ArticleBMJ open2015
Do shorter delays to care and mental health system renewal translate into better occupational outcome after mental disorder diagnosis in a cohort of Canadian military personnel who returned from an Afghanistan deployment?
Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
What it found
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Who cites it
16 citing papers in PubMed, 30 citations in OpenAlex.
- Post-deployment screening in the Canadian military: Translating evaluation research into program recommendations.Journal of military, veteran and family health · 2025Article
- Delays in treatment initiation for posttraumatic stress disorder in the Canadian Armed Forces: A scoping review.Journal of military, veteran and family health · 2024Review
- Article
- Article
- The Factors Associated With Telehealth Use and Avoidance During the COVID-19 Pandemic: Longitudinal Survey.Journal of medical Internet research · 2023Article
- Article
- Retrospective cohort study of compliance with post-deployment screening in the Canadian Armed Forces.BMJ open · 2019Article
- Delays in making initial treatment contact after the first onset of mental health disorders in the Argentinean Study of Mental Health Epidemiology.Epidemiology and psychiatric sciences · 2019Article
- Stigma doesn't discriminate: physical and mental health and stigma in Canadian military personnel and Canadian civilians.BMC psychology · 2018Article
- Do Investments in Mental Health Systems Result in Greater Use of Mental Health Services? National Trends in Mental Health Service Use (MHSU) in the Canadian Military and Comparable Canadian Civilians, 2002-2013.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2018Article
- Delayed unpaired extinction as a treatment for hyperarousal of the rabbit nictitating membrane response and its implications for treating PTSD.Journal of psychiatric research · 2018Article
- Observational
- The 2013 Canadian Forces Mental Health Survey: Background and Methods.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2016Review
- Prevalence Comparison of Past-year Mental Disorders and Suicidal Behaviours in the Canadian Armed Forces and the Canadian General Population.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2016Article
- Disability and Mental Disorders in the Canadian Armed Forces.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2016Article
- Prevalence of Past-Year Mental Disorders in the Canadian Armed Forces, 2002-2013.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2016Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveMental disorders in military personnel result in high rates of attrition. Military organisations have strengthened their mental health systems and attempted to overcome barriers to care in order to see better outcomes. This study investigated the roles of mental health services renewal and delay to care in Canadian Armed Forces (CAF) personnel diagnosed with mental disorders.
designAdministrative data were used to identify a retrospective cohort of 30,513 CAF personnel who deployed in support of the mission in Afghanistan. Study participants included 508 individuals with a mental disorder diagnosis identified from CAF medical records of a weighted, stratified random sample of 2014 individuals selected from the study cohort. Weighted Cox proportional hazards regression assessed the association of diagnosis era and delay to care with the outcome, after controlling for a broad range of potential confounders (eg, disorder severity, comorbidity). Taylor series linearisation methods and sample design weights were applied in generating descriptive and regression analysis statistics. PRIMARY OUTCOME: The outcome was release from military service for medical reasons, assessed using administrative data for the 508 individuals with a mental disorder diagnosis.
results17.5% (95% CI 16.0% to 19.0%) of the cohort had a mental disorder diagnosis after an Afghanistan-related deployment, of which 21.3% (95% CI 17.2% to 25.5%) had a medical release over a median follow-up of 3.5 years. Medical release risk was elevated for individuals diagnosed before 30 April 2008 relative to those with recent diagnoses (adjusted HR (aHR)=1.77 (95% CI 1.01 to 3.11)) and for individuals with a long delay to care (>21 months after return) relative to those with intermediate delays (8-21 months, aHR 2.47=(95% CI 1.28 to 4.76)).
conclusionsMental health services renewal in the CAF was associated with a better occupational outcome for those diagnosed with mental disorders. Longer delays to care were associated with a less favourable outcome.
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