Public health strategies and treatment of service members and veterans with combat-related mental health problems.

2010 ◽  
pp. 17-34 ◽  
Author(s):  
Charles W. Hoge
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Mental Health Problems ◽  
Health Problems ◽  
Service Members ◽  
Public Health Strategies

scholarly journals Academic health services and health needs of college students around the era of the Covid-19 pandemic

2021 ◽  
Vol 8 (4) ◽  
pp. 193-197
Author(s):  
Eirini Kotsalou ◽  
Evanthia Sakellari ◽  
Areti Lagiou ◽  
Evaggelia Kotsalou
Keyword(s):  
Public Health ◽  
Mental Health ◽  
College Students ◽  
Health Care ◽  
Health Services ◽  
Help Seeking ◽  
Mental Health Problems ◽  
Health Problems ◽  
Health Needs ◽  
Public Health Care

Objective: The university medical services vary around the world (even within each university), but there are only a few publications on the utilization of these services by the students. The available on-campus services of public health care might include general health care, women’s centers, mental health care, disability services, wellness resource centers, career counseling, and alcohol and other drug education programs. Evidence Acquisition: This paper reviews the current literature on the overtime and current (due to Covid-19 pandemic) public health needs of college students based on studies that report the commonest specific diagnostic reasons for using the on-campus health care services. Results: Special reference is done on mental health problems among students generally and the students of health professions fields (a specific category themselves). Besides, other issues of interest are the substance-related problems among students and their perceptions about mental health problems and on- campus help- seeking services. Conclusions: It is unanimous that we need further educational and promotional campaigns to enhance the students; help-seeking behaviors, reduce stigmatizing behaviors and create more preventive public health services on campus, but also out-campus due to the Covid-19 pandemic. 

scholarly journals Mental Health During Naval Deployment: The Protective Role of Family Support

2019 ◽  
Vol 185 (5-6) ◽  
pp. e703-e710
Author(s):  
Morten Nordmo ◽  
Sigurd William Hystad ◽  
Sverre Sanden ◽  
Bjørn Helge Johnsen
Keyword(s):  
Mental Health ◽  
Family Support ◽  
Protective Factor ◽  
Mental Health Problems ◽  
Psychiatric Symptoms ◽  
General Health Questionnaire ◽  
Health Problems ◽  
Service Members ◽  
Multilevel Regression ◽  
High Degree

Abstract Introduction Minor mental health problems among service members deployed in combat areas are relatively common, but social support is a protective factor. With the advent of digital communication, as well as more frequent family separations, a stable family support system may be more important than before. In this exploratory study, we aimed to test the relationship between perceived family support and the development of minor psychiatric symptoms during a 4-month naval counter piracy mission in the Gulf of Aden. Materials and Methods We measured minor mental health problems with the general health questionnaire 12 (GHQ-12) and family support at three intervals, 3 weeks before deployment, 2 months into the mission, and at the end of deployment. We used mixed multilevel regression analysis to analyze the main effects of family support and time, as well as their interaction. All analyses were controlled for military rank. Results We found that minor psychiatric symptoms increased at both midway (B = 0.51, P < 0.05) and toward the end of the mission (B = 0.72, P < 0.01). The results also showed that receiving more family support is associated with fewer psychiatric symptoms (B = −0.87, P < 0.01). Family support also moderated the development of symptoms toward the end of the mission (B = −0.73, P < 0.01). The buffering effect was such that service members with a high degree of family support experienced no increase in minor psychiatric symptoms during the deployment. Conclusions The results indicate that naval deployment is associated with a small increase in minor mental health problems and that having a high degree of family support buffers this effect. Efforts to increase support among military families may positively influence the wellbeing of naval sailors during combat missions.

scholarly journals Retrospective cohort study of compliance with post-deployment screening in the Canadian Armed Forces

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e029355 ◽  
Author(s):  
Peter J H Beliveau ◽  
David Boulos ◽  
Dylan Johnson
Keyword(s):  
Mental Health ◽  
Retrospective Cohort ◽  
Primary Outcome ◽  
Mental Health Problems ◽  
Armed Forces ◽  
Health Problems ◽  
Service Members ◽  
Canadian Armed Forces ◽  
Kaplan Meier ◽  
Probabilistic Sample

