Abstract
The purpose of this case study was to assess the effectiveness of a survey-based intervention meant to promote honest reporting of behavioral health problems on the Post-Deployment Health Assessment (PDHA). Rates of behavioral health problems reported by soldiers during nonanonymous PDHA screenings are typically less than half that of anonymous surveys. Stigma and barriers to care are thought to explain significant differences in anonymous versus nonanonymous findings. We conducted an anonymous Unit Behavioral Health Needs Assessment (UBHNA) survey five months and again one month prior to the PDHA screening. Unit leaders were briefed on the aggregate anonymous results and were encouraged to discuss survey-based findings with unit members prior to PDHA screening with the intent of promoting honest reporting of current symptoms. Only two of six company commanders acted on this recommendation. Company-level results showed that reporting of post-traumatic stress disorder (PTSD) was significantly lower for only one of six companies on the PDHA relative to the anonymous survey (14.7% versus 42.4%, respectively). PDHA screening rates for depression were significantly different (higher) for only one company (18.8% versus 0.0%). Suicidal ideation screening rates on the PDHA, however, were significantly lower for five of six companies. Performance improvement considerations are discussed.
Published Version
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call