{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T04:18:31Z","timestamp":1790914711743,"version":"4.1.0"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"Supplement_6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,11,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>When warfighters are unable to fight, they are formally removed from battle through temporary or permanent duty limitation profiles. This study uses a population-based data repository to characterize permanent behavioral health (BH)\u2013related profiles across the army for an identified 2-year period. The absolute risk of a permanent duty limitation for specific BH categories was also examined.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>This study utilized a retrospective population-based design to identify all new BH diagnoses across the U.S. Army. Service members identified as having a new BH diagnosis were tracked for 12\u2009months following the diagnosis to determine the recommendation of a permanent duty limitation profile.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>From 2017 to 2018, 16% (n\u2009=\u2009102,440) of service members received a \u201cnew\u201d BH diagnosis. Less than 10% (9.5%; n\u2009=\u20099,752) of soldiers diagnosed with a BH disorder were issued a permanent BH-related duty profile within 12\u2009months of the initial diagnosis. The absolute risk of a permanent profile was highest for soldiers diagnosed with a psychotic or delusional disorder (42%; n\u2009=\u2009324) followed by dissociative or somatoform disorders (26%; n\u2009=\u2009178) and eating disorders (23%; n\u2009=\u2009108).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Military regulations dictating medical readiness and retention standards reflect both the standards required for mission readiness and a layer of medical protection for the service member. This study provides important information on the relationship between a new BH diagnosis and the likelihood that a service member will be referred for a retirement evaluation.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/milmed\/usad183","type":"journal-article","created":{"date-parts":[[2023,11,10]],"date-time":"2023-11-10T15:08:24Z","timestamp":1699628904000},"page":"444-449","source":"Crossref","is-referenced-by-count":6,"title":["Behavioral Health\u2013related Reasons for Permanent Duty Limitation Profiles in the U.S. Army: Population-Based Data from 2017 to 2019"],"prefix":"10.1093","volume":"188","author":[{"given":"Jamie T","family":"Carreno-Davidson","sequence":"first","affiliation":[{"name":"Military Performance Division, US Army Research Institute of Environmental Medicine , Natick, MA 01760, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theresa N","family":"Faller","sequence":"additional","affiliation":[{"name":"Military Performance 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