OBJECTIVE: The Postdeployment Health Reassessment (PDHRA) was mandated in 2006 and the 3rd Infantry Division was the first unit to perform a large-scale implementation. This article outlines a reproducible model for conducting PDHRA using only existing resources. METHODS: The PDHRA (DD 2900) screening and referral processes are reviewed and data on positive screens are reported. RESULTS: Of the 12,817 soldiers who participated in the mass screening, 1,460 (11.4%) were referred for behavioral health, 815 (6.4%) for primary care, 71 (0.01%) for specialty services, and 9 (0.001%) for emergency services. Consult requests were higher in maneuver brigades than in support units (12.1% versus 8.6% for behavioral health and 6.9% versus 4.4% for primary care referrals). All (1,460, 100%) of the behavioral health consults were completed on-site and the unit incurred no additional financial cost in conducting this process. CONCLUSIONS: This method for performing a large-scale implementation of the PDHRA provides a flexible, efficient, and cost-effective process that could be implemented at the brigade combat team level without difficulty and in most locations without significant impact on other medical demands.
OBJECTIVE: The Postdeployment Health Reassessment (PDHRA) was mandated in 2006 and the 3rd Infantry Division was the first unit to perform a large-scale implementation. This article outlines a reproducible model for conducting PDHRA using only existing resources. METHODS: The PDHRA (DD 2900) screening and referral processes are reviewed and data on positive screens are reported. RESULTS: Of the 12,817 soldiers who participated in the mass screening, 1,460 (11.4%) were referred for behavioral health, 815 (6.4%) for primary care, 71 (0.01%) for specialty services, and 9 (0.001%) for emergency services. Consult requests were higher in maneuver brigades than in support units (12.1% versus 8.6% for behavioral health and 6.9% versus 4.4% for primary care referrals). All (1,460, 100%) of the behavioral health consults were completed on-site and the unit incurred no additional financial cost in conducting this process. CONCLUSIONS: This method for performing a large-scale implementation of the PDHRA provides a flexible, efficient, and cost-effective process that could be implemented at the brigade combat team level without difficulty and in most locations without significant impact on other medical demands.
Authors: James A Naifeh; Matthew K Nock; Robert J Ursano; Patti L Vegella; Pablo A Aliaga; Carol S Fullerton; Ronald C Kessler; Christina L Wryter; Steven G Heeringa; Murray B Stein Journal: Suicide Life Threat Behav Date: 2016-11-01
Authors: James A Naifeh; Lisa J Colpe; Pablo A Aliaga; Nancy A Sampson; Steven G Heeringa; Murray B Stein; Robert J Ursano; Carol S Fullerton; Matthew K Nock; Michael Schoenbaum; Alan M Zaslavsky; Ronald C Kessler Journal: Mil Med Date: 2016-09 Impact factor: 1.437
Authors: Robert J Ursano; Ronald C Kessler; Murray B Stein; James A Naifeh; Pablo A Aliaga; Carol S Fullerton; Gary H Wynn; Patti L Vegella; Tsz Hin Hinz Ng; Bailey G Zhang; Christina L Wryter; Nancy A Sampson; Tzu-Cheg Kao; Lisa J Colpe; Michael Schoenbaum; James E McCarroll; Kenneth L Cox; Steven G Heeringa Journal: JAMA Psychiatry Date: 2016-07-01 Impact factor: 21.596
Authors: Robert J Ursano; Ronald C Kessler; James A Naifeh; Holly Herberman Mash; Carol S Fullerton; Tsz Hin Hinz Ng; Pablo A Aliaga; Gary H Wynn; Hieu M Dinh; James E McCarroll; Nancy A Sampson; Tzu-Cheg Kao; Michael Schoenbaum; Steven G Heeringa; Murray B Stein Journal: BMC Psychiatry Date: 2017-05-25 Impact factor: 3.630