Skip to main content
Top
Published in: BMC Primary Care 1/2011

Open Access 01-12-2011 | Research article

A pilot survey of post-deployment health care needs in small community-based primary care clinics

Authors: Polly H Noël, John E Zeber, Mary J Pugh, Erin P Finley, Michael L Parchman

Published in: BMC Primary Care | Issue 1/2011

Login to get access

Abstract

Background

Relatively little is known regarding to what extent community-based primary care physicians are encountering post-deployment health care needs among veterans of the Afghanistan or Iraq conflicts and their family members.

Methods

This pilot study conducted a cross-sectional survey of 37 primary care physicians working at small urban and suburban clinics belonging to a practice-based research network in the south central region of Texas.

Results

Approximately 80% of the responding physicians reported caring for patients who have been deployed to the Afghanistan or Iraq war zones, or had a family member deployed. Although these physicians noted a variety of conditions related to physical trauma, mental illnesses and psychosocial disruptions such as marital, family, financial, and legal problems appeared to be even more prevalent among their previously deployed patients and were also noted among family members of deployed veterans.

Conclusions

Community-based primary care physicians should be aware of common post-deployment health conditions and the resources that are available to meet these needs.
Literature
3.
go back to reference McNeil JD, Pratt JW: Combat casualty care in an air force theatre hospital: perspectives of recently deployed cardiothoracic surgeons. Semin Thorac Cardiovasc Surg. 2008, 20 (1): 78-84. 10.1053/j.semtcvs.2007.11.006.CrossRefPubMed McNeil JD, Pratt JW: Combat casualty care in an air force theatre hospital: perspectives of recently deployed cardiothoracic surgeons. Semin Thorac Cardiovasc Surg. 2008, 20 (1): 78-84. 10.1053/j.semtcvs.2007.11.006.CrossRefPubMed
4.
go back to reference Kauvar DS, Wolf SE, Wade CE, Cancio LC, Renz EM, Holcomb JB: Burns sustained in combat explosions in Operations Iraqi and Enduring Freedom (OIF/OEF explosion burns). Burns. 2006, 32 (7): 853-7. 10.1016/j.burns.2006.03.008.CrossRefPubMed Kauvar DS, Wolf SE, Wade CE, Cancio LC, Renz EM, Holcomb JB: Burns sustained in combat explosions in Operations Iraqi and Enduring Freedom (OIF/OEF explosion burns). Burns. 2006, 32 (7): 853-7. 10.1016/j.burns.2006.03.008.CrossRefPubMed
5.
go back to reference Sayer NA, Chiros CE, Sigford B, Scott S, Clothier B, Pickett T, et al: Characteristics and rehabilitation outcomes among patients with blast and other injuries sustained during the Global War on Terror. Arch Phys Med Rehabil. 2008, 89: 163-170. 10.1016/j.apmr.2007.05.025.CrossRefPubMed Sayer NA, Chiros CE, Sigford B, Scott S, Clothier B, Pickett T, et al: Characteristics and rehabilitation outcomes among patients with blast and other injuries sustained during the Global War on Terror. Arch Phys Med Rehabil. 2008, 89: 163-170. 10.1016/j.apmr.2007.05.025.CrossRefPubMed
6.
go back to reference Tanielian T, Jaycox LH: Invisible Wounds of War: Psychological and Cognitive Injuries, Their Consequences, and Services to Assist Recovery. 2008, San Diego, California: RAND Corporation Tanielian T, Jaycox LH: Invisible Wounds of War: Psychological and Cognitive Injuries, Their Consequences, and Services to Assist Recovery. 2008, San Diego, California: RAND Corporation
7.
go back to reference Milliken CS, Auchterlonie JL, Hoge CW: Longitudinal assessment of mental health problems among active and reserve component soldiers returning from the Iraq War. JAMA. 2007, 298 (18): 2141-2148. 10.1001/jama.298.18.2141.CrossRefPubMed Milliken CS, Auchterlonie JL, Hoge CW: Longitudinal assessment of mental health problems among active and reserve component soldiers returning from the Iraq War. JAMA. 2007, 298 (18): 2141-2148. 10.1001/jama.298.18.2141.CrossRefPubMed
