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Management of mental illness by the British Army

机译：英国陆军对精神疾病的管理

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Background The Ministry of Defence has its own hospital for soldiers requiring admission for mental health problems. Aims To assess the efficiency of the army psychiatric hospital at restoring patients to full active duty. To assess whether a new military training and rehabilitation unit (MTRU) that emphasises military-skills training, improves outcome. Method A 2-year, inception-cohort outcome study of hospital in-patients. A 12-month, case-matched, a€?before and aftera€? outcome study compared MTRU patients with hospital in-patients. Results I (hospital in-patients, n =309): at 2-year follow-up 67 (22%) were fully fit for active duty. Military psychiatrists' success rate at predicting recovery to active duty was 27%. 2: the odds of a soldier in the MTRU cohort ( n =35) returning to active duty were 14 times greater than for the hospital cohort ( n =35). The odds of remaining in the army while unfit for active duty were 20 times less for the MTRU than for the hospital cohort. Conclusions The army hospital is inefficient at rehabilitation to active duty. The MTRU significantly increased the odds of returning to active duty and reduced the odds of remaining in the army while still unfit. These findings may be applicable to the emergency services.
机译：背景技术国防部拥有自己的医院，用于因精神健康问题而需要入院的士兵。目的评估陆军精神病医院使患者恢复现役的效率。评估一个新的强调军事技能训练的军事训练和康复部门（MTRU）是否会改善结果。方法对住院患者进行为期2年的前期队列研究。前后十二个月的案例匹配结果研究将MTRU患者与住院患者进行了比较。结果I（住院患者，n = 309）：在2年的随访中，有67名（22％）完全适合现役。军事精神科医生预测现役恢复的成功率为27％。 2：MTRU队列中的一名士兵重返现役的机率（n = 35）比医院队列中的机率（n = 35）高14倍。在不适合现役的情况下，MTRU留在军队中的机率比医院队列少20倍。结论军队医院的现役康复效率低下。 MTRU显着增加了重返现役的几率，并降低了仍不适应时仍留在军队中的几率。这些发现可能适用于紧急服务。

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