Division mental health in the new brigade combat team structure: part II. Redeployment and postdeployment.
OBJECTIVE
Recent Army transformation has led to significant changes in roles and demands for division mental health staff members. This article focuses on redeployment and postdeployment.


METHODS
The postdeployment health assessment behavioral health screening and referral process and redeployment plan are reviewed, and data on postdeployment rates of negative events are reported.


RESULTS
All soldiers and many of their families participated in an aggressive education program. Of the 19,500 soldiers screened, 2,170 (11.1%) were referred for behavioral health consultation; of those referred, 219 (10.1%) were found to be at moderate or high risk for mental health issues (1.1% of total screened). Of the moderate/highrisk soldiers, 146 (71.9%) accepted follow-up mental health treatment upon return to home station. Fewer cases of driving under the influence, positive drug screens, suicidal gestures/ attempts, crimes, and acts of domestic violence were seen, in comparison with rates seen after an earlier deployment of this unit to Iraq.


CONCLUSIONS
A formalized approach with command support and coordination can have a positive impact on successful referral and treatment and reduce negative postdeployment events.
Warner
Christopher H
CH
3rd Infantry Division, Fort Stewart, GA 31314, USA.
Breitbach
Jill E
JE
Appenzeller
George N
GN
Yates
Virginia
V
Grieger
Thomas
T
Webster
William G
WG
D001519:Behavior; D006801:Humans; D015994:Incidence; D007493:Iraq; D001523:Mental Disorders / Q000453:epidemiology* / Q000628:therapy; D008603:Mental Health; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008889:Military Personnel / Q000523:psychology*; D010353:Patient Education as Topic; D012189:Retrospective Studies; D014481:United States / Q000453:epidemiology; D014857:Warfare