nach oben

Administration and Policy in Mental Health and Mental Health Services Research

Erschienen in:

30.03.2018 | Original Article

Post-deployment Mental Health Screening: A Systematic Review of Current Evidence and Future Directions

verfasst von: Vanessa Panaite, Racine Brown, Michelle Henry, Amanda Garcia, Gail Powell-Cope, Rodney D. Vanderploeg, Heather G. Belanger

Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research | Ausgabe 6/2018

Einloggen, um Zugang zu erhalten

Abstract

Population-based post-deployment screening programs within the Departments of Defense and Veterans Affairs have been implemented to assess for mental health conditions and traumatic brain injury. The purpose of this paper is to systematically review the literature on post-deployment screening within this context and evaluate evidence compared to commonly accepted screening implementation criteria. Findings reflected highly variable psychometric properties of the various screens, variable treatment referral rates following screening, low to moderate treatment initiation rates following screening, and no information on treatment completion or long-term outcomes following screening. In sum, the evidence supporting population based post-deployment screening is inconclusive. Implications are discussed.

mental health screen* AND OEF/OIF; post-deployment screen*; VA mental health screen*; VHA mental health screen*; DoD mental health screen*; depress* screen* AND OEF/OIF; depress* screen* AND VA; depress* screen* AND VHA; depress* screen* AND DoD; PTSD screen* AND OEF/OIF; PTSD screen* AND VA; PTSD screen* AND VHA; PTSD screen* AND DoD; TBI screen* AND OEF/OIF; TBI screen* AND VA; TBI screen* AND VHA; TBI screen* AND DoD; alcohol screen* AND OEF/OIF; alcohol screen* AND VA; alcohol screen* AND VHA; alcohol screen* AND DoD.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5). Washington: American Psychiatric Association.CrossRef

Arroll, B., Goodyear-Smith, F., Crengle, S., Gunn, J., Kerse, N., Fishman, T., … Hatcher, S. (2010). Validation of PHQ-2 and PHQ-9 to screen for major depression in the primary care population. The Annals of Family Medicine, 8(4), 348–353.PubMedCrossRef

Belanger, H. G., Vanderploeg, R. D., & Sayer, N. (2016). Screening for remote history of mild traumatic brain injury in VHA: A critical literature review. The Journal of Head Trauma Rehabilitation, 31(3), 204–214.PubMedCrossRef

Bliese, P., Wright, K., Adler, A., Hoge, C., & Prayner, R. (2005). Post-deployment psychological screening: Interpreting and scoring DD Form 2900. US Army Medical Research Unit-Europe Research Report, 3.

Bliese, P. D., Wright, K., Adler, A. B., & Thomas, J. (2004). Validation of the 90 to 120 day post-deployment psychological short screen (U.S. Army Medical Research Unit—Europe Report No. 2004–002). Heidelberg: USAMRU-E.

Bliese, P. D., Wright, K. M., Adler, A. B., et al. (2008). Validating the primary care posttraumatic stress disorder screen and the posttraumatic stress disorder checklist with soldiers returning from combat. Journal of Consulting and Clinical Psychology, 76(2), 272–281.PubMedCrossRef

Bradley, K. A., Chavez, L. J., Lapham, G. T., Williams, E. C., Achtmeyer, C. E., Rubinsky, A. D., … Kivlahan, D. R. (2013). When quality indicators undermine quality: Bias in a quality indicator of follow-up for alcohol misuse. Psychiatric Services, 64(10), 1018–1025.PubMedCrossRef

Bradley, K. A., DeBenedetti, A. F., Volk, R. J., et al. (2007). AUDIT-C as a brief screen for alcohol misuse in primary care. Alcoholism: Clinical and Experimental Research, 31(7), 1208–1217.CrossRef

Calhoun, P. S., McDonald, S. D., Guerra, V. S., Eggleston, A. M., Beckham, J. C., Straits-Troster, K., & Mid-Atlantic, V. A., MIRECC OEF/OIF Registry Workgroup. (2010). Clinical utility of the primary care-PTSD screen among US veterans who served since September 11, 2001. Psychiatry Research, 178(2), 330–335.PubMedCrossRef

