title: Division mental health in the new brigade combat team structure: part I. Predeployment and deployment.
abstract: OBJECTIVE
  Recent Army transformation has led to significant changes in roles and demands for division mental health (DMH) staff members. This article focuses on predeployment and deployment.
  
  
  METHODS
  Surveillance of Combat and Operational Stress Reactions data, review of DMH implementation plans, and observations by staff members, providers, and soldiers were reviewed.
  
  
  RESULTS
  During the course of the deployment, the Task Force Baghdad DMH unit had >22,000 soldier encounters with 5,542 clinical encounters. The duration of the deployment and increased levels of threat later in the deployment resulted in increased stress problems but not a substantial or sustained increase in mental health casualties.
  
  
  CONCLUSIONS
  Predeployment education and communication probably eliminated some problems during deployment, and communication among mental health and command units during deployment resolved most problems encountered.
authors.affiliation: 3rd Infantry Division, Fort Stewart, GA 31314, USA.
authors.forename: Christopher H
authors.initials: CH
authors.lastname: Warner
authors.forename: Jill E
authors.initials: JE
authors.lastname: Breitbach
authors.forename: George N
authors.initials: GN
authors.lastname: Appenzeller
authors.forename: Virginia
authors.initials: V
authors.lastname: Yates
authors.forename: Thomas
authors.initials: T
authors.lastname: Grieger
authors.forename: William G
authors.initials: WG
authors.lastname: Webster
mesh_terms: D000328:Adult; D006801:Humans; D015994:Incidence; D007493:Iraq; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology* / Q000628:therapy; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008889:Military Personnel / Q000523:psychology* / Q000706:statistics & numerical data; D012189:Retrospective Studies; D014481:United States / Q000453:epidemiology; D014857:Warfare