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Postdeployment Health Reassessment: a sustainable method for brigade combat teams
George N Appenzeller1, Christopher H Warner, Thomas Grieger
1Division Surgeon, Third Infantry Division, Building 620, Fort Stewart, GA 31314, USA.
Military Medicine
|November 8, 2007
Summary
The Postdeployment Health Reassessment (PDHRA) model offers a flexible, efficient, and cost-effective method for large-scale implementation. This reproducible process, utilizing existing resources, can be easily adopted by brigade combat teams.
Area of Science:
- Military Medicine
- Public Health
- Health Services Research
Background:
- The Postdeployment Health Reassessment (PDHRA) was mandated in 2006.
- The 3rd Infantry Division pioneered its large-scale implementation.
- Effective postdeployment health monitoring is crucial for service members.
Purpose of the Study:
- To outline a reproducible model for conducting PDHRA.
- To demonstrate the feasibility of using existing resources for PDHRA.
- To report on the outcomes of a large-scale PDHRA implementation.
Main Methods:
- Review of the PDHRA (DD 2900) screening and referral processes.
- Analysis of data from a mass screening of soldiers.
- Comparison of referral rates between maneuver and support units.
Main Results:
- 11.4% of 12,817 soldiers screened were referred for behavioral health.
- 6.4% were referred for primary care; lower percentages for specialty and emergency services.
- Behavioral health consults were completed on-site with no additional financial cost.
Conclusions:
- The PDHRA model is flexible, efficient, and cost-effective.
- The process can be implemented at the brigade combat team level.
- Implementation requires minimal impact on other medical demands.
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