Carlson, K. F., Nelson, D., Orazem, R. J., Nugent, S., Cifu, D. X., & Sayer, N. A. (2010). Psychiatric diagnoses among Iraq and Afghanistan war veterans screened for deployment-related traumatic brain injury. Journal of Traumatic Stress, 23(1), 17–24.PubMed

Crawford, E. F., Fulton, J. J., Swinkels, C. M., Beckham, J. C., Calhoun, P. S., & Mid-Atlantic, V. A., MIRECC OEF/OIF Registry Workgroup. (2013). Diagnostic efficiency of the AUDIT-C in US veterans with military service since September 11, 2001. Drug and Alcohol Dependence, 132(1), 101–106.PubMedCrossRef

Denneson, L. M., Corson, K., Helmer, D. A., Bair, M. J., & Dobscha, S. K. (2014). Mental health utilization of new-to-care Iraq and Afghanistan Veterans following suicidal ideation assessment. Psychiatry Research, 217(3), 147–153.PubMedCrossRef

Department of Veterans Affairs. (2015). Analysis of VA Health Care Utilization among Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF), and Operation New Dawn (OND) Veterans. http://www.publichealth.va.gov/docs/epidemiology/healthcare-utilization-report-fy2015-qtr2.pdf. Accessed 11 May 2016.

Department of Veterans Affairs and Department of Defense. (2009). VA/DoD clinical practice guideline for management of major depressive disorder (MDD). Washington, DC: Office of Quality and Performance, VA and Quality Management Directorate, United States Army MEDCOM.

Department of Veterans Affairs and Department of Defense. (2010). VA/DoD clinical practice guidelines for management of post-traumatic stress. Washington, DC: Office of Quality and Safety, VA and Quality Management Division, United States ArmyMEDCOM.

Department of Veterans Affairs and Department of Defense. (2015). VA/DoD clinical practice guideline for the management of substance use disorders. Washington, DC: Office of Quality, Safety and Value, VHA and Office of Evidence Based Practice, US Army Medical Command

Dobscha, S. K., Corson, K., Helmer, D. A., Bair, M. J., Denneson, L. M., Brandt, C., … Ganzini, L. (2013). Brief assessment for suicidal ideation in OEF/OIF veterans with positive depression screens. General Hospital Psychiatry, 35(3), 272–278.PubMedCrossRef

Donnelly, K. T., Donnelly, J. P., Dunnam, M., Warner, G. C., Kittleson, C. J., Constance, J. E., … Alt, M. (2011). Reliability, sensitivity, and specificity of the VA traumatic brain injury screening tool. The Journal of Head Trauma Rehabilitation, 26(6), 439–453.PubMedCrossRef

Eisen, S. V., Schultz, M. R., Vogt, D., Glickman, M. E., Elwy, A. R., Drainoni, M. L., … Martin, J. (2012). Mental and physical health status and alcohol and drug use following return from deployment to Iraq or Afghanistan. American Journal of Public Health, 102(S1), S66–S73.CrossRef

Evans, C. T., Andre, J. R., Pape, T. L., Steiner, M. L., Stroupe, K. T., Hogan, T. P., Weaver, F. M., Smith, B. M. (2013). An evaluation of the Veterans Affairs traumatic brain injury screening process among Operation Enduring Freedom and/or Operation Iraqi Freedom veterans. PM&R, 5(3), 210–220.CrossRef

Fortier, C. B., Amick, M. M., Kenna, A., Milberg, W. P., & McGlinchey, R. E. (2015). Correspondence of the Boston Assessment of Traumatic Brain Injury-Lifetime (BAT-L) clinical interview and the VA TBI screen. The Journal of Head Trauma Rehabilitation, 30(1), E1.PubMedPubMedCentralCrossRef

