{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T07:53:53Z","timestamp":1770710033819,"version":"3.49.0"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"1-2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,23]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Behavioral health disorders are the leading category of evacuations from the U.S. Central Command (USCENTCOM) area of responsibility. Understanding the relative risk of behavioral health conditions associated with all-cause evacuation is important for the allocation of resources to reduce the evacuation burden.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>Data from the USTRANSCOM Regulating and Command &amp; Control Evacuation System and Theater Medical Data Store covering personnel deployed to the USCENTCOM area of responsibility between January 1, 2017 and December 31, 2021 were collected and analyzed. All individuals who were diagnosed with a behavioral health\u2013specific ICD-9 (290\u2013316) or ICD-10 (F00\u2013F99) code during the period were included. Using the earliest medical encounter, the number of individuals diagnosed with a particular code and the frequency individuals were evacuated being diagnosed with any code were calculated.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The mean monthly USCENTCOM population during this period was 62,535. A total of 22,870 individuals were diagnosed with a behavioral health\u2013related disorder during the study period. Of this population, 1,414 individuals required an evacuation. The relative risk of the top 30 diagnosis codes used during the initial visit of individuals during the study period was calculated. Within this group of initial diagnoses, F32.9 \u2018Major depressive disorder, single episode, unspecified\u2019 had the highest proportion evacuated at 15.9%.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>There is a broad array of behavioral health\u2013specific diagnoses used initially in the care of behavioral health disorders with a great variation in their association with evacuation risk. Variations of diagnoses associated with anxiety, depressive, and adjustment disorders are most associated with eventual evacuation.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/milmed\/usad306","type":"journal-article","created":{"date-parts":[[2023,8,8]],"date-time":"2023-08-08T17:19:42Z","timestamp":1691515182000},"page":"e279-e284","source":"Crossref","is-referenced-by-count":5,"title":["Relative Risk of\u00a0All-Cause Medical Evacuation for\u00a0Behavioral Health Conditions in\u00a0U.S. Central Command"],"prefix":"10.1093","volume":"189","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6621-1084","authenticated-orcid":false,"given":"Andrew","family":"Hall","sequence":"first","affiliation":[{"name":"USCENTCOM Office of the Command Surgeon , MacDill AFB, FL 33621, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2734-4511","authenticated-orcid":false,"given":"Cara","family":"Olsen","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine & Biostatistics, Uniformed Services University of the Health Sciences , Bethesda, MD 20814, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Gomes","sequence":"additional","affiliation":[{"name":"USARCENT Office of the Command Surgeon , Shaw AFB, SC 29152, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jouhayna","family":"Bajjani-Gebara","sequence":"additional","affiliation":[{"name":"Daniel K. Inouye Graduate School of Nursing, Uniformed Services University of the Health Sciences , Bethesda, MD 20814, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric","family":"Meyers","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Uniformed Services University of the Health Sciences , Bethesda, MD 20814, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramey","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Uniformed Services University of the Health Sciences , Bethesda, MD 20814, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,8,7]]},"reference":[{"issue":"6","key":"2024012918213139300_R1","first-page":"28","article-title":"Medical evacuations out of\u00a0the U.S. Central and\u00a0U.S. Africa Commands, active and\u00a0reserve components, U.S. Armed Forces, 2021","volume":"29","author":"Armed Forces Health Surveillance Branch","year":"2022","journal-title":"MSMR"},{"key":"2024012918213139300_R2","article-title":"Department of\u00a0Defense owned\/controlled military working dog handler and\u00a0veterinary technician utilization within the Global Patient Movement System","volume-title":"USTRANSCOM Policy Memorandum 2019-02","author":"Policy for Medical Attendant, Non-Medical Attendants","year":"2019"},{"issue":"5","key":"2024012918213139300_R3","doi-asserted-by":"publisher","first-page":"e612","DOI":"10.1212\/CPJ.0000000000001046","article-title":"Impact of\u00a0ICD-9 to ICD-10 coding transition on\u00a0prevalence trends in\u00a0neurology","volume":"11","author":"Hamedani","year":"2021","journal-title":"Neurol Clin Pract"},{"key":"2024012918213139300_R4","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1016\/j.psychres.2019.07.005","article-title":"Heterogeneity in\u00a0psychiatric diagnostic classification","volume":"279","author":"Allsopp","year":"2019","journal-title":"Psychiatry Res"},{"issue":"2","key":"2024012918213139300_R5","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1192\/bjp.bp.113.133090","article-title":"Psychiatric diagnosis: impersonal, imperfect and\u00a0important","volume":"204","author":"Craddock","year":"2014","journal-title":"Br J Psychiatry"},{"issue":"14","key":"2024012918213139300_R6","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph16142537","article-title":"Adjustment disorder: current developments and\u00a0future directions","volume":"16","author":"O\u2019Donnell","year":"2019","journal-title":"Int J Environ Res Public Health"},{"issue":"11","key":"2024012918213139300_R7","doi-asserted-by":"publisher","first-page":"1279","DOI":"10.7205\/MILMED-D-11-00454","article-title":"Description of\u00a0combat and\u00a0operational stress control in\u00a0Regional Command East, Afghanistan","volume":"177","author":"Ogle","year":"2012","journal-title":"Mil Med"},{"issue":"5","key":"2024012918213139300_R8","doi-asserted-by":"publisher","first-page":"724","DOI":"10.1002\/jts.22437","article-title":"Five-year impacts of\u00a0family stressors and\u00a0combat threat on\u00a0the behavioral health of\u00a0Afghanistan and\u00a0Iraq war veterans","volume":"32","author":"Sanders","year":"2019","journal-title":"J Trauma Stress"},{"key":"2024012918213139300_R9","article-title":"ATP 4-02.8 force health protection","author":"Department of the Army","year":"2016"},{"key":"2024012918213139300_R10","article-title":"Behavioral health","author":"World Health Organization"},{"key":"2024012918213139300_R11","article-title":"Stress First Aid: manuals and\u00a0resources for\u00a0health care works. 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