Army Sponsored Study Appears in Journal of the American Medical Association

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Army Sponsored Study Appears in Journal of the American Medical
Association- -Study Helps Army Understand Post-Deployment Soldier Health Issues

What is it? An Army study about the overall health of redeploying
Soldiers was published in the Journal of the American Medical
Association Nov. 14.

All Soldiers undergo two health assessments when they redeploy; once
during an initial Post Deployment Health Assessment (PDHA) and again
three to six months later during a Post Deployment Health Reassessment
(PDHRA). Walter Reed Army Institute of Research studied the health
assessments of the first 88,000 post-OIF Soldiers who completed both
screenings in order to better understand the mental and physical health
impacts of combat and the most effective ways to prevent, recognize and
treat health issues related to combat deployments. The intention is to
detect mental health problems while they are still small, simple, and
temporary.

What did the Army learn? This study looks at the first 88,000 Soldiers
who went through both screenings.

Study findings:

* The study shows that if you screen Soldiers a second time, you uncover
a second, larger group of Soldiers who were not detected to have health
concerns on the first screen.

* Of the Soldiers who identified either depression or PTSD symptoms on
the first screening, more than half had improved by the second
screening; many of them without treatment.

* The study also indicates that many Soldiers sought care within 30 days
of the initial screening even if they were not referred, suggesting that
the Army's three-part process of self-identification , provider interview
and Battlemind training promotes seeking out mental health care when
needed.

* Although on the initial screening National Guard and Reserve Soldiers
reported physical and mental health concerns similar to the rates of
active-duty Soldiers, their concerns were significantly higher than
active-duty Soldiers at the time of the second screening. Reserve-
component Soldiers could be more concerned with their health because
they are worried about their Tri-Care benefits expiring, where as
active-duty Soldiers know they have time to seek help if it is needed.
However, VA's will always provide help with combat related injuries,
although Soldiers should document their symptoms for their files.

* Serious relationship conflicts showed the largest rate of increase
between the PDHA to the PDHRA. This highlights the mental health impact
on families, a finding also noted in the recent DOD Mental Health Task
Force Report.

* Soldiers reported alcohol misuse at rates similar to other problems,
although the fact that Soldiers are willing to admit to alcohol misuse
could be an indication the stigma of seeking helping is waning.

What is the Army doing? We have put in place a comprehensive screening
mechanism to identify Soldiers who may need assistance. All Soldiers are
screened for physical and mental health risks upon redeployment and then
again three to six months after they return. After completing both the
initial assessment and the follow-up reassessment, the Soldiers have the
opportunity to speak directly to a health care provider.

Additionally, the Army has also launched the Army Medical Action Plan,
which consists of Warrior Transition Units Soldier Family Assistance
Centers, providing one-stop support to the Families or wounded and
ailing Soldiers.

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John D. Mikelson
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