Grossbard, J., Malte, C. A., Lapham, G., Pagulayan, K., Turner, A. P., Rubinsky, A. D., … Hawkins, E. J. (2017). Prevalence of alcohol misuse and follow-up care in a national sample of OEF/OIF VA patients with and without TBI. Psychiatric Services, 68(1), 48–55.PubMedCrossRef

Grossbard, J. R., Hawkins, E. J., Lapham, G. T., Williams, E. C., Rubinsky, A. D., Simpson, T. L., … Bradley, K. A. (2013). Follow-up care for alcohol misuse among OEF/OIF veterans with and without alcohol use disorders and posttraumatic stress disorder. Journal of substance abuse treatment, 45(5), 409–415.PubMedCrossRef

Harmon, S. C., Hoyt, T. V., Jones, M. D., Etherage, J. R., & Okiishi, J. C. (2012). Postdeployment mental health screening: an application of the Soldier Adaptation Model. Military Medicine, 177(4), 366–373.CrossRef

Harris, R., Sawaya, G. F., Moyer, V. A., & Calonge, N. (2011). Reconsidering the criteria for evaluating proposed screening programs: Reflections from 4 current and former members of the US Preventive services task force. Epidemiologic Reviews, 33(1), 20–35.PubMedCrossRef

Hawkins, E. J., Lapham, G. T., Kivlahan, D. R., & Bradley, K. A. (2010). Recognition and management of alcohol misuse in OEF/OIF and other veterans in the VA: A cross-sectional study. Drug and Alcohol Dependence, 109(1), 147–153.PubMedCrossRef

Hendricks, A. M., Amara, J., Baker, E., Charns, M. P., Gardner, J. A., Iverson, K. M., Kimerling, R., Krengel, M., Meterko, M., Pogoda, T. K., & Stolzmann, K. L. (2013). Screening for mild traumatic brain injury in OEF-OIF deployed US military: An empirical assessment of VHA’s experience. Brain Injury, 27(2), 125 – 34.PubMedCrossRef

Hoge, C. W., Auchterlonie, J. L., & Milliken, C. S. (2006). Mental health problems, use of mental health services, and attrition from military service after returning from deployment to Iraq or Afghanistan. Jama, 295(9), 1023–1032.PubMedCrossRef

Hoggatt, K. J., Jamison, A. L., Lehavot, K., Cucciare, M. A., Timko, C., & Simpson, T. L. (2015). Alcohol and drug misuse, abuse, and dependence in women veterans. Epidemiologic Reviews, 37(1), 23–37.PubMedCrossRef

Joffres, M., Jaramillo, A., Dickinson, J., Lewin, G., Pottie, K., & Shaw, E. … Canadian Task Force on Preventive Health Care. (2013). Recommendations on screening for depression in adults. Canadian Medical Association Journal, 185(9), 775–782.PubMedPubMedCentralCrossRef

Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 593–602.PubMedCrossRef

Kessler, R. C., & Wang, P. S. (2009). The epidemiology of depression. In I. H. Gotlib & C. L. Hammen (Eds.), Handbook of depression, vol. 2 (pp. 5–22). New York: Guilford.

Kroenke, K., Spitzer, R. L., & Williams, J. B. (2003). The Patient Health Questionnaire-2: Validity of a two-item depression screener. Med Care, 41(11), 1284–1292.PubMedCrossRef

Larson, M. J., Mohr, B. A., Adams, R. S., Wooten, N. R., & Williams, T. V. (2014). Missed opportunity for alcohol problem prevention among Army active duty service members postdeployment. American Journal of Public Health, 104(8), 1402–1412.PubMedPubMedCentralCrossRef

Lu, M. W., Duckart, J. P., O’Malley, J. P., & Dobscha, S. K. (2011). Correlates of utilization of PTSD specialty treatment among recently diagnosed veterans at the VA. Psychiatric Services, 62(8), 943–949.PubMedCrossRef

