{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T16:36:39Z","timestamp":1787502999334,"version":"build-2736575974"},"reference-count":32,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2020,3,23]],"date-time":"2020-03-23T00:00:00Z","timestamp":1584921600000},"content-version":"unspecified","delay-in-days":1177,"URL":"https:\/\/www.cambridge.org\/core\/terms"},{"start":{"date-parts":[[2017,1,1]],"date-time":"2017-01-01T00:00:00Z","timestamp":1483228800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["europsy-journal.com","clinicalkey.jp","clinicalkey.com","clinicalkey.es","clinicalkey.com.au","clinicalkey.fr","em-consulte.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Eur. psychiatr."],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S092493380006836X_abst0005\" sec-type=\"other\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This observational study examined return to duty (RTD) rates following receipt of early mental health interventions delivered by deployed mental health practitioners.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S092493380006836X_abst0010\" sec-type=\"methods\">\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>In-depth clinical interviews were conducted among 975 UK military personnel referred for mental health assessment whilst deployed in Afghanistan. Socio-demographic, military, operational, clinical and therapy outcomes were recorded in an electronic health record database. Rates and predictors of EVAC were the main outcomes examined using adjusted binary logistic regression analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S092493380006836X_abst0015\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Overall 74.8% (\n                      <jats:italic>n<\/jats:italic>\n                      = 729) of personnel RTD on completion of care. Of those that underwent evacuation home (\n                      <jats:italic>n<\/jats:italic>\n                      = 246), 69.1% (\n                      <jats:italic>n<\/jats:italic>\n                      = 170) returned by aeromedical evacuation; the remainder returned home using routine air transport. Predictors of evacuation included; inability to adjust to the operational environment, family psychiatric history, previously experiencing trauma and thinking about or carrying out acts of deliberate self-harm.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S092493380006836X_abst0020\" sec-type=\"conclusions\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Deployed mental health practitioners helped to facilitate RTD for three quarters of mental health casualties who consulted with them during deployment; psychological rather than combat-related factors predicted evacuation home.<\/jats:p>\n                  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