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Mental disorders among U.S. military personnel in the 1990s: association with high levels of health care utilization and early military attrition.
- C. Hoge, S. Lesikar, D. Orman
- Medicine, Political ScienceThe American journal of psychiatry
- 1 September 2002
Mental disorders appear to represent the most important source of medical and occupational morbidity among active-duty U.S. military personnel and provide new population-based evidence that mental disorders are common, disabling, and costly to society.
Effectiveness of an outpatient intervention targeting suicidal young adults: preliminary results.
- M. Rudd, M. H. Rajab, D. Orman, T. Joiner, D. A. Stulman, W. Dixon
- PsychologyJournal of consulting and clinical psychology
- 1 February 1996
Both treatment and control participants evidenced significant improvement across all outcome measures throughout the follow-up period, and results indicated that the experimental treatment was more effective than treatment as usual at retaining the highest risk participants.
The occupational burden of mental disorders in theU.S. military: psychiatric hospitalizations, involuntary separations, and disability.
- C. Hoge, Holly E Toboni, S. Messer, N. Bell, P. Amoroso, D. Orman
- Medicine, PsychologyThe American journal of psychiatry
- 1 March 2005
In the military, the occupational impact of mental disorders compared with other medical conditions appears to be mediated not only by greater disease chronicity and severity but also by a variety of behavioral problems including misconduct, legal problems, unauthorized absences, and alcohol/drug-related problems.
Transformation of Mental Health Care for U.S. Soldiers and Families During the Iraq and Afghanistan Wars: Where Science and Politics Intersect.
Challenges remain, however, including continued underutilization of services by those most in need, problems with treatment of substance use disorders, overuse of opioid medications, concerns with the structure of care for chronic postdeployment symptoms, and ongoing questions concerning the causes of historically high suicide rates.
Soldier peer mentoring care and support: bringing psychological awareness to the front.
- Richard T. Keller, N. Greenberg, W. Bobo, Peter Roberts, N. Jones, D. Orman
- PsychologyMilitary medicine
- 1 May 2005
The Soldier Peer Mentoring and Support program, as part of the proposed deployment Cycle Support Program, is a model for peer group assessment based on the British Royal Marines psychological risk management and support system.
Priorities for psychiatric research in the U.S. military: an epidemiological approach.
There is an unprecedented opportunity to enhance the field of psychiatric research in general using the well-characterized military population and the burden of mental disorders in terms of incidence, prevalence, severity, risk factors, and health care use.
Principles guiding implementation of the Operation Solace plan: "Pieces of PIES," therapy by walking around, and care management.
- Charles S. Milliken, W. T. Leavitt, P. Murdock, D. Orman, E. Ritchie, C. Hoge
- MedicineMilitary medicine
- 1 September 2002
Using well-known and also relatively novel preventive population-based methodologies for minimizing the post-attack behavioral health-related morbidity resulted in the evolution of simplified principles ("Pieces of PIES") and methods (Therapy by Walking around and Care Management), which are briefly elaborated in this article.
Operation Solace: overview of the mental health intervention following the September 11, 2001 Pentagon attack.
The goals, methods, and rationale used to develop the plan, as well as the key elements of the behavioral health intervention developed in response to the attack, are summarized.
Clients, problems, and diagnoses in a military community mental health clinic: a 20-month study.
The patterns of diagnoses reflected the demand characteristics of the military environment and one implication of this study is that psychiatric care must be examined in the context of the community and not just as an administrative or economic system.
Differences in self- and supervisor-referrals to a military mental health clinic.
Supervisor-referral may permit earlier intervention into client problems, but the nature of the social contingencies contributing to referral requires more research.