Management of mental illness by the British Army
| Autor: | Matthew D. Kiernan, Frank B. McMANUS, David Hill, Mark A. Turner, Leigh A. Neal |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2003 |
| Předmět: |
Adult
Male medicine.medical_specialty Active duty Adolescent Military service medicine.medical_treatment Hospitals Military B700 Odds Cohort Studies 03 medical and health sciences 0302 clinical medicine medicine Psychiatric hospital Humans 030212 general & internal medicine Psychiatry Rehabilitation business.industry Mental Disorders Rehabilitation Vocational Middle Aged Mental illness medicine.disease Mental health United Kingdom 030227 psychiatry C800 Hospitalization B900 Psychiatry and Mental health Military Personnel Treatment Outcome Emergency medicine Cohort Female business Follow-Up Studies |
| ISSN: | 0007-1250 |
| Popis: | BackgroundThe Ministry of Defence has its own hospital for soldiers requiring admission for mental health problems.AimsTo assess the efficiency of the army psychiatric hospital at restoring patients to full active duty. To assess whether a new military training and rehabilitation unit (MTRU) that emphasises military-skills training, improves outcome.MethodA 2-year, inception-cohort outcome study of hospital in-patients. A 12-month, case-matched, ‘before and after’ outcome study compared MTRU patients with hospital in-patients.ResultsI (hospital in-patients, n=309): at 2-year follow-up 67 (22%) were fully fit for active duty Military psychiatrists' success rate at predicting recovery to active duty was 27%. 2: the odds of a soldier in the MTRU cohort (n=35) returning to active duty were 14 times greater than for the hospital cohort (n=35). The odds of remaining in the army while unfit for active duty were 20 times less for the MTRU than for the hospital cohort.ConclusionsThe army hospital is inefficient at rehabilitation to active duty. The MTRU significantly increased the odds of returning to active duty and reduced the odds of remaining in the army while still unfit. These findings may be applicable to the emergency services. |
| Databáze: | OpenAIRE |
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