健康护理和重新安置的治疗干预措施进行梳理，提出关键主题，并指出存在的差距和局限性。方法我们遵循五阶段范围界定综述协议，绘制了退伍军人心理健康研究文献中有关治疗和安置干预措施的现有图景，并通过以下方式确定了关键主题：(1）确定研究问题；（2）确定相关文献；（3）选择研究；（4）绘制数据图表；（5）整理、总结并报告结果。结果结果显示，自 2018 年以来，有关退伍军人心理健康和安置干预措施的出版物有所减少，研究基础具有以美国为中心的 "WEIRD "性质，偏好个性化、基于技术的心理干预措施，缺乏以文化为基础、以社区为重点的关系研究。结论本研究强调，迫切需要进一步开展非西方化的整体心理干预研究，通过关系支持全球各地退伍军人重返社区的不同文化需求。它还提倡采用生物-心理-社会-性-精神-存在的整体方法来满足每个退伍军人的需求，使用以文化为基础、以关系和社区为依托的方法来评估、制定和治疗体现性创伤的计划，超越将疾病病理化的做法，动员受创伤的自我重返身体、关系和社区。

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来源期刊

Counselling & Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

4.40

自引率

12.50%

发文量

期刊介绍： Counselling and Psychotherapy Research is an innovative international peer-reviewed journal dedicated to linking research with practice. Pluralist in orientation, the journal recognises the value of qualitative, quantitative and mixed methods strategies of inquiry and aims to promote high-quality, ethical research that informs and develops counselling and psychotherapy practice. CPR is a journal of the British Association of Counselling and Psychotherapy, promoting reflexive research strongly linked to practice. The journal has its own website: www.cprjournal.com. The aim of this site is to further develop links between counselling and psychotherapy research and practice by offering accessible information about both the specific contents of each issue of CPR, as well as wider developments in counselling and psychotherapy research. The aims are to ensure that research remains relevant to practice, and for practice to continue to inform research development.