VISN 2 MIRECC, United States Department of Veterans Affairs.
Department of Counseling and Clinical Psychology, Teachers College, Columbia University.
Psychol Serv. 2023 Nov;20(4):876-888. doi: 10.1037/ser0000701. Epub 2022 Sep 1.
Each year, approximately 200,000 service members transition out of military service and return to civilian life. For many, the stresses of this military-to-civilian transition are vast and include instabilities in mental health, relationships, employment, education, and housing. Given their unique training, mental health professionals often find themselves on the front lines of efforts to support this population. However, to date, literature to guide work with this population has been scant and disorganized. This narrative review provides practitioners both within and outside the Veterans Health Administration with an overview of relevant literature in this area and offers concrete, practical recommendations for how to best support transitioning Veterans through psychotherapy and counseling. Three major themes are reviewed: (a) Engagement strategies, including clinical style, mitigation of privacy concerns, and consideration of broader psychosocial issues; (b) contextual considerations, including challenges of the "Thank You for Your Service" phenomenon, identity considerations, and circumstances of discharge; and (c) information about available services. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
每年,约有 20 万名军人从军队退役并回归平民生活。对许多人来说,这种从军队到平民的过渡压力很大,包括心理健康、人际关系、就业、教育和住房的不稳定。鉴于他们独特的培训,心理健康专业人员经常发现自己处于支持这一人群的努力的前线。然而,迄今为止,指导与这一人群合作的文献仍然很少且缺乏组织。这篇叙述性评论为退伍军人健康管理局内外的从业者提供了该领域相关文献的概述,并就如何通过心理治疗和咨询为过渡中的退伍军人提供最佳支持提供了具体、实际的建议。综述了三个主要主题:(a) 参与策略,包括临床风格、减轻隐私问题、考虑更广泛的社会心理问题;(b) 背景考虑因素,包括“感谢你为国家服务”现象的挑战、身份考虑因素和退役情况;(c) 关于可用服务的信息。(PsycInfo 数据库记录 (c) 2023 APA,保留所有权利)。