Health and Wellbeing Study of Serving and ex-Serving UK Armed Forces Personnel: Phase 4
Abstract: The study has been running since 2003 with the aim of investigating the impact of deployment to Iraq (Operation TELIC) and Afghanistan (Operation HERRICK) on the health and wellbeing of serving and ex-serving personnel.
Data have been collected over three previous phases - Phase 1 (2004/06), Phase 2 (2007/09), and Phase 3 (2014/16), with the most recent phase taking place over 2022/23. In addition to examining key mental health outcomes such as CMD, probable PTSD and alcohol misuse, this phase also collected new data on additional topics relevant to UK serving and ex-serving personnel including complex PTSD (C-PTSD), loneliness and caring responsibilities.
For Phase 4 (2022/23), we followed up participants who took part in the previous phase in 2014/16. 4104 participants completed the survey. 69% of the sample had deployed to Iraq and/or Afghanistan and 72% had left service.
Abstract: IMPORTANCE: Veterans with occupational performance (e.g., activities of daily living [ADL]) limitations who are receiving inpatient psychiatric care may benefit from outpatient occupational therapy upon discharge, but access disparities have not been investigated. OBJECTIVE: To investigate whether ADL limitations, an indicator of need, are associated with outpatient occupational therapy utilization after inpatient psychiatric hospitalization in the Veterans Health Administration (VHA) and whether this relationship differs by facility characteristics. DESIGN: Secondary analysis of VHA medical record data. Modified Poisson regression was used to model outpatient occupational therapy utilization (yes or no) as a function of ADL limitations, facility characteristics, and sociodemographic and clinical characteristics. Interactions were used to estimate whether the relationship between ADL limitations and outpatient occupational therapy utilization differs across facility characteristics. SETTING: VHA outpatient setting. PARTICIPANTS: Veterans who received VHA inpatient psychiatric care from 2015 to 2020 and lived