8.
go back to reference Hoge CW, Terhakopian A, Castro CA, Messer SC, Engel CC: Association of posttraumatic stress disorder with somatic symptoms, health care visits, and absenteeism among Iraq war veterans. The American Journal of Psychiatry. 2007, 164: 150-153. 10.1176/appi.ajp.164.1.150.CrossRefPubMed Hoge CW, Terhakopian A, Castro CA, Messer SC, Engel CC: Association of posttraumatic stress disorder with somatic symptoms, health care visits, and absenteeism among Iraq war veterans. The American Journal of Psychiatry. 2007, 164: 150-153. 10.1176/appi.ajp.164.1.150.CrossRefPubMed
9.
go back to reference Kang HK, Bullman TA: Risk of suicide among US veterans after returning from the Iraq or Afghanistan war zones. JAMA. 2008, 300 (6): 652-3. 10.1001/jama.300.6.652.CrossRefPubMed Kang HK, Bullman TA: Risk of suicide among US veterans after returning from the Iraq or Afghanistan war zones. JAMA. 2008, 300 (6): 652-3. 10.1001/jama.300.6.652.CrossRefPubMed
10.
go back to reference Seal KH, Bertenthal D, Miner CR, Sen S, Marmar C: Bringing the war back home: Mental health disorders among 103,788 U.S. veterans returning from Iraq and Afghanistan seen at Department of Veterans Affairs facilities. Archives of Internal Medicine. 2007, 167: 476-482. 10.1001/archinte.167.5.476.CrossRefPubMed Seal KH, Bertenthal D, Miner CR, Sen S, Marmar C: Bringing the war back home: Mental health disorders among 103,788 U.S. veterans returning from Iraq and Afghanistan seen at Department of Veterans Affairs facilities. Archives of Internal Medicine. 2007, 167: 476-482. 10.1001/archinte.167.5.476.CrossRefPubMed
11.
go back to reference Sayers SL, Farrow VA, Ross J, Oslin DW: Family problems among recently returned military veterans referred for a mental health evaluation. Journal of Clinical Psychiatry. 2009, 70 (2): 163-170. 10.4088/JCP.07m03863.CrossRefPubMed Sayers SL, Farrow VA, Ross J, Oslin DW: Family problems among recently returned military veterans referred for a mental health evaluation. Journal of Clinical Psychiatry. 2009, 70 (2): 163-170. 10.4088/JCP.07m03863.CrossRefPubMed
12.
go back to reference Polusny MA, Erbes CR, Arbisi PA, Thuras P, Kehle SM, Rath M, Courage C, Reddy MK, Duffy C: Impact of prior Operation Enduring Freedom/Operation Iraqi Freedom combat duty on mental health in a predeployment cohort of National Guard soldiers. Military Medicine. 2009, 174 (4): 353-7.CrossRefPubMed Polusny MA, Erbes CR, Arbisi PA, Thuras P, Kehle SM, Rath M, Courage C, Reddy MK, Duffy C: Impact of prior Operation Enduring Freedom/Operation Iraqi Freedom combat duty on mental health in a predeployment cohort of National Guard soldiers. Military Medicine. 2009, 174 (4): 353-7.CrossRefPubMed
13.
go back to reference Reger MA, Gahm VA, Swanson RD, Duma SJ: Association between number of deployments to Iraq and mental health screening outcomes in U.S. Army soldiers. Journal of Clinical Psychiatry. 2009, 70 (9): 1266-1272. 10.4088/JCP.08m04361.CrossRefPubMed Reger MA, Gahm VA, Swanson RD, Duma SJ: Association between number of deployments to Iraq and mental health screening outcomes in U.S. Army soldiers. Journal of Clinical Psychiatry. 2009, 70 (9): 1266-1272. 10.4088/JCP.08m04361.CrossRefPubMed
14.
go back to reference Cohen SP, Brown C, Kurihara C, Plunkett A, Nguyen C, Strassels SA: Diagnoses and factors associated with medical evacuation and return to duty for service members participating in Operation Iraqi Freedom or Operation Enduring Freedom: a prospective cohort study. 2010, 375: 301-309. Cohen SP, Brown C, Kurihara C, Plunkett A, Nguyen C, Strassels SA: Diagnoses and factors associated with medical evacuation and return to duty for service members participating in Operation Iraqi Freedom or Operation Enduring Freedom: a prospective cohort study. 2010, 375: 301-309.
15.
