Derefinko Karen J, Hallsell Troy A, Isaacs Matthew B, Colvin Lauren W, Salgado Garcia Francisco I, Bursac Zoran
Department of Preventive Medicine, University of Tennessee Health Sciences Center, 66 N. Pauline St, Memphis, TN, 38163, USA.
Department of History, University of Memphis, Memphis, TN, USA.
J Behav Health Serv Res. 2019 Jul;46(3):384-398. doi: 10.1007/s11414-018-9633-8.
Despite existing separation services provided by the military, many transitioning to civilian life report continued or even worsening issues, including anger outbursts, PTSD, sustained substance use, and strained family relationships. Further, only 61% of the 1,906,754 veterans separated since 2002 participate in the VA health care system after separation, indicating that at least three quarters of a million veterans are not captured by research conducted in VA systems. The current study (N = 90) examined the perceived needs of veterans transitioning from the military to civilian life, assessed issues that prevent these individuals from participating in VA health care upon separation, and captured veteran recommendations to improve existing separation services, either prior to or after the transition to civilian life. Veterans identified several needs, including improved access to care, mental health and substance use counseling, and preparedness for adjustment and economical/financial issues. Implications for both care and policy are discussed.
尽管军方提供了现有的退役服务,但许多向平民生活过渡的人报告称,问题仍在持续甚至恶化,包括愤怒爆发、创伤后应激障碍(PTSD)、持续的药物使用以及紧张的家庭关系。此外,自2002年以来退役的1906754名退伍军人中,只有61%在退役后参与了退伍军人事务部(VA)的医疗保健系统,这表明至少七十五万名退伍军人未被VA系统开展的研究所涵盖。当前的研究(N = 90)考察了从军队向平民生活过渡的退伍军人的感知需求,评估了阻碍这些人在退役后参与VA医疗保健的问题,并收集了退伍军人关于改善现有退役服务的建议,这些建议涉及向平民生活过渡之前或之后的时期。退伍军人确定了若干需求,包括改善医疗服务可及性、心理健康和药物使用咨询,以及为适应和经济/财务问题做好准备。文中讨论了对医疗和政策的影响。