Outpatient Mental Health Treatment Utilization and Military Career Impact in the United States Marine Corps
| Autor: | Jessica M. LaCroix, Kanchana U. Perera, Anderson B. Rowan, Marcus VanSickle, Laura A. Novak, Theresa H Trieu, Kari Koss, Marjan Ghahramanlou-Holloway |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Mental Health Services 050103 clinical psychology medicine.medical_specialty Social stigma Referral Health Toxicology and Mutagenesis Military service career impact Social Stigma 0211 other engineering and technologies lcsh:Medicine 02 engineering and technology United States Marines Corps Suicide prevention Phase (combat) Article Medicine mental health treatment military suicide Humans 0501 psychology and cognitive sciences Psychiatry Retrospective Studies 021110 strategic defence & security studies business.industry Medical record Mental Disorders lcsh:R 05 social sciences Public Health Environmental and Occupational Health Mental health United States Military personnel Suicide Mental Health Military Personnel Socioeconomic Factors Female business |
| Zdroj: | International Journal of Environmental Research and Public Health International Journal of Environmental Research and Public Health; Volume 15; Issue 4; Pages: 828 International Journal of Environmental Research and Public Health, Vol 15, Iss 4, p 828 (2018) |
| ISSN: | 1660-4601 1661-7827 |
| Popis: | Service members (SM) are at increased risk of psychiatric conditions, including suicide, yet research indicates SMs believe seeking mental health treatment may negatively impact their military careers, despite a paucity of research examining actual career impacts. This study examined the link between seeking outpatient mental health (MH) treatment and military career impacts within the United States Marine Corps. In Phase 1, a retrospective medical record review of outpatient MH treatment-seeking Marines (N = 38) was conducted. In Phase 2, a sample of outpatient MH treatment-seeking Marines (N = 40) was matched to a non-treatment-seeking sample of Marines (N = 138) to compare career-progression. In Phase 1, there were no significant links between demographic, military, and clinical characteristics and referral source or receipt of career-affecting treatment recommendations. In Phase 2, MH treatment-seeking Marines in outpatient settings were more likely than matched controls to be separated from the military (95.0% versus 63.0%, p = 0.002), but no more likely to experience involuntary separation. MH treatment-seeking Marines were more likely to have documented legal action (45.0% versus 23.9%, p = 0.008) and had a shorter time of military service following the index MH encounter than matched controls (p < 0.001). Clinical, anti-stigma, and suicide prevention policy implications are discussed. |
| Databáze: | OpenAIRE |
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