scholarly journals Embedded Mental Health in the United States Marine Corps

2020 ◽  
Vol 185 (9-10) ◽  
pp. e1499-e1505
Author(s):  
Katherine E Pierce ◽  
David Broderick ◽  
Scott Johnston ◽  
Kathryn J Holloway

Abstract Introduction Despite the rich history and progression of mental health assets and their utilization within the Marine Corps, the implementation of these assets has been varied and inconsistent. This article strives to take the lessons learned from the past and improve on them. The goal is to develop a consistent program focused on resiliency and retention, and propose an integrated organized structure across all the Marine Expeditionary Forces (MEF). Means and Methods Review of the literature, current practices, and future recommendations. Results This article demonstrates that continuing to utilize mental health resources at the Regimental level with a focus on community mental health principles rather than the medical model allows for proximity to members and leadership of their primary command, immediate access to them as their Special Staff Officer, the ability to set the expectation of recovery, resiliency, and readiness, and the capability to implement simple principles of nonmedical recuperation and advisement. Conclusions Improving on the organizational structure of mental health in the Marine Corps by placing a mental health Special Staff Officer at the MEF level and focusing on the principles of community mental health will shift the focus back to the primary and secondary prevention care efforts across all levels of the Marine Corps and provide clinical and leadership oversight as it relates to the philosophy, role, and implementation of organic mental health Officers.

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Christopher Pudlinski

This study stems from an interest in peer support talk, an underexplored area of research, and in how supportive actions such as formulated summaries function in comparison to more professional healthcare settings. Using conversation analysis, this study explores 35 instances of formulations within 65 calls to four different ‘warm lines’, a term for peer-to-peer telephone support within the community mental health system in the United States. Formulations can be characterized across two related axes: client versus professional perspective, and directive versus nondirective. The findings show that formulations within peer support were overwhelmingly nondirective, in terms of meeting institutional agendas to let callers talk. However, formulations ranged from client-oriented ones that highlight or repeat caller reports to those which transform caller reports through integrating past caller experiences or implicit caller emotions. These tactics are found to have similarities to how formulations function in professional healthcare settings.


1983 ◽  
Vol 1 (4) ◽  
pp. 447-468 ◽  
Author(s):  
C J Smith

The Community Méntal Health Centers (CMHC) legislation in the early 1960s was the first real attempt at a national mental health policy in the United States of America. Federal funding was made available for the establishment of 1500 centers across the country. The goal was to provide access to quality mental health care for all US citizens by 1980. As a result of prolonged criticisms, the legislation was repealed by the incoming Reagan Administration in the early 1980s, In this paper, the twenty-year lifespan of this ‘innovation’ in mental health policy is reviewed and an evaluation of some of its most pervasive criticisms are presented.


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