264670 An examination of successful Soldier post-deployment transition from combat to home

Tuesday, October 30, 2012 : 8:30 AM - 8:50 AM

David Fink, MPH , Behavioral and Social Health Outcomes Program, U.S Army Public Health Command, Gunpowder, MD
Michael Gallaway, PhD , Behavioral and Social Health Outcomes Program, US Army Public Health Command, Aberdeen Proving Ground, MD
Joseph Pecko, P , Behavioral and Social Health Outcomes Program, Army Institute of Public Health, Aberdeen Proving Ground, MD
Christine Lagana-Riordan, PhD, LCSW-C , Behavioral and Social Health Outcomes Program (BSHOP), Army Institute of Public Health, Aberdeen Proving Ground, MD
Amy Millikan, MD, MPH , Behavioral and Social Health Outcomes Program, United States Public Health Command, Aberdeen Proving Ground, MD
The Department of Defense and US Army have implemented several screening and intervention programs to identify and prevent behavioral health (BH) concerns among deployed Soldiers. These programs aim to facilitate a successful transition from combat to garrison life while expeditiously returning Soldiers to mission focus. Although many programs focus on an individual's existing problems, previous studies have shown social support (e.g., family, friends, battle-buddies, leadership) to be protective against the development of negative BH outcomes. Multiple logistic regression analysis was performed to examine the relationship between perceived social support and transition from combat to home life among 2,922 recently deployed Soldiers. Findings indicate a lack of perceived social support was strongly associated with a negative transition to home, after adjusting for selected BH and demographic information. Although Soldiers reporting previous BH encounters and/or screening positive for alcohol misuse were also significantly more likely to report a negative transition from combat to home, social support exhibited a unique contribution to the success of transition back to garrison life. Further, Soldiers reporting negative transitions from combat to home were significantly more likely to report they would not speak to a fellow Soldier, mentor or leader in their unit if confronted with a personal problem than Soldiers' reporting a positive post-deployment transition from combat to home. This study increases awareness of the need to evaluate and promote social support among Soldiers returning from combat deployments.

Learning Areas:
Epidemiology
Public health or related public policy
Social and behavioral sciences

Learning Objectives:
Describe Soldiers’ transition from deployed to garrison life through an examination of military and social supports. Evaluate Soldiers reporting a poor transition home to aid in the identification of high risk Soldiers and development of mitigating strategies to prevent negative behavioral health outcomes.

Keywords: Mental Health, Epidemiology

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have a Ph.D. in epidemiology and have worked over six years for the U.S. Army Public Health Command as the behavioral health field studies project manager. During this tenure, I've published three major reports and multiple peer-reviewed manuscripts.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.