Batten Sonja V, Pollack Stacey J
VA Maryland Health Care System, Baltimore, MD 21201, USA.
J Clin Psychol. 2008 Aug;64(8):928-39. doi: 10.1002/jclp.20513.
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.
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。
J Clin Psychol. 2008-8
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