The role of military chaplains in mental health care of the deployed service member.

This research utilized a cross-sectional design secondarily analyzing data from active duty military health care personnel who anonymously completed the "2005 Department of Defense Survey of Health Related Behaviors Among Active Duty Military Personnel." Sample for this analysis of Operation Iraqi Freedom/Operation Enduring Freedom deployed mental health seeking service members was N = 447. Religiosity/spirituality and psychological distress experienced by active duty military personnel who sought help from military mental health providers (MH), military chaplains (CHC) or both (CHC & MH) were explored and compared. Greater psychosocial distress seen in the CHC & MH group could be a reflection of a successful collaborative model for mental health care that is currently promoted by the military where chaplains are first line providers in an effort to provide services to those in greatest need and ultimately provide them with care from a trained mental health professional. Research and evaluation of chaplain training programs and collaborative models is recommended.

[1]  R. Kessler,et al.  Short screening scales to monitor population prevalences and trends in non-specific psychological distress , 2002, Psychological Medicine.

[2]  Thomas W. Britt,et al.  Stigma, Negative Attitudes About Treatment, and Utilization of Mental Health Care Among Soldiers , 2011 .

[3]  Brett T. Litz,et al.  Comparing clinical outcomes of patients with severe lower limb trauma undergoing orthoplastic and orthopedic surgeries: A long-term study protocol , 2024, Heliyon.

[4]  H. Koenig Research on Religion, Spirituality, and Mental Health: A Review , 2009, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[5]  Maristela Monteiro,et al.  AUDIT - The alcohol use disorders identification test: guidelines for use in primary care. , 2001 .

[6]  P. Resick,et al.  Changes in Religious Beliefs Following Trauma , 2003, Journal of traumatic stress.

[7]  M. Stein,et al.  Sensitivity and Specificity of the PTSD Checklist in Detecting PTSD in Female Veterans in Primary Care , 2003, Journal of traumatic stress.

[8]  Christopher H. Warner,et al.  Division mental health in the new brigade combat team structure: part II. Redeployment and postdeployment. , 2007, Military medicine.

[9]  P. Schnurr,et al.  Estimating population prevalence of posttraumatic stress disorder: an example using the PTSD checklist. , 2008, Journal of traumatic stress.

[10]  D. Larson,et al.  Religious Commitment and Mental Health: A Review of the Empirical Literature , 1991 .

[11]  R. Rosenheck,et al.  Trauma, Change in Strength of Religious Faith, and Mental Health Service Use Among Veterans Treated for PTSD , 2004, The Journal of nervous and mental disease.

[12]  D. Sheehan,et al.  The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. , 1998, The Journal of clinical psychiatry.

[13]  R. McLay,et al.  On-the-record screenings versus anonymous surveys in reporting PTSD. , 2008, The American journal of psychiatry.

[14]  R. Kessler,et al.  Screening for serious mental illness in the general population with the K6 screening scale: results from the WHO World Mental Health (WMH) survey initiative , 2003, Archives of general psychiatry.

[15]  O. Aasland,et al.  Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption--II. , 1993, Addiction.

[16]  Stella M. Yu Healthy People 2010 , 1998, Maternal and Child Health Journal.

[17]  R. Cox,et al.  Collaborative intervention: a model for coordinated treatment of mental health issues within a ground combat unit. , 2008, Military medicine.

[18]  Vernon Pizer,et al.  The United States Army , 1967 .

[19]  R. Spitzer,et al.  Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire. , 1999, JAMA.

[20]  Paul D Bliese,et al.  Validating the primary care posttraumatic stress disorder screen and the posttraumatic stress disorder checklist with soldiers returning from combat. , 2008, Journal of consulting and clinical psychology.

[21]  Christopher H Warner,et al.  Importance of anonymity to encourage honest reporting in mental health screening after combat deployment. , 2011, Archives of general psychiatry.

[22]  K. Wells,et al.  Development of a Brief Screening Instrument for Detecting Depressive Disorders , 1988, Medical care.