Developing an Effective Policy for Mitigating PTSD…

Research Paper Title

A Dynamic Model of Post-Traumatic Stress Disorder for Military Personnel and Veterans.

Background

Post-traumatic stress disorder (PTSD) stands out as a major mental illness; however, little is known about effective policies for mitigating the problem. The importance and complexity of PTSD raise critical questions: What are the trends in the population of PTSD patients among military personnel and veterans in the postwar era? What policies can help mitigate PTSD?

Methods

To address these questions, the researchers developed a system dynamics simulation model of the population of military personnel and veterans affected by PTSD. The model includes both military personnel and veterans in a ‘system of systems.’ This is a novel aspect of their model, since many policies implemented at the military level will potentially influence (and may have side effects on) veterans and the Department of Veterans Affairs. The model is first validated by replicating the historical data on PTSD prevalence among military personnel and veterans from 2000 to 2014 (datasets from the Department of Defence, the Institute of Medicine, the Department of Veterans Affairs, and other sources). The model is then used for health policy analysis.

Results

The researchers results show that, in an optimistic scenario based on the status quo of deployment to intense/combat zones, estimated PTSD prevalence among veterans will be at least 10% during the next decade.

Conclusions

The model postulates that during wars, resiliency-related policies are the most effective for decreasing PTSD. In a postwar period, current health policy interventions (e.g., screening and treatment) have marginal effects on mitigating the problem of PTSD, that is, the current screening and treatment policies must be revolutionised to have any noticeable effect. Furthermore, the simulation results show that it takes a long time, on the order of 40 years, to mitigate the psychiatric consequences of a war. Policy and financial implications of the findings are discussed.

Reference

Ghaffarzadegan, N., Ebrahimvandi, A. & Jalali, M.S. (2016) A Dynamic Model of Post-Traumatic Stress Disorder for Military Personnel and Veterans. PLoS One. 2016 Oct 7;11(10):e0161405. doi: 10.1371/journal.pone.0161405. eCollection 2016.

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