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(不)光彩退伍:识别军民融合中的政策差距。

(Dis)honorably discharged: identifying policy gaps in military-civilian reintegration.

作者信息

Reid Tavis, Sims Kaitlyn M

机构信息

Josef Korbel School of International Studies, University of Denver, Denver, CO 80208, United States.

US Army, Colorado Springs, CO, United States.

出版信息

Health Aff Sch. 2024 Feb 16;2(2):qxae021. doi: 10.1093/haschl/qxae021. eCollection 2024 Feb.

Abstract

Despite the substantial transition assistance available for honorably separating servicemembers, 75% of US veterans report difficulties with the transition to civilian life. For the 16% of veterans who separate with less-than-honorable discharges, these difficulties are compounded by the lack of structural support from the US military. Social stigma, limited transition programming, and loss of benefits create a perfect storm of barriers for these discharged servicemembers. These barriers compound with post-service mental and physical health challenges to contribute to cycles of misconduct that can result in criminal incarceration. Further, because most of these veterans lack health benefits from the Department of Veterans Affairs due to their discharge status, this population is substantially understudied from a public health perspective. However, actionable policy paths forward and federal policy change offer opportunity to soften the landing for these veterans and meet their legitimate needs for care.

摘要

尽管为光荣退役的军人提供了大量的过渡援助,但75%的美国退伍军人表示在向平民生活过渡时遇到困难。对于16%以不光荣方式退役的退伍军人来说,美军缺乏结构性支持使这些困难更加复杂。社会污名、有限的过渡计划以及福利丧失为这些退役军人制造了重重障碍。这些障碍与退役后的身心健康挑战交织在一起,导致不当行为的循环,可能会导致刑事监禁。此外,由于这些退伍军人中的大多数因其退役身份而缺乏退伍军人事务部的健康福利,从公共卫生角度来看,这一群体的研究严重不足。然而,可行的政策路径和联邦政策变革为帮助这些退伍军人平稳过渡并满足他们合理的护理需求提供了机会。

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