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(2010)
Once a Warrior Always a Warrior: Navigating the Transition From Combat to Home—Including Combat Stress, PTSD, and mTBI
Editorials represent the opinions EDITORIAL of the authors and JAMA and not those of the American Medical Association. Interventions for War-Related Posttraumatic Stress Disorder Meeting Veterans Where They Are of others who seek care, or considering treatment ineffec- Charles W. Hoge, MD tive, unhealthy, or a “last resort.” Therefore, a high prior- ity is to understand the reasons for these perceptions and DECADE OF CONFLICT IN AFGHANISTAN AND IRAQ meet veterans where they are. has caused a substantial mental health burden for Veterans frequently report dissatisfaction with care and war veterans and their families, particularly post- disconnect between their experiences as warriors and per- A traumatic stress disorder (PTSD). (The term vet- spectives they encounter trying to obtain the help they need. erans in this article includes personnel still remaining in ser- Conceptualizing PTSD within an occupational context that vice.) The postdeployment PTSD prevalence in US infantry is much broader than the clinical definition can help bridge personnel has averaged 10% to 20%, often coexisting with 9,10 the gap. Military personnel are members of professional depression, substance misuse, and other concerns. workgroups, similar to police and other first responders, In response, the US Departments of Defense and Veter- trained
JAMA – American Medical Association
Published: Aug 3, 2011
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