Luxton, D. D., Skopp, N. A., & Maguen, S. (2010). Gender differences in depression and PTSD symptoms following combat exposure. Depression and Anxiety, 27(11), 1027–1033.PubMedCrossRef

Maguen, S., Lau, K. M., Madden, E., & Seal, K. (2012a). Relationship of screen-based symptoms for mild traumatic brain injury and mental health problems in Iraq and Afghanistan veterans: Distinct or overlapping symptoms? Journal of Rehabilitation Research and Development, 49(7), 1115.PubMedCrossRef

Maguen, S., Lau, K. M., Madden, E., & Seal, K. (2012b). Factors associated with completing comprehensive traumatic brain injury evaluation. Military Medicine, 177(7), 797.PubMedCrossRef

Maguen, S., Madden, E., Lau, K. M., & Seal, K. (2012). The impact of head injury mechanism on mental health symptoms in veterans: Do number and type of exposures matter? Journal of Traumatic Stress, 25(1), 3–9.PubMedCrossRef

Maguen, S., Madden, E., Lau, K. M., & Seal, K. H. (2013). Service utilization among Iraq and Afghanistan veterans screening positive for traumatic brain injury. Journal of Neurotrauma, 30(13), 1123–1128.PubMedCrossRef

Martin, C. B. (2007). Routine screening and referrals for PTSD after returning from Operation Iraqi Freedom in 2005, US Armed Forces. MSMR: Medical Surveillance Monthly Report, 14(6), 2–7.

Merikangas, K. R., & McClair, V. L. (2012). Epidemiology of substance use disorders. Human Genetics, 131(6), 779–789.PubMedPubMedCentralCrossRef

Milliken, C. S., Auchterlonie, J. L., & Hoge, C. W. (2007). Longitudinal assessment of mental health problems among active and reserve component soldiers returning from the Iraq war. Jama, 298(18), 2141–2148.PubMedCrossRef

Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & The PRISMA Group (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Medicine 6(7): e1000097. https://doi.org/10.1371/journal.pmed1000097.PubMedPubMedCentralCrossRef

Moyer, V. A. (2013). Screening and behavioral counseling interventions in primary care to reduce alcohol misuse: US preventive services task force recommendation statement. Annals of Internal Medicine, 159(3), 210–218.PubMed

National Collaborating Center for Mental Health. (2010). The NICE guideline on the management and treatment of depression in adults (Updated edition). Manchester: NICE.

Polusny, M. A., Kehle, S. M., Nelson, N. W., Erbes, C. R., Arbisi, P. A., & Thuras, P. (2011). Longitudinal effects of mild traumatic brain injury and posttraumatic stress disorder comorbidity on postdeployment outcomes in national guard soldiers deployed to Iraq. Archives of General Psychiatry, 68(1), 79–89.PubMedCrossRef

Prins, A., Ouimette, P., Kimerling, R., et al. (2003). The primary care PTSD screen (PC-PTSD): Development and operating characteristics. Primary Care Psychiatry, 9, 9–14.CrossRef

Sayer, N. A., Carlson, K. F., & Frazier, P. (2014). Reintegration challenges in U.S service members and veterans following combat deployment. Social Issues and Policy Research, 8, 33–73.CrossRef

Sayer, N. A., Nelson, D., & Nugent, S. (2011). Evaluation of the Veterans Health Administration traumatic brain injury screening program in the upper Midwest. The Journal of head trauma rehabilitation, 26(6), 454–467.PubMedCrossRef

Sayer, N. A., Noorbaloochi, S., Frazier, P., Carlson, K., Gravely, A., & Murdoch, M. (2010). Reintegration problems and treatment interests among Iraq and Afghanistan combat veterans receiving VA medical care. Psychiatric Services, 61(6), 589–597.PubMedCrossRef

Schneiderman, A. I., Braver, E. R., & Kang, H. K. (2008). Understanding sequelae of injury mechanisms and mild traumatic brain injury incurred during the conflicts in Iraq and Afghanistan: persistent postconcussive symptoms and posttraumatic stress disorder. American Journal of Epidemiology, 167(12), 1446–1452.PubMedCrossRef

