title: Postdeployment mental health screening: an application of the Soldier Adaptation Model.
abstract: The Global War on Terrorism and its corresponding frequent and long deployments have resulted in an increase in mental health concerns among active duty troops. To mitigate these impacts, the Department of Defense has implemented postdeployment screening initiatives designed to identify symptomatic soldiers and refer them for mental health care. Although the primary purpose of these screenings is to identify and provide assistance to individuals, macrolevel reporting of screening results for groups can assist Commanders, who are charged with ensuring the wellbeing of their soldiers, to make unit-level interventions. This study assesses the utility of a metatheory of occupational stress, the Soldier Adaptation Model, in organizing feedback information provided to Army Commanders on their units' postdeployment screening results. The results of a combat brigade of 2319 soldiers who completed post-deployment screening following return from Iraq were analyzed using Structural Equation Modeling to assess the Soldier Adaptation Model's use for macrolevel reporting. Results indicate the Soldier Adaptation Model did not strengthen the macrolevel reporting; however, alcohol use and reckless driving were found to mediate the relationship between combat exposure and numerous mental health symptoms and disorders (e.g., post-traumatic stress disorder, anger, depression, anxiety, etc.). Research and practice implications are discussed.
authors.affiliation: Madigan Healthcare System, Joint Base Lewis/McChord, MCHJ-CP-BH, Building 9040, 9040A Fitzsimmons Avenue, Tacoma, WA 98431, USA.
authors.forename: S Cory
authors.initials: SC
authors.lastname: Harmon
authors.forename: Timothy V
authors.initials: TV
authors.lastname: Hoyt
authors.forename: Michael D
authors.initials: MD
authors.lastname: Jones
authors.forename: Joseph R
authors.initials: JR
authors.lastname: Etherage
authors.forename: John C
authors.initials: JC
authors.lastname: Okiishi
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000428:Alcohol Drinking; D000465:Algorithms; D001007:Anxiety / Q000453:epidemiology; D001334:Automobile Driving; D003863:Depression / Q000453:epidemiology; D005260:Female; D006801:Humans; D007493:Iraq; D008297:Male; D008403:Mass Screening; D001523:Mental Disorders / Q000453:epidemiology; D008605:Mental Health Services; D008887:Military Medicine; D008889:Military Personnel / Q000523:psychology* / Q000706:statistics & numerical data; D012309:Risk-Taking; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology*; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology; D014857:Warfare