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ADMMH Research

Health Outcome Studies

Occupational Outcomes in Soldiers Hospitalised with Mental Health Problems

Principal Investigator:   Major Norman Jones

In this study we examined the documented occupational outcomes following hospital based treatment for mental health problems within the British Army Hospital admission records were linked to occupational outcome data from a database used for personnel administration.  384 records were identified which were then linked to occupational outcome after an episode of hospitalisation.  74% of those admitted to hospital with mental health problems were discharged from the Army prematurely and 73% of the discharges occurred in the first year following hospitalisation. 

Discharge from the Army was associated with holding a junior rank, completing less than 5 years military service, having a combat role, being male and receiving community mental health team treatment prior to admission.  We conclude that hospitalisation for a mental health problem in a military context is associated with a low rate of retention in service.  Outcome was not influenced greatly by duration of hospital stay, however, those who reported receiving individual, rather than group based therapy whilst in hospital had better occupational outcomes


Short and Long-term Occupational Outcomes in Soldiers Assessed by Deployed Field Mental Health Teams

Principal Investigator:     Major Norman Jones

The short and long-term military occupational outcomes were examined in 825 soldiers deployed to Iraq between 2003 and 2007 who were referred to the deployed Field Mental Health Team (FMHT) with a suspected mental health problem.

Deployment clinical records were linked to general administrative records to determine longer term employment outcomes: 72% of those referred to the FMHT returned to their operational unit and 74 % of those who had a documented long-term occupational outcome served on for a period in excess of two years following referral. Adjusting for potential confounders, a shorter service length and removal from the operational theatre were strongly associated with premature discharge from the Army. The results of this study support the use of the ‘Forward Psychiatry’ principles by FMHTs.



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