title: Salem VAMC-U.S. Army Fort Bragg Warrior Transition Clinic telepsychiatry collaboration: 12-month operation clinical perspective.
abstract: OBJECTIVE
  To describe the clinical experience in the first Veterans Affairs (VA)-U.S. Army Warrior Transition Clinic (WTC) telepsychiatry operation (September 2008-August 2009).
  
  
  METHODS
  Joint VA and U.S. Army records.
  
  
  METHODS
  Analysis of intake, follow-up, and last visit records.
  
  
  RESULTS
  One hundred twenty active-duty U.S. Army soldiers were seen (394 clinic visits). Ninety-eight soldiers had one or more combat tours, principally in Iraq and Afghanistan. Posttraumatic stress disorder was diagnosed in 50.0% of the cases by the WTC telepsychiatrists. The majority of the soldiers had medical comorbidities, especially chronic pain (75.0%), in addition to mental health problems. Several of the soldiers were recovering from trauma (20.8%) and/or surgery (23.3%), 11.7% exhibited traumatic brain injuries, and 17.5% had headaches. Disrupted relationships (74.2%) were notable for non-family members, especially military cohorts such as other persons in the same WTC squad or platoon.
  
  
  CONCLUSIONS
  The observations in this report come from a cross-section of soldiers who were triaged to meet WTC admission criteria. As this is the prototype VA-U.S. Army telepsychiatry collaboration, there are no comparative data at this time. The nature of the medical and psychiatric problems treated in the military WTC represents an index of the more severe combat trauma treated on military bases from ongoing combat operations and may predict future VA-U.S. Army collaborative telepsychiatry clinic experiences.
authors.affiliation: Salem VAMC, Salem, Virginia 24153, USA. mark.detweiler1@va.gov
authors.forename: Mark B
authors.initials: MB
authors.lastname: Detweiler
authors.forename: Saira
authors.initials: S
authors.lastname: Arif
authors.forename: Joseph
authors.initials: J
authors.lastname: Candelario
authors.forename: Joanne
authors.initials: J
authors.lastname: Altman
authors.forename: Pamela F
authors.initials: PF
authors.lastname: Murphy
authors.forename: Mary H
authors.initials: MH
authors.lastname: Halling
authors.forename: Sachinder
authors.initials: S
authors.lastname: Vasudeva
authors.forename: Jonna G
authors.initials: JG
authors.lastname: Detweiler
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D059350:Chronic Pain; D003299:Cooperative Behavior; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders; D008875:Middle Aged; D008889:Military Personnel; D008890:Military Psychiatry / Q000458:organization & administration*; D016730:Program Development; D015397:Program Evaluation; D012189:Retrospective Studies; D013315:Stress, Psychological; D013997:Time Factors; D014481:United States; D055815:Young Adult