2017 Behavioral Health Risk Assessment Data Report (BH-RADR)
Abstract
This report links health assessment screening data from Army Service Members (SMs/Soldiers)reporting post-traumatic stress disorder (PTSD) symptoms, depression symptoms, and hazardous drinking behavior with their administrative medical data to calculate the proportion of SMs who sought behavioral health (BH) care after screening. 2017 data included 148,016 Pre-Deployment Health Assessments (Pre-DHAs), 70,956 Post-Deployment Health Assessments (PDHAs), 49,361 Post-Deployment Health Re-Assessments (PDHRAs), and 719,319 Periodic Health Assessments (PHAs). Screening tools included the Primary CarePost-Traumatic Stress Disorder (PC-PTSD)tool, Patient Health Questionnaire2 (PHQ-2), and Alcohol Use Disorders Identification Test-Consumption (AUDITC).Consistent with prior data, the highest proportion of SMs reporting PTSD symptoms (9 ) was on the PDHRA. A steady downward trend in the proportion of SMs screening positive ( ) on the PC-PTSD, PHQ-2, and AUDIT-C overtime could be due to changes in deployment frequency, conditions, and combat exposures; attrition of non-medically ready SMs; a decrease in stigma associated with seeking BH care; and/or an increase in resources for SMs seeking help. In general, SMs who screened ( ) for depression symptoms had higher odds of screening ( ) for PTSD symptoms compared to SMs who did not screen ( ). Those reporting major life stressors had significantly higher odds of screening ( ) for PTSD or depression symptoms or hazardous drinking. 2739 who screened ( ) reported moderate to severe depression symptoms; 7688 who reported moderate or severe PTSD or depression symptoms had at least one prior BH visit. 5567 with moderate to severe PTSD or depression symptoms who did not receive a referral were already under BH care. Findings show SMs with BH issues are interfacing with the BH care system but evaluation of referral and treatment for SMs with no prior BH care who screen ( ) for BH symptoms is needed.
Document Details
- Document Type
- Technical Report
- Publication Date
- Sep 01, 2019
- Accession Number
- AD1217079
Entities
People
- Elizabeth Corrigan
- Jerrica Nichols
- Kirsten Anke
- Matthew R Beymer
Organizations
- United States Army Public Health Command