Schwab, K. A., Ivins, B., Cramer, G., et al. (2007). Screening for traumatic brain injury in troops returning from deployment in Afghanistan and Iraq: Initial investigation of the usefulness of a short screening tool for traumatic brain injury. The Journal of head trauma rehabilitation, 22(6), 377–389.CrossRef

Seal, K. H., Bertenthal, D., Maguen, S., Gima, K., Chu, A., & Marmar, C. R. (2008). Getting beyond “Don’t ask; don’t tell”: an evaluation of US Veterans Administration postdeployment mental health screening of veterans returning from Iraq and Afghanistan. American Journal of Public Health, 98(4), 714–720.PubMedPubMedCentralCrossRef

Seal, K. H., Cohen, G., Waldrop, A., Cohen, B. E., Maguen, S., & Ren, L. (2011). Substance use disorders in Iraq and Afghanistan veterans in VA healthcare, 2001–2010: Implications for screening, diagnosis and treatment. Drug and Alcohol Dependence, 116(1), 93–101.PubMedCrossRef

Seal, K. H., Metzler, T. J., Gima, K. S., Bertenthal, D., Maguen, S., & Marmar, C. R. (2009). Trends and risk factors for mental health diagnoses among Iraq and Afghanistan veterans using Department of Veterans Affairs health care, 2002–2008. American Journal of Public Health, 99(9), 1651–1658.PubMedPubMedCentralCrossRef

Sherriff, R., Best, L., & Roderick, P. (1998). Population screening in the NHS: A systematic pathway from evidence to policy formulation. Journal of Public Health Medicine, 20, 58–62.PubMedCrossRef

Shiner, B., Tang, C., Trapp, A. C., Konrad, R., Bar-On, I., & Watts, B. V. (2014). The provision of mental health treatment after screening: Exploring the relationship between treatment setting and treatment intensity. General Hospital Psychiatry, 36(6), 581–588.PubMedCrossRef

Sigford, B. J. (2008). To care for him who shall have borne the battle and for his widow and his orphan (Abraham Lincoln): The Department of Veterans Affairs polytrauma system of care. Archieves of Physical Medicine Rehabilitation, 89(1), 160–162.CrossRef

Siu, A. L., Bibbins-Domingo, K., Grossman, D. C., Baumann, L. C., Davidson, K. W., Ebell, M., … Krist, A. H. (2016). Screening for depression in adults: US Preventive Services Task Force recommendation statement. Jama, 315(4), 380–387.PubMedCrossRef

Stroupe, K. T., Smith, B. M., Hogan, T. P., et al. (2013). Healthcare utilization and costs of Veterans screened and assessed for traumatic brain injury. Journal of Rehabilitation Research and Development, 50(8), 1047–1068.PubMedCrossRef

Tanielian, T., & Jaycox, L. H. (2008). Invisible wounds of war: Psychological and cognitive injuries, their consequences, and services to assist recovery. Santa Monica, CA: The RAND Center for Military Health Policy Research.

Terrio, H. P., Nelson, L. A., Betthauser, L. M., Harwood, J. E., & Brenner, L. A. (2011). Postdeployment traumatic brain injury screening questions: Sensitivity, specificity, and predictive values in returning soldiers. Rehabilitation Psychology, 56(1), 26.PubMedCrossRef

Thombs, B. D., & Ziegelstein, R. C. (2014). Does depression screening improve depression outcomes in primary care? BMJ: British Medical Journal (Online), 348, g1253.CrossRef

Thombs, B. D., Ziegelstein, R. C., Roseman, M., Kloda, L. A., & Ioannidis, J. P. (2014). There are no randomized controlled trials that support the United States Preventive Services Task Force guideline on screening for depression in primary care: A systematic review. BMC Medicine, 12(1), 13.PubMedPubMedCentralCrossRef

U.S. Preventive Services Task Force. (2015). Procedure manual.

