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为归国军人提供的综合门诊治疗。

Integrative outpatient treatment for returning service members.

作者信息

Batten Sonja V, Pollack Stacey J

机构信息

VA Maryland Health Care System, Baltimore, MD 21201, USA.

出版信息

J Clin Psychol. 2008 Aug;64(8):928-39. doi: 10.1002/jclp.20513.


DOI:10.1002/jclp.20513
PMID:18561182
Abstract

Veterans returning from Operations Enduring and Iraqi Freedom (OEF/OIF) frequently present with multiple psychological and physical symptoms. The authors propose an innovative approach in which primary care providers, polytrauma specialists, vocational rehabilitation specialists, and mental health clinicians work together to provide care that is not simply concurrent, but truly integrated. All members of this interdisciplinary team must provide a consistent message that supports treatment engagement and progress. The authors illustrate this approach with a case report of a soldier deployed to both OEF and OIF, requiring subsequent treatment for joint pain, headaches, mild traumatic brain injury, posttraumatic stress disorder, depression, and substance abuse. Despite the emphasis on early intervention, treatment engagement and retention remain challenges in this population.

摘要

从持久自由行动和伊拉克自由行动(OEF/OIF)归来的退伍军人常常伴有多种心理和身体症状。作者提出了一种创新方法,即初级保健提供者、多创伤专家、职业康复专家和心理健康临床医生共同协作,提供不仅是同时进行,而且是真正整合的护理。这个跨学科团队的所有成员必须传达一致的信息,以支持治疗参与和进展。作者通过一名曾参与OEF和OIF行动的士兵的病例报告来说明这种方法,该士兵随后需要针对关节疼痛、头痛、轻度创伤性脑损伤、创伤后应激障碍、抑郁症和药物滥用进行治疗。尽管强调早期干预,但在这一人群中,治疗参与和持续治疗仍然是挑战。

相似文献

[1]
Integrative outpatient treatment for returning service members.

J Clin Psychol. 2008-8

[2]
Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) military mental health issues. Information on the wars' signature wounds: posttraumatic stress disorder and traumatic brain injury.

Pa Nurse. 2010-9

[3]
Traumatic brain injury, polytrauma, and pain: challenges and treatment strategies for the polytrauma rehabilitation.

Rehabil Psychol. 2009-8

[4]
Posttraumatic stress disorder mediates the relationship between mild traumatic brain injury and health and psychosocial functioning in veterans of Operations Enduring Freedom and Iraqi Freedom.

J Nerv Ment Dis. 2009-10

[5]
Bringing the war back home: mental health disorders among 103,788 US veterans returning from Iraq and Afghanistan seen at Department of Veterans Affairs facilities.

Arch Intern Med. 2007-3-12

[6]
Rehabilitation needs of combat-injured service members admitted to the VA Polytrauma Rehabilitation Centers: the role of PM&R in the care of wounded warriors.

PM R. 2009-1

[7]
Mild traumatic brain injury and posttraumatic stress disorder in returning veterans: perspectives from cognitive neuroscience.

Clin Psychol Rev. 2009-8-21

[8]
Overlap of mild TBI and mental health conditions in returning OIF/OEF service members and veterans.

J Rehabil Res Dev. 2008

[9]
Visual function in patients followed at a Veterans Affairs polytrauma network site: an electronic medical record review.

Optometry. 2009-8

[10]
Psychological resilience and postdeployment social support protect against traumatic stress and depressive symptoms in soldiers returning from Operations Enduring Freedom and Iraqi Freedom.

Depress Anxiety. 2009

引用本文的文献

[1]
Online Telehealth Delivery of Group Mental Health Treatment Is Safe, Feasible, and Increases Enrollment and Attendance in Post-9/11 U.S. Veterans.

Behav Ther. 2022-5

[2]
Injury Severity and Depressive Symptoms in a Post-acute Brain Injury Rehabilitation Sample.

J Clin Psychol Med Settings. 2019-12

[3]
Research on PTSD prevalence in OEF/OIF Veterans: expanding investigation of demographic variables.

Eur J Psychotraumatol. 2015-5-12

[4]
Iraq and Afghanistan veterans: national findings from VA residential treatment programs.

Psychiatry. 2013

[5]
Religious moral beliefs inversely related to trauma experiences severity and depression severity among war veterans in Bosnia and Herzegovina.

J Relig Health. 2013-9

[6]
Reducing barriers to mental health and social services for Iraq and Afghanistan veterans: outcomes of an integrated primary care clinic.

J Gen Intern Med. 2011-6-7

[7]
Neurosteroids and self-reported pain in veterans who served in the U.S. Military after September 11, 2001.

Pain Med. 2010-8-23

[8]
Systematic review of the literature on pain in patients with polytrauma including traumatic brain injury.

Pain Med. 2009-10

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