Abstract
Active duty military personnel face psychological issues and problems just as any other segment of the U.S. population. They also face additional challenges caused by the nature of military duties and conditions. Service members face a number of structural, attitudinal, and cultural barriers in obtaining needed psychological treatment. Active duty military personnel seek psychological care outside of the military health service for a range of reasons, including greater confidentiality. Awareness and sensitivity to military culture is important to effective treatment of active duty military personnel.
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References
Assessment and Management of Risk for Suicide Working Group. (2013). VA/DoD clinical practice guideline for assessment and management of patients at risk for suicide.
886. ARTICLE 86. ABSENCE WITHOUT LEAVE CMJ - United States Code of Military Justice. Retrieved from http://www.ucmj.us/sub-chapter-10-punitive-articles/886-article-86-absencewithout-leave
American Psychological Association, (n.d.). Multicultural Guidelines: An Ecological Approach to Context, Identity, and Intersectionality, 2017. Retrieved July 24, 2018, from http://www.apa.org/about/policy/multicultural-guidelines.aspx
Barth, S. K., Kimerling, R E., Pavao, J., McCutcheon, S. J., Batten, S. V., Dursa, E.,... Schneiderman, A. I. (2016). Military Sexual Trauma Among Recent Veterans: Correlates of Sexual Assault and Sexual Harassment. American Journal of Preventive Medicine, 50(1), 77–86. https://doi.org/10.1016/J.AMEPRE.2015.06.012
Bureau of Labor Statistics, U. S. D. of L. (n.d.). Military Careers: Occupational Outlook Handbook:: U.S. Bureau of Labor Statistics. Retrieved June 6, 2018, from https://www.bls.gov/ooh/military/military-careers.htm
Crum-Cianflone, N. F., Powell, T. M., LeardMann, C. A., Russell, D. W., & Boyko, E. J. (2016). Mental Health and Comorbidities in U.S. Military Members. Military Medicine, 181(6), 537–545. https://doi.org/10.7205/MILMED-D-15-00187
Dickey, N. W. (2015). Ethical Guidelines and Practices for US Military Medical Professionals. Retrieved from http://www.dtic.mil/docs/citations/AD1027321
Domenici, P., Sacks, M., & Nofziger, D. (2016). Military Patients: Recommendations for Treating Service Members J National Register. Retrieved from https://www.nationalregister.org/pub/thenational-register-report-pub/the-register-report-fall-2016/military-patients-recommendations-fortreating-service-members/
Ghahramanlou-Holloway, M., Koss, K., Rowan, A., LaCroix, J. M., Perera, K., Carreno, J., & Grammer, J. (2018). Retrospective and prospective examination of outpatient mental health utilization and military career impacts. Stigma and Health, https://doi.org/10.1037/sah0000124
Ghahramanlou-Holloway, M., LaCroix, J. M., Koss, K., Perera, K. U., Rowan, A., VanSickle, M. R.,... Trieu, T. H. (2018). Outpatient Mental Health Treatment Utilization and Military Career Impact in the United States Marine Corps. InternationalJournal of Environmental Research and Public Health, 75(4). https://doi.org/10.3390/ijerph15040828
Godfrey, K. M., Mostoufi, S., Rodgers, C., Backhaus, A., Floto, E., Pittman, J., & Afari, N. (2015). Associations of military sexual trauma, combat exposure, and number of deployments with physical and mental health indicators in Iraq and Afghanistan veterans. Psychotogicat Services, 72(4), 366–377. https://doi.org/10.1037/ser0000059
Hoffmire, C. A., Kemp, J. E., & Bossarte, R. M. (2015). Changes in Suicide Mortality for Veterans and Nonveterans by Gender and History of VHA Service Use, 2000–2010. Psychiatric Services, 66(9), 959–965. https://doi.org/10.1176/appi.ps.201400031
Hoge, C. W., Ivany, C. G., Brusher, E. A., Brown, M. D., Shero, J. C., Adler, A. B.,... Orman, D. T. (2016). Transformation of Mental Health Care for U.S. Soldiers and Families During the Iraq and Afghanistan Wars: Where Science and Politics Intersect. American Journai of Psychiatry, 773(4), 334–343. https://doi.org/10.1176/appi.ajp.2015.15040553
Ivany, C. (2013). Commentary: Why behavioral health care outside the military falls short for troops, families. Military Times. Retrieved from https://www.militarytimes.com/news/yourmilitary/2018/03/13/commentary-why-behavioral-health-care-outside-the-military-falls-short-for-troops-families/
LeardMann, C. A., Powell, T. M., Smith, T. C., Bell, M. R., Smith, B., Boyko, E. J.,... & Hoge, C. W. (2013). Risk factors associated with suicide in current and former US military personnel. Jama, 370(5), 496–506.
