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This study examined the long\u2010term outcomes of a residential PTSD treatment program, focusing on the association between symptom change and military separation. Participants were 282 active duty service members diagnosed with PTSD. PTSD symptom severity was assessed weekly using the PTSD Checklist\u2013Military version (PCL\u2010M). Military separation data were collected from administrative records. A multivariate joint model analyzed the association between PTSD symptoms and time to separation, whereas a Cox regression analysis explored differences across treatment response subgroups. On average, participants reported a significant 0.83\u2010point weekly decrease in PTSD symptom severity,\n                    <jats:italic>B<\/jats:italic>\n                    \u00a0= \u22121.49,\u00a0\n                    <jats:italic>p<\/jats:italic>\n                    \u00a0&lt;\u00a0.001. The linear slope of PCL\u2010M scores significantly predicted separation, with each 1\u2010point weekly decrease in symptoms associated with a 2.4% lower risk of separation. Critically, service members classified as \u201cimproved\u201d demonstrated a significantly lower risk of separation compared with those characterized as \u201cworsened,\u201d hazard ratio\u00a0=\u00a01.51, 95% CI [1.01, 2.26],\u00a0\n                    <jats:italic>p<\/jats:italic>\n                    \u00a0=\u00a0.044. The findings highlight that PTSD symptom improvement during residential treatment is a significant predictor of military retention. This underscores the importance of effective PTSD treatment not only for improving psychological well\u2010being but also for contributing to force readiness.\n                  <\/jats:p>","DOI":"10.1002\/jts.70077","type":"journal-article","created":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T05:59:02Z","timestamp":1778824742000},"page":"813-823","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Occupational outcomes of posttraumatic stress disorder residential treatment in active duty service members: Predictors of military separation"],"prefix":"10.1002","volume":"39","author":[{"given":"Juan Diego","family":"Vera","sequence":"first","affiliation":[{"name":"Psychological Health and Readiness, Naval Health Research Center  San Diego California USA"},{"name":"Leidos, Inc.  San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah M.","family":"Jurick","sequence":"additional","affiliation":[{"name":"Psychological Health and Readiness, Naval Health Research Center  San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura D.","family":"Crocker","sequence":"additional","affiliation":[{"name":"Psychological Health and Readiness, Naval Health Research Center  San Diego California USA"},{"name":"Leidos, Inc.  San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cameron T.","family":"McCabe","sequence":"additional","affiliation":[{"name":"Psychological Health and Readiness, Naval Health Research Center  San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander C.","family":"Kline","sequence":"additional","affiliation":[{"name":"Psychological Health and Readiness, Naval Health Research Center  San Diego California USA"},{"name":"Leidos, Inc.  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P.","year":"2010","journal-title":"Journal of Health Care Finance"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.295.9.1023"},{"key":"e_1_2_8_12_1","doi-asserted-by":"crossref","unstructured":"Holliday R. Holder N. Yamokoski C. Burden J. Sippel L. M. Harpaz\u2010Rotem I. &Smith N. B.(2025).A preliminary evaluation of the effectiveness of massed delivery of PTSD psychotherapy in VA residential treatment. 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(2016).Combat and operational stress control(MCTP 3\u201030E NTTP 1\u201015M).https:\/\/www.marines.mil\/portals\/1\/Publications\/MCTP%203\u201030E%20Formerly%20MCRP%206\u201011C.pdf?ver=2017\u201009\u201028\u2010081327\u2010517"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.7205\/milmed\u2010d\u201014\u201000468"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22652"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22337"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22838"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0037075"},{"key":"e_1_2_8_39_1","doi-asserted-by":"crossref","unstructured":"Weathers F. Litz B. 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