Psychiatric and mental health nursing in the United States Army

Psychiatric and mental health nurses in the U. S. Army Nurse Corps employing groundbreaking protocols and treatments in psychiatric issues to address the unique challenges that our service men and women face, more commonly post traumatic stress disorder and traumatic brain injuries. Most people understand that trauma exposure is a popular occupational hazard for military members. Psychiatric screenings, before and during their enlistment, and treatments after being exposed to warfare, death, destruction, and torture have been extremely beneficial for military personnel and their dependents. Psychiatric and mental health nurses treat individuals diagnosed with conditions like schizophrenia, post traumatic stress disorder, bipolar disorder, and depression. They are also trained in behavioral therapy which allows these nurses to teach patients and their loved ones how to deal with, react to, and overcome challenges that go along with different psychiatric disorders. Nurses in the psychiatric and mental health field can assess, examine, and treat patients with mental illness. Nurses with proper training are able to identify and understand the needs and help seeking behaviors of military members and, with military cultural competence and knowledge about stress injuries, including psychological damage, they are able to deliver patient centered care to patients with military culture experiences.

Early research began in the 1950s with the electrophysiology of neurons in the visual system provided the groundwork for Dr. David Hubel's 1981 Nobel Prize in Medicine. This standard of excellence has been kept with years of research innovations leading to over multiple patents for scientific contributions and numerous publications in high impact journals such as Science, Nature, the New England Journal of Medicine, and the Journal of the American Medical Association.

The United States Army Medical Research Unit Europe (USAMRU E), a subordinate command of the Walter Reed National Military Center, is currently located in Heidelberg, Germany. USAMRU E conducts applied psychological research to protect, optimize, and enhance psychological resilience for military members while also studying factors that can impact current stressors on the unit as well as the individual and their family. USAMRU E focuses on command directed behavioral health assessments and the development and validation of resilience training for the deployment cycle and the professional military education system. At USAMRU E, individuals are exposed to a wide range of stressors that can negatively impact their behavioral health and well being. Approximately 20% of those exposed report significant behavioral health problems upon returning from a combat deployment.

The National Capital Consortium (NCC) Psychiatry Residency Program, which began in 1996, is unique and innovative graduate medical education program in psychiatry for military medical professionals. For over sixty years, neuropsychiatry investigators at the Walter Reed Army Institute of Research have worked to understand, prevent, and treat the poorly understood and untreated threats to military members health and performance that is just "in their head."

The National Capital Military Psychiatry Residency is a four year program designed to prepare military physicians and nurses for the practice of general psychiatry in the military and in community settings upon discharge from the military. The program's mission is to train military physicians and nurses to become effective psychiatrists and psychiatric nurses in the variety of future roles they will fill, from military medical operations to multi disciplinary mental health settings to primary care and other medical surgical settings. Those who enroll in the psychiatric residency program apply their techniques of social science and psychiatric research to understand and address the many global and day to day pressures of military life affecting "mental health" and "psychological resilience." Military psychiatry, psychotherapy, and psychopharmacology are particularly strong areas of emphasis of the program. Faculty members include nationally known leaders in a number of areas of psychiatry, including psychopharmacology, psychoanalysis, neuropsychiatry, child and adolescent psychiatry, consultation liaison psychiatry, and military psychiatry. Combined residency training opportunities are also offered by the program. Army residents may apply for a 3+2 child psychiatry fellowship, and if accepted, may complete both general and child and adolescent psychiatry training in a total of five years. There is also a five year combined internal medicine and psychiatry training program offered by the NCC Psychiatry and Internal Medicine Residency Programs. Graduates of this combined program complete requirements necessary for graduation from both residencies and for board certification in both general psychiatry and internal medicine. They also use traditional methods of individual and small group interview, standard and specialized psychological tests and surveys, and objective measures such as the rates of suicide, re enlistment, and post traumatic stress disorder (PTSD), to make wide ranging assessments of slider and military family health and to recommend changes to organization, training, and leadership.