go back to reference Sullenberge l, Gentlesk PJ: Cardiovascular disease in a forward military hospital during Operation Iraqi Freedom: a report from deployed cardiologists. Military Medicine. 2008, 173 (2): 193-197.CrossRef Sullenberge l, Gentlesk PJ: Cardiovascular disease in a forward military hospital during Operation Iraqi Freedom: a report from deployed cardiologists. Military Medicine. 2008, 173 (2): 193-197.CrossRef
16.
go back to reference Zouris JM, Wade AL, Magno CP: Injury and illness casualty distributions among U.S. Army and Marine Corps personnel during Operation Iraqi Freedom. Mil Med. 2008, 173: 247-252.CrossRefPubMed Zouris JM, Wade AL, Magno CP: Injury and illness casualty distributions among U.S. Army and Marine Corps personnel during Operation Iraqi Freedom. Mil Med. 2008, 173: 247-252.CrossRefPubMed
17.
go back to reference Gironda RJ, Clark ME, Massengale JP, Walker RL: Pain among veterans of Operations Enduring Freedom and Iraqi Freedom. Pain Medicine. 2006, 7: 339-343. 10.1111/j.1526-4637.2006.00146.x.CrossRefPubMed Gironda RJ, Clark ME, Massengale JP, Walker RL: Pain among veterans of Operations Enduring Freedom and Iraqi Freedom. Pain Medicine. 2006, 7: 339-343. 10.1111/j.1526-4637.2006.00146.x.CrossRefPubMed
18.
go back to reference Kerns RD, Dobscha SK: Pain among veterans returning from deployment in Iraq and Afghanistan: update on the Veterans Health Administration Pain Research Program. Pain Med. 2009, 10: 1161-1164.CrossRefPubMed Kerns RD, Dobscha SK: Pain among veterans returning from deployment in Iraq and Afghanistan: update on the Veterans Health Administration Pain Research Program. Pain Med. 2009, 10: 1161-1164.CrossRefPubMed
19.
go back to reference Kizer KW, Dudley RA: Extreme makeover: Transformation of the Veterans Health Care System. Annual Review of Public Health. 2009, 20: 313-39.CrossRef Kizer KW, Dudley RA: Extreme makeover: Transformation of the Veterans Health Care System. Annual Review of Public Health. 2009, 20: 313-39.CrossRef
22.
go back to reference Eaton KM, Hoge CW, Messer SC, Whitt AA, Cabrera OA, McGurk D, Cox A, Castro CA: Prevalence of mental health problems, treatment need, and barriers to care among primary care-seeking spouses of military service members involved in Iraq and Afghanistan deployments. Military Medicine. 2008, 173 (11): 1051-CrossRefPubMed Eaton KM, Hoge CW, Messer SC, Whitt AA, Cabrera OA, McGurk D, Cox A, Castro CA: Prevalence of mental health problems, treatment need, and barriers to care among primary care-seeking spouses of military service members involved in Iraq and Afghanistan deployments. Military Medicine. 2008, 173 (11): 1051-CrossRefPubMed
23.
go back to reference SteelFisher GK, Zaslavsky AM, Blendon RJ: Health-Related Impact of Deployment Extensions on Spouses of Active Duty Army Personnel. Military Medicine. 2008, 173 (3): 221-229.CrossRefPubMed SteelFisher GK, Zaslavsky AM, Blendon RJ: Health-Related Impact of Deployment Extensions on Spouses of Active Duty Army Personnel. Military Medicine. 2008, 173 (3): 221-229.CrossRefPubMed
24.
go back to reference Cozza SJ, Chun RS, Polo JA: Military families and children during Operation Iraqi Freedom. Psychiatric Quarterly. 2005, 76 (4): 371-378. 10.1007/s11126-005-4973-y.CrossRefPubMed Cozza SJ, Chun RS, Polo JA: Military families and children during Operation Iraqi Freedom. Psychiatric Quarterly. 2005, 76 (4): 371-378. 10.1007/s11126-005-4973-y.CrossRefPubMed
25.
go back to reference American Psychological Association: The psychological needs of U.S. military service members and their families: a preliminary report. APA Presidential Task Force on Military Deployment Services for Youth. 2007 American Psychological Association: The psychological needs of U.S. military service members and their families: a preliminary report. APA Presidential Task Force on Military Deployment Services for Youth. 2007
26.