Millegan, J., Wang, L., LeardMann, C. A., Miletich, D., & Street, A. E. (2016). Sexual Trauma and Adverse Health and Occupational Outcomes Among Men Serving in the U.S. Military. Journai of Traumatic Stress, 29(2), 132–140. https://doi.org/10.1002/jts.22081
Paniagua, F. A., Black, S. A., & Gallaway, M. S. (2017). Psychometrics of Behavioral Health Screening Scales in Military Contexts. APA. https://doi.org/10.1037/MIL0000140
Reger, M. A., Smolenski, D. J., Skopp, N. A., Metzger-Abamukang, M. J., Kang, H. K., Bullman, T. A.,... Gahm, G. A. (2015). Risk of Suicide Among US Military Service Members Following Operation Enduring Freedom or Operation Iraqi Freedom Deployment and Separation From the US Military. JAMA Psychiatry, 72(6), 561. https://doi.org/10.1001/jamapsychiatry.2014.3195
Rowan, A. B., Varga, C. M., Clayton, S. P., & Martin Zona, D. M. (2014). Career Impacts and Referral Patterns: Army Mental Health Treatment in the Combat Theater. Miiitary Medicine, 779(9), 973–978. https://doi.org/10.7205/MILMED-D-13-00518
Tanielian, T., Farris, C., Epley, C., Farmer, C. M., Robinson, E., Engel, C. C., & Jaycox, L. H. (2014). Ready to serve. Rand. Santa Monica, CA.
Tanielian, T., Woldetsadik, M. A., Jaycox, L. H., Batka, C., Moen, S., Farmer, C., & Engel, C. C. (2016). Barriers to Engaging Service Members in Mental Health Care Within the U.S. Military Health System. Psychiatric Services, 67(7), 718–727. https://doi.org/10.1176/appi.ps.201500237
Varga, C. M., Haibach, M. A., Rowan, A. B., & Haibach, J. P. (2018). Psychiatric History, Deployments, and Potential Impacts of Mental Health Care in a Combat Theater. Miiitary Medicine, 783(1-2), e77–e82. https://doi.org/10.1093/milmed/usx012
Waitzkin, H., Cruz, M., Shuey, B., Smithers, D., Muncy, L., & Noble, M. (2018). Military Personnel Who Seek Health and Mental Health Services Outside the Military. Mititary Medicine. https://doi.org/10.1093/milmed/usx051
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She has previous experience working with active duty soldiers while employed as a civilian by the Department of the Army. She has experience in integrated primary care, behavioral sleep medicine, and substance use disorder treatment through the Clinical Psychology Internship Training Program at the Alpert Medical School of Brown University.
He is currently serving as the Assistant Dean for the Preclinical Sciences in the Office for Student Affairs. He has previously managed both primary care and specialty mental health clinics at Shaw Air Force Base in South Carolina and currently runs the Military Active-Duty Reproductive + Sexual Health (MARSH) Research Program at the Uniformed Services University.
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Ford, J.D., Landoll, R.R. Treating Active Duty Service Members Outside of the Military Health System. J Health Serv Psychol 44, 125–130 (2018). https://doi.org/10.1007/BF03544672
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DOI: https://doi.org/10.1007/BF03544672