Accession Number : AD1009095


Title :   The Impacts of Humanitarian Assistance/Disaster Relief Operations on the Mental Health of Marines


Descriptive Note : Technical Report


Corporate Author : Naval Postgraduate School Monterey United States


Personal Author(s) : Burke,Zachary R


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/1009095.pdf


Report Date : 01 Dec 2015


Pagination or Media Count : 71


Abstract : In this thesis, I analyze the role of participation in a Humanitarian Assistance/ Disaster Relief(HA/DR) operation on the mental health of Marines serving between 2001 and 2011 by examining thehazard of being diagnosed with four mental health disorders during and after the mission whilecontrolling for relevant demographic and service-specific variables. The four mental health illnessesexamined are depression, post-traumatic stress disorder, substance abuse and self-inflicted injuries. Thestatistical model used in the thesis is the Cox proportional hazard model, a standard nonparametricmethod of survival analysis. I found that during the year HA/DR participation occurred, Marines were atless risk of being diagnosed with each of the four mental illnesses relative to those never deployed. In theyears following participation in a HA/DR operation, Marines have comparable risk of being diagnosedwith each of the four mental health illnesses relative to those that were never deployed. In contrast,Marines who returned from OEF/OIF deployments have elevated risks of all four mental health illnessescompared to those never deployed. Additional analysis showed that the effect of HA/DR deployments aresimilar across segments of Marines, but the elevated risks following OEF/OIF deployments are larger formale Marines relative to female Marines and for enlisted Marines relative to officers.


Descriptors :   humanitarian assistance , disasters , mental health , post traumatic stress disorder , mental health , mental disorders , suicide , military personnel , marine corps personnel


Distribution Statement : APPROVED FOR PUBLIC RELEASE