Valenstein, M., Vijan, S., Zeber, J. E., Boehm, K., & Buttar, A. (2001). The cost–utility of screening for depression in primary care. Annals of Internal Medicine, 134(5), 345–360.PubMedCrossRef

Vanderploeg, R. D., & Belanger, H. G. (2013). Screening for a remote history of mild traumatic brain injury: When a good idea is bad. The Journal of Head Trauma Rehabilitation, 28(3), 211–218.PubMedCrossRef

Vanderploeg, R. D., & Belanger, H. G. (2016). Stability and validity of the VA’s TBI Clinical Reminder Screen. Journal of Head Trauma Rehabilitation, 30(5), E29–E39.

Vanneman, M. E., Harris, A. H., Chen, C., Adams, R. S., Williams, T. V., & Larson, M. J. (2017). Postdeployment Behavioral Health Screens and Linkage to the Veterans Health Administration for Army Reserve Component Members. Psychiatric Services, appi-ps.

Veterans Health Administration. (2004). Iraq & Afghan Post-Deployment Screen.

Veterans Health Administration. (2007). Iraq & Afghan Post-Deployment Screen.

Warner, C. H., Appenzeller, G. N., Grieger, T., Belenkiy, S., Breitbach, J., Parker, J., Warner, C. M., & Hoge, C. (2011). Importance of anonymity to encourage honest reporting in mental health screening after combat deployment. Archives of General Psychiatry, 68(10), 1065–1071.PubMedCrossRef

Wilk, J. E., Herrell, R. K., Wynn, G. H., Riviere, L. A., & Hoge, C. W. (2012). Mild traumatic brain injury (concussion), posttraumatic stress disorder, and depression in US soldiers involved in combat deployments: Association with postdeployment symptoms. Psychosomatic Medicine, 74(3), 249–257.PubMedCrossRef

Williams, J. L., McDevitt-Murphy, M. E., Murphy, J. G., & Crouse, E. M. (2017). Postconcussive symptoms, PTSD, and medical disease burden in treatment-seeking OEF/OIF/OND Veterans. Military Medicine, 182(3–4), e1645–e1650.PubMedCrossRef

Wilson, J. M. G., & Jungner, G. (1968). Principles and practice of screening for disease. Geneva: WHO. http://www.who.int/bulletin/volumes/86/4/07-050112BP.pdf. Accessed 11 Feb 2016.

Wright, K. M., Bliese, P. D., Thomas, J. L., Adler, A. B., Eckford, R. D., & Hoge, C. W. (2008). Contrasting approaches to psychological screening with U.S. combat soldiers. Journal of Traumatic Stress, 20(6), 965–975

Titel: Post-deployment Mental Health Screening: A Systematic Review of Current Evidence and Future Directions
verfasst von: Vanessa Panaite
Racine Brown
Michelle Henry
Amanda Garcia
Gail Powell-Cope
Rodney D. Vanderploeg
Heather G. Belanger
Publikationsdatum: 30.03.2018
Verlag: Springer US
Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research / Ausgabe 6/2018
Print ISSN: 0894-587X
Elektronische ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-018-0869-7

Neu im Fachgebiet Psychiatrie

23.04.2024 | Demenz | Nachrichten

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Post-deployment Mental Health Screening: A Systematic Review of Current Evidence and Future Directions

Abstract

Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

Update Psychiatrie

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 6/2018

The Impact of an Adolescent Depressive Disorders Clinical Pathway on Healthcare Utilization

Economic Impact of Multisystemic Therapy for Child Abuse and Neglect

Correction to: Influences to ADHD Problem Recognition: Mixed-Method Investigation and Recommendations to Reduce Disparities for Latino Youth

Efficacy of an Attachment-Based Intervention Model on Health Indices in Children with Chronic Disease and Their Mothers

Is Mental Illness a Risk Factor for Hospital Readmission?

Correction to: Reliability of Therapist Effects in Practice-Based Psychotherapy Research: A Guide for the Planning of Future Studies

Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

Update Psychiatrie