Department of Psychiatry, Veterans Affairs Connecticut Healthcare System, 950 Campbell Ave., 151D, West Haven, CT 06516, USA.
Psychiatr Serv. 2013 Jan;64(1):36-43. doi: 10.1176/appi.ps.201200188.
The Health Care for Reentry Veterans (HCRV) program provides Veterans Health Administration outreach services to veterans incarcerated in state and federal prisons. This study used HCRV data to compare risk of incarceration of veterans of Operations Enduring Freedom (OEF), Iraqi Freedom (OIF), and New Dawn (OND) and other veterans and to identify sociodemographic and clinical characteristics of incarcerated veterans of OEF/OIF/OND.
Administrative national data were analyzed for 30,968 incarcerated veterans, including 1,201 OEF/OIF/OND veterans, contacted from October 2007 to April 2011. Odds ratios were calculated comparing the risk of incarceration among OEF/OIF/OND and other veterans in the HCRV sample and in a weighted sample of nonincarcerated veterans from the 2010 National Survey of Veterans. Stepwise logistic regressions of HCRV data examined characteristics of incarcerated veterans independently associated with OEF/OIF/OND service.
Regardless of ethnicity or age, OEF/OIF/OND veterans were less than half as likely as other veterans to be incarcerated and constituted only 3.9% of the incarcerated veterans. Compared with other incarcerated veterans, OEF/OIF/OND veterans were younger, were more likely to be married, were more likely to report combat exposure, expected a shorter incarceration, were 26% less likely to have a diagnosis of drug abuse or dependence, and were three times more likely to have combat-related posttraumatic stress disorder (PTSD).
OEF/OIF/OND veterans appeared to be at lower risk of incarceration than veterans of other service eras, but those who were incarcerated had higher rates of PTSD. Efforts to link these veterans to mental health services upon their release are warranted.
“重返社会退役军人医疗保健（HCRV）”计划为退役军人事务部向在州立和联邦监狱服刑的退役军人提供外联服务。本研究使用 HCRV 数据比较了持久自由行动（OEF）、伊拉克自由行动（OIF）和新黎明行动（OND）退役军人与其他退役军人的监禁风险，并确定了 OEF/OIF/OND 监禁退役军人的社会人口学和临床特征。
对 30968 名被监禁的退役军人进行了行政国家数据分析，其中包括 2007 年 10 月至 2011 年 4 月期间联系的 1201 名 OEF/OIF/OND 退役军人。计算了 HCRV 样本中 OEF/OIF/OND 退役军人与 2010 年全国退役军人调查中未被监禁的退役军人加权样本中退役军人的监禁风险比。对 HCRV 数据进行逐步逻辑回归，以检查与 OEF/OIF/OND 服务独立相关的监禁退役军人的特征。
无论种族或年龄如何，OEF/OIF/OND 退役军人被监禁的可能性不到其他退役军人的一半，仅占监禁退役军人的 3.9%。与其他监禁退役军人相比，OEF/OIF/OND 退役军人更年轻，更有可能已婚，更有可能报告战斗经历，预期监禁时间更短，滥用或依赖药物的诊断率低 26%，与战斗相关的创伤后应激障碍（PTSD）发生率高 3 倍。
OEF/OIF/OND 退役军人似乎比其他服务时代的退役军人入狱风险更低，但那些被监禁的退役军人 PTSD 发生率更高。有必要努力在这些退役军人获释时将其与心理健康服务联系起来。
