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[ISRAELI MILITARY PSYCHIATRY: CHALLENGES AND ACHIEVEMENTS].

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This review summarizes four decades of the mental health department's (MHD) achievements and challenges in the IDF Medical Core. It covers training, screening, treatment for combat post-traumatic stress disorder (PTSD), suicide prevention, and research.

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Area of Science:

  • Military mental health
  • Psychotraumatology
  • Medical corps operations

Background:

  • The Mental Health Department (MHD) of the IDF Medical Core has operated for four decades.
  • This article reviews the MHD's evolution, achievements, and challenges.

Purpose of the Study:

  • To summarize the MHD's accomplishments and ongoing challenges over the past 40 years.
  • To provide a historical perspective on military mental health services.

Main Methods:

  • Review of accumulated experience within the MHD.
  • Historical perspective from the last four commanders of the Mental Health Department.
  • Focus on key domains: training, screening, treatment, PTSD, suicide prevention, hospitalization prevention, and research.

Main Results:

  • The MHD has developed unique training for mental health officers.
  • Significant advancements in psychological screening from recruitment to discharge.
  • Established lifetime treatment protocols for combat post-traumatic stress disorder (PTSD).
  • Continuous efforts in suicide prevention and reducing psychiatric hospitalizations.
  • Active participation in research and development of new treatment modalities.

Conclusions:

  • The MHD has demonstrated significant progress in military mental health over four decades.
  • Ongoing challenges require continued focus on prevention, treatment, and research.
  • The department's experience provides valuable insights into military mental healthcare.