Murphy Jonathan W
Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, Illinois.
Mil Psychol. 2024 Nov;36(6):631-636. doi: 10.1080/08995605.2023.2249798. Epub 2023 Aug 25.
Recent trends have exacerbated existing problems accessing mental health care for military service members. To address these problems, lawmakers and military leaders have been busy introducing new legislation and changing policies in order to improve access. While these initiatives are critical for long-term change, military service members need solutions that can help them now. Although it may not be a panacea, intensive outpatient treatments may be part of the solution for the MHS, especially when considering posttraumatic stress disorder (PTSD). This commentary begins by describing the history of intensive treatments in the military health system, which has been largely offered as intensive outpatient treatments (IOPs). Next, it describes a decade of research on intensive treatments for PTSD, which has included a diverse array of IOP formats as well as stand-alone, massed treatments. Lastly, this commentary recommends that lawmakers and military leaders expand their notion of intensive outpatient treatments to include both programs and stand-alone, massed treatments. By doing so, the MHS could have more options for service members and commands as they search for workable treatment options.
近期的趋势加剧了现役军人在获得心理健康护理方面现存的问题。为解决这些问题，立法者和军事领导人一直在忙于出台新立法和改变政策，以改善可及性。虽然这些举措对于长期变革至关重要，但现役军人需要能立即帮助他们的解决方案。强化门诊治疗虽可能不是万灵药，但或许是军事医疗系统解决方案的一部分，尤其是在考虑创伤后应激障碍（PTSD）时。本评论首先描述军事卫生系统中强化治疗的历史，其主要以强化门诊治疗（IOPs）的形式提供。接下来，它描述了对PTSD强化治疗的十年研究，其中包括各种各样的IOP形式以及独立的、集中的治疗。最后，本评论建议立法者和军事领导人扩大他们对强化门诊治疗的概念，将项目以及独立的、集中的治疗都包括在内。这样一来，军事医疗系统在为军人和指挥部寻找可行的治疗方案时就会有更多选择。