ObjectiveCanadian Armed Forces (CAF) personnel who return from certain international deployments are required to complete post-deployment screening (PDS) 90 to 180 days post-deployment; the primary goal of PDS is early detection of mental health problems that aims for reduced delays to care provision. We investigated service members’ compliance with the PDS completion requirement and the factors associated with this compliance; a secondary objective was to investigate completion timing.DesignThe study used a retrospective cohort of CAF personnel (n=28 460) who had deployments over 01 January 2009 to 31 December 2014; inferences were based on a probabilistic sample (n=3004).Primary outcomeThe primary outcome was PDS completion. We assessed the timing of PDS completion, comparing non-compliant (early, late or no completion) with compliant completions (90 to 180 days post-deployment) among deployments that required screening. Kaplan-Meier plots summarised time-to-completion and logistic regression assessed the covariate associations with compliant completion. Covariate-adjusted marginal compliance prevalence differences (MPD) were computed.Results67.3% (95% CI65.0 to 69.6) of deployments that required PDS had one completed; 43.3% (95%CI 40.6 to 46.0) were completed within the compliant period. Compliant completion was higher with lower ranks (MPD=10.6%, relative to officers), combat arms occupations (MPD=8.4%), Afghanistan deployments (MPD=19.2%), longer deployments (MPD=10.1%) and among those without a past mental health problem (MPD=9.7%).ConclusionsOur findings suggest that some selective processes may be occurring where those perceived to be at higher risk for post-deployment mental health problems are more compliant with PDS completion. However, PDS completion and compliant completion were lower than expected and this suggests a need to reinforce instruction on the guidelines and objectives of PDS among service members in the CAF.

Promoting and Protecting Mental Health: A Delphi Consensus Study for Actionable Public Mental Health Messages

2021 ◽  
pp. 089011712199853
Author(s):  
Josefien J. F. Breedvelt ◽  
Jade Yap ◽  
Dorien D. Eising ◽  
David D. Ebert ◽  
Filip Smit ◽  
...  
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Data Collection ◽  
Delphi Study ◽  
Mental Health Problems ◽  
Health Problems ◽  
Health Campaigns ◽  
Healthy Behaviors ◽  
The Public ◽  
Management Actions

Purpose: Public health campaigns are still relatively rare in mental health. This paper aims to find consensus on the preventive self-management actions (i.e. “healthy behaviors”) for common mental health problems (e.g. depression and anxiety) that should be recommended in mental health campaigns directed at the general public. Approach: A 3-round Delphi study Participants: 23 international experts in mental health and 1447 members of the public, most of whom had lived experience of mental health problems. Method: The modified Delphi study combined quantitative and qualitative data collection: 1) online qualitative survey data collection thematically analyzed, 2) recommendations rated for consensus, 3) consensus items rated by public panel on a Likert scale. Results: Expert consensus was reached on 15 behaviors that individuals can engage in to sustain mental health. Eight were rated as appropriate by more than half (50%) of the public panel, including: avoiding illicit drugs (80%, n = 1154), reducing debt (72%, n = 1043), improving sleep (69%, n = 1000), regulating mood (65%, n = 941), having things to look forward to (60%, n = 869). Conclusions: A series of healthy behaviors for the promotion and protection of mental health received expert and public consensus. To our knowledge, this is the first study to offer a set of actions for public health messaging for the prevention of poor mental health. Future research should focus on evaluating effectiveness of these actions in a universal primary prevention context.

scholarly journals Biofeedback Intervention for Stress, Anxiety, and Depression among Graduate Students in Public Health Nursing

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Paul Ratanasiripong ◽  
Orawan Kaewboonchoo ◽  
Nop Ratanasiripong ◽  
Suda Hanklang ◽  
Pornlert Chumchai
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Graduate Students ◽  
Mental Health Problems ◽  
Health Problems ◽  
Public Health Nursing ◽  
Anxiety And Depression ◽  
Control Group ◽  
The Public ◽  
Health Nursing

Globally, graduate students have been found to have high prevalence of mental health problems. With increasing severity of mental health problems on university campuses and limited resources for mental health treatment, alternative interventions are needed. This study investigated the use of biofeedback training to help reduce symptoms of stress, anxiety, and depression. A sample of 60 graduate students in public health nursing was randomly assigned to either the biofeedback intervention or the control group. Results indicated that biofeedback intervention was effective in significantly reducing the levels of stress, anxiety, and depression over the 4-week period, while the control group had increases in symptoms of anxiety and depression over the same timeframe. As future leaders in the public health nursing arena, the more psychologically healthy the graduate students in public health nursing are, the better the public health nursing professionals they will be as they go forth to serve the community after graduation.

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