go back to reference McFarlane AC: Military deployment: the impact on children and family adjustments and the need for care. Current Opinion in Psychiatry. 2009, 22: 369-373. 10.1097/YCO.0b013e32832c9064.CrossRefPubMed McFarlane AC: Military deployment: the impact on children and family adjustments and the need for care. Current Opinion in Psychiatry. 2009, 22: 369-373. 10.1097/YCO.0b013e32832c9064.CrossRefPubMed
27.
go back to reference Chandra A, Lara-Cinisomo S, Jaycox L, Tanielian T, Burns R, Ruder T, Han B: Children on the homefront: the experience of children from military families. Pediatrics. 2010, 125: Chandra A, Lara-Cinisomo S, Jaycox L, Tanielian T, Burns R, Ruder T, Han B: Children on the homefront: the experience of children from military families. Pediatrics. 2010, 125:
28.
go back to reference Friedman MJ: Prevention of psychiatric problems among military personnel and their spouses. New England Journal of Medicine. 2010, 362 (2): 168-170. 10.1056/NEJMe0911108.CrossRefPubMed Friedman MJ: Prevention of psychiatric problems among military personnel and their spouses. New England Journal of Medicine. 2010, 362 (2): 168-170. 10.1056/NEJMe0911108.CrossRefPubMed
29.
go back to reference Parchman ML, Zeber J, Pugh JA, Romero RL: Risk of coronary artery disease in type 2 diabetes and the delivery of care consistent with the chronic care model in primary care settings: A STARNet study. Medical Care. 2007, 45 (12): 1129-1134. 10.1097/MLR.0b013e318148431e.CrossRefPubMed Parchman ML, Zeber J, Pugh JA, Romero RL: Risk of coronary artery disease in type 2 diabetes and the delivery of care consistent with the chronic care model in primary care settings: A STARNet study. Medical Care. 2007, 45 (12): 1129-1134. 10.1097/MLR.0b013e318148431e.CrossRefPubMed
30.
go back to reference Hoge CW, Castro CA, Messer SC, McGurk D, Cotting DI, Koffman RL: Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. N Engl J Med. 2004, 351 (1): 13-22. 10.1056/NEJMoa040603.CrossRefPubMed Hoge CW, Castro CA, Messer SC, McGurk D, Cotting DI, Koffman RL: Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. N Engl J Med. 2004, 351 (1): 13-22. 10.1056/NEJMoa040603.CrossRefPubMed
31.
go back to reference Pietrzak RH, Johnson DC, Goldstein MB, Malley JC, Southwick SM: Perceived stigma and barriers to mental health care utilization among OEF-OIF veterans. Psychiatric Services. 2009, 60 (8): 1118-22. 10.1176/appi.ps.60.8.1118.CrossRefPubMed Pietrzak RH, Johnson DC, Goldstein MB, Malley JC, Southwick SM: Perceived stigma and barriers to mental health care utilization among OEF-OIF veterans. Psychiatric Services. 2009, 60 (8): 1118-22. 10.1176/appi.ps.60.8.1118.CrossRefPubMed
35.
go back to reference Coetzee RH, Simpson RG, Greenberg N: Detecting post-deployment mental health problems in primary care. JR Army Med Corp. 2010, 156 (3): 196-199.CrossRef Coetzee RH, Simpson RG, Greenberg N: Detecting post-deployment mental health problems in primary care. JR Army Med Corp. 2010, 156 (3): 196-199.CrossRef
36.
go back to reference Finley EP, Zeber JE, Pugh MJ, Cantu G, Copeland LA, Parchman ML, Noel PH: Postdeployment health care for returning OEF/OIF military personnel and their social networks: a qualitative approach. Mil Med. 2010, 175 (12): 953-7.CrossRefPubMed Finley EP, Zeber JE, Pugh MJ, Cantu G, Copeland LA, Parchman ML, Noel PH: Postdeployment health care for returning OEF/OIF military personnel and their social networks: a qualitative approach. Mil Med. 2010, 175 (12): 953-7.CrossRefPubMed
Metadata
Title
A pilot survey of post-deployment health care needs in small community-based primary care clinics
Authors
Polly H Noël
John E Zeber
Mary J Pugh
Erin P Finley
Michael L Parchman
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Primary Care / Issue 1/2011
Electronic ISSN: 2731-4553
DOI
https://doi.org/10.1186/1471-2296-12-79

Other articles of this Issue 1/2011

BMC Primary Care 1/2011 Go to the issue