Mental health disorders in a cohort of U.S. Navy and Marine Corps personnel receiving waivers of medical accession standards

Pamela L. Krahl, Francesca K. Litow

Research output: Contribution to journalArticle

Abstract

To assess risk of disability discharge in U.S. Navy and Marine Corps personnel receiving waivers of medical accession standards for mental health, we retrospectively identified a cohort of 22,960 waiver recipients from February 2001 to November 2005. Relative risk of Medical Evaluation Board (MEB) for any diagnosis was the same in the mental health waiver versus other waiver groups, but risk of MEB specifically for a mental health diagnosis was five times higher in the mental health waiver group. Also, risk of MEB for a musculoskeletal condition was significantly decreased in the mental health waiver group. Because of the high per-case compensation cost for mental health disability, this excess risk represents an estimated 32% higher disability compensation cost. We recommend further analysis of the waiver cohort to identify disqualifying conditions without excess disability risk. Targeting these conditions for policy changes could increase manpower without incurring long-term disability costs.

Original languageEnglish (US)
Pages (from-to)232-235
Number of pages4
JournalMilitary Medicine
Volume174
Issue number3
StatePublished - Mar 2009
Externally publishedYes

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Military Personnel
Mental Disorders
Mental Health
Compensation and Redress
Costs and Cost Analysis
Cohort Studies

ASJC Scopus subject areas

  • Medicine(all)
  • Public Health, Environmental and Occupational Health

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Mental health disorders in a cohort of U.S. Navy and Marine Corps personnel receiving waivers of medical accession standards. / Krahl, Pamela L.; Litow, Francesca K.

In: Military Medicine, Vol. 174, No. 3, 03.2009, p. 232-235.

Research output: Contribution to journalArticle

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