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The purpose of the study was to determine the long-term outcome for military trainees referred for a mental health evaluation during basic training. Participants were 261 Air Force basic trainees seen for a mental health evaluation during January through October 1997 and returned to duty. Frequency and type of discharge from the military were documented for participants during a 4-year follow-up period. The results showed that two-thirds of the study sample failed to complete their obligated tour of duty. Most discharges occurred within a 100-day period from the time of the evaluation. Common discharge types were physical condition interfering with performance of duty, entry-level performance and conduct, fraudulent entry, and character or behavior disorder. Implications of the findings for mental health providers working in a military training environment are discussed.
Adverse mental health prevalences among healthcare workers differ by occupation and industry. Workforces with many low income, female, and non-Hispanic African American workers are disproportionately affected. Clinical resources and prevention, mitigation, and intervention strategies to address organizational and personal stressors should be affordable, accessible, and tailored to specific healthcare workforces.
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