@article{ref1,
title="Diagnosed behavioral health disorders, related duty limitations, and return to duty time in the U.S. Army: population-based data, from 2017 to 2019",
journal="Military medicine",
year="2023",
author="Carreno-Davidson, Jamie T. and Faller, Theresa N. and Richardson, Melissa and Roy, Tanja C.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="INTRODUCTION: Less than half of service members with a behavioral health (BH) problem seek care. Soldiers may avoid seeking needed care because of concerns related to being placed on a duty-limiting profile and the related medical disclosures that follow. <br><br>MATERIALS AND METHODS: This study used a retrospective population-based design to identify all new BH diagnoses across the U.S. Army. The relationship between diagnostic category, risk of being issued a duty limitation (profile), and time until return to full duty was also examined. Data were collected from a comprehensive data repository that includes medical and administrative records. Soldiers with a new BH diagnosis were identified from 2017 to 2018. All duty limitation profiles within 12 months of initial diagnosis were identified. <br><br>RESULTS: Records for 614,107 unique service members were reviewed. This cohort was mostly male, enlisted, unmarried, and White. The mean age was 27.13 years (SD = 8.05). Soldiers with a new BH diagnosis accounted for 16.7% (n = 102,440) of the population. The most common diagnostic category was adjustment disorder (55.7%). About a quarter (23.6%) of soldiers with a new diagnosis were issued a related profile. The mean length of these profiles was 98.55 days (SD = 56.91). Of those with a new diagnosis, sex and race failed to have an effect on the odds of being placed on a profile. Overall, enlisted, unmarried, or younger soldiers had greater odds of being placed on a profile. <br><br>CONCLUSION: These data provide relevant information for both the service member who seeks care and command teams seeking readiness projections.<p /> <p>Language: en</p>",
language="en",
issn="0026-4075",
doi="10.1093/milmed/usad122",
url="http://dx.doi.org/10.1093/milmed/usad122"
}