Forbes David, Metcalf Olivia
Professor and Director, Australian Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Australia, email
Research Fellow, Australian Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Australia.
Int Psychiatry. 2014 Nov 1;11(4):83-85. eCollection 2014 Nov.
Australia has deployed over 25 000 personnel to recent conflicts in the Middle East and has been involved in peacekeeping missions. Australian veterans report elevated rates of mental health problems such as post-traumatic stress disorder, anxiety disorders, affective disorders and substance use disorders. Veteran healthcare is delivered through publicly funded services, as well as through private services, at primary, secondary and tertiary levels. Some of the challenges involve coordination of services for veterans transitioning from Defence to Veterans' Affairs, service delivery across a large continent and stigma inhibiting service-seeking. Initiatives have been introduced in screening and delivery of evidence-based treatments. While challenges remain, Australia has come a long way towards an integrated and comprehensive approach to veteran mental healthcare.
澳大利亚已向近期中东冲突地区部署了超过2.5万名人员,并参与了维和任务。澳大利亚退伍军人报告称,创伤后应激障碍、焦虑症、情感障碍和物质使用障碍等心理健康问题的发生率有所上升。退伍军人医疗保健通过公共资助服务以及初级、二级和三级层面的私人服务提供。其中一些挑战包括协调从国防部向退伍军人事务部过渡的退伍军人的服务、在幅员辽阔的大陆上提供服务以及阻碍寻求服务的污名化问题。在筛查和提供循证治疗方面已采取了一些举措。尽管挑战依然存在,但澳大利亚在采取综合全面的退伍军人心理健康护理方法方面已经取得了长足进展。