Forward psychiatry - early intervention for mental health problems among UK armed forces in Afghanistan

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• 作者：N. Jones^a ; ^{norman.jones@kcl.ac.uk} ; N.T. Fear^a ; S. Wessely^b ; G. Thandi^a ; N. Greenberg^a
• 关键词：Military ; United Kingdom ; Forward psychiatry ; Deployment ; Occupational
• 刊名：European Psychiatry
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：39
• 期：Complete
• 页码：66-72
• 全文大小：308 K
• 卷排序：39

文摘

This observational study examined return to duty (RTD) rates following receipt of early mental health interventions delivered by deployed mental health practitioners.MethodIn-depth clinical interviews were conducted among 975 UK military personnel referred for mental health assessment whilst deployed in Afghanistan. Socio-demographic, military, operational, clinical and therapy outcomes were recorded in an electronic health record database. Rates and predictors of EVAC were the main outcomes examined using adjusted binary logistic regression analyses.ResultsOverall 74.8% (n = 729) of personnel RTD on completion of care. Of those that underwent evacuation home (n = 246), 69.1% (n = 170) returned by aeromedical evacuation; the remainder returned home using routine air transport. Predictors of evacuation included; inability to adjust to the operational environment, family psychiatric history, previously experiencing trauma and thinking about or carrying out acts of deliberate self-harm.ConclusionDeployed mental health practitioners helped to facilitate RTD for three quarters of mental health casualties who consulted with them during deployment; psychological rather than combat-related factors predicted evacuation home.