分部精神科医生在大规模作战行动中
Sean L Wilkes1, Kelly E MacDonald2, Ramona A Deveney1
1Department of Behavioral Health, Tripler Army Medical Center, Honolulu, Hawaii.
概括
军事精神病医生演变为多学科的领导者. 未来的大规模作战行动需要平衡指挥咨询与前临床护理,以实现最佳部署.
科学领域:
- 军事精神病学 军事精神病学
- 运营心理学 运营心理学
- 打击心理健康 打击心理健康
背景情况:
- 部门精神科医生 (DIVPSYCH) 的角色已经从临时专家转变为嵌入式工作人员领导者.
- 历史军事实践强调基于近距离的护理,以保持战斗力.
研究的目的:
- 审查军事精神病学家的历史演变,学说和政策.
- 在未来的大规模作战行动 (LSCO) 中评估精神病学家的最佳就业策略.
主要方法:
- 一种叙事审查方法.
- 针对性的文献搜索和军事教义来源的分析.
- 检查20世纪至21世纪的军事历史,政策和当代职责.
主要成果:
- 最近的改革将精神病医生转移到工作人员/监督角色,与历史上的基于近距离的护理有所不同.
- LSCO的挑战 (高伤亡,分散的单位,有争议的疏散) 需要在前线附近增加临床覆盖范围.
- 分析了未来LSCO精神病学家就业的四种潜在行动方案.
结论:
- 建议采用混合模式,将指挥咨询与增强的前进临床能力相结合.
- 这种模式旨在满足LSCO的独特需求,同时保持必要的精神病学支持.
- 优化精神科医生部署对于在未来的冲突中保持战斗力至关重要.
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