Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.
Moravian University, Bethlehem, PA, USA.
J Health Care Chaplain. 2022;28(sup1):S79-S88. doi: 10.1080/08854726.2022.2032981. Epub 2022 Feb 3.
The Moral Injury Group (MIG) at the Corporal Michael J. Crescenz (Philadelphia) VA Medical Center (CMCVAMC) is an example of collaborative care between chaplains and psychologists that engages religious, academic, and not-for-profit communities, as well as the media and other organizations external to the healthcare context. The intervention is primarily informed by a unique conceptualization: . MI is a public health issue that the unfair distribution of appropriate moral pain and the sedimentary layers of structural violence in US institutions related to war, and US war-culture. Preventing veteran suicide and promoting public health requires a larger social analysis and more broad-based, collective and collaborative understanding of, and response to, US war-culture, extending responsibility for MI care and prevention beyond individual veterans in health care institutions and clinical settings to US society.
费城迈克尔·J·克雷斯森下士退伍军人医疗中心（CMCVAMC）的道德伤害小组（MIG）是牧师和心理学家之间合作护理的一个范例，涉及宗教、学术和非营利社区，以及媒体和医疗保健环境之外的其他组织。该干预措施主要基于一个独特的概念化：道德伤害是一个公共卫生问题，涉及不公正地分配适当的道德痛苦，以及美国与战争相关的机构以及美国战争文化中结构性暴力的沉积层。预防退伍军人自杀和促进公共卫生需要进行更广泛的社会分析，并更广泛地、集体地和协作地理解和应对美国的战争文化，将道德伤害护理和预防的责任从医疗机构和临床环境中的个别退伍军人扩